Zhonghua wei zhong bing ji jiu yi xue
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The present review concluded remarkable globe clinical achievements in the field of critical care medicine during 2013. Briefly, new international sepsis management guideline, high frequency oscillatory ventilation, hydroxyethyl starch, immune-nutritional therapy, fecal transplantation and infection controlling became the highlighting topics. Additionally, it is also worthy to note the apparent disparity in the results between meta-analyses suggesting a treatment advantage and following large-scale randomized trials that have failed to detect such differences in treatment outcomes. Nonetheless, we still expect the emerging of ongoing investigations may provide clarity in these area..
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2014
Observational Study[Clinical observation of non-invasive ultrasonic cardiac output monitor combined passive leg raising test in predicting the children volume responsiveness].
To assess the ability of non-invasive ultrasonic cardiac output monitor (USCOM) combined with passive leg raising (PLR) test to predict volume responsiveness in septic shock children with spontaneous respiration. ⋯ ΔSVPLR measured by USCOM can predict the volume responsiveness in septic shock children patients with spontaneous respiration and it is reliable to guide fluid therapy.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2014
[Clinical evaluation of transthoracic echocardiography predicting fluid responsiveness in septic shock].
To evaluate clinical value of transthoracic echocardiography (TTE) predicting fluid responsiveness in patients with severe sepsis or septic shock, the parameters of pulse indicator continuous cardiac output (PiCCO) system was combined. ⋯ Fluid responsiveness can be predicted using TTE in severe sepsis or septic shock patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2014
[Investigation of vasopressin response to increasing osmotic pressure in the late-phase of septic shock patients].
To investigate the vasopressin ( VP) response to increasing osmotic pressure in the late-phase of septic shock patients. ⋯ VP secretion to osmotic challenge was impaired and decreased in the late-phase of septic shock, prompting dysfunction in VP synthesis.