Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
Randomized Controlled Trial[Xuebijing injection versus placebo for critically ill patients with severe community-acquired pneumonia: a randomized controlled trial: research results and clinical value].
This article is based on the research paper named Xuebijing injection versus placebo for critically ill patients with severe community-acquired pneumonia: a randomized controlled trial which was published in Critical Care Medicine (CCM), introducing its study results and relevant clinical value. Moreover, we attached two peer experts' comments on this study for the readers' reference.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
[Renal echography and cystatin C for prediction of acute kidney injury: very different in patients with cardiac failure or sepsis].
To explore the predicting performance of renal resistive index (RRI), semi quantitative power Doppler ultrasound (PDU) score and serum cystatin C (Cys C) for acute kidney injury (AKI) in patients with cardiac failure or sepsis. ⋯ RRI and PDU score effectively predict AKI stage 2 or 3 in cardiac failure patients, but not in patients with sepsis. The predictive values of Cys C for AKI are similar in patients with cardiac failure or sepsis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
[Elevated artery lactate after brain tumor craniotomy is associated with surgery duration and exogenous administration of corticosteroids].
To study the influential factor of hyperlactatemia after the brain tumor craniotomy. ⋯ Initial artery lactate after brain tumor craniotomy is associated with surgery duration and exogenous administration of corticosteroids.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
[A clinical study of the evaluation of hemodynamic status in mechanically ventilated critically ill patients by continuous non-invasive arterial pressure monitor].
To evaluate the difference and correlation between continuous non-invasive arterial pressure (CNAP) monitor and pulse indicated continuous cardiac output (PiCCO) monitor on determination of hemodynamic parameters in mechanically ventilated critically ill patients, and to assess the feasibility of non-invasive monitoring of hemodynamics with CNAP. ⋯ CNAP was comparable with PiCCO when monitoring CI and PPV in mechanically ventilated critically ill patients; while the results of MAP and SVRI might be inaccurate, which should be interpreted correctly and carefully.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
["Five-minute emergency life chain" centering on department of emergency and intensive care unit patients: experience in the integration of department of emergency and intensive care unit of Yichang Central People's Hospital in Hubei Province].
Yichang Central People's Hospital is a large prefecture-level tertiary hospital in Hubei Province. Since the late foundation and interdisciplinary characteritics, the department of emergency and critical care medicine faced many difficulties during development. Based on the actual situation of the hospital, leaders of the hospital and two disciplines advocated their core values of "putting patients' interests first and building team spirit". ⋯ The concept of "5-minute emergency life chain" was proposed, which highlighted the status and role of the department of emergency and critical care medicine in modern medical rescue and modern general hospitals. In the past 5 years, the emergency department and intensive care unit have made rapid development, including successful establishment of national demonstration centers for chest pain and stroke. Quality of the discipline has also been greatly improved, and a new construction path of department of the emergency and critical care medicine has been created.