Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2017
Randomized Controlled Trial[A design and study of a novel electronic device for cuff-pressure monitoring].
To design a novel electronic device for measuring the pressure in the cuff of the artificial airway; and to study the advantage of this device on continuous and intermittent cuff pressure monitoring. ⋯ Compared with traditional mechanical manometer, cuff pressures monitored by our novel electronic manometer were steadier in both continuous and intermittent monitoring. The device is compact and convenient, and can provide a good solution for continuously monitor of the tracheal cuff pressure.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2017
[Pharmacokinetics of vancomycin in patients with severe acute pancreatitis and its influencing factors: analysis of 7 years data].
To observe the change of the serum trough concentration and its pharmacokinetics of vancomycin in patients with severe acute pancreatitis (SAP), and to analyze the factors influencing vancomycin concentration. ⋯ The serum trough concentration of vancomycin was significantly reduced in SAP patients. And the earlier usage of vancomycin, the lower of the trough concentration is. Therefore, higher dosage regimen was needed to ensure the clinical effect, and reduce the bacterial resistance.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2017
Randomized Controlled Trial[Effects of different sedation regimens on sedation and inflammatory response in critically ill children with multiple trauma].
To compare the sedation and anti-inflammatory effects of dexmedetomidine and midazolam on critical ill children with multiple trauma. ⋯ Compared with midazolam, dexmedetomidine had better efficacy in the treatment of severe multiple trauma in children and reduce the level of inflammation.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2017
[Effect of global end diastolic volume index guidance fluid resuscitation in elderly patients with septic shock].
To evaluate the effect of global end diastolic volume index (GEDVI) on fluid resuscitation in elderly patients with septic shock. ⋯ Compared to the conventional EGDT methods, fluid resuscitation under the guidance of GEDVI in elderly patients with septic shock with less liquid loading, can achieve better oxygenation and reduce heart failure, shorten the duration of mechanical ventilation and ICU stay, and play an important significant guidance for elderly patients' fluid resuscitation with septic shock.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2017
[Elevation of red cell distribution width during hospitalization predicts mortality in patients with sepsis].
To investigate the association of red cell distribution width (RDW) with prognosis in patients with sepsis. ⋯ The change of RDW values during hospitalization was related to the poor outcomes in patients with sepsis. The increase of RDW predicts the progress of sepsis and bad prognosis. Serial surveillance of RDW values could provide useful information for long-term prognosis in sepsis.