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 · Oct 2009
[Non-invasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a prospective cohort study].
To investigate the clinical effect of non-invasive positive pressure ventilation (NPPV) on acute hypoxemic respiratory failure (AHRF), and to look for predictors of failure of NPPV in patients with AHRF. ⋯ NPPV can be the first line treatment for severe AHRF patients without absolute contraindication, while patients of older age with pulmonary infection, the risk of failure of NPPV is higher. Lack of improvement in cardiorespiratory and oxygenation condition after a short period of NPPV is the predictor of NPPV failure.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Oct 2009
Comparative Study Clinical Trial[Clinical experience of spontaneous breathing trial in weaning mechanical ventilation].
To compare the spontaneous breathing trial (SBT) weaning mode with the classical weaning mode for extubation in patients undergoing mechanical ventilation. ⋯ The SBT weaning mode shortens the time of mechanical ventilation and the ICU stay days. Both groups have the identical VAP rate, retubing rate in 48 hours, and ICU mortality.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Oct 2009
Randomized Controlled Trial[Effect of positive end-expiratory pressure on the pressure gradient of venous return in hypovolemic patients under mechanical ventilation].
To assess the effects of positive end-expiratory pressure (PEEP) on central venous pressure (CVP) and common iliac venous pressure (CIVP), and the difference between CVP and CIVP [D(c-i)VP] in hypovolemic patients under mechanical ventilation. ⋯ The findings suggest that it may not be appropriate to use CVP or CIVP to evaluate the patients' blood volume and effect of volume resuscitation in the hypovolemic patients undergoing mechanical ventilation in combination with PEEP.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Oct 2009
Randomized Controlled Trial[A study on the effect of recruitment maneuver imposed on extravascular lung water in patients with acute respiratory distress syndrome].
To investigate the possible effects of recruitment maneuver (RM) imposing on extravascular lung water (EVLW) in patients with acute respiratory distress syndrome (ARDS). ⋯ RM for the patients with ARDS can merely improve lung mechanics without obvious effect on EVLW. Neither of the influencing factors involved in the study has impact on emergence and clearance of EVLW.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Oct 2009
Randomized Controlled Trial[Clinical effects of low-stretch ventilation on acute respiratory distress syndrome].
To investigate the effectiveness of low-stretch as compared with low-tidal-volume strategy in the treatment of acute respiratory distress syndrome (ARDS). ⋯ Compared with low-tidal-volume strategy, low-stretch strategy can reduce the incidence of hypercapnia, the length of ventilation and ICU stay for ARDS patients, but have similar mortality rate. When low-stretch strategy is exercised, an inappropriate low tidal volume may be associated with poor outcome of ARDS.