Journal of critical care
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Journal of critical care · Oct 2018
Decompressive laparotomy for the treatment of the abdominal compartment syndrome during extracorporeal membrane oxygenation support.
Extracorporeal membrane oxygenation (ECMO) is increasingly used with various indications. The clinical course can be complicated by an abdominal compartment syndrome (ACS). A decompressive laparotomy (DL) can be an option. ⋯ Approximately 10% of patients undergoing VA-ECMO support developed an ACS. If DL is undertaken, SAPS II scores can be used as predictive factor for mortality.
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Journal of critical care · Oct 2018
Early enteral nutrition is associated with reduced in-hospital mortality from sepsis in patients with sarcopenia.
To determine whether the association of early enteral nutrition (EEN) with mortality from sepsis differs between patients with and without sarcopenia. ⋯ EEN may be more beneficial in sarcopenic patients.
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Journal of critical care · Oct 2018
Bedside percutaneous dilatational tracheostomy in patients outside the ICU: a single-center experience.
To assess the safety of medical-ward bedside percutaneous dilatational tracheostomy (GWB-PDT). ⋯ GWB-PDT is a feasible and safe solution for tracheostomies in general-ward ventilated patients.
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Journal of critical care · Oct 2018
Non-invasive positive pressure ventilation in lung transplant recipients with acute respiratory failure: Beyond the perioperative period.
The purpose of this study is to evaluate outcomes in MICU lung transplant recipients with acute respiratory failure treated with non-invasive positive pressure ventilation (NPPV) and identify factors associated with NPPV failure (need for intubation). ⋯ NPPV is a viable option for lung transplant recipients with acute respiratory failure. Extreme caution should be exercised when used in patients with high severity of illness (APACHE III >78) and/or severe hypoxemia (PaO2/FiO2 ≤ 151).
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Journal of critical care · Oct 2018
Letter Case ReportsIntraventricular CNS treatment with Colistin-Tigecycline combination: A case series.
"Healthcare-associated ventriculitis and meningitis" is a potentially devastating illness following neurosurgical procedures. Multidrug resistant (MDR) and extensively drug resistant (XDR) organisms such as Acinetobacter baumannii and Klebsiella pneumoniae have increasingly been isolated in ventriculitis and meningitis episodes. ⋯ The intraventricular (IVT) administration of antibiotics can be used as an adjunct to the intravenous (IV) treatment of Gram-negative MDR ventriculitis and meningitis, yet pertinent data is scarce. We present the successful management of three cases of healthcare-associated ventriculitis and meningitis due to XDR species with the combined intraventricular administration of colistin and off-label tigecycline, after the initial regimen of colistin given alone through both IVT and IV routes had failed.