当前位置： SCI文献检索 > INTENSIVE CARE MEDICINE期刊下所有文献 > Incidence and circumstances of serum creatinine increase after abdominal aortic surgery.

Incidence and circumstances of serum creatinine increase after abdominal aortic surgery.

Abstract：

OBJECTIVE:To evaluate the incidence and the circumstances of a moderate increase in serum creatinine early after elective abdominal aortic surgery. DESIGN:Prospective clinical observational study. SETTING:Surgical intensive care unit in a university hospital. PATIENTS:Two hundred and fifteen consecutive adult patients operated on for infra-renal abdominal aortic surgery during 1 year. INTERVENTIONS:A moderate increase in plasma creatinine of 20% from preoperative value (renal dysfunction, RD) was systematically recorded during the first 3 days following surgery. Organ dysfunctions (cardiac, pulmonary, haematological, and neurological) were assessed. MEASUREMENTS AND RESULTS:Forty-three patients (20%) experienced a postoperative RD; six of these required dialysis. RD was associated with other organ dysfunctions in 60.5% patients. Mortality rate was significantly higher for patients who had a RD, than patients without RD (9.3% vs 1.2%, P<0.02). Mean ICU stay of patients with RD was significantly longer (7.9+/-5.6 days vs 5.0+/-1.8 days, P<0.01). However, patients with RD but without other organ dysfunctions had a mortality rate of 0% and did not have a significantly longer stay in ICU than patients without any organ dysfunctions (5.2+/-2.1 days vs 4.6+/-1.2 days, P=0.09). CONCLUSION:Our results suggest that a postoperative 20%-increase in plasma creatinine after abdominal aortic surgery is not rare and occurs frequently with other organ dysfunction.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Ryckwaert F,Alric P,Picot MC,Djoufelkit K,Colson P

doi

10.1007/s00134-003-1958-x

keywords:

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

1821-4

issue

10

eissn

0342-4642

issn

1432-1238

journal_volume

29

pub_type

杂志文章

相关文献

INTENSIVE CARE MEDICINE文献大全
  • Delay of extubation in neonates and children after cardiac surgery: impact of ventilator-associated pneumonia.

    abstract：OBJECTIVE:This study was undertaken to determine the delay of extubation attributable to ventilator-associated pneumonia (VAP) in comparison to other complications and complexity of surgery after repair of congenital heart lesions in neonates and children. METHODS:Cohort study in a pediatric intensive care unit of a t...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340051285

    authors： Fischer JE,Allen P,Fanconi S

    更新日期：2000-07-01 00:00:00

  • Five-year cost-utility analysis of acute renal replacement therapy: a societal perspective.

    abstract：PURPOSE:Assessment of the cost utility (CU) of acute renal replacement therapy (RRT) from a societal perspective during a 5-year follow-up. METHODS:This was a cross-sectional cohort study in a medical-surgical intensive care unit and an acute RRT unit of 410 consecutive patients treated with acute RRT in Helsinki Univ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-012-2760-4

    authors： Laukkanen A,Emaus L,Pettilä V,Kaukonen KM

    更新日期：2013-03-01 00:00:00

  • The safety and efficacy of sustained inflations as a lung recruitment maneuver in pediatric intensive care unit patients.

    abstract：OBJECTIVE:To assess the safety and efficacy of sustained inflations (SI) as lung recruitment maneuvers (RMs) in ventilated pediatric intensive care unit (PICU) patients. DESIGN:Observational, prospective data collection. SETTING:Tertiary-care PICU. PATIENTS AND PARTICIPANTS:Thirty-two consecutive ventilated pediatri...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-007-0764-2

    authors： Duff JP,Rosychuk RJ,Joffe AR

    更新日期：2007-10-01 00:00:00

  • ARDS caused by herpes simplex virus pneumonia in a patient with Crohn's disease: a case report.

    abstract：:Pneumonia caused by herpes simplex virus type 1 (HSV1) is rare and occurs in severely immunosuppressed patients. HSV1 can be detected in bronchoalveolar lavage (BAL) from patients presenting with respiratory failure, but its direct effect on disease is difficult to prove. We demonstrate the causative role of HSV1 in t...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340050339

    authors： François-Dufresne A,Garbino J,Ricou B,Wunderli W

    更新日期：1997-03-01 00:00:00

  • Profound and persistent decrease of circulating dendritic cells is associated with ICU-acquired infection in patients with septic shock.

    abstract：PURPOSE:Septic shock induces a decrease in dendritic cells (DCs) that may contribute to sepsis-induced immunosuppression. We analyzed the time course of circulating DCs in patients with septic shock and its relation to susceptibility to intensive care unit (ICU)-acquired infections. METHODS:We enrolled adult patients ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-011-2306-1

    authors： Grimaldi D,Louis S,Pène F,Sirgo G,Rousseau C,Claessens YE,Vimeux L,Cariou A,Mira JP,Hosmalin A,Chiche JD

    更新日期：2011-09-01 00:00:00

  • Haemodynamic and neuroendocrine effects of tezosentan in chronic experimental pulmonary hypertension.

    abstract：PURPOSE:Chronic pulmonary hypertension (PH) therapy is poorly investigated in intensive care. Our aim was to evaluate haemodynamic and neuroendocrine effects of the dual endothelin-1 (ET-1) blocker tezosentan in monocrotaline (MCT)-induced PH. METHODS:Male Wistar rats (180-200 g, n = 194) randomly received 60 mg kg(-1...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-012-2484-5

    authors： Lourenço AP,Vasques-Nóvoa F,Oliveira-Pinto J,Fontoura D,Roncon-Albuquerque R Jr,Leite-Moreira AF

    更新日期：2012-06-01 00:00:00

  • Correction to: Accumulation of hydroxyethyl starch in human and animal tissues: a systematic review.

    abstract：:The article "Accumulation of hydroxyethyl starch in human and animal tissues: a systematic review", written by Christian J. Wiedermann and Michael Joannidis, was originally published Online First without Open Access. ...

    journal_title：Intensive care medicine

    pub_type： 已发布勘误

    doi：10.1007/s00134-020-06269-y

    authors： Wiedermann CJ,Joannidis M

    更新日期：2020-10-14 00:00:00

  • Measurement of functional residual capacity by helium dilution during partial support ventilation: in vitro accuracy and in vivo precision of the method.

    abstract：OBJECTIVE:Measurement of functional residual capacity (FRC) during controlled and especially during assisted ventilation remains a challenge in the physiological evaluation of ventilated patients. To validate a bag-in-box closed helium dilution technique allowing measurements both during pressure-controlled (PCV) and p...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-007-0833-6

    authors： Di Marco F,Rota Sperti L,Milan B,Stucchi R,Centanni S,Brochard L,Fumagalli R

    更新日期：2007-12-01 00:00:00

  • Tigecycline use in critically ill patients: a multicentre prospective observational study in the intensive care setting.

    abstract：PURPOSE:This prospective observational study aimed at describing prescription patterns of tigecycline and patient outcomes in 26 French intensive care units (ICU). METHODS:Data of consecutive cases of adult patients treated with tigecycline were collected from the initiation until 7 days after the end of treatment. Re...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00134-014-3323-7

    authors： Montravers P,Dupont H,Bedos JP,Bret P,Tigecycline Group.

    更新日期：2014-07-01 00:00:00

  • Focus on randomised clinical trials.

    abstract：: ...

    journal_title：Intensive care medicine

    pub_type： 社论

    doi：10.1007/s00134-018-5468-2

    authors： Perner A,Hjortrup PB,Pettilä V

    更新日期：2018-12-01 00:00:00

  • Non-operative management of gastric perforation secondary to cardiopulmonary resuscitation.

    abstract：:We report the case of a 72-year-old male who suffered a cardiac arrest during an early positive treadmill stress test. After successful resuscitation the patient had evidence of a gastric perforation. Because of his hemodynamic stability, lack of peritoneal signs, and prohibitively high surgical risk, a non-operative ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01710656

    authors： Low LL,Ripple GR,Bruderer BP,Harrington GR

    更新日期：1994-07-01 00:00:00

  • Endotoxin immunity and the development of the systemic inflammatory response syndrome in critically ill children.

    abstract：BACKGROUND:The systemic inflammatory response syndrome (SIRS) may be triggered by endotoxin. Humans have antibodies directed against the core of endotoxin (endotoxin core antibodies, EndoCAb) that appear to be protective following surgery and in sepsis. We hypothesised that children with elevated antibodies to endotoxi...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-005-0019-z

    authors： Stephens RCM,Fidler K,Wilson P,Barclay GR,Mythen MG,Dixon GLJ,Turner MW,Klein NJ,Peters MJ

    更新日期：2006-02-01 00:00:00

  • Plasma fibronectin and complement following infusion of colloidal solutions after spinal anaesthesia.

    abstract：:A randomized study of 30 patients undergoing uncomplicated surgery under spinal anesthesia was conducted to assess the influence of colloids on the kinetics of plasma fibronectin and complement. Both are opsonins of the reticuloendothelial system; moreover fibronectin is concerned with host resistance against septic c...

    journal_title：Intensive care medicine

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/BF01691428

    authors： Vedrinne JM,Hoen JP,Bussery D,Veyssere C,Richard M,Motin J

    更新日期：1991-01-01 00:00:00

  • Intensive care management of children following heart and heart-lung transplantation.

    abstract：:We report the intensive care management of 23 children (age 3-15 years) following orthotopic heart (HT) and combined heart and lung transplantation (HLT) performed at our 2 institutes between February 1985 and August 1989. Cyclosporin A, azathioprine and steroids were given as routine immunosuppression, whilst anti-th...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01711219

    authors： Whitehead B,James I,Helms P,Scott JP,Smyth R,Higenbottam TW,McGoldrick J,English TA,Wallwork J,Elliott M

    更新日期：1990-01-01 00:00:00

  • Specialist neurocritical care and outcome from head injury.

    abstract：OBJECTIVES:To document the effect of neurocritical care, delivered by specialist staff and based on protocol-driven therapy aimed at intracranial pressure (ICP) and cerebral perfusion pressure (CPP) targets, on outcome in acute head injury. DESIGN:Retrospective record review to compare presentation, therapy and outcom...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-002-1235-4

    authors： Patel HC,Menon DK,Tebbs S,Hawker R,Hutchinson PJ,Kirkpatrick PJ

    更新日期：2002-05-01 00:00:00

  • Cytokeratin 19 fragments in patients with acute lung injury: a preliminary observation.

    abstract：OBJECTIVE:Cytokeratin 19 (CK19) is a specific cytoskeletal structure for alveolar epithelium. We hypothesized that the levels of CK19 fragments in bronchoalveolar lavage (BAL) fluid could serve as an index of epithelial injury and as a prognosis marker in patients with acute lung injury (ALI) or acute respiratory distr...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-006-0124-7

    authors： Stern JB,Paugam C,Validire P,Adle-Biassette H,Jaffré S,Dehoux M,Crestani B

    更新日期：2006-06-01 00:00:00

  • The relationship between oxygen demand, oxygen uptake, and oxygen supply.

    abstract：:Results of the relationships between oxygen supply, demand, and uptake can be used to interpret cardiac output values, identify types of acute circulatory failure, guide attempts to improve cellular function, and thus prevent the development of multiple organ failure and death. Five steps in the interpretation of card...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/BF01785244

    authors： Vincent JL

    更新日期：1990-01-01 00:00:00

  • Value of brain natriuretic peptide in the perioperative follow-up of children with valvular disease.

    abstract：OBJECTIVE:To characterize N-terminal pro-brain natriuretic peptide (N-proBNP) and troponin I (TnI) profile following mitral and/or aortic valve surgery and to evaluate correlations with echocardiography measures and outcome criteria. DESIGN AND SETTING:Prospective cross-controlled study in a university children's hosp...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-008-1025-8

    authors： Tissières P,da Cruz E,Habre W,Aggoun Y,Mensi N,Kalangos A,Beghetti M

    更新日期：2008-06-01 00:00:00

  • Continuous flush devices for vascular pressure monitoring.

    abstract：:Six different types of continuous flush devices have been assessed for accuracy in vitro and ease of use in vivo. Only two types of device matched the manufacturers' specifications of performance. The other four gave higher flow rates than expected. ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01691259

    authors： Rithalia SV,Tinker J

    更新日期：1983-01-01 00:00:00

  • Effects of reducing beta-lactam antibiotic pressure on intestinal colonization of antibiotic-resistant gram-negative bacteria.

    abstract：BACKGROUND:We determined the effects of two antibiotic policies (predominance of either beta-lactam antibiotics or fluroquinolones) on acquisition with third-generation cephalosporin-resistant Enterobacteriaceae (CRE) and fluoroquinolone-resistant CRE (FCRE) in two ICUs, with monitoring of other variables that may infl...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00134-009-1714-y

    authors： Nijssen S,Fluit A,van de Vijver D,Top J,Willems R,Bonten MJ

    更新日期：2010-03-01 00:00:00

  • Adaptive support ventilation versus conventional ventilation for total ventilatory support in acute respiratory failure.

    abstract：OBJECTIVE:To compare the short-term effects of adaptive support ventilation (ASV), an advanced closed-loop mode, with conventional volume or pressure-control ventilation in patients passively ventilated for acute respiratory failure. DESIGN:Prospective crossover interventional multicenter trial. SETTING:Six European ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00134-010-1917-2

    authors： Iotti GA,Polito A,Belliato M,Pasero D,Beduneau G,Wysocki M,Brunner JX,Braschi A,Brochard L,Mancebo J,Ranieri VM,Richard JC,Slutsky AS

    更新日期：2010-08-01 00:00:00

  • How I treat septic shock.

    abstract：: ...

    journal_title：Intensive care medicine

    pub_type： 社论

    doi：10.1007/s00134-018-5401-8

    authors： Vincent JL

    更新日期：2018-12-01 00:00:00

  • Terlipressin dose response in healthy and endotoxemic sheep: impact on cardiopulmonary performance and global oxygen transport.

    abstract：OBJECTIVE:To determine whether a goal-directed terlipressin infusion increases mean arterial pressure without causing a pulmonary vasopressive effect and whether this response impacts on key parameters of oxygen transport in healthy and endotoxemic sheep. DESIGN AND SETTING:Prospective controlled trial in a university...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-002-1546-5

    authors： Westphal M,Stubbe H,Sielenkämper AW,Borgulya R,Van Aken H,Ball C,Bone HG

    更新日期：2003-02-01 00:00:00

  • Detecting traumatic internal carotid artery dissection using transcranial Doppler in head-injured patients.

    abstract：PURPOSE:The early diagnosis of traumatic internal carotid artery dissection (TICAD) is essential for initiating appropriate treatment and improving outcome. We searched for criteria from transcranial Doppler (TCD) measurements on admission that could be associated with subsequent TICAD diagnosis in patients with trauma...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-010-1919-0

    authors： Bouzat P,Francony G,Brun J,Lavagne P,Picard J,Broux C,Declety P,Jacquot C,Albaladejo P,Payen JF

    更新日期：2010-09-01 00:00:00

  • Meningococcal disease: a comparison of eight severity scores in 125 children.

    abstract：OBJECTIVE:To investigate the accuracy of eight different prognostic scores (Stiehm, Niklasson, Leclerc, Garlund, the MOC score, Tesero, the Glasgow Meningococcal Septicaemia Prognostic Score (GMSPS) and Tüyzüs) in the prediction of fatal outcome in meningococcal disease. DESIGN:Combined prospective and retrospective s...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01709565

    authors： Derkx HH,van den Hoek J,Redekop WK,Bijlmer RP,van Deventer SJ,Bossuyt PM

    更新日期：1996-12-01 00:00:00

  • Respiratory mechanics by least squares fitting in mechanically ventilated patients: applications during paralysis and during pressure support ventilation.

    abstract：OBJECTIVE:To evaluate a least squares fitting technique for the purpose of measuring total respiratory compliance (Crs) and resistance (Rrs) in patients submitted to partial ventilatory support, without the need for esophageal pressure measurement. DESIGN:Prospective, randomized study. SETTING:A general ICU of a Univ...

    journal_title：Intensive care medicine

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/BF01707409

    authors： Iotti GA,Braschi A,Brunner JX,Smits T,Olivei M,Palo A,Veronesi R

    更新日期：1995-05-01 00:00:00

  • Candida sp. isolated from bronchoalveolar lavage: clinical significance in critically ill trauma patients.

    abstract：OBJECTIVE:Based on limited data, Candida sp. isolates from bronchoalveolar lavage (BAL) cultures in immunocompetent patients are thought to be contaminants rather than pathogens. The objective of this study was to determine the clinical significance of Candida sp. isolated from BAL cultures in critically ill trauma pat...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-005-0065-6

    authors： Wood GC,Mueller EW,Croce MA,Boucher BA,Fabian TC

    更新日期：2006-04-01 00:00:00

  • Evaluation of noninvasive determinants for capillary leakage syndrome in septic shock patients.

    abstract：OBJECTIVE:Capillary leakage syndrome (CLS) is a frequent complication in sepsis, characterized by loss of intravasal fluids leading to generalized edema and hemodynamic instability despite massive fluid therapy. In spite of its importance no standardized diagnostic criteria are available for CLS. DESIGN:Prospective cl...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340000601

    authors： Marx G,Vangerow B,Burczyk C,Gratz KF,Maassen N,Cobas Meyer M,Leuwer M,Kuse E,Rueckholdt H

    更新日期：2000-09-01 00:00:00

  • The increase in CO2 production induced by NaHCO3 depends on blood albumin and hemoglobin concentrations.

    abstract：OBJECTIVE:To evaluate the origin of H+ ions participating in the generation of CO2 coming from sodium bicarbonate infusion during metabolic acidosis. We hypothesized that these H+ ions come from a back-titration of the main non-bicarbonate buffers present in the blood, i. e. the hemoglobin and the albumin, and thus pos...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340051204

    authors： Levraut J,Garcia P,Giunti C,Ichai C,Bouregba M,Ciebiera JP,Payan P,Grimaud D

    更新日期：2000-05-01 00:00:00

  • Serum procalcitonin levels in critically ill patients colonized with Candida spp: new clues for the early recognition of invasive candidiasis?

    abstract：OBJECTIVE:Invasive candidiasis (IC) outcomes in intensive care units (ICUs) could be improved by the early administration of antifungals. The Candida Score (CS) prediction rule has been proposed for the selection of patients who could develop IC. Procalcitonin (PCT) levels allow prompt identification of sepsis, but the...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-009-1623-0

    authors： Charles PE,Castro C,Ruiz-Santana S,León C,Saavedra P,Martín E

    更新日期：2009-12-01 00:00:00