Critical care medicine
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Critical care medicine · Dec 2002
Randomized Controlled Trial Comparative Study Clinical TrialAlbumin versus crystalloid prime solution for cardiopulmonary bypass in young children.
To determine the effects of adding 5% albumin to the cardiopulmonary bypass prime on perioperative fluid status and fluid management in young children. ⋯ Albumin in the prime may attenuate the extravasation of fluid out of the vascular space, but it may be associated with an increased transfusion rate. The risk/benefit ratio for this intervention warrants further study.
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Critical care medicine · Dec 2002
Review Case ReportsInhaled prostacyclin for the treatment of pulmonary hypertension after cardiac surgery.
To describe the effects of inhaled prostacyclin administered after cardiopulmonary bypass (CPB) to a patient with severe pulmonary hypertension. ⋯ Inhaled prostacyclin is an effective and selective pulmonary vasodilator at the dosage given in this report. Prolonged use is not associated with tolerance or systemic effects. The apparatus required for the delivery of inhaled prostacyclin is simple, inexpensive, and readily available in most hospitals. A review of the literature suggests that inhaled prostacyclin is effective in a number of clinical settings and displays comparable efficacy and hemodynamic effects to inhaled nitric oxide.
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Critical care medicine · Dec 2002
Multicenter StudySurvival and quality of life: short-term versus long-term ventilator patients.
Examine postdischarge mortality, quality of life, and charges for care for short-term (>24 and
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Critical care medicine · Dec 2002
ReviewSedation during mechanical ventilation: a systematic review.
A systematic review was performed to determine the most effective agent with which to sedate adult patients who have respiratory failure that requires mechanical ventilation in the medical intensive care unit. ⋯ More research is needed to determine the most effective agent with which to sedate adult patients who have respiratory failure that requires mechanical ventilation in the medical intensive care unit.
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Critical care medicine · Dec 2002
The "air leak" test around the endotracheal tube, as a predictor of postextubation stridor, is age dependent in children.
The airleak test is measured with a manometer as the pressure necessary to generate an audible airleak around the endotracheal tube. Our objectives were to determine whether the airleak test predicts postextubation stridor in children and if age affects its sensitivity and specificity. ⋯ Our study suggests that the airleak test has a low sensitivity when used as a screening test to predict postextubation stridor in young children (<7 yrs old), whereas in older children (>or=7 yrs old) the airleak test may predict postextubation stridor.