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  • 1
    Electronic Resource
    Electronic Resource
    Enteral nutrition in intensive care patients: a practical approach (1998)
    Springer
    Intensive care medicine 24 (1998), S. 848-859 
    Details
    ISSN: 1432-1238
    Keywords: Key words Nutrition ; Enteral nutrition ; Malnutrition ; Intensive care ; Critical illness
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Severe protein-calorie malnutrition is a major problem in many intensive care (ICU) patients, due to the increased catabolic state often associated with acute severe illness and the frequent presence of prior chronic wasting conditions. Nutritional support is thus an important part of the management of these patients. Over the years, enteral nutrition (EN) has gained considerable popularity, due to its favorable effects on the digestive tract and its lower cost and rate of complications compared to parenteral nutrition. However, clinicians caring for ICU patients are often faced with contradictory data and difficult decisions when having to determine the optimal timing and modalities of EN administration, estimation of patient requirements, and choice of formulas. The pur- pose of this paper is to provide practical guidelines on these various aspects of enteral nutritional support, based on presently available evidence.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340050677
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Pulmonary scintigraphy at the bedside in intensive care patients with suspected pulmonary embolism (1995)
    Springer
    Intensive care medicine 21 (1995), S. 723-728 
    Details
    ISSN: 1432-1238
    Keywords: Pulmonary embolism ; Pulmonary scintigraphy ; Intensive care
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective Performance of pulmonary scintigraphy (PS) for suspected pulmonary embolism (PE) in ICU patients normally involves the added risk of transporting unstable patients to the nuclear medicine unit (NMU) and poses technical difficulties in ventilating intubated patients. This retrospective study addresses the feasibility of performing PS as the bedside. Material and methods During a 2-year period, all ICU patients with suspected PE underwent PS at the bedside, performed with a mobile gamma-camera.99mTc-labelled albumin macroaggregates were used for the perfusion studies. Gasified99mTc or81mKr gas was administered by an adapting technique in intubated patients. Results 45 patients were studied, 29 (64%) of whom were intubated and 21 (47%) of whom were in shock. PE was confirmed or excluded by PS in 49% of patients. Angiography was performed in 4 patients (8%). In the rest, a combination of low clinical and low or very low PS probabilities rendered PE highly unlikely. There was no evidence of PE in the subsequent follow-up. Conclusions In ICU patients with suspected PE, PS can be performed at the bedside with a mobile gamma-camera. The risk of transporting unstable patients can thus be avoided.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01704739
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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