Articles: critical-care.
-
Ugeskrift for laeger · Oct 1991
Review[Capnometry. Technique and clinical use in anesthesia and emergency medicine].
By capnometry is understood measurement of carbon dioxide in the expiratory air. The concentration can be determined by various forms of spectometry. A new acoustic principle of measurement is more sensitive than the methods hitherto employed. ⋯ In addition, capnometry is a valuable aid in the regulation of mechanical ventilation. Recent investigations suggest that capnometry can be employed to confirm or refute clinical suspicion of pulmonary embolism and that measurement of expired carbon dioxide may be of prognostic value in resuscitation. It has not yet be elucidated whether nasal measurements in patients who are not intubated can provide reliable values.
-
Critical care medicine · Oct 1991
Randomized Controlled Trial Comparative Study Clinical TrialReduction of colonization and infection rate during pediatric intensive care by selective decontamination of the digestive tract.
To compare the effects of two different antibiotic regimes on the colonization and infection rates of critically ill pediatric patients. ⋯ Selective oropharyngeal and gastrointestinal decontamination combined with systemic cefotaxime application allows for a significant reduction of the colonization rate with Gram-negative bacteria and yeasts in critically ill pediatric patients undergoing prolonged intensive care. In addition, it significantly reduces the Gram-negative infection rate of the respiratory system. However, this therapeutic approach does not alter ICU length of stay or mortality rate.