Intensive care medicine
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Intensive care medicine · Feb 2004
Comparative StudyValidation of the new Intensive Care Nursing Scoring System (ICNSS).
To validate a new Intensive Care Nursing Scoring System (ICNSS). ⋯ Nursing workload varied between the different admission types. ICNSS explained a similar percentage of the variation of the admission scores of APACHE II and SAPSS II as TISS and discriminated between non-survivors and survivors. ICNSS is a suitable nursing workload instrument to be used with the TISS score.
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Intensive care medicine · Feb 2004
Comparative StudyComparison of interhospital pediatric intensive care transport accompanied by a referring specialist or a specialist retrieval team.
Interhospital transfers of critically ill pediatric patients in The Netherlands are accompanied by referring specialists or by specialist retrieval teams. We compared the interventions before and directly after transports and the complications and the equipment available during transports in the two groups. ⋯ During pediatric intensive care transports accompanied by nontrained referring specialists there appears to be a higher incidence of complications, specialized equipment is more often not available, and more acute interventions are required upon arrival in the pediatric ICU.
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Intensive care medicine · Feb 2004
Randomized Controlled Trial Comparative Study Clinical TrialCitrate vs. heparin for anticoagulation in continuous venovenous hemofiltration: a prospective randomized study.
To compare the efficacy and safety of adjusted-dose unfractionated heparin with that of regional citrate anticoagulation in intensive care patients treated by continuous venovenous hemofiltration (CVVH). ⋯ Regional citrate anticoagulation seems superior to heparin for the filter lifetime and transfusion requirements in ICU patients treated by continuous renal replacement therapy.
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Intensive care medicine · Feb 2004
Randomized Controlled Trial Clinical TrialEffects on skeletal muscle of intravenous glutamine supplementation to ICU patients.
To evaluate the effect of four doses of intravenous glutamine supplementation on skeletal muscle metabolism. ⋯ Intravenous glutamine supplementation to ICU patients for a period of five days resulted in normalization of plasma glutamine concentrations in a dose-dependent way whereas muscle glutamine concentrations were unaffected.