Critical care medicine
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Critical care medicine · Jun 1999
Comparative StudyOptimizing liquid ventilation as a lung protection strategy for neonatal cardiopulmonary bypass: full functional residual capacity dosing is more effective than half functional residual capacity dosing.
To evaluate and compare the protective effects of two different perflubron doses on hemodynamics and lung function in a neonatal animal model of cardiopulmonary bypass-induced lung injury. ⋯ These data suggest that liquid lung ventilation dosing at full functional residual capacity before bypass is more effective than half functional residual capacity in minimizing the lung injury associated with neonatal cardiopulmonary bypass. Full functional residual capacity dosing may optimize alveolar distention and lung volume, as well as improve oxygen delivery compared with half functional residual capacity dosing.
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Critical care medicine · Jun 1999
Pneumocystis carinii pneumonia requiring intensive care management: survival and prognostic study in 110 patients with human immunodeficiency virus.
To perform a descriptive study of patients with acute respiratory failure secondary to acquired immunodeficiency syndrome-related Pneumocystis carinii pneumonia and to identify variables that are predictive of death within 3 months. ⋯ Our data suggest that the most significant predictive factors of death were identifiable during the course of P. carinii pneumonia-related acute respiratory failure rather than at admission and can help in bedside decisions to withdraw intensive care support in such patients.
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Critical care medicine · Jun 1999
Case ReportsErythema nodosum after smoke inhalation-induced bronchiolitis obliterans organizing pneumonia.
Bronchiolitis obliterans organizing pneumonia and erythema nodosum are immunologic diseases that have not been reported to occur together. We report the case of a lady who developed bronchiolitis obliterans organizing pneumonia and erythema nodosum simultaneously, several weeks after smoke inhalation in a house fire.
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Critical care medicine · Jun 1999
Influence of lower limb pneumatic compression on pulmonary artery temperature: effect on cardiac output measurements.
To characterize the decreases in pulmonary artery temperature that coincide with the inflation cycle of pneumatic calf compression stockings and to examine their effects on the thermodilution measurement of cardiac output. ⋯ Intermittent pneumatic calf compression increased lower limb venous return, causing acute but transient decreases in pulmonary artery blood temperature. This did not affect the accuracy of thermodilution cardiac output measurements that were made using 10 mL of either cold or room temperature injectate.
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Critical care medicine · Jun 1999
Editorial CommentAntimicrobial-bonded catheters: Important aspects.