Critical care medicine
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Critical care medicine · Mar 1999
Volume of ventricular blood is an important determinant of outcome in supratentorial intracerebral hemorrhage.
To determine the prognostic significance and pathophysiologic implication of intraventricular extension of supratentorial intracerebral hemorrhage. ⋯ Volume of intraventricular hemorrhage is an important determinant of outcome in supratentorial intracerebral hemorrhage.
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Critical care medicine · Mar 1999
Comparative StudyVasopressin improves vital organ blood flow after prolonged cardiac arrest with postcountershock pulseless electrical activity in pigs.
Although a benefit of vasopressin when compared with epinephrine was shown during cardiopulmonary resuscitation (CPR) after a short duration of ventricular fibrillation cardiac arrest, the effect of vasopressin during prolonged cardiac arrest with pulseless electrical activity is currently unknown. ⋯ Compared with a maximum dose of epinephrine, vasopressin significantly increased left ventricular myocardial and total cerebral blood flow during CPR and return of spontaneous circulation in a porcine model of prolonged cardiac arrest with postcountershock pulseless electrical activity.
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Critical care medicine · Mar 1999
Comparative StudyProcalcitonin used as a marker of infection in the intensive care unit.
To determine the value of procalcitonin (ProCT) as a marker of infection in critically ill patients. ⋯ ProCT is not a better marker of infection than CRP in critically ill patients, but it can represent a useful adjunctive parameter to identify infection and is a useful marker of the severity of infection.
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Critical care medicine · Mar 1999
Rate of 24-hour blood pressure decline and mortality after spontaneous intracerebral hemorrhage: a retrospective analysis with a random effects regression model.
To study the effect of decline in blood pressure on mortality in patients with spontaneous intracerebral hemorrhage (ICH). ⋯ A rapid decline in MAP within 24 hrs after presentation is independently associated with increased mortality in patients with ICH. A large, prospective, randomized trial is required to confirm these findings.
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Critical care medicine · Mar 1999
Systemic inflammatory response syndrome in patients hospitalized for gastrointestinal bleeding.
To describe the incidence and causes of systemic inflammatory response syndrome (SIRS), to determine the risk factors for its development, and to assess its impact on the outcome of patients hospitalized for gastrointestinal bleeding. ⋯ SIRS occurs in 27% of patients admitted for gastrointestinal bleeding and is associated with a poor prognosis. Intensive care unit admission, upper gastrointestinal bleeding, and high APACHE II scores are risk factors for the development of SIRS in patients hospitalized for gastrointestinal bleeding.