Critical care medicine
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Critical care medicine · Apr 2000
Efficiency of chest computed tomography in critically ill patients with multiple traumas.
The efficiency of secondary thoracic computed tomography (TCT) in critically ill patients with multiple traumas was assessed by comparison of TCT with chest radiograph findings. The subsequent therapeutic consequences based on the additional information of TCT were evaluated. ⋯ Performed under the above displayed defined indications, TCT had an overall efficiency of 57%. It provided an increased sensitivity for intrathoracic lesions and a more comprehensive diagnosis of chest abnormalities.
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Critical care medicine · Apr 2000
Prolonged hypernatremia controls elevated intracranial pressure in head-injured pediatric patients.
To determine the effects continuous infusions of hypertonic saline (3% NaCl) on intracranial pressure (ICP) control and describe the physiologic effects of hypertonic saline administered to closed head injury children. ⋯ Hypertonic saline administration to children with closed head injury appears to be a promising therapy for control of cerebral edema. Further controlled trials are required to determine the optimal duration of treatment before widespread use is advocated.
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Critical care medicine · Apr 2000
Editorial Comment Comparative StudyInternal medicine based critical care training: straight internal medicine versus pulmonary.