Intensive care medicine
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Intensive care medicine · Apr 2010
Comparative StudyMultiplane ultrasound approach to quantify pleural effusion at the bedside.
To assess the accuracy of a multiplane ultrasound approach to measure pleural effusion volume (PEV), considering pleural effusion (PE) extension along the cephalocaudal axis and PE area. ⋯ Using a multiplane approach increases the accuracy of lung ultrasound to measure the volume of large to small pleural effusions in critically ill patients.
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To determine the incidence of vasospasm in children who have suffered moderate to severe traumatic brain injury. ⋯ Using the adult criteria outlined above to diagnose vasospasm, a significant proportion of pediatric patients who have suffered moderate to severe traumatic brain injury develop vasospasm during the course of their treatment.
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Intensive care medicine · Apr 2010
GuidelineChapter 7. Critical care triage. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on critical care triage. ⋯ Judicious planning and adoption of protocols for critical care triage are necessary to optimize outcomes during a pandemic.
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Intensive care medicine · Apr 2010
Randomized Controlled TrialGreater cardiac response of colloid than saline fluid loading in septic and non-septic critically ill patients with clinical hypovolaemia.
The haemodynamics of crystalloid and colloid fluid loading may depend on underlying disease, i.e. sepsis versus non-sepsis. ⋯ Fluid loading with colloids results in a greater linear increase in cardiac filling, output and stroke work than does saline loading, in both septic and non-septic clinical hypovolaemia, in spite of myocardial depression and presumably increased vasopermeability potentially decreasing the effects of colloid fluid loading in the former.
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Intensive care medicine · Apr 2010
GuidelineChapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations. ⋯ Judicious planning and adoption of protocols for surge capacity and infrastructure considerations are necessary to optimize outcomes during a pandemic.