Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2007
Randomized Controlled Trial[Influence of the agents which maintain the coordination between spontaneous breathing and mechanical ventilation on haemodynamics and respiration].
To investigate the haemodynamic and respiratory changes following intravenous administration with midazolam, pavulon or both of them in the patients having incoordination between spontaneous breathing and mechanical ventilation. ⋯ The combined use of midazolam and pavulon has little influence on circulation, and it also can maintain the coordination between spontaneous breathing and mechanical ventilation. It is suggested that the combined use of midazolam and pavulon is an optimal way to improve the ventilatory function in mechanical ventilation.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2007
Randomized Controlled Trial Comparative Study[An auto control comparison of the use of ProSeal laryngeal mask airway and standard laryngeal mask airway for positive pressure ventilation].
To compare the ProSeal laryngeal mask airway (PLMA) and the standard laryngeal mask airway (SLMA) for intermittent positive pressure ventilation (IPPV) in a randomized auto control design. ⋯ Compared with SLMA, PLMA can achieve a higher airway seal pressure and potentially isolate the glottis and the upper esophagus, and is safer and more effective for positive pressure ventilation.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2007
[Effect of recruitment maneuver on alveolar epithelium barrier in rat with acute lung injury].
To evaluate the influence of recruitment maneuver (RM) on alveolar epithelium barrier in rat with acute lung injury (ALI). ⋯ RM can alleviate lung tissue injury, up-regulate SP-C mRNA expression in alveolar epithelium, protect alveolar epithelium barrier and down-regulate pulmonary inflammatory mediator expression in ALI.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2007
[Effect of posture and positive end expiratory pressure on central venous pressure in patients with mechanical ventilation].
To investigate the effect of posture and different positive end expiratory pressure (PEEP) on central venous pressure (CVP) in critically ill patients with mechanical ventilation (MV). ⋯ CVP was not influenced by the posture. CVP increased gradually with the increase in PEEP. Changing posture and weaning of mechanical ventilation led to deterioration of oxygenation and increased agitation. Maintaining of posture and PEEP when measuring CVP could improve safety and comfort of patients, and reduce the work of nursing.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2007
[Activation of p38 mitogen-activated protein kinase pathway in ventilator-induced lung injury in rat].
To study the activation of p38 mitogen-activated protein kinase (MAPK) and the expression of inflammatory cytokines in ventilator-induced lung injury (VILI) in rat. ⋯ Large V(T) mechanical ventilation can significantly activate the p-p38 and inflammatory cytokines, which may play an important role in VILI.