Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Study of continuous hemodynamics monitoring techniques in patients with mechanical ventilation].
To elucidate the relativity among three kinds of continuous hemodynamics monitoring techniques: thermodilution via Swan-Ganz catheter, pulse contour analysis method (PiCCO), partial CO(2) rebreathing method (non invasive cardiac output, NICO), in patients with mechanical ventilation. ⋯ PiCCO and NICO can be used as reliable measure to monitor ventilated patients bedside in intensive care unit (ICU), thus offering an assistance to optimize therapeutic strategy.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Clinical study of mechanical ventilation in acute cardiogenic pulmonary edema patients].
To study the application of mechanical ventilation in acute cardiogenic pulmonary edema (ACPE), and compare the changes in hemodynamics between continuous positive airway pressure proportional pressure support (CPAP-PPS) with continuous positive airway pressure-pressure support ventilation (CPAP-PSV). ⋯ Hemodynamic monitoring should be performed when medicinal intervention and non-invasive/invasive ventilation are given to ACPE patients. Pressure controlled ventilation is recommended, and PEEP should be individualized (normally 6-15 cm H(2)O). Spontaneous ventilation should be restored as soon as possible, CPAP-PPS mode is practicable in patients in whom weaning of mechanical ventilation is difficult.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
Comparative Study[Comparison of single-indicator thermodilution versus gravimetric measurement in determination of extra-vascular lung water in dogs with acute respiratory distress syndrome].
To compare the measurement of extra-vascular lung water (EVLW) by a single-indicator dilution technique and measurement obtained by gravimetry in different types of acute respiratory distress syndrome (ARDS). ⋯ The results of measuring EVLW using single indicator dilution measurement are closely related with those of gravimetric measurement in ARDS, however, the correlations varies with the methods of reproduction of ARDS.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Use of acute physiology and chronic health evaluation III in evaluating prognosis of chronic obstructive pulmonary disease in elderly patients on mechanical ventilation].
To investigate the feasibility of estimating risk of prognosis and hospital mortality in elderly patients (> or =60 years old) with chronic obstructive pulmonary disease (COPD) under the treatment of mechanical ventilation by using acute physiology and chronic health evaluation III (APACHE III). ⋯ APACHE III score and its dynamic change could be an ideal tool to predict risk for hospital mortality in elderly patients with COPD on mechanical ventilation.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2006
[Clinical study of the setting of positive end expiratory pressure in patients with acute cardiogenic pulmonary edema during mechanical ventilation].
To compare the effects on hemodynamics and lung mechanics when different positive end expiratory pressure (PEEP) levels were used in acute cardiac pulmonary edema. ⋯ The mode of artificial ventilation should be adjusted according to the changes in hemodynamics and lung mechanics. PEEP should be individualized, and 5-7 cm H(2)O (normally below 10 cm H(2)O) is suitable.