Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2020
[A comparative study on clinical effects of dexmedetomidine and midazolam on patients with severe coronavirus disease 2019 on non-invasive ventilation].
To compare the therapeutic effects and safety of dexmedetomidine and midazolam on patients with severe coronavirus disease 2019 (COVID-19) who received non-invasive ventilation. ⋯ Non-invasive mechanical ventilation is an important respiratory support technology for patients with severe COVID-19. Appropriate sedation can increase the efficiency of non-invasive mechanical ventilation. Dexmedetomidine is more effective and safer than midazolam in these patients, but attention should be paid to HR and blood pressure monitoring.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2020
[Relationship between "1-hour serum lactate" level and 30-day mortality in critical care patients in intensive care unit].
To investigate the relationship between 1-hour lactate (1 h Lac) and 30-day mortality in critical care patients in intensive care unit (ICU). ⋯ 1 h Lac is associated with 30-day mortality in critical care patients. The risk of death was significantly increased in critically ill patients with 1 h Lac higher than 3.35 mmol/L.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2020
[Diagnostic and predictive value of critical illness scores and biomarkers in bloodstream infection-associated pneumonia].
To compare the early and late predictive value of several critical illness scores (CISs) and biomarkers in patients with bloodstream infection (BSI)-associated pneumonia, and to identify the value of procalcitonin (PCT) in etiological diagnosis. ⋯ PCT is more reliable in the identification of pathogen type in BSI-associated pneumonia, while CISs may be more advantageous in the assessment of early and late prognosis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2020
[Implementation of acute respiratory distress syndrome treatment strategies by critical care physicians in Liaoning Province: a multi-center investigation].
To investigate the implementation of the currently recognized and effective treatment strategies for acute respiratory distress syndrome (ARDS) in Liaoning Province in order to improve the clinical implementation of ARDS treatment strategies. ⋯ Most critical care physicians in Liaoning Province had positive implementation toward the currently recognized effective ARDS treatment strategies, but a few performed poorly. According to the reasons that affected the physicians' treatment behaviors, it is necessary to strengthen physicians' awareness of treatment, apply strict training, standardize the clinical implementation of effective treatment strategies, and then improve the prognosis of ARDS patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2020
[Expert opinion on diagnosis and treatment of coronavirus disease 2019 with traditional Chinese medicine based on "three syndromes and three methods"].
As the ability of treating coronavirus disease 2019 (COVID-19) improves, the theory and method of diagnosis and treatment of COVID-19 need to be further enriched and perfected. In the clinical treatment of COVID-19, the theoretical system of "three syndromes and three methods" for treating critical diseases based on syndrome differentiation by integrated traditional Chinese medicine (TCM) and Western medicine has been recognized by the majority of clinical respiratory and critical disease experts. Xuebijing injection, which was developed based on "three syndromes and three methods", has been repeatedly recommended in the national diagnosis and treatment guidelines. In order to facilitate the clinical practitioners better understanding the "three syndromes and three methods", and apply the theory into the treatment of COVID-19, Expert opinion on diagnosis and treatment of coronavirus disease 2019 with traditional Chinese medicine based on "three syndromes and three methods" was organized by experts from China Association of Integrative Medicine Emergency Medicine Committee, which could make references for clinical practice.