Articles: respiratory-distress-syndrome.
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Assess expression and management of HELLP syndrome (hemolysis, elevated liver enzymes, low platelet count) occurring before 32 weeks gestation. ⋯ Based on the physiological mechanisms involved in HELLP syndrome, criteria for obstetrical extraction and the possibilities for conservative management in very premature pregnancies, we propose a management protocol for HELLP syndrome developing before 32 weeks gestation. Corticosteroid therapy may be given for 48 hours in cases without maternal or fetal complications in order to accelerate fetal maturation before extraction.
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Case Reports Clinical Trial
Initial experience with partial liquid ventilation in adult patients with the acute respiratory distress syndrome.
To evaluate the safety and efficacy of partial liquid ventilation (PLV). ⋯ Perflubron may be safely administered into the lungs of patients with severe respiratory failure receiving extracorporeal life support and may be associated with improvement in gas exchange and pulmonary compliance.
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Editorial Comment
Innovative life support in the acute respiratory distress syndrome.
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Critical care medicine · Feb 1996
Clinical diagnostic criteria of the adult respiratory distress syndrome in the intensive care unit.
To determine the use of commonly used diagnostic criteria for adult/acute respiratory distress syndrome (ARDS), evaluate physiologic variables of most value in diagnosing ARDS, and assess the frequency of newly diagnosed ARDS. ⋯ A wide range of diagnostic criteria are utilized by clinicians in the diagnosis of ARDS.
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Critical care medicine · Feb 1996
Plasma fatty acid changes and increased lipid peroxidation in patients with adult respiratory distress syndrome.
There is a strong evidence that adult patients with acute respiratory distress syndrome (ARDS) are under severe oxidative stress, which leads to molecular damage. Using gas chromatography-mass spectrometry, our objective was to sequentially monitor changes, in intensive care unit (ICU) patients, characteristic of the oxidative loss of plasma unsaturated fatty acids and formation of the highly specific oxidation product of linoleic acid, 4-hydroxy-2-nonenal. ⋯ During intensive care treatment, patients with ARDS decrease their percentage plasma concentrations of total plasma linoleic acid, but increase their percentage concentrations of oleic and palmitoleic acids. As plasma linoleic acid concentrations decreased, there was usually an increase in plasma 4-hydroxy-2-nonenal values, one of its specific peroxidation products, suggestive of severe oxidative stress leading to molecular damage to lipids.