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 · Mar 2012
[Prognostic value of D-dimer in patients with sepsis in emergency department: a prospective study].
To investigate the value of the concentration of D-dimer in predicting 28-day mortality of sepsis patients in emergency department in order to determine its prognostic values. ⋯ D-dimer concentration is an independent predictor of 28--day mortality in patients with sepsis. D--dimer level shows a high predictive value in patients with sepsis, similar to APACHE II score and SAPSII. It can be helpful in risk stratification in septic patients.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2012
Meta Analysis[Use of extracorporeal membrane oxygenation in adults with acute respiratory distress syndrome: a meta-analysis].
To evaluate the effects of extracorporeal membrane oxygenation (ECMO) on mortality in adult patients with acute respiratory distress syndrome (ARDS). ⋯ There is no evidence to prove that ECMO is beneficial in adult patients with ARDS, therefore further investigation with a large sample of high quality RCT is warranted.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2012
[Effects of volume resuscitation on venous pressure gradient in hypovolemic patients undergoing mechanical ventilation].
To investigate the value of venous pressure gradient [D(c-i)VP] between central venous pressure (CVP) and iliac vein pressure (IVP) in assessing the responsiveness to volume resuscitation in hypovolemic patient undergoing mechanical ventilation. ⋯ In the course of fluid resuscitation in hypovolemic patients undergoing mechanical ventilation, the D(c-i)VP was significantly reduced with fluid resuscitation. At the same time, significant correlations between D(c-i)VP, TFC and SV were demonstrated. The measurement of D(c-i)VP could help guide fluid resuscitation in hypovolemic patients undergoing mechanical ventilation.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2012
[Effects of recruitment maneuver in prone position on hemodynamics in patients with severe pulmonary infection].
To evaluate effects of recruitment maneuver in prone position on hemodynamics in patients with severe pulmonary infection, based on the protective pulmonary ventilation strategy. ⋯ Based on the lung protective ventilation strategy of small tidal volume with PEEP, oxygenation was improved and SpO(2) was increased significantly when prone position ventilation combined with lung recruitment method was used in severe pulmonary infection patients. The effect of recruitment maneuver during prone position on hemodynamics was slight, except a temporary decrease of SVI and GEF just during recruitment maneuver.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2012
[Clinical observational study of anemia in mechanically ventilated patients].
To explore the prognostic effects of anemia among the mechanically ventilated patients. ⋯ The anemic patients had longer ventilator days, hospital stay, higher ICU mortality, and lower rate of survival with unassisted breathing at day 28.