Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2014
[Evaluation of tidal volume delivered by ventilators during volume-controlled ventilation].
To study the ways which ensure the delivery of enough tidal volume to patients under various conditions close to the demand of the physician. ⋯ To ensure the delivery of enough tidal volume to patients close to the demand of the physician, containable factors such as the compliance of gas piping, leakage, and gas types should be controlled.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2014
[Investigation of adjuvant treatment for difficult weaning from mechanical ventilation].
To investigate the value of drug intervention for difficult weaning from mechanical ventilation. ⋯ Adjuvant drugs therapy is helpful in patients weaning from the mechanical ventilation, and can shorten length of mechanical ventilation and ICU stay time. Propofol, combined dexmedetomidine, is helpful for weaning.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2014
Clinical Trial[The application of fibrobronchoscopy in extubation for patients suffering from acute exacerbation of chronic obstructive pulmonary disease with low cough peak expiratory flow].
To investigate the value of the application of fibrobronchoscopy in extubation for patients suffering from acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with low cough peak expiratory flow (CPEF). ⋯ The application of fibrobronchoscopy in the extubated AECOPD patients with low CPEF can reduce the rate of re-intubation, avoid the prolonged ventilation, but cannot reduce the time of ICU stay.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2014
[Related factor of serum carnitine deficiency and influence of its deficiency on the length of hospital stay in critical ill patients].
To investigate the related factors of serum carnitine deficiency in critical ill patients, and the influence of its deficiency on the length of hospital stay. ⋯ Carnitine deficiency is significant in critically ill patients, and it is correlated with disease severity and serum TBil. The total amount of lenteral feeding was lower, and hospital stay was prolonged in critically ill patients with low serum carnitine level.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2014
[Value of optimization of bedside Gram staining of sputum smear in the early diagnosis and treatment of ventilator-associated pneumonia].
To investigate the significance of optimization of bedside Gram staining of sputum smear in the early diagnosis and antimicrobial treatment for ventilator-associated pneumonia (VAP) patients. ⋯ The results of bedside sputum examination and sputum culture showed a good correlation, and the former is helpful in early diagnosis and treatment of VAP. The result of high quality sputum smear in significant in guiding the first choice of antibiotics, reduce the time of antibiotic use, shorten the duration of mechanical ventilation and the length of ICU stay, and improve the outcome of the patients.