Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2009
[Identification and diagnosis of myocardial damage and acute myocardial infarction during cardiopulmonary resuscitation].
To observe the change in contents of creatine kinase isoenzyme MB (CK-MB) and cardiac troponin I (cTnI) in peripheral blood, the elevation of ST in electrocardiogram, and the result of coronary arteriography, to identify myocardial damage and acute myocardial infarction during cardiopulmonary resuscitation (CPR). ⋯ All patients manifested myocardial damage after CPR. Some patients showed STEMI after CPR. CK-MB and cTnI concentrations increased gradually after successful CPR without specificity for earlier identification of myocardial damage and STEMI. It is necessary to find a new reliable marker to check for myocardial damage. Relatively speaking, elevation of the ST segment in electrocardiogram has more predictive value. A decrease exceeds 50% of the elevation of ST segment in electrocardiogram at ROSC 2 hours, or the peak of contents of CK-MB and cTnI appear at CPR 12 hours or 16 hours indicates myocardial damage. If the elevation of ST segment does not descend after ROSC 2 hours, or the levels of CK-MB and cTnI remain elevated at CPR 20 hours, STEMI should be suspected, and it is necessary to undertake interventional therapy or thrombolysis therapy.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2009
[A new method of cardiopulmonary resuscitation executed by rhythmic abdominal lifting and compression].
When cardiac arrest occurs, in about 1/3 patients may suffer from fracture of ribs as a result of the traditional method of cardiopulmonary resuscitation (CPR) with strong compression of the chest wall. Consequently, there would be a marked decrease in amplitude of chest compression and expansion, thus reducing the effect of CPR. Rhythmic abdominal compression, which is a new method recently recognized to be effective for CPR, only allows the diaphragm to fall back to its original position, therefore the extent of its movement is not enough to affect lung expansion. Thus, the maneuver could not restore effective heart beat and respiration. We have invented a new equipment which is called abdominal lifting and compression equipment for CPR. ⋯ The abdominal lifting and compression equipment for CPR is an innovation of conventional CPR method, and may seem a mainstream method of CPR.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · May 2009
Randomized Controlled Trial[The influence of intensive insulin therapy on hemodynamics in patients with septic shock].
To elucidate effects of intensive insulin therapy and target glucose control on hemodynamics and cardiac function in patients with septic shock. ⋯ Intensive insulin therapy and blood glucose control may improve hemodynamic status and enhance cardiac function in patients with septic shock and myocardial depression.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · May 2009
[Clinical implication of blood somatostatin determination in critically ill patients].
To investigate the relationship between contents of blood somatostatin (SST) and inflammatory reaction or severity of illness in critically ill patients, and its value in the evaluation of prognosis. ⋯ The SST level in blood can reflect the severity of illness in critically ill patients and shows clinical value in evaluation of prognosis.
-
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · May 2009
[Efficiency and safety evaluation of glucose control in critically ill patients].
To evaluate the efficiency and safety of the computerized glucose control protocol in critically ill patients. ⋯ Blood glucose levels could be controlled effectively and safely within a target range without significant increase in the incidence of hypoglycemia, whereas number of determination is decreased, by using the computerized glucose control protocol. However, our protocol needs further improvement, especially in EN patients.