Articles: critical-care.
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Anasthesiol Intensivmed Notfallmed Schmerzther · May 1995
The influence of the double burst stimulation (DBS) pattern on the DBS-train-of-four ratio relationship.
The double-burst-stimulation (DBS) is a new stimulation pattern developed to facilitate tactile evaluation of residual neuromuscular blockade. DBS consists of two bursts of high frequency stimulations separated by a short time interval. ⋯ At any chosen level of reversal defined by a TOF ratio, it should therefore be possible to construct a DBS ratio, where fade just can be detected by tactile evaluation.
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Disease-a-month : DM · May 1995
Review Case ReportsRecognition, assessment, and treatment of anxiety in the critical care patient.
A multidisciplinary group of experts involved in the treatment of critically ill patients participated in a workshop conference designed to develop practice recommendations for the recognition, assessment, and treatment of anxiety in the critical care environment. Anxiety was identified as a ubiquitous problem in critical care that may interfere with healing and recovery. The faculty agreed that clinicians should be familiar with the signs and symptoms of anxiety and should be able to determine when interventions are necessary. ⋯ Protocols for determining the best agents to be used in a given setting and their most appropriate method of administration should be established. Pharmacologic and nonpharmacologic treatments are not mutually exclusive but should be complementary. Finally, procedures for obtaining psychiatric consultation, when necessary, should be in place.
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Intensive care medicine · May 1995
Multicenter StudyQuality of life after intensive care with the sickness impact profile.
a) to validate the structure of the Sickness Impact Profile scale (SIP) when applied to intensive care patients after discharge from the hospital; b) to explore the influence of age upon the various components of quality of life. ⋯ The study validated the use of the SIP QOL-instrument on patients after intensive care. Age influenced consistently the various components of quality of life.
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Critical care of the injured child should be an effective extension of aggressive resuscitation, stabilization, and definitive care. In the hours and days after acute injury, initially unnoticed lesions may emerge, secondary organ dysfunction may develop, and complications of primary injury or initial management may occur. ⋯ We follow an organ system, problem oriented protocol, and attempt to anticipate problems before they occur. This article defines our approach in general terms, with specific emphasis on the more common problems encountered in caring for seriously injured children.