Intensive care medicine
-
Intensive care medicine · Feb 2001
Randomized Controlled Trial Clinical TrialProphylactic hemofiltration in severely traumatized patients: effects on post-traumatic organ dysfunction syndrome.
To evaluate the effects of prophylactic veno-venous hemofiltration (CVVH) in the absence of renal failure on multiple organ dysfunction syndrome after severe multiple trauma. ⋯ CVVH blunts the cardiovascular response to multiple trauma and increases tissue oxygen extraction. However, the concomitant decrease in platelet counts represents a limitation for the use of prophylactic CVVH in surgical patients.
-
Intensive care medicine · Feb 2001
Randomized Controlled Trial Clinical TrialEffects of bronchoalveolar lavage volume on arterial oxygenation in mechanically ventilated patients with pneumonia.
To assess the effect of bronchoalveolar lavage (BAL) volume on arterial oxygenation in critically ill patients with pneumonia. ⋯ A decrease in the PaO2/FIO2 ratio was observed in all patients after a combined diagnostic procedure, independent of the BAL volume used. A significant bacterial burden recovered from the alveoli and no preemptive antibiotic therapy were associated with a larger and longer-lasting decrease in arterial oxygenation.
-
Intensive care medicine · Jan 2001
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of two processed EEG analyzers for assessment of sedation after coronary artery bypass grafting.
Processed EEG monitoring has been suggested for sedation depth evaluation in intensive care unit (ICU) patients. The present study investigated the efficacy of two processed EEG monitors using SEF90% or SEF95% and BIS to differentiate between conscious (Ramsay score 4) and unconscious sedation (Ramsay score 6). ⋯ The use of processed EEG monitoring cannot be recommended for assessing sedation depth after cardiac surgery.
-
Intensive care medicine · Jan 2001
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialComparative clinical trial of progressive dilatational and forceps dilatational tracheostomy.
To compare the safety and early complications of progressive dilatational tracheostomy (PDT) and forceps dilatational tracheostomy (FDT). ⋯ Both percutaneous tracheostomy techniques are safe. The early complication rate of PDT appeared to be lower than FDT, but the early complication rate of FDT may be decreased significantly with small modifications to the set.
-
Intensive care medicine · Jan 2001
Randomized Controlled Trial Comparative Study Clinical TrialEffects of patient-triggered automatic switching between mandatory and supported ventilation in the postoperative weaning period.
To compare two ventilator settings in the postoperative weaning period. Patient-triggered automatic switching between controlled ventilation and supported spontaneous breathing (Automode, AM) was compared to synchronised intermittent mandatory ventilation (SIMV) with stepwise manual adjustment of mandatory frequency according to the breathing activity. ⋯ Automatic, patient-triggered switching between controlled and supported mode of ventilation can be used for postoperative weaning of neurosurgical patients with healthy lungs. Compared to a SIMV weaning procedure, fewer manipulations on the ventilator are necessary and individual adaptation of ventilation seems to be more accurate.