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Right heart in septic shock: prospective observational study
Springer Science and Business Media LLC - Tập 4 - Trang 1-10 - 2016
The right heart often receives less attention during echocardiography. The situation is no different in septic shock. We prospectively investigated the echocardiographic indices of the right heart in septic shock adult patients. Septic shock ICU patients within 24 h of admission were subjected to transthoracic echocardiography (TTE) as per the 2005 guidelines from the American Society of Echocardi......
Spinal cord autoregulation using near-infrared spectroscopy under normal, hypovolemic, and post-fluid resuscitation conditions in a swine model: a comparison with cerebral autoregulation
Springer Science and Business Media LLC - Tập 8 - Trang 1-10 - 2020
Few studies have investigated spinal cord autoregulation using near-infrared spectroscopy (NIRS). Here, we assessed spinal cord autoregulation under normal, hypovolemic, and post-fluid resuscitation conditions compared with cerebral autoregulation. Ten pigs (36.1 ± 1.1 kg) were anesthetized with 2.5% isoflurane, before phenylephrine administration at 0.5, 1, 2, and 5 μg kg−1 min−1 in a stepwise fa......
ICU service in Taiwan
Springer Science and Business Media LLC - Tập 2 - Trang 1-8 - 2014
The aim of the study was to understand the current status of intensive care unit (ICU) in order to optimize the resources achieving the best possible care. The study analyzed the status of ICU settings based on the Taiwan National Health Insurance database between March 2004 and February 2009. A total of 1,028,364 ICU patients were identified. The age was 65 ± 18 years, and 61% of the patients wer......
Effect of enteral diet enriched with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with sepsis-induced acute respiratory distress syndrome
Springer Science and Business Media LLC - Tập 3 - Trang 1-10 - 2015
In this study, the effects of an enteral diet enriched with eicosapentaenoic acid (EPA), γ-linolenic acid (GLA), and antioxidants were compared with a standard enteral diet in critically ill patients with sepsis-induced acute respiratory distress syndrome (ARDS). This study was a single-center, prospective, randomized, single-blind, controlled trial in our Advanced Critical Care Center. Patients w......
Incidence and outcomes of in-hospital cardiac arrest in Japan 2011–2017: a nationwide inpatient database study
Springer Science and Business Media LLC - Tập 10 - Trang 1-8 - 2022
Although numerous studies have investigated out-of-hospital cardiac arrest, few studies have been conducted on in-hospital cardiac arrest (IHCA). Knowledge of the nationwide epidemiology of IHCA in Japan, with its super-aging society, is important to understand the current situation of IHCA and to establish evidenced-based medicine in the future. The present study aimed to determine the incidence ......
What place for virtual reality in the intensive care unit during medical procedures?
Springer Science and Business Media LLC - Tập 9 - Trang 1-3 - 2021
In the intensive care unit, patients are subject to discomforts and pain. Their management is essentially based on pharmacologic approaches. Immersive virtual reality could represent an adjunctive non-invasive and non-pharmacological pain control technique. It is based on real-time interaction with an artificial 360° immersive world using interfaces that enable physical and emotional perceptions t......
Psychological rumination and recovery from work in intensive care professionals: associations with stress, burnout, depression and health
Springer Science and Business Media LLC - - 2017
The work demands of critical care can be a major cause of stress in intensive care unit (ICU) professionals and lead to poor health outcomes. In the process of recovery from work, psychological rumination is considered to be an important mediating variable in the relationship between work demands and health outcomes. This study aimed to extend our knowledge of the process by which ICU stressors an......
The optimal glycemic target in critically ill patients: an updated network meta-analysisAbstract Acute glycemic control significantly affects the clinical outcomes of critically ill patients. This updated network meta-analysis examines the benefits and harms of four target blood glucose levels (< 110, 110–144, 144–180, and > 180 mg/dL). Analyzing data of 27,541 patients from 37 trials, the surface under the cumulative ranking curve for mortality ... ...
Springer Science and Business Media LLC - Tập 12 Số 1
Extracorporeal cardiopulmonary resuscitation without target temperature management for out-of-hospital cardiac arrest patients prolongs the therapeutic time window: a retrospective analysis of a nationwide multicentre observational study in Japan
Springer Science and Business Media LLC - Tập 8 - Trang 1-7 - 2020
Extracorporeal cardiopulmonary resuscitation (ECPR) with extracorporeal membrane oxygenation (ECMO) is a promising therapy for out-of-hospital cardiac arrest (OHCA) compared with conventional cardiopulmonary resuscitation (CCPR). The no and low-flow time (NLT), the interval from collapse to reperfusion to starting ECMO or to the return of spontaneous circulation (ROSC) in CCPR, is associated with ......
The clinical practice guideline for the management of ARDS in Japan
Springer Science and Business Media LLC - Tập 5 - Trang 1-32 - 2017
The Japanese Society of Respiratory Care Medicine and the Japanese Society of Intensive Care Medicine provide here a clinical practice guideline for the management of adult patients with ARDS in the ICU. The guideline was developed applying the GRADE system for performing robust systematic reviews with plausible recommendations. The guideline consists of 13 clinical questions mainly regarding vent......
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