Ann Acad Med Singap
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Ann Acad Med Singap · May 2001
Obstetric admissions to the intensive therapy unit of a tertiary care institution.
Between 0.1% and 0.9% of women develop pregnancy complications which require admission to an intensive therapy unit. The aim of this study was to review all obstetric admissions to the intensive therapy unit at the KK Women's and Children's Hospital from 1998 to 1999 with respect to indications for admission, interventions employed and clinical outcome. ⋯ The admission rate to the intensive therapy unit in our institution was 0.73% of all deliveries during the 2-year study period. Hypertensive disease and haemorrhage were the predominant admitting diagnoses.
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The optimal haematocrit for the critically ill patient is undetermined. ⋯ Oxygen consumption requires oxygen delivery. Haematocrit delivers oxygen. However, if oxygen delivery is not limited by haematocrit or is achieved by other means, then the concept of the optimal haematocrit is irrelevant. There are currently no guidelines for the management of anaemia in the critically ill.
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Ann Acad Med Singap · May 2001
An audit of patients with rheumatic disease requiring medical intensive care.
Medical intensive care for patients with rheumatic disease is usually complicated by significant morbidity and mortality. The aims of this study were to examine the reasons for admission, the outcomes of these patients and the possible prognostic factors in an Asian cohort. ⋯ Many of our critically-ill patients with rheumatic disease were young females with good functional status. Despite the high mortality, they should be aggressively treated because infection and acute respiratory failure are potentially reversible.
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Ann Acad Med Singap · May 2001
Randomized Controlled Trial Clinical TrialEffect of different endotracheal suctioning systems on cardiorespiratory parameters of ventilated patients.
We conducted this prospective randomised cross-over study to evaluate the effect of closed system (CS) versus open system (OS) endotracheal suctioning on heart rate (HR), mean arterial pressure (MAP), respiratory rate (RR), oxygen saturation (SpO2) and electrocardiogram (ECG) rhythm of patients on mechanical ventilation. ⋯ Our study shows that OS suctioning results in more adverse changes in cardiorespiratory parameters compared to CS suctioning.
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To highlight recent advances in neurological and neurosurgical intensive care. ⋯ Specialised neurointensive care units provide the best environment for the patient with acute brain injury. Outcome is frequently enhanced the clinicians skilled towards dealing with the whole spectrum of neurologic insults.