Intensive care medicine
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Intensive care medicine · Aug 1995
Clinical Trial Controlled Clinical TrialFlow-triggering reduces inspiratory effort during weaning from mechanical ventilation.
To investigate whether a new flow-triggered (FT) system can reduce the patient's inspiratory effort compared to a traditional pressure-triggered (PT) system during weaning from mechanical ventilation. ⋯ The new FT system, i.e. flow-by system, reduces the unintentional ventilatory workload upon the patients' inspiratory muscles compared to traditional PT system during weaning from mechanical ventilation.
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To compare some of the confirmatory investigations of brain death with clinical criteria in order to achieve the most sensitive and accurate diagnosis of brain death. ⋯ Our study suggests that cerebral angiography and CBF studies are the most reliable investigations whereas the role of EEG and TCD remains to be determined because of the presence of false negatives and positives.
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Intensive care medicine · Aug 1995
Case ReportsInhaled nitric oxide for hemodynamic support after postpneumonectomy ARDS.
Inhaled nitric oxide (NO) has been reported to promote selective pulmonary vasodilation and better arterial oxygenation in cases of adult respiratory distress syndrome (ARDS) with pulmonary hypertension (PHT). However, the clinical relevance of these changes and their effects on outcome remain to be proven, since long-term inhalation carries a potential risk of toxicity. ⋯ NO resulted in better oxygenation and markedly improved hemodynamic status. As the underlying disease progressively worsened the patient became fully dependent on NO for hemodynamic support, and he died after 24 days of effective supportive therapy with inhaled NO.
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Intensive care medicine · Aug 1995
Safety of tracheotomy in neutropenic patients: a retrospective study of 26 consecutive cases.
To evaluate the safety of tracheotomy in neutropenic ventilated cancer patients, in terms of infectious and haemorrhagic complications. ⋯ These findings suggest that a tracheotomy can be safely performed in neutropenic patients requiring mechanical ventilation.
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Intensive care medicine · Aug 1995
Case ReportsMagnetic resonance imaging of cerebral fat embolism: a case report.
Fat embolism syndrome (FES) is one of the most important causes of morbidity and mortality following multiple fractures. Neurological involvement (cerebral fat embolism) has been reported frequently. ⋯ MRI follow-up (1 and 3 months post-trauma) showed nearly complete resolution of the abnormal signal. MRI seems to be a useful diagnostic tool for detecting and quantifying lesions in fat embolism syndrome.