Search results for "Critical"
showing 10 items of 3024 documents
Prognostic significance of central venous-to-arterial carbon dioxide difference during the first 24 hours of septic shock in patients with and withou…
2017
IF 6.238; International audience; Objective: To investigate the prognostic significance of central venous-to-arterial carbon dioxide difference (cv-art CO2 gap) during septic shock in patients with and without impaired cardiac function.Methods: We performed a prospective cohort study in 10 French intensive care units. Patients suffering from septic shock were assigned to the impaired cardiac function group (‘cardiac group’, n=123) if they had atrial fibrillation (AF) and/or left ventricular ejection fraction (LVEF) 0.9 kPa at 12 h had a higher risk of day 28 mortality (hazard ratio=3.18; P=0.0049). Among the 59 patients in the cardiac group with mean arterial pressure (MAP) ≥65 mm Hg, centr…
Systemic acidemia impairs cardiac function in critically Ill patients.
2021
Background: Acidemia, is associated with reduced cardiac function in animals, but no studies showing an effect of acidemia on cardiac function in humans are reported. In the present study, we examined the effect of acidemia on cardiac function assessed with transpulmonary thermodilution technique with integrated pulse contour analysis (Pulse Contour Cardiac Output, PiCCO™) in a large cohort of critically ill patients. Methods: This was a prospective multicenter observational cross-sectional study of 297 patients from 6 intensive care units in London, England selected from all patients admitted consecutively between May 2018 and March 2019. Measurements of lowest plasma pH and concurrent ass…
PiCCO plus: monitorización cardiopulmonar mínimamente invasiva
2008
Insertion of a central venous catheter and an arterial catheter would be indicated in hemodynamically unstable or severely hypoxic patients in critical care units. In this setting, cardiorespiratory monitoring by transpulmonary thermodilution (TPTD) can be considered minimally invasive given that only a single arterial thermodilution catheter and a single central venous catheter are required to be connected to a specific monitor (the PiCCO Plus, Pulsion Medical Systems, Munich, Germany). TDTP simultaneously measures cardiac output, preloading, and cardiac function in hemodynamically unstable patients and predicts the response to volume. The technique can be managed by any health care profes…
Continuous measurement of cardiac output by the Fick principle in infants and children: comparison with the thermodilution method.
1996
To compare a system that continuously monitors cardiac output by the Fick principle with measurements by the thermodilution technique in pediatric patients.Prospective direct comparison of the above two techniques.Pediatric intensive care unit of a university hospital.25 infants and children, aged 1 week to 17 years (median 10 months), who had undergone open heart surgery were studied. Only patients without an endotracheal tube leak and without a residual shunt were included.The system based on the Fick principle uses measurements of oxygen consumption taken by a metabolic monitor and of arterial and mixed venous oxygen saturation taken by pulse- and fiberoptic oximetry to calculate cardiac…
Comparison between doppler-echocardiography and uncalibrated pulse contour method for cardiac output measurement. a multicenter observational study
2016
Objectives: Echocardiography and pulse contour methods allow, respectively, noninvasive and less invasive cardiac output estimation. The aim of the present study was to compare Doppler echocardiography with the pulse contour method MostCare for cardiac output estimation in a large and nonselected critically ill population. Design: A prospective multicenter observational comparison study. Setting: The study was conducted in 15 European medicosurgical ICUs. Patients: We assessed cardiac output in 400 patients in whom an echocardiographic evaluation was performed as a routine need or for cardiocirculatory assessment. Interventions: None. Measurements and Main Results: One echocardiographic car…
How to communicate between surgeon and intensivist?
2020
Purpose of review Communication and teamwork are essential to enhance the quality of care, especially in operating rooms and ICUs. In these settings, the effective interprofessional collaboration between surgeons and intensivists impacts patients' outcome. This review discusses current opinions and evidence for improving communication strategies and the relationship between surgeons and intensivists/anesthesiologist. Recent findings Effective teamwork has been demonstrated to improve patient outcome and foster healthier relationships between professionals.With the expansion of new medical superspecialist disciplines and the latest medical developments, patient care has been put through a pr…
DEVELOPMENT OF CAREER MANAGEMENT SKILLS OF NEW PODOLOGISTS FOR WORK IN A MULTICULTURAL ENVIRONMENT
2017
Because of the affections of globalization process and because of the changes in social-political situation in world, multicultural environment in Latvia is also changing. Latvia becomes more and more attractive for foreign citizens from Europe the same as for citizens from elsewhere, that choose to settle down here permanently or only for a period of time. That is considerable challenge for education and healthcare.
 Workers in field of medicine, and podologs as well, must guide their professional carreer development in mutable multicultural environment. That is why needs of joung specialists are changing too-with knowledge, skills and competencies necessary in proffession, specialist…
Distribution, ecology, vegetation and conservation survey on the relictual population ofCarex panormitanaGuss. (Cyperaceae) in Sicily (Italy)
2013
We report the results of research on the Carex panormitana Guss. (Cyperaceae) population in Sicily, carried out within its locus classicus at the Oreto River (Palermo). The survey led to a morphological, biological and autoecological characterization, to the definition of the current distribution in the site, to an estimate of the number of individuals and to an analysis of its conservation status. The risk status was also assessed and the species was ascribed to the category Critically Endangered (CR), in accordance with the CR B1ab (ii, iii, v) and EN C1 IUCN criteria. Moreover, the phytosociological survey carried out on the meso-hygrophilous vegetation in which the species is dominant a…
CARTEGGIO CROCE-RICCI
2009
L'edizione comprende il carteggio intercorso tra Benedetto Croce e Corrado Ricci dal 1890 al 1925 (con un'ultima lettera isolata del 1928), qui trascritto e presentato per la prima volta. Tutte le lettere sono corredate di note esplicative e critiche. Un voluminoso saggio introduttivo ricostruisce il contesto storico del carteggio e ne approfondisce tutti i principali punti di interesse: il confronto tra l'approccio critico positivista e quello idealista in genesi: il rapporto tra le istituzioni e gli intellettuali militanti nell'Italia giolittiana; l'impegno per la tutela e la valorizzazione del patrimonio culturale e artistico; il legame con l'orizzonte europeo e il modo diverso di coltiv…
Electrostatic interactions in critical solvents
2011
The subtle interplay between critical phenomena and electrostatics is investigated by considering the effective force acting on two parallel walls confining a near-critical binary liquid mixture with added salt. The ion-solvent coupling can turn a non-critical repulsive electrostatic force into an attractive one upon approaching the critical point. However, the effective force is eventually dominated by the critical Casimir effect, the universal properties of which are not altered by the presence of salt. This observation allows a consistent interpretation of recent experimental data.