Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · May 2017
Meta Analysis[High-flow nasal cannulae oxygen in patients with respiratory failure: a Meta-analysis].
To systematically evaluate the efficacy of high-flow nasal cannulae oxygen (HFNC) in patients with respiratory failure. ⋯ Compared with FM, HFNC could reduce the rate of tracheal intubation in patients with respiratory failure, but no difference was found as compared with NIPPV. Compared with FM, HFNC made patients more comfortable, and it was easier to be accepted and tolerated. However, there was no difference in hospital mortality among FM, NIPPV, and HFNC.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · May 2017
[Predictive value of left ventricular diastolic dysfunction on mechanical ventilation weaning].
To investigate the predictive value of left ventricular diastolic function on mechanical ventilation weaning in patients with left ventricular ejection fraction (LVEF) > 0.50. ⋯ The results suggest that left ventricular diastolic dysfunction is significantly associated with weaning outcome in critical patients with LVEF > 0.50. The combination of E/A ratio greater than 1.2 and E/Em ratio greater than 7.9 may identify patients at high risk of weaning failure.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · May 2017
[Effect of endotracheal tube with subglottic suction line to stop tracheostomy bleeding in critical patients].
To observe the effect of endotracheal tube with subglottic suction line on tracheostomy bleeding in critical patients. ⋯ Using endotracheal tube with subglottic suction line for critical patients with tracheostomy bleeding is very effective. This procedure is also very simple and fast, and is best suitable for patient with heavy bleeding in tracheostomy.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · May 2017
[Preoperative risk factors analysis of pulmonary hypertension crisis during perioperative period for caesarean section of woman with severe pulmonary hypertension].
To analyze preoperative risk factors of perioperative pulmonary hypertension crisis (PHC) for pregnant woman with severe pulmonary artery hypertension (PAH), and approach its clinical value. ⋯ PHC is very dangerous for gravida with severe PAH, and the mortality rate is very high. LVEDD, oral sildenafil, SpO2 at room air, Swan-Ganz catheter placement or not were independent risk factors of perioperative PHC for severe PAH maternal. Four preoperative factors of perioperative PHC joint diagnosis accuracy were higher.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · May 2017
Randomized Controlled Trial[Effect of esmolol on hemodynamics and clinical outcomes in patients with septic shock].
To evaluate the effect of heart rate control with esmolol on hemodynamics, inflammatory cytokines and clinical outcomes in patients with septic shock. ⋯ It is efficient and safe to use esmolol for heart rate control in patients with septic shock after resuscitation. Esmolol can improve cardiac performance without affecting blood pressure and Lac, but has no effect on inflammatory cytokines and prognosis.