Critical care medicine
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Critical care medicine · May 1994
Comparative StudyNo differences in hemodynamics, ventricular function, and oxygen delivery in septic and nonseptic patients with the adult respiratory distress syndrome.
To determine whether there are differences in hemodynamics, ventricular function, oxygen delivery, and oxygen consumption between septic and nonseptic patients who have the adult respiratory distress syndrome (ARDS). ⋯ Early in the course of ARDS, there were no differences in hemodynamics, ventricular function, and oxygen delivery and consumption between septic and nonseptic patients. Sepsis does not account for the previously reported differences in hemodynamics, ventricular function, and oxygen delivery and oxygen consumption between survivors and non-survivors of ARDS. We speculate that both ARDS and sepsis cause release of mediators which cause similar changes in hemodynamics, ventricular function, and oxygen delivery and consumption.
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Critical care medicine · May 1994
Admissions to a pediatric intensive care unit for status epilepticus: a 10-year experience.
To characterize the etiology, course, and prognosis in children admitted to a pediatric intensive care unit (ICU) for status epilepticus. ⋯ Most cases of status epilepticus were caused by epilepsy, atypical febrile seizure, encephalitis, meningitis, or metabolic disease. The mortality rate during the ICU stay was 6%. The prognosis was good in most surviving cases, more so if the neurologic development of the child was normal before the status epilepticus.
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Critical care medicine · May 1994
Prospective study on the occurrence of withdrawal in critically ill children who receive fentanyl by continuous infusion.
To determine the occurrence of narcotic withdrawal in critically ill children who receive continuous infusions of fentanyl. ⋯ Continuous infusions of fentanyl produce a high occurrence rate of narcotic withdrawal when administered to critically ill children. This effect is both dose- and duration-dependent.
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To investigate the changes in serum hyaluronan concentrations in response to surgery. ⋯ Surgery is accompanied by a small increase in serum hyaluronan concentrations in humans. The major increase is seen in the postoperative period, and is probably due to increased influx of interstitial hyaluronan when the returning muscular tone activates lymph flow.
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Critical care medicine · May 1994
Need for advanced cardiac life-support training in rural, community hospitals.
To define the relative needs of the staffs of rural, community hospitals for training in advanced cardiac life support (ACLS), identify weaknesses, and modify a standard ACLS course to meet these needs. ⋯ There is a need for ACLS training in community hospitals. Educational programs for physicians and staffs should be designed to meet that need.