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
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.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2009
Randomized Controlled Trial Multicenter Study[The preemptive treatment of invasive Candida infection with reference of corrected colonization index in critically ill patients: a multicenter, prospective, randomized controlled clinical study].
To evaluate preemptive treatment for invasive Candida infection (ICI) with reference of corrected colonization index (CCI) in critically ill patients with high risk factors of Candida infection, and to collect the epidemiology data of Candida infection. ⋯ Application of CCI may enhance the accuracy of timely preemptive treatment for ICI, and facilitate the collection of epidemiological data of Candida in critically ill patients.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2009
Randomized Controlled Trial[The effect of low-dose hydrocortisone on requirement of norepinephrine and lactate clearance in patients with refractory septic shock].
To observe the effect of low-dose hydrocortisone on the requirement of norepinephrine and lactate clearance in patients with refractory septic shock, and to investigate the effect of stress dose corticosteroids in reversing septic shock and improving tissue oxygen supply. ⋯ For the patients with septic shock with refractory hypotension, low-dose hydrocortisone can decrease the time course and dosage of vasopressors, improve tissue oxygen supply, thus can reverse septic shock more rapidly.