Crit Care Resusc
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Review Meta Analysis
Effects of non-invasive ventilation on reintubation rate: a systematic review and meta-analysis of randomised studies of patients undergoing cardiothoracic surgery.
To estimate the effect of non-invasive mechanical ventilation (NIV) on the rate of reintubation among patients undergoing cardiothoracic surgery. ⋯ NIV seems to be effective in reducing reintubation rate after cardiothoracic surgery. The results of this meta-analysis should be confirmed by large randomised controlled studies.
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Review Meta Analysis
A meta-analysis of complications and mortality of extracorporeal membrane oxygenation.
To comprehensively assess published peer-reviewed studies related to extracorporeal membrane oxygenation (ECMO), focusing on outcomes and complications of ECMO in adult patients. ⋯ Even with conditions usually associated with a high chance of death, almost 50% of patients receiving ECMO survive up to discharge. Complications are frequent and most often comprise renal failure, pneumonia or sepsis, and bleeding.
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To evaluate the efficacy of methylene blue in raising mean arterial pressure in hypotensive patients. ⋯ Methylene blue increases arterial blood pressure and systemic vascular resistances in vasoplegic patients without a detrimental effect on survival.
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Review Meta Analysis
A systematic review of the accuracy of peripheral thermometry in estimating core temperatures among febrile critically ill patients.
There is uncertainty about the accuracy of peripheral thermometers in measuring temperatures within the febrile physiological range. ⋯ The identified studies suggest that in critically ill patients, tympanic and oral thermometry provide, on average, accurate measures of core temperatures within the febrile range and can be recommended for this purpose. Further studies with appropriate statistical methods are required to assess the accuracy of peripheral thermometers among critically ill patients with fever.
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Review Meta Analysis
The effect of antipyretic medications on mortality in critically ill patients with infection: a systematic review and meta-analysis.
Antipyretic medications are widely used in critically ill patients with infection despite evidence supporting a protective, adaptive role of fever. ⋯ The studies included in this review were insufficient to allow a robust estimate of the effect of pharmacological antipyresis on mortality in critically ill patients with suspected infection. Further RCTs are required to resolve this important area of clinical uncertainty.