Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Apr 2019
Randomized Controlled Trial[Effects of different target blood pressure resuscitation on peripheral blood inflammatory factors and hemodynamics in patients with traumatic hemorrhagic shock].
To investigate the target blood pressure level of restrictive fluid resuscitation in patients with traumatic hemorrhagic shock. ⋯ When patients with traumatic hemorrhagic shock received restrict fluid resuscitation at MAP of 65-70 mmHg, the effect of reducing systemic inflammatory response and improving hemodynamics is better than the target MAP at 60-65 mmHg or 70-75 mmHg. It is suggested that 65-70 mmHg may be an ideal target MAP level for restrictive fluid resuscitation.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Apr 2019
Randomized Controlled Trial[Clinical value of early liquid resuscitation guided by passive leg-raising test combined with transthoracic echocardiography in patients with septic shock].
To explore the clinical value of early fluid resuscitation guided by passive leg-raising test (PLR) combined with transthoracic echocardiography (TTE) in patients with septic shock. ⋯ Compared with the traditional rapid fluid replacement, early fluid resuscitation treatment strategies guided by the PLR combined with TTE, could better improve perfusion and oxygenation level of tissues and organs, avoid pulmonary edema caused by rapid fluid replacement, shorten the hospital stay in patients with septic shock, but had no significant effect on hospital mortality.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2019
Randomized Controlled Trial[Application value of resting energy monitoring in nutritional support therapy for mechanical ventilation patients].
To investigate the value of resting energy expenditure (REE) monitoring in nutritional support therapy of critical patients on mechanical ventilation. ⋯ The energy metabolism rule of critical patients on ventilation could be determined by using the accurate metabolic vehicle and dynamic monitoring of REE value, which could be used for the implementation of nutritional support therapy.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2018
Randomized Controlled Trial[Effects of aerosol inhalation on respiratory mechanical parameters under different ventilation patterns and ventilator parameters].
To investigate the effects of aerosol inhalation on respiratory mechanical parameters under different ventilation patterns and ventilator parameters in patients on mechanical ventilation and simulated model of aqualung in vitro. ⋯ Under the VCV mode, the oxygen flow outside the atomization could lead to the increase in VT of the patient side, while under the PCV mode, the VT and Ppeak in the patient side had no significant change. Both VTi and VTe monitored by ventilator could not reflect the patient's VT under either VCV or PCV mode.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2018
Randomized Controlled Trial[Comparison of two schemes of daily arousal and comfort analgesia and sedation in patients on mechanical ventilation in intensive care unit].
To explore the efficacy of comfort analgesia and sedation in patients with mechanical ventilation in intensive care unit (ICU). ⋯ The therapy of comfort analgesia and sedatives on ICU patients with mechanical ventilation, can decrease the treatment time, lower the risk of adverse events, and reduce the dosage of sedatives drugs.