Intensive care medicine
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The number of citations an article receives after its publication reflects its impact on the scientific community. Our purpose was to identify and examine the characteristics of the most frequently cited articles in the field of critical care medicine. ⋯ Our analysis gives a historical perspective on the scientific progress of critical care medicine and allows for recognition of important advances in this specialty.
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Intensive care medicine · May 2004
Editorial Comment ReviewHow are children mechanically ventilated in pediatric intensive care units?
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Intensive care medicine · May 2004
Hyperventilation impairs brain function in acute cerebral air embolism in pigs.
To evaluate, in a model of cerebral air embolism (CAE), the effects of ventilation-induced hypocapnia and hyperoxemia on intracranial pressure (ICP), cerebral perfusion pressure (CPP), brain oxygen (PbrO(2)), brain carbon dioxide (PbrCO(2)), brain pH (brpH) and levels of brain glucose and lactate. ⋯ Hypocapnia and hyperoxemia in acute CAE did not improve pathological functional brain parameters compared with normoventilated controls. Similarly, the pathological changes in brain glucose/lactate could also not be improved by hypocapnia and hyperoxemia.
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Intensive care medicine · May 2004
Randomized Controlled Trial Multicenter Study Clinical TrialPrevention of intravascular catheter-related infection with newer chlorhexidine-silver sulfadiazine-coated catheters: a randomized controlled trial.
The indication of antiseptic-coated catheters remains debated. ⋯ In the context of a low baseline infection rate, ACC were associated with a significant reduction of catheter colonisation and a trend to reduction of infection episodes, but not of bloodstream infection.
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Intensive care medicine · May 2004
Randomized Controlled Trial Multicenter Study Clinical TrialNoninvasive continuous positive airway pressure in elderly cardiogenic pulmonary edema patients.
To compare the physiological effects and the clinical efficacy of continuous positive airway pressure (CPAP) vs standard medical treatment in elderly patients (> or =75 years) with acute hypoxemic respiratory failure related to cardiogenic pulmonary edema. ⋯ Noninvasive continuous positive airway pressure promotes early clinical improvement in elderly patients attending emergency departments for a severe pulmonary edema, but only reduces early 48-h mortality.