ZIB

Hits per page

hits 1 - 4 | 4 hits

Sorting

Electronic Resource

Role of systemic inflammatory response syndrome and infection in the occurrence of early multiple organ dysfunction syndrome following severe trauma (1995)

Smail, N. ; Messiah, A. ; Edouard, A. ; [et al.]

Springer

Intensive care medicine 21 (1995), S. 813-816

add to mindlist on the mindlist

Details

ISSN: 1432-1238

Keywords: Trauma ; Multiple organ dysfunction syndrome ; Systemic inflammatory response syndrome ; Infection ; Shock

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract Objective To evaluate the role of infection and systemic inflammatory response syndrome (SIRS) on the occurrence of early posttraumatic MODS. Design Retrospective study. Setting University Teaching Hospital ICU. Patients 163 consecutive patients hospitalized for more than 48 hours following severe trauma. Measurements and main results The patients were classified into two groups in respect to the existence of MODS at day 2. There was 27 patients in the MODS group and 136 patients in the no MODS group. The two groups were similar with respect to age, sex ratio and Simplified Acute Physiology Score. The MODS group had a higher mortality (52 versus 7%), Injury Severity Score (45±14 versus 31±13), hypovolemic shock rate (74 versus 30%), massive volume replacement rate (59 versus 6%) and SIRS rate (81 versus 54%) than the no MODS group (p〈0.05). The rate of infection was similarly low in the MODS and no MODS group (4 versus 6% respectively). Conclusion Early MODS is often associated with hypotension and massive volume administration but very rarely with infection, despite the high rate of SIRS.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF01700964

Permalink

Library	Location	Call Number	Volume/Issue/Year	Availability

Others were also interested in ...

Paper (German National Licenses)

Fulltext

Electronic Resource

Transgastric, pulsed doppler echocardiographic determination of cardiac output (1996)

Descorps-Declère, A. ; Smaïl, N. ; Vigué, B. ; [et al.]

Springer

Intensive care medicine 22 (1996), S. 34-38

add to mindlist on the mindlist

Details

ISSN: 1432-1238

Keywords: Cardiac output ; Transesophageal echocardiography ; Doppler ultrasonography

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract Objective The aim of this study was to evaluate the accuracy of cardiac output measurement with transesophageal echocardiography (TEE) using a transgastric, pulsed Doppler method in acutely ill patients. Design Cardiac output was simultaneously measured by thermodilution (TD) and a transgastric, pulsed Doppler method. Setting The study was carried out in a surgical intensive care unit as part of the management protocol of the patients. Patients Thirty consecutive acutely ill patients with a Swan-Ganz catheter, mechanically ventilated, sedated and with a stable hemodynamic condition were included. Measurements Pulsed Doppler TEE was performed using a transgastric approach in order to obtain a long axis view of the left ventricle. Cardiac output was calculated from the left ventricular outflow tract diameter, the velocity time integral of the blood flow profile and heart rate. Results One patient was excluded because of the presence of aortic regurgitation and another, because of the impossibility of obtaining a transgastric view. Twenty-eight simultaneous measurements were performed in 28 patients. A clinically acceptable correlation and agreement were found between the two methods (Doppler cardiac output=0.889 thermodilution cardiac output +0.74l/min,r=0.975,p〈0.0001). Conclusion Transgastric pulsed Doppler measurement across the left ventricular outflow tract with TEE is a very feasible and clinically acceptable method for cardiac output measurement in acutely ill patients.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF01728328

Permalink

Library	Location	Call Number	Volume/Issue/Year	Availability

Others were also interested in ...

Paper (German National Licenses)

Fulltext

Electronic Resource

Left ventricular function after severe trauma (1996)

Smaïl, N. ; Declère, A. Descorps ; Duranteau, J. ; [et al.]

Springer

Intensive care medicine 22 (1996), S. 439-442

add to mindlist on the mindlist

Details

ISSN: 1432-1238

Keywords: Severe trauma ; Myocardial dysfunction ; Fractional area changes ; Transesophageal echocardiography

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract Objective To evaluate cardiac function at the early phase of severe trauma. Design Prospective, clinical study. Setting Anesthesiological Intensive Care Unit. Patients 7 consecutive patients admitted after severe trauma (ISS: 38±9, mean±SD), without preexisting cardiac disease. Interventions Each patient received midazolam and sufentanyl for sedation. Right heart catheterization (Swan-Ganz) and transesophageal echocardiography (TEE) were performed. The fractional area change (FAC) of the left ventricle was calculated within 6 h following trauma and at day 1 and day 2 in order to evaluate left ventricular function. Measurements and results All of the patients had a low FAC value 〈50% at day 0 (43.2±2.4%, range 39–46%), which increased significantly at day 2 (52.5±4%, range 47–59%,p=0.001), whereas heart rate and preload (assessed by left ventricular end diastolic area and pulmonary arterial occlusion pressure) were constant and afterload, assessed by systolic blood pressure, increased significantly between day 0 and day 2 (112±21 to 145±24 mmHg,p=0.02). Conclusion The initial phase of severe trauma is associated with an abnormal cardiac function, suggested by a low FAC value. This myocardial dysfunction must be taken into account for early resuscitation after severe injury.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF01712161

Permalink

Library	Location	Call Number	Volume/Issue/Year	Availability

Others were also interested in ...

Paper (German National Licenses)

Fulltext

Electronic Resource

Left ventricular function after severe trauma (1996)

Smaïl, N. ; Declère, A. Descorps ; Duranteau, J. ; [et al.]

Springer

Intensive care medicine 22 (1996), S. 439-442

add to mindlist on the mindlist

Details

ISSN: 1432-1238

Keywords: Key words Severe trauma ; Myocardial dysfunction ; Fractional area changes ; Transesophageal echocardiography

Source: Springer Online Journal Archives 1860-2000

Topics: Medicine

Notes: Abstract Objective:To evaluate cardiac function at the early phase of severe trauma. Design: Prospective, clinical study. Setting: Anesthesiological Intensive Care Unit. Patients: 7 consecutive patients admitted after severe trauma (ISS: 38±9, mean±SD), without preexisting cardiac disease. Interventions: Each patient received midazolam and sufentanyl for sedation. Right heart catheterization (Swan-Ganz) and transesophageal echocardiography (TEE) were performed. The fractional area change (FAC) of the left ventricle was calculated within 6 h following trauma and at day 1 and day 2 in order to evaluate left ventricular function. Measurements and results: All of the patients had a low FAC value 〈50% at day 0 (43.2±2.4%, range 39–46%), which increased significantly at day 2 (52.5±4%, range 47–59%, p=0.001), whereas heart rate and preload (assessed by left ventricular end diastolic area and pulmonary arterial occlusion pressure) were constant and afterload, assessed by systolic blood pressure, increased significantly between day 0 and day 2 (112±21 to 145±24 mmHg, p=0.02). Conclusion: The initial phase of severe trauma is associated with an abnormal cardiac function, suggested by a low FAC value. This myocardial dysfunction must be taken into account for early resuscitation after severe injury.

Type of Medium: Electronic Resource

URL: http://dx.doi.org/10.1007/BF01712161

Permalink

Library	Location	Call Number	Volume/Issue/Year	Availability

Others were also interested in ...

Paper (German National Licenses)

Fulltext

hits 1 - 4 | 4 hits