Medizinische Klinik, Intensivmedizin und Notfallmedizin
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Med Klin Intensivmed Notfmed · Mar 2016
Multicenter Study[End-of-life decisions and practices in critically ill patients in the cardiac intensive care unit : A nationwide survey].
Ethical and medical criteria in the decision-making process of withholding or withdrawal of life support therapy in critically ill patients present a great challenge in intensive care medicine. ⋯ In critically ill cardiac surgery patients, medical reasons which influence the decision-making process for changing the aim of therapy included cCT with poor prognosis, multi-organ failure, and failure of assist device therapy. Further studies are mandatory in order to be able to provide adequate answers to this difficult topic.
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Med Klin Intensivmed Notfmed · Mar 2014
Randomized Controlled Trial Multicenter Study[Temperature management after cardiac arrest].
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Med Klin Intensivmed Notfmed · Apr 2013
Randomized Controlled Trial Multicenter Study Comparative StudyEnteral nutrition is associated with improved outcome in patients with severe sepsis. A secondary analysis of the VISEP trial.
The optimal nutritional strategy remains controversial, particularly in severely septic patients. Our aim was to analyze the effect of three nutritional strategies--enteral (EN), parenteral (PN), and combined nutrition (EN+PN)--on the outcome of patients with severe sepsis or septic shock. ⋯ In patients with severe sepsis or septic shock and prolonged ICU stay, EN alone was associated with improved clinical outcome compared to EN+PN. This hypothesis-generating result has to be confirmed by a randomized-controlled trial in this specific patient population.