Articles: intensive-care-units.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jan 1997
Use of neonatal intensive care unit as a safe place for neonatal surgery.
To evaluate the advantages, disadvantages, and short term morbidity and mortality of major surgical interventions performed in the neonatal intensive care unit. ⋯ The neonatal intensive care unit is suitable for major surgery during the neonatal period and no special area is needed to perform complication free surgery.
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Am. J. Respir. Crit. Care Med. · Jan 1997
Nosocomial pneumonia and tracheitis in a pediatric intensive care unit: a prospective study.
We conducted a prospective study in the multidisciplinary pediatric intensive care unit (pediatric ICU) of a tertiary-care university hospital in order to determine the incidence, risk markers, risk factors, and complications related to bacterial nosocomial pneumonia (BNP) and tracheitis (BNT) in children. A cohort of 1,114 consecutive admissions to the pediatric ICU was enrolled over a 56-wk period; 154 cases were excluded mostly (75%) because they already had a respiratory infection at entry. The final sample included 960 admissions (831 patients). ⋯ In BNT, the reintubation rate was 24%. Nosocomial bacterial respiratory infections are rare in critically ill children. However, BNP causes significant complications, and more attention should be focused on BNT in the critically ill child.
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Critical care medicine · Jan 1997
Randomized Controlled Trial Clinical TrialProlonged sedation of critically ill patients with midazolam or propofol: impact on weaning and costs.
To compare the effectiveness of sedation, the time required for weaning, and the costs of prolonged sedation of critically ill mechanically ventilated patients with midazolam and propofol. ⋯ In our population of critically ill patients sedated with midazolam or propofol over prolonged periods, midazolam and propofol were equally effective as sedative agents. However, despite remarkable differences in the cost of sedation with these two agents, the economic profile is more favorable for propofol than for midazolam due to a shorter weaning time associated with propofol administration.