Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2021
[Comparison of pulse oxygen saturation/fraction of inhaled oxygen and arterial partial pressure of oxygen/fraction of inhaled oxygen in the assessment of oxygenation in acute respiratory distress syndrome patients at different high altitudes in Yunnan Province].
To investigate and evaluate if pulse oxygen saturation/fraction of inhaled oxygen (SpO2/FiO2) can be used, as replacement of arterial partial pressure of oxygen/fraction of inhaled oxygen (PaO2/FiO2), to assess oxygenation in acute respiratory distress syndrome (ARDS) patients at different high altitudes in Yunnan Province, and to find a rapid and non-invasive method for the diagnosis of ARDS at different altitudes. ⋯ SpO2/FiO2 and PaO2/FiO2 in ARDS patients at different high altitudes in Yunnan Province have a good correlation, and non-invasive SpO2/FiO2 can be used to replace PaO2/FiO2 to assess the oxygenation in ARDS patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2021
[Value of procalcitonin and critical illness score in etiological diagnosis and prognosis of sepsis caused by intra-abdominal infections].
To compare the early and late predictive values of critical illness score (CIS) and procalcitonin (PCT) in septic patients with blood stream infection (BSI) induced by intra-abdominal infection (IAI), and to identify the value of PCT in etiological diagnosis. ⋯ PCT is more reliable in the identification of pathogen type among IAI induced sepsis with BSI, while APACHE II score may perform better in predicting early and late mortality.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Risk factors and their predictive value for intensive care unit acquired weakness in patients with sepsis].
To explore the risk factors of intensive care unit acquired weakness (ICUAW) in patients with sepsis, and to evaluate the predictive value of each risk factor for ICUAW. ⋯ APACHE II score and average SOFA score can be used as independent risk factors for the occurrence of ICUAW in sepsis, and their combined predictive value is better than that of individual index.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Effect of high-flow nasal cannula oxygen on patients with chronic obstructive pulmonary disease and mild hypercapnia: a retrospective cohort study based on the Medical Information Mart for Intensive Care-IV database].
To observe the effect of high-flow nasal cannula oxygen therapy (HFNC) in patients with chronic obstructive pulmonary disease (COPD) and mild hypercapnia, and to evaluate the early predictive ability of physiological parameters in these patients. ⋯ HFNC can be used in COPD patients with mild hypercapnia, but it cannot replace NIV. The accuracy of ROX index at 4 hours after HFNC treatment in predicting intubation in COPD patients with mild hypercapnia is poor.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Efficacy and safety of stress ulcer prophylaxis in septic patients: a retrospective cohort study based on large database].
To evaluate the effects and safety of stress ulcer prophylaxis (SUP) versus no prophylaxis in adult septic patients at risk of gastrointestinal bleeding (GIB). ⋯ Among critically ill adult patients with sepsis at risk for GIB, SUP showed no effect on reducing in-hospital mortality, the rate of GIB and CDI, but was associated with increased risk of secondary pneumonia and prolonged LOS.