Intensive care medicine
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Intensive care medicine · Nov 2008
Multicenter StudySafety and efficacy of ultrasound assistance during internal jugular vein cannulation in neurosurgical infants.
Ultrasound guidance (USG) for internal jugular cannulation is the best solution in difficult settings where paediatric patients are involved. This is an outcome study on efficacy and complications of the USG for the internal jugular vein (IJV) cannulation in neurosurgical infants as well as an ultrasound study of anatomical findings of the IJVs in infants. ⋯ We considered ultrasound guidance as the first choice in infants because it can enhance IJV cannulation success, safety, and allows one to measure relationships and diameter of the IJV and optimise the central line positioning.
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Intensive care medicine · Nov 2008
Multicenter StudyObesity is associated with increased morbidity but not mortality in critically ill patients.
To investigate the possible impact of obesity on morbidity and mortality in intensive care unit (ICU) patients included in the European observational sepsis occurrence in acutely ill patients (SOAP) study. ⋯ BMI did not have a significant impact on mortality in this mixed population of ICU patients.
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Intensive care medicine · Nov 2008
Multicenter StudyImpact of obesity in mechanically ventilated patients: a prospective study.
To analyze the influence of severe obesity on mortality and morbidity in mechanically ventilated intensive care unit (ICU) patients. ⋯ The only difference in morbidity of obese patients who were mechanically ventilated was increased difficulty with tracheal intubation and a higher frequency of post-extubation stridor. Obesity was not associated either with increased ICU mortality or with hospital mortality.