Intensive care medicine
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Intensive care medicine · Dec 1995
Multicenter StudyContribution of bronchoalveolar lavage to the diagnosis of posttraumatic pulmonary fat embolism.
To verify whether the determination of the percentage of cells recovered by bronchoalveolar lavage and containing fat inclusions is a useful diagnostic tool of posttraumatic pulmonary fat embolism. ⋯ Lipid inclusions in alveolar cells are common during traumatic and non-traumatic respiratory failure. Determination of the percentage of cells recovered by bronchoalveolar lavage and containing fat droplets may contribute to the diagnosis of the fat embolism syndrome in mechanically-ventilated trauma patients with respiratory failure provided that the significant threshold would be 30%.
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Intensive care medicine · Dec 1995
Comparative Study Clinical Trial Controlled Clinical TrialSuperimposed inspiratory work of the Siemens Servo 300 ventilator during continuous positive airway pressure.
To compare the superimposed inspired work of breathing (SIW) of the Siemens Servo 300 ventilator with the Siemens Servo 900 C ventilator. ⋯ The Siemens Servo 300 ventilator entails less superimposed inspiratory work of breathing than the Siemens Servo 900 C ventilator.
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Intensive care medicine · Dec 1995
Clinical TrialShort-term effects of methylene blue on hemodynamics and gas exchange in humans with septic shock.
The aim of this study was to investigate the acute effects of methylene blue (MB), an inhibitor of the L-arginine nitric oxide pathway, in patients with septic shock. ⋯ MB induces systemic and pulmonary vasoconstriction in patients with septic shock, without significant decrease in cardiac index. The worsening of arterial oxygenation following MB injection may limit its use in patients with the adult respiratory distress syndrome. Larger studies are required to determine whether MB improves the outcome of patients with septic shock.