Intensive care medicine
-
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.
-
Intensive care medicine · May 2004
Multicenter StudyPrevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study.
Although intra-abdominal hypertension (IAH) can cause dysfunction of several organs and raise mortality, little information is available on the incidence and risk factors for IAH in critically ill patients. This study assessed the prevalence of IAH and its risk factors in a mixed population of intensive care patients. ⋯ Although we found a quite high prevalence of IAH, no risk factors were reliably associated with IAH; consequently, to get valid information about IAH, IAP needs to be measured.
-
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.
-
Intensive care medicine · May 2004
Multicenter StudyWhat is the daily practice of mechanical ventilation in pediatric intensive care units? A multicenter study.
To describe the daily practice of mechanical ventilation (MV), and secondarily, its outcome in pediatric intensive care units (PICUs). ⋯ One in every 3 patients admitted to the PICUs requires ventilatory support. The ARF was the most common reason for MV, and survival of unselected infants and children receiving MV for more than 12 h was 85%.
-
Intensive care medicine · May 2004
Multicenter StudyGlycemic control in the ICU: a multicenter survey.
Intensive insulin therapy has recently been shown to decrease morbidity and mortality in the critically ill population in a large randomized clinical trial. ⋯ Attention to these beliefs and attitudes could enhance the success of future clinical, educational and research efforts to modify clinician behavior and achieve better glycemic control in the ICU setting.