Có 40+ tài liệu thuộc chủ đề "Intensive care unit"
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Fluid overload after coronary artery bypass graft in patients on maintenance. hemodialysis is associated with prolonged time on mechanical ventilation. Background: Fluid overload is a risk factor for morbidity, mortality, and prolonged ventilation time after surgery.. Patients on maintenance hemodialysis might be at higher risk. We hypothesized that fluid accumulation would be directly associated with extended ventilation time in patients...
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Validation of END-of-life ScorING-system to identify the dying patient: a prospective analysis. Background: The “ END-of-Life ScorING-System ” (ENDING-S) was previously developed to identify patients at high- risk of dying in the ICU and to facilitate a practical integration between palliative and intensive care. Among these, 21.46% died during the ICU stay.. ENDING-S correctly predicted the ICU outcome in 71.4%...
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Early initiation of renal replacement therapy in critically ill patients: a meta- analysis of randomized clinical trials. Background: Acute kidney injury (AKI) is strongly associated with high morbidity and mortality of critically ill patients. In the last years several different biological markers with higher sensitivity and specificity for the occurrence of renal impairment have been developed in order to promptly...
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Positive and negative fluctuations in Cl − were defined as the differences between the Cl − upon ICU admission (baseline Cl. and the maximum and minimum Cl − levels, respectively, measured within 72 h after ICU admission.. In multivariable Cox regression analyses, the risk of 30-day mortality increased by 8% per 1-mmol L − 1 positive fluctuation in Cl −...
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Outcomes of kidney transplant recipients admitted to the intensive care unit: a. Background: Risk of over-immunosuppression or immunization may mitigate the overall and long-term renal outcomes of kidney transplant recipients (KTR) admitted to the ICU in the modern era but remain poorly described.. Thus, there is an unmet need to better characterize the survival of KTR admitted to the ICU,...
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Clinical characteristics, risk factors, immune status and prognosis of secondary infection of sepsis: a retrospective observational. Background: Secondary infection has a higher incidence in septic patients and affects clinical outcomes. This study aims to investigate the clinical characteristics, risk factors, immune status and prognosis of secondary infection of sepsis.. Results: A total of 297 septic patients were enrolled, 92 of...
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Little to no thought was therefore invested in the choice of fluids to be adminis- tered in specific clinical scenarios. For the second part (“Fluid administration in specific dis- ease conditions”) the services of a professional librarian were employed and a systematic search of the literature was performed. In the past, administration of albumin was thought to increase mortality. In...
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Nomogram for the prediction of. postoperative hypoxemia in patients with acute aortic dissection. Background: Postoperative hypoxemia is quite common in patients with acute aortic dissection (AAD) and is associated with poor clinical outcomes. The study aimed to develop a regression model in patients with AAD to predict postoperative hypoxemia, and to validate it in an independent dataset.. Discrimination and calibration...
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Reliability of ultrasound measurements of quadriceps muscle thickness in critically ill patients. Abstract: Background: Muscle wasting in critically ill patients is associated with negative clinical outcomes. Ultrasound quadriceps femoris muscle assessment may constitute a convenient tool to evaluate muscle wasting. Our secondary aim was to assess the evolution of the quadriceps muscle during the first 3 weeks after ICU admission...
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Postoperative delirium in critically ill. Objectives: To identify the incidence of, and the risk factors for, postoperative delirium (POD) in surgical intensive care unit (SICU) patients, and to determine predictive scores for the development of POD.. Results: Of the 250 patients enrolled, delirium was found in 61 (24.4. The cut point of 125 demonstrated a sensitivity of 72.13% and a...
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complications in patients undergoing head and neck surgery. Background: The incidence of postoperative complications after head and neck surgery is high. Patients with an endotracheal tube were ventilated for a longer time (3.4 days vs. 1.5 days) and were transferred to the regular ward later (after 6.9 days vs. 4.7 days) than patients with tracheostomy.. Only 1 (2.1%) of the...
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Assessment of agreement and. interchangeability between the TEG5000 and TEG6S thromboelastography. Background: TEG6S® and TEG5000® (Haemonetics Corp, USA) are haemostasis analysers that measure viscoelasticity properties of whole blood. Both use different mechanisms to assess similar components of the coagulation process.. The aim of this study was to assess agreement and interchangeability between the TEG6S and TEG5000 analysers.. Analysis was performed...
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Inhospital outcome of elderly patients in an intensive care unit in a Sub-Saharan. Background: In Burkina Faso, demographics are changing and we are seeing a growing prevalence of older patients in intensive care units. This study aimed to analyze in-hospital outcome of patients aged over 65 years, admitted to the Intensive Care Unit (ICU) at Yalgado Hospital.. Elderly patients with...
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Association between troponin-I levels and outcome in critically ill patients admitted to non-cardiac intensive care unit with high prevalence of cardiovascular risk factors. Background: The association of troponin-I levels and outcome in medical-surgical ICU patients has been studied before in populations with low to moderate prevalence of cardiovascular risk factors. The objective in this article is to examine the association...
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Evaluation of the effects of. dexmedetomidine infusion on oxygenation and lung mechanics in morbidly obese. patients with restrictive lung disease. Background: Dexmedetomidine infusion improves oxygenation and lung mechanics in patients with chronic obstructive lung disease. however, its effect in patients with restrictive lung disease has not been thoroughly investigated yet. The aim of this work was to evaluate the effects...
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Palliative care in intensive care units: why, where, what, who, when, how. Palliative care is patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering when “ curative ” therapies are futile. Palliative Care in the ICU is a widely discussed topic and it is increasingly applied in clinics. However, effective application of Palliative Care...
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Thus, the sharing of information about the on-going treatment of the patients in ICUs is directly related to the communication attitudes governing a patient ’ s relatives and the physician.. one for the relatives of the patients and one for the ICU physicians. Results: Based on the results of the questionnaire, identification of the mutual expectations and substance of the...
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Multicenter assessment of sedation and delirium practices in the intensive care. Background: The majority of critically ill patients experience distress during their stay in the Intensive Care Unit (ICU), resulting from systemic illness, multiple interventions and environmental factors. The use of sedation and approaches to ICU delirium should be monitored according to structured guidelines. The aim of this study was...
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Dexmedetomidine prevents acute kidney injury after adult cardiac surgery: a meta- analysis of randomized controlled trials. Results from clinical trials of dexmedetomidine on acute kidney injury (AKI) following adult cardiac surgery are controversial.. comparing the renal effect of dexmedetomidine versus placebo or other anesthetic drugs in adult patients undergoing cardiac surgery. The primary outcome was the incidence of AKI. Compared...
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Comparison of a loading dose of. dexmedetomidine combined with propofol or sevoflurane for hemodynamic changes during anesthesia maintenance: a. Background: There may be great individual variability in the hemodynamic effects of this dexmedetomidine. Whether a loading dose of dexmedetomidine produces hemodynamic side effects during the anesthesia maintenance is unknown. sevoflurane on hemodynamics during anesthesia maintenance.. The hemodynamic indexes at the...