Search Results
Results 651 - 700 of 1592
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Sierros V - - 2009
C-reactive protein (CRP), a biomarker of inflammation, has predicted mortality in end-stage respiratory failure and in the critically ill patients. Our aim was to investigate if CRP can predict morbidity and mortality in patients requiring prolonged mechanical ventilation. A prospective study conducted in a ventilator weaning unit of a skilled ...
Surahio Abdul Rashid - - 2009
Necrotizing Fasciitis is a rare progressive disease which results in significant rate of mortality and morbidity if there is any delay in diagnosis and treatment. Objectives of this Prospective observational study were to share our experience of dealing necrotizing fasciitis in terms of different presentations, diagnosis, treatment and outcome during ...
Michelet P - - 2009
BACKGROUND: The aim of this case-control study was to compare the efficacy of non-invasive positive pressure ventilation (NPPV) with that of conventional treatment in patients who develop postoperative acute respiratory failure (ARF) after oesophagectomy. METHODS: Thirty-six consecutive patients with ARF treated by NPPV were matched for diagnosis, age within 5 ...
Karakurt Zuhal - - 2009
To compare volume- and pressure- controlled ventilation (VCV-PCV) as an initial ventilatory mode in chronic obstructive pulmonary disease (COPD) patients. Case-control study conducted in respiratory intensive care unit (RICU) at a large teaching hospital, between January 2002 and January 2004. PCV was applied in 20 COPD patients with ARF more ...
Chan Raquel Pei Chen - - 2009
The objective of this study was to investigate the relationship between different target levels of glucose and the clinical outcomes of patients undergoing cardiac surgery with cardiopulmonary bypass. We designed a prospective study in a university hospital where 109 consecutive patients were enrolled during a six-month period. All patients were ...
Decruyenaere J J Ghent University Hospital, De Pintelaan 185, Ghent, Belgium. - - 2009
Severe sepsis is the major cause of mortality in intensive care units (ICUs). The BOOST study (= B (Belgian) OO (Open Label) ST (Study)) is a Belgian open-label trial designed to pragmatically assess the safety and efficacy of Drotrecogin Alfa (activated) (DAA), the only registered treatment in this indication with ...
Galzerano Antonio - - 2009
This report is aimed at identifying and suggesting a decision-making approach to handle old patients in ICUs in the light of current epidemiological findings and literature. We reviewed the data provided by the GIVITI network on 107,459 patients admitted to 150 Italian ICUs between 2000 and 2005; patients were divided ...
Lei Qian - - 2009
OBJECTIVE: The predictors of prolonged mechanical ventilation after aortic arch surgery with deep hypothermic circulatory arrest have not been comprehensively evaluated. The present study was designed to identify variables associated with prolonged ventilation in a group of aortic arch surgery patients from a single center. DESIGN: A retrospective study. Prolonged ...
Reismann Marc - - 2009
BACKGROUND AND AIMS: The aim of this study was to investigate fast-track concepts in routine pediatric surgery in a university clinic over 1 year. PATIENTS/METHODS: Fast-track concepts were established for procedures requiring hospital admission in patients up to 15 years of age. Patients were studied prospectively from June 2006 to ...
Zarbock Alexander - - 2009
BACKGROUND: Continuous positive airway pressure is a noninvasive respiratory support technique that may prevent pulmonary complications following cardiac surgery. This study was conducted to determine the efficacy of prophylactic nasal continuous positive airway pressure (nCPAP) compared with standard treatment. The primary end points were pulmonary adverse effects defined as hypoxemia ...
Brandt Christian - - 2008
To evaluate whether operating room (OR) ventilation with (vertical) laminar airflow impacts on surgical site infection (SSI) rates. Retrospective cohort-study based on routine surveillance data. Sixty-three surgical departments participating voluntarily in the German national nosocomial infections surveillance system "KISS" were included (a total of 99,230 operations). Active SSI surveillance was ...
Day Kerry M - - 2008
OBJECTIVE: To determine the association between hyperglycemia and outcome in children ventilated for meningococcal sepsis. DESIGN: Retrospective case notes review. SETTING: Eight bedded pediatric intensive care unit in London. PATIENTS: Consecutive children ventilated for meningococcal sepsis 2001-2004. INTERVENTIONS: None. MEASUREMENTS: Peak glucose for the entire admission was determined and mean ...
Pekdemir Murat - - 2010
BACKGROUND: Dietary and lifestyle changes during Ramadan may affect the appearance rate of emergency health problems or increase emergency department (ED) use. OBJECTIVE: This study's aim was to investigate Ramadan's effects on ED use. METHODS: The study group consisted of patients admitted to the ED during Ramadan, and the control ...
Christaki Eirini - - 2008
PURPOSE OF REVIEW: To critically examine the mortality rates of septic shock over the last 25 years to determine if significant improvements have been accomplished. RECENT FINDINGS: A gradual and progressive improvement in mortality rates associated with septic shock has been realized over the few decades. These improvements in outcome ...
Zenk Johannes - - 2009
Diagnostic and treatment modalities have changed substantially over the past years in the field of pediatrics and neonatal medicine. As a result, the indications and outcome after tracheostomy in young patients have evolved. The aim of this study is to present our experience with pediatric tracheostomies and provide an up-to-date ...
Scales Damon C - - 2008
BACKGROUND: Tracheostomy is common in intensive care unit patients, but the appropriate timing is controversial. OBJECTIVE: To determine whether earlier tracheostomy is associated with greater long-term survival. DESIGN: Retrospective cohort analysis. SETTING: Acute care hospitals in Ontario, Canada (n = 114). PATIENTS: All mechanically ventilated intensive care unit patients who ...
Yañez Leticia J - - 2008
OUTCOMES: To compare the benefits of noninvasive ventilation (NIV) plus standard therapy vs. standard therapy alone in children with acute respiratory failure; assess method effectiveness in improving gas exchange and vital signs; and assess method safety. DESIGN: Prospective, randomized, controlled study. SITE: Two pediatric intensive care units in Santiago, Chile, ...
Sogame Luciana Carrupt Machado - - 2008
OBJECT: It has been shown that craniotomy may lead to a decrease in lung volumes and arterial blood gas tensions as well as a change in the respiratory pattern. The purpose of this study was to determine the incidence of postoperative pulmonary complications (PPCs) and the mortality rate in patients ...
Celebi Serdar - - 2008
BACKGROUND: The aim of our study was to evaluate the pulmonary effects of noninvasive ventilation (NIV) with or without recruitment maneuver (RM) after open heart surgery. METHODS: One-hundred patients undergoing coronary artery bypass surgery were randomized into four groups after the operation: 1) RM with sustained inflation during mechanical ventilation ...
Lin Ming-Shian - - 2008
BACKGROUND: To identify predictors of successful noninvasive ventilation (NIV) treatment for patients with acute respiratory failure. METHODS: This was a prospective intervention study of the intensive care unit of a teaching hospital in Chia-Yi, Taiwan. Patients were enrolled if they had acute respiratory failure and had been admitted to the ...
Iapichino Gaetano - - 2008
We evaluated the relationship between the intestinal microbiota composition and clinical outcome in a group of 15 high-risk patients admitted for acute infection and/or surgical/accidental trauma who were treated with systemic antibiotics according to standard intensive care unit (ICU) protocols. There was a high mortality rate amongst these patients, each ...
Fecho Karamarie - - 2008
This study determined the incidence of and identified risk factors for 48 hour (h) and 30 day (d) postoperative mortality after inpatient operations. A retrospective cohort study was conducted using Anesthesiology's Quality Indicator database as the main data source. The database was queried for data related to the surgical procedure, ...
Bouza Emilio - - 2008
OBJECTIVE: Aspiration of endotracheal secretions is a major step in the prevention of ventilator-associated pneumonia (VAP). We compared conventional and continuous aspiration of subglottic secretions (CASS) procedures in ventilated patients after major heart surgery (MHS). MATERIALS AND METHODS: Randomized comparison during a 2-year period. RESULTS: A total of 714 patients ...
García-Vázquez Elisa - - 2008
BACKGROUND AND OBJECTIVES: The Pneumonia Patient Outcomes Research Team (PORT) developed a prediction rule to identify patients with community-acquired pneumonia (CAP) who are at risk for death and other adverse outcomes. Simpler criteria are needed to evaluate risk of mortality in CAP. PATIENTS AND METHODS: Observational study of patients with ...
Morrison C Anne - - 2009
INTRODUCTION: The implementation of the 80-h work week restrictions implemented by the Accreditation Council for Graduate Medical Education (ACGME) in July 2003 were intended, in part, to improve patient outcomes by reducing fatigue-related resident errors. Although concerns were raised regarding the possibility for increased error due to decreased continuity of ...
Rivers Emanuel P - - 2008
Sepsis is a significant problem, and septicemia is the 10th leading cause of death in the United States. Sepsis incidence is increasing, and the mortality rate is 20% to 50% for patients with severe sepsis. This article identifies methods for improving outcomes of severe sepsis and septic shock. Included are ...
Ender Joerg - - 2008
BACKGROUND: The authors compared the safety and efficacy of a newly developed fast-track concept at their center, including implementation of a direct admission postanesthetic care unit, to standard perioperative management. METHODS: All fast-track patients treated within the first 6 months of implementation of our direct admission postanesthetic care unit were ...
Norris Patrick R - - 2008
Complexity is a measure of variation and randomness potentially indicating improvement or deterioration in critically ill patients. Previously, we have shown integer heart rate (HR) multiscale entropy (MSE), an indicator of complexity, predicts death based on long duration (12 h) and dense (>or=0.4 Hz) windows of HR data. However, such ...
Arslankoylu Ali Ertug - - 2008
OBJECTIVE: The objective of this study was to determine whether there there are any associations between time of admission and mortality rates in the pediatric intensive care unit. METHODS: We analyzed retrospectively 210 consecutive admissions to the PICU from November 2005 to April 2006 for patients aged 1 mth to ...
Müller Mario H - - 2008
Abnormalities in cardiocirculatory, respiratory, or coagulatory parameters are frequent after major surgery, but so far, no study has investigated their predictive value for early intensive care unit (ICU) mortality. We aimed to describe and quantify the relation between these parameters that are routinely determined on ICU admission and early death ...
Collier Bryan R - - 2008
BACKGROUND: The profound oxidative stress that occurs following injury results in significant depletion of many endogenous antioxidants (vitamin C, E, selenium). Increasing evidence suggests antioxidant supplementation reduces infectious complications and organ dysfunction following injury and hemorrhagic shock. The purpose of this study was to evaluate the impact of high-dose antioxidant ...
Mosquera Damien - - 2008
Vascular-Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (V-POSSUM) is a risk-adjusted scoring system for predicting 30-day mortality in patients undergoing vascular surgery. It can assess surgical performance by comparing predicted deaths with observed deaths. The aim of this analysis was to assess trends in surgical ...
Killeen, Timothy J; Conservation ...
We documented the history of land-use change and migration in eastern Bolivia in five temporal periods: pre-1976, 1976–1986, 1986–1991, 1991–2001, and 2001–2004. We included all land-cover types located below the natural montane tree line (~3000 m), including forest, savanna, scrubland, seasonal wetland, second-growth forest, pasture, and cropland. The rate of ...
Suberviola Borja - - 2008
BACKGROUND: To evaluate the early complications and effect on neurological outcome of methylprednisolone (MP) treatment in spinal cord injury (SCI) patients during the acute phase. METHODS: We retrospectively reviewed the whole cohort of patients admitted to our ICU between January 1994 and December 2005 due to acute SCI. Patients were ...
Maessen J M C - - 2008
BACKGROUND: Enhanced recovery after surgery (ERAS) programs are designed to reduce hospital length of stay by shortening the postoperative recovery period. The intended effect of an accelerated recovery on the length of stay may be frustrated by a delayed discharge. This study was designed to assess the influence of an ...
Türkmen Aygen - - 2008
RATIONALE: Tracheostomy is done mostly in critically ill patients, many of whom may not survive. We still do not know the long term complications of tracheostomy itself; tracheal and subglottic stenosis, and tracheomalacia. OBJECTIVES: To compare the complications of surgical tracheostomy (ST) versus percutaneous dilatational tracheostomy (PDT) by means of ...
Buettner M - - 2008
BACKGROUND: Dynamic variables, for example, systolic pressure variation (SPV), are superior to filling pressures for assessing fluid responsiveness. We analysed the effects of SPV-guided intraoperative fluid management on organ function and perfusion when compared with routine care. METHODS: Eighty patients (44 female and 36 male) undergoing elective major abdominal surgery ...
Iapichino Gaetano - - 2008
We investigated whether preventing hyperglycemia in septic patients affected the plasma concentration of asymmetric-dimethylarginine and if this was associated with clinical benefit. A prospective, multicenter, randomized, controlled, clinical study. Intensive care units (ICU) in three university hospitals. A total of 72 patients admitted for severe sepsis or septic shock, who ...
Roelofs, Faith M
In Cyrtandra grandiflora flowering is correlated with a relatively dry period or with the associated increased sunlight that occurs about 3 months prior to flowering. Fruits are mature about 5 months after flowering. Cyrtandra grandiflora is self-compatible and requires pollination for seed set. Anthesis takes 7 days and exhibits marked ...
Nachtigall I - - 2008
Elderly patients account for 42-52% of intensive care unit (ICU) admissions and for almost 60% of all ICU days in the USA and up to 50% receive inappropriate antibiotic treatment. The aim of this study was to evaluate whether adherence to Standard Operating Procedures (SOPs) reduced ICU mortality in an ...
Brown Irwin - - 2008
STUDY OBJECTIVE: To determine whether a set of predetermined discharge criteria, used by nurses, shortens the length of patient stay in the postanesthesia care unit (PACU) without compromising safety. STUDY DESIGN: Prospective clinical study. SETTING: Postoperative recovery area of a large, tertiary-care, academic hospital. PATIENTS: 1,198 adult, ASA physical status ...
Tamburro Robert F - - 2008
OBJECTIVE: To assess the following hypotheses regarding mechanically ventilated pediatric oncology patients, including those receiving hematopoietic stem cell transplant (HSCT) and those not receiving HSCT: 1) outcomes are more favorable for nontransplant oncology patients than for those requiring HSCT; 2) outcomes have improved for both populations over time; and 3) ...
Shulman Rob - - 2008
Intensive insulin therapy (IIT) has been shown to reduce mortality and morbidity in longer stay, critically ill patients. However, this has been demonstrated in a single site, whereas two multicentric studies have been terminated prematurely mainly due to hypoglycemia. Other difficulties with IIT include efficacy of glycemic control. This report ...
Simpson J - - 2008
Appendicitis is the most common cause of the acute abdomen and can affect all age groups. Most patients recover quickly but a minority can suffer postoperative complications. This case-note review was undertaken to assess the frequency of these complications. Adult patients (> 16 years) undergoing an emergency appendicectomy at a ...
Fernandez Rafael - - 2008
OBJECTIVE: We examined the effect on survival of prone positioning as an early and continuous treatment in ARDS patients already treated with protective ventilation. DESIGN AND SETTING: Open randomized controlled trial in 17 medical-surgical ICUs. PATIENTS: Forty mechanically ventilated patients with early and refractory ARDS despite protective ventilation in the ...
Sud Sachin - - 2008
Mechanical ventilation in the prone position is used to improve oxygenation in patients with acute hypoxemic respiratory failure. We sought to determine the effect of mechanical ventilation in the prone position on mortality, oxygenation, duration of ventilation and adverse events in patients with acute hypoxemic respiratory failure. In this systematic ...
Vargas Frédéric - - 2008
PURPOSE: The aim of this study was to confirm the ability of the airway occlusion pressure after 0.1 second (P0.1) recorded after extubation to define chronic obstructive pulmonary disease (COPD) patients with a high risk of postextubation respiratory failure and to evaluate the role of the expiratory flow limitation (EFL) ...
Giamarellos-Bourboulis Evangelos J - - 2008
BACKGROUND: Because clarithromycin provided beneficiary nonantibiotic effects in experimental studies, its efficacy was tested in patients with sepsis and ventilator-associated pneumonia (VAP). METHODS: Two hundred patients with sepsis and VAP were enrolled in a double-blind, randomized, multicenter trial from June 2004 until November 2005. Clarithromycin (1 g) was administered intravenously ...
Wang Ching-Chia - - 2008
BACKGROUND/PURPOSE: Data about the effectiveness of high frequency oscillatory ventilation (HFOV) in children with respiratory failure are limited. This study investigated the efficacy and prognostic factors of this treatment. METHODS: Children between 2 months and 18 years of age who received HFOV between January 2000 and September 2006 in a ...
Tallman Thomas A - - 2008
OBJECTIVES: Continuous or bilevel positive airway pressure ventilation, called noninvasive ventilation (NIV), is a controversial therapy for acute decompensated heart failure (ADHF). While NIV is considered safe and effective in patients with chronic obstructive pulmonary disease (COPD), clinical trial data that have addressed safety in ADHF patients are limited, with ...
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