Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2011
Meta Analysis[Efficacy of heat and moisture exchangers and heated humidifiers in preventing ventilator-associated pneumonia: a meta-analysis].
To demonstrate the effects of heat and moisture exchangers (HME) and heated humidifiers(HH) in preventing ventilator-associated pneumonia (VAP). ⋯ This study suggests there is not a significant reduction in the incidence of VAP in patients humidified with HMEs during MV, even in patients ventilated for 7 days or longer. This finding is limited by lack of enough RCTs and blinding. Further large sample of high quality RCTs is necessary to examine the wider applicability of HMEs and their extended use.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · May 2011
Meta Analysis[Granulocyte-monocyte colony-stimulating factor for the treatment of sepsis: a meta analysis].
To systematically assess the effects and safety of granulocyte-monocyte colony-stimulating factor (GM-CSF) in the treatment of sepsis. ⋯ The current evidence shows that, compare with the conventional therapy the GM-CSF has the benefit of improving immune function, reducing the complications of infection, and shortening the duration of mechanical ventilation. However, there is no difference in reducing mortality and adverse event, or shortening the length of stay in hospital or ICU and SOFA score with the use of GM-CSF.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2011
Meta Analysis[The influence of high positive end-expiratory pressure ventilation combined with low tidal volume on prognosis of patients with acute lung injury/acute respiratory distress syndrome: a Meta-analysis].
To compare the effects of high and low positive end-expiratory pressure (PEEP) levels on prognosis of patients with acute lung injury/acute respiratory distress syndrome (ALI/ARDS). ⋯ As compared with conventional ventilation, high PEEP and low tidal volume ventilation are associated with improved survival and a lower rate of barotrauma in patients with ALI/ARDS. It is necessary to further confirm the role of high PEEP only in the ventilation strategy in patients with ALI/ARDS.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2010
Meta Analysis Comparative Study[Colloids vs. crystalloids in fluid resuscitation for septic shock: a meta-analysis].
To systematically review the effects of colloids compared with crystalloids in fluid resuscitation for septic shock. ⋯ Colloids have been shown to improve CI significantly, and no differences were found between two groups with respect to 28-day mortality, MAP, HR.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Apr 2010
Meta Analysis[Bleeding and pneumonia in intensive care unit patients given proton pump inhibitor or histamine-2 receptor antagonist for prevention of stress ulcer: a Meta analysis].
To assess the efficacy and safety of proton pump inhibitor (PPI) and histamine-2 receptor antagonist (H(2)RA) in intensive care unit patients for stress ulcer prophylaxis. ⋯ In comparison with H(2)RA, PPI is more effective in the prevention of stress ulcer bleeding (SUB) in patients under intensive care. There is no significant difference in the incidence of nosocomial pneumonia and mortality between two groups. There were very few randomized controlled clinical trials on prevention of stress ulcer, and these findings were based on a small number of patients, therefore a steadfast conclusion cannot presently be reached. More randomized, multicenter studies with sufficient sample size are warranted.