Critical care medicine
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Critical care medicine · Jan 1994
Comparative StudyInfluence of nosocomial infection on mortality rate in an intensive care unit.
To assess the impact of nosocomial infection on the mortality rate in an intensive care unit (ICU). ⋯ Nosocomial infection increases the risk of death. The effect is stronger in younger and less severely ill patients.
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Critical care medicine · Jan 1994
Editorial Comment Comparative StudyPressure-limited versus volume-cycled breath delivery strategies.
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Critical care medicine · Jan 1994
Comparative StudyDopamine infusion during resuscitation of experimental hemorrhagic shock.
To compare the effects of starting dopamine administration early or late on organ perfusion by measuring tissue oxygen tensions during standard volume resuscitation of hemorrhagic shock. ⋯ Starting dopamine administration early during volume resuscitation in a model of experimental hemorrhagic shock led to higher liver, subcutaneous, and transcutaneous tissue oxygen levels. This finding indicates enhanced tissue oxygen perfusion, especially in the liver.
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Critical care medicine · Jan 1994
Optimal sedation of mechanically ventilated pediatric critical care patients.
To derive a target range of optimal sedation for the COMFORT Scale and to prospectively test that target range against intensivist assessment of adequacy of sedation. ⋯ Adequacy of sedation is measured more consistently by observers using the COMFORT Scale than by intensivist global assessment.