Crit Care Resusc
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Comparative Study
Increased blood volume following resolution of acute cardiogenic pulmonary oedema: a retrospective analysis.
Acute cardiogenic pulmonary oedema (APO) occurs due to an increase in pulmonary microvascular pressure and massive transvascular fluid filtration into the lungs, causing respiratory insufficiency. ⋯ Patients with APO are hypovolaemic at the onset relative to their state after treatment. With treatment and resolution of APO, hypovolaemia is corrected and circulating volume is restored.
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Comparative Study
Bedside electronic capture of clinical observations and automated clinical alerts to improve compliance with an Early Warning Score protocol.
Failure to comply with clinical protocols and failure of communication to ensure delivery of the most appropriate timely clinical responses to patients whose conditions are acutely deteriorating have been shown to be significant causative factors associated with inhospital adverse events. ⋯ Electronic recording of patient observations linked to a computer system that calculates patient risk and then issues automatic graded alerts can improve clinical attendance to unstable general medical ward patients.