Journal of critical care
-
Journal of critical care · Jun 2013
Simplistic approach to prognosis after cardiopulmonary resuscitation-value of pH and lactate.
The purpose was to determine the prognostic value of broadly available clinical parameters such as pH and lactate for early stratification of outcome after cardiopulmonary resuscitation. ⋯ A combination of clinical data and broadly available parameters can help to stratify prognosis of patients after cardiopulmonary resuscitation with sufficiently high predictive value. Interestingly, a combination of the 3 parameters-age more than 65 years, high lactate, and low pH upon admission-had a sensitivity of 1.0 for a poor outcome after return of spontaneous circulation.
-
Journal of critical care · Jun 2013
Clinical epidemiology of central venous catheter-related bloodstream infections in an intensive care unit in China.
Central venous catheters (CVCs) are universally used during the treatment of critically ill patients. Their use, however, is associated with a substantial infection risk. At present, there are few studies on catheter-related bloodstream infections (CRBSIs) that are comparable with international similar research. The aim of this study was to determine the rate, risk factors, and outcomes of CRBSIs in patients of an intensive care unit (ICU) in China. ⋯ The CRBSI rate in our ICU is higher compared with that reported by the National Nosocomial Infection Surveillance and was associated with the applications of antibiotics before CRBSI and with the number of placed CVCs. Catheter-related bloodstream infections may be associated with a higher mortality rate and a higher incidence of ventilator-associated pulmonitis, which might lead to an increase in the total costs and medicine expenditures.
-
Journal of critical care · Jun 2013
Effect of pulse pressure on the predictability of stroke volume variation for fluid responsiveness in patients with coronary disease.
We hypothesized that the predictability of stroke volume variation (SVV) on fluid responsiveness would be reduced in patients with coronary disease who have wide pulse pressure (PP). ⋯ In contrast to patients with normal PP, SVV does not predict fluid responsiveness in patients with coronary disease who have wide PP.