Anesteziologiia i reanimatologiia
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Anesteziol Reanimatol · Mar 2009
[Analysis of the clinical features and outcome of ventilator-associated Pseudomonas aeruginosa-related pneumonia in an intensive care unit].
The occurrence, the course, and outcome of ventilator-associated pneumonia (VAP) related to Pseudomonas aeruginosa were prospectively followed up in 51 patients treated at an intensive care unit. The characteristic feature of P. aeruginosa-induced VAP was its severe course and poor prognosis (mortality was 38%). ⋯ Lung tissue destruction and edema were rather frequent complications. The predictors of death in VAP caused by P. aeruginosa are admission to an intensive care unit, septic shock, and infection.
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Anesteziol Reanimatol · Jan 2009
Multicenter Study[Estimation of the validity of pediatric severity rating scales in multidisciplinary children's intensive care units].
The aim of this study was to estimate the validity of pediatric severity rating scales at general pediatric intensive care units. This was a prospective, observational multicenter study that was performed from November 1, 2007, to January 31, 2008. The end points were the estimation of the severity of disease, by using the PRISM, PIM II, RELOD scores, and 28-day survival. ⋯ The calibration of scores according to the intervals of mortality risk (Hosmer-Lemeshov test) showed that the observed and predicted mortality rates were similar for PIM II scores (chi2 = 8.23; p = 0.084) and were different for PRISM scores (chi2 = 203.5; p < 0.001) and PELOD ones (chi2 = 26.16; p < 0.001). Thus, the PIM II scores showed the best validity. PRISM and PELOD can be used to estimate the severity of disease in individual subgroups of high mortality-risk patients.
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Anesteziol Reanimatol · Jan 2009
Clinical Trial[BIS-monitoring of sedative therapy of children in intensive care units].
The depth of sedation was studied in children at intensive care units. Sixty-five children aged 4 to 14 years who had severe purulent abdominal processes and somatic diseases were examined. The depth of sedation was recorded by BIS monitoring and the Ramsey clinical sedation scale was used to make a clinical evaluation. ⋯ Midazolam was given in Group 3. There were differences when these agents were administered. The depth of sedation was found to depend on the given dose of an agent.
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Anesteziol Reanimatol · Jan 2009
Clinical Trial[Evaluation of the efficacy of paracetamol as a component of postoperative combined analgesia in children].
Postoperative pain is one of the most serious problems in patients who have undergone surgical interventions. The paper analyzes the efficiency of various postoperative analgesia regimens in children and shows the high efficiency of paracetamol as a component of combined anesthesia in the postoperative period.