Methods of management of flail chest.

Abstract:

:We have treated 30 patients with flail chest, with priority given to associated factors (pain, secretions retention, hemo-/pneumothorax and underlying pulmonary contusion). When this treatment was insufficient IMV + PEEP was instituted; in this group there was a 58.8% incidence of pneumonia, 47.5% of sepsis and 11.7 days average stay in the ICU. These were significantly different when compared to the patients controlled without mechanical ventilatory support 7.7% pneumonia, 0% sepsis, 3.2 days). Surgical fixation was limnited to 4 patients who presented with multiple and greatly displace rib fractures, which made fixation by mechanical ventilation unpredictable.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Carpintero JL,Rodriguez Diez A,Ruiz Elvira MJ,Benitez JA,Perez Rielo A

doi

10.1007/BF01687161

subject

Has Abstract

pub_date

1980-08-01 00:00:00

pages

217-21

issue

4

eissn

0342-4642

issn

1432-1238

journal_volume

6

pub_type

杂志文章
  • High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study.

    abstract:PURPOSE:Little evidence of increased thrombotic risk is available in COVID-19 patients. Our purpose was to assess thrombotic risk in severe forms of SARS-CoV-2 infection. METHODS:All patients referred to 4 intensive care units (ICUs) from two centers of a French tertiary hospital for acute respiratory distress syndrom...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00134-020-06062-x

    authors: Helms J,Tacquard C,Severac F,Leonard-Lorant I,Ohana M,Delabranche X,Merdji H,Clere-Jehl R,Schenck M,Fagot Gandet F,Fafi-Kremer S,Castelain V,Schneider F,Grunebaum L,Anglés-Cano E,Sattler L,Mertes PM,Meziani F,CRICS TR

    更新日期:2020-06-01 00:00:00

  • Arrhythmias and ischemia-like ECG changes in Reye's syndrome.

    abstract::We report a fatal case of a child presenting Reye's syndrome associated with a variety of arrhythmias and ischemia-like ST-T ECG changes. At autopsy, fatty infiltration and patchy myocytolysis were detected in sections of the heart. This case report emphasizes cardiac involvement in Reye's syndrome and the possible me...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01728333

    authors: Sarti A,Cecchi F,Manetti A,Busoni P

    更新日期:1996-01-01 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

  • An unusual drain in the pleural cavity: iatrogenic pneumothorax due to pulmonary misplacement of a nasogastric tube.

    abstract:: ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-018-5280-z

    authors: Stefani A,Ruggiero C,Aramini B,Scamporlino A

    更新日期:2018-12-01 00:00:00

  • Amrinone for refractory cardiogenic shock following chloroquine poisoning.

    abstract::Cardiac arrhythmias and circulatory collapse account for the high mortality reported after severe chloroquine poisoning. We have recently observed a 17-year-old man who ingested an 8 g chloroquine overdose. Cardiac arrest occurred within 1 h. Cardiogenic shock was refractory to epinephrine, dopamine and molar sodium l...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01720684

    authors: Hantson P,Ronveau JL,De Coninck B,Horn JL,Mahieu P,Hassoun A

    更新日期:1991-01-01 00:00:00

  • Intra-thoracic placement of central venous catheter despite ultrasound guidance.

    abstract:: ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-018-5278-6

    authors: De Cassai A,Dal Cin S,Bertini D

    更新日期:2018-12-01 00:00:00

  • Erythropoietin response is blunted in critically ill patients.

    abstract:OBJECTIVES:Critically ill patients often develop anaemia which can be related to a number of factors. However, the exact causes of anaemia in many patients remain unexplained. We hypothesized that the relationship between erythropoietin (EPO) and haematocrit may be altered in critically ill patients. DESIGN:Serum conc...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s001340050310

    authors: Rogiers P,Zhang H,Leeman M,Nagler J,Neels H,Mélot C,Vincent JL

    更新日期:1997-02-01 00:00:00

  • Biomarkers for prediction of renal replacement therapy in acute kidney injury: a systematic review and meta-analysis.

    abstract:PURPOSE:Acute kidney injury (AKI) frequently occurs in critically ill patients and often precipitates use of renal replacement therapy (RRT). However, the ideal circumstances for whether and when to start RRT remain unclear. We performed evidence synthesis of the available literature to evaluate the value of biomarkers...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-018-5126-8

    authors: Klein SJ,Brandtner AK,Lehner GF,Ulmer H,Bagshaw SM,Wiedermann CJ,Joannidis M

    更新日期:2018-03-01 00:00:00

  • Application of therapeutic hypothermia in the intensive care unit. Opportunities and pitfalls of a promising treatment modality--Part 2: Practical aspects and side effects.

    abstract::Induced hypothermia can be used to protect the brain from post-ischemic and traumatic neurological injury. Potential clinical applications and the available evidence are discussed in a separate paper. This review focuses on the practical aspects of cooling and physiological changes induced by hypothermia, as well as t...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-003-2151-y

    authors: Polderman KH

    更新日期:2004-05-01 00:00:00

  • Long-term mortality in patients with chronic obstructive pulmonary disease following extracorporeal membrane oxygenation for cardiac assist after cardiovascular surgery.

    abstract:PURPOSE:Information on predisposing risk factors influencing long-term survival after extracorporeal membrane oxygenation (ECMO) support remains scarce. In critically ill patients chronic obstructive pulmonary disease (COPD) is an independent risk factor for mortality and morbidity. We assessed the influence of COPD on...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-013-2931-y

    authors: Distelmaier K,Niessner A,Haider D,Lang IM,Heinz G,Maurer G,Koinig H,Steinlechner B,Goliasch G

    更新日期:2013-08-01 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

  • The continuous monitoring of CO2 ductances in pulmonary intensive care.

    abstract::A cardiorespiratory monitoring system allows the measurement of FAECO2 and FECO2 in the expired air of the patient at the mouth (endtidal CO2) and in a mixing box. From these parameters, combined with the measured PACO2, the alveolo-expired (DuA = PECO2/PAECO2) and alveolar-arterial (Dua = PAECO2/PACO2) ductances whic...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01687162

    authors: Polu JM,Duvivier C,Sadoul P

    更新日期:1980-08-01 00:00:00

  • Studies on drug monitoring in thrice and once daily treatment with aminoglycosides.

    abstract:OBJECTIVES:To investigate at what time the peak level should be determined under conventional thrice daily (t.i.d.) administration of the aminoglycoside netilmicin and to study its serum concentrations under once daily (od) treatment to define the required daily dose and to gain information about convenient drug monito...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01694773

    authors: Konrad F,Wagner R,Neumeister B,Rommel H,Georgieff M

    更新日期:1993-01-01 00:00:00

  • Obesity in the critically ill: a narrative review.

    abstract::The World Health Organization defines overweight and obesity as the condition where excess or abnormal fat accumulation increases risks to health. The prevalence of obesity is increasing worldwide and is around 20% in ICU patients. Adipose tissue is highly metabolically active, and especially visceral adipose tissue h...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-019-05594-1

    authors: Schetz M,De Jong A,Deane AM,Druml W,Hemelaar P,Pelosi P,Pickkers P,Reintam-Blaser A,Roberts J,Sakr Y,Jaber S

    更新日期:2019-06-01 00:00:00

  • The diagnostic accuracy of clinical examination for estimating cardiac index in critically ill patients: the Simple Intensive Care Studies-I.

    abstract:PURPOSE:Clinical examination is often the first step to diagnose shock and estimate cardiac index. In the Simple Intensive Care Studies-I, we assessed the association and diagnostic performance of clinical signs for estimation of cardiac index in critically ill patients. METHODS:In this prospective, single-centre coho...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-019-05527-y

    authors: Hiemstra B,Koster G,Wiersema R,Hummel YM,van der Harst P,Snieder H,Eck RJ,Kaufmann T,Scheeren TWL,Perner A,Wetterslev J,de Smet AMGA,Keus F,van der Horst ICC,SICS Study Group.

    更新日期:2019-02-01 00:00:00

  • Bleeding after intermittent or continuous r-hirudin during CVVH.

    abstract:OBJECTIVE:To demonstrate bleeding complications encountered in patients after cardiac surgery on continuous venovenous haemofiltration (CVVH) treated with continuous versus intermittent r-hirudin for heparin-induced thrombocytopenia (HIT) type II. DESIGN:Case description. SETTING:Cardiothoracic intensive care unit at...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051064

    authors: Kern H,Ziemer S,Kox WJ

    更新日期:1999-11-01 00:00:00

  • Correction to: COVID-19: a novel coronavirus and a novel challenge for critical care.

    abstract::The original version of this article unfortunately contained a mistake. ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s00134-020-06009-2

    authors: Arabi YM,Murthy S,Webb S

    更新日期:2020-05-01 00:00:00

  • The fluidised bed.

    abstract::The process of fluidisation involves blowing warm air through small solid microspheres thus creating a liquid, without wetness. The warmth provides some important properties including reducing the metabolic rate in thermal injury which has a beneficial effect on mortality, modifying catabolism after surgery, providing...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01701488

    authors: Ryan DW

    更新日期:1995-03-01 00:00:00

  • Adverse cardiac events during catecholamine vasopressor therapy: a prospective observational study.

    abstract:PURPOSE:To determine the incidence of and risk factors for adverse cardiac events during catecholamine vasopressor therapy in surgical intensive care unit patients with cardiovascular failure. METHODS:The occurrence of any of seven predefined adverse cardiac events (prolonged elevated heart rate, tachyarrhythmia, myoc...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2531-2

    authors: Schmittinger CA,Torgersen C,Luckner G,Schröder DC,Lorenz I,Dünser MW

    更新日期:2012-06-01 00:00:00

  • Microalbuminuria does not reflect increased systemic capillary permeability in septic shock.

    abstract:OBJECTIVE:To investigate the correlation between microalbuminuria and extravascular lung water in patients in septic shock who require mechanical ventilation for severe respiratory failure. DESIGN AND SETTING:Prospective, observational, clinical study in the 20-bed intensive care unit of a university hospital. PATIEN...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1651-0

    authors: Molnár Z,Szakmány T,Heigl P

    更新日期:2003-03-01 00:00:00

  • Hypertensive crisis immediately after complete removal of phaeochromocytoma.

    abstract::A hypertensive crisis with an arterial blood pressure of 280/180 mmHg developed immediately after an apparently successful removal of a phaeochromocytoma. The blood pressure could not be lowered by phentolamine and not until the administration of dihydralazine and furosemide was the systemic pressure normalized. In ad...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00315379

    authors: Johansson H,Brismar B,Hedenstierna G

    更新日期:1986-01-01 00:00:00

  • Continuous EEG and ICP monitoring as a guide to the administration of althesin sedation in severe head injury.

    abstract::The effects of 142 intravenous boluses of althesin (0.05 ml/kg) on cerebral perfusion pressure (CPP) were studied in twelve head injured comatose patients. The data were divided into those where the mean pre-bolus intracranial pressure (ICP) was above or below 20 mmHg and then subdivided into those where the minimum p...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00257469

    authors: Procaccio F,Bingham RM,Hinds CJ,Prior PF

    更新日期:1988-01-01 00:00:00

  • How many patients with severe sepsis are needed to confirm the efficacy of drotrecogin alfa activated? A Bayesian design.

    abstract:OBJECTIVES:Controversies concerning the pivotal trial and negative results from other Drotrecogin alfa activated (DAA) trials have raised questions about its efficacy in severe sepsis patients. Based on all available evidence, our study aimed to respond to: (1) What is the current probability that DAA is not better tha...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1159-8

    authors: Kalil AC,Sun J

    更新日期:2008-10-01 00:00:00

  • Automating the weaning process with advanced closed-loop systems.

    abstract:BACKGROUND:Limiting the duration of invasive ventilation is an important goal in caring for critically ill patients. Several clinical trials have shown that compared to traditional care, protocols can reduce the total duration of mechanical ventilation. Computerized or automated weaning has the potential to improve wea...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-008-1154-0

    authors: Burns KE,Lellouche F,Lessard MR

    更新日期:2008-10-01 00:00:00

  • Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.

    abstract:OBJECTIVE:To quantify the variability in the concentration of drug infusions prepared on an intensive care unit and establish whether there was a relationship between the quality of syringe labeling and drug preparation. DESIGN:Audit carried out over 3 weeks in May 2006 and completed in May 2007. SETTING:The adult ne...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1113-9

    authors: Wheeler DW,Degnan BA,Sehmi JS,Burnstein RM,Menon DK,Gupta AK

    更新日期:2008-08-01 00:00:00

  • An unusual case of non-traumatic pneumococcal mediastinal abscess.

    abstract::A 16-month old baby developed severe respiratory failure because of acute laryngitis and required mechanical ventilation. Intubation was complicated by aspiration and development of chemical pneumonia. Following 4 days of treatment the child was successfully extubated. Thirty six hours after extubation the patient aga...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00256065

    authors: Lotan C,Boneh A,Tamir I,Goitein KJ

    更新日期:1985-01-01 00:00:00

  • Group A beta-haemolytic streptococcus septicaemia: the toxic strep syndrome. Report of our cases developing septic shock and multiple organ failure.

    abstract::During the last two decades, severe group A beta-haemolytic streptococcal infections have been defined as the "toxic strep syndrome", and have been reported not only in immunocompromised or elderly people, but also occasionally in previously healthy patients. We describe 4 patients presenting with the toxic strep synd...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01709279

    authors: Soravia C,Romand JA,Herrmann M,Chevrolet JC,Ricou B,Suter PM

    更新日期:1993-01-01 00:00:00

  • Respiratory variation of intra-abdominal pressure: indirect indicator of abdominal compliance?

    abstract:OBJECTIVE:To assess if the observed respiratory cycle-related variation in intra-abdominal pressure is reliably quantifiable and a possible indirect indicator of abdominal compliance. Secondary issues were to assess the roles played by respiratory parameters in determining this oscillation and by patients' position in ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1155-z

    authors: Sturini E,Saporito A,Sugrue M,Parr MJ,Bishop G,Braschi A

    更新日期:2008-09-01 00:00:00

  • Extracorporeal treatment of acute renal failure in the intensive care unit: a critical view.

    abstract::Acute renal failure in critically ill patients is seldom an isolated problem but is more usually associated with multiple organ failure. When choosing an extracorporeal kidney replacement therapy, these other failing organs must be taken into account. Therefore the choice of an artificial kidney in patients requiring ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF00261492

    authors: Schetz M,Lauwers PM,Ferdinande P

    更新日期:1989-01-01 00:00:00

  • Bench studies evaluating devices for non-invasive ventilation: critical analysis and future perspectives.

    abstract:PURPOSE:Because non-invasive mechanical ventilation (NIV) is increasingly used, new devices, both ventilators and interfaces, have been continuously proposed for clinical use in recent years. To provide the clinicians with valuable information about ventilators and interfaces for NIV, several bench studies evaluating a...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-011-2416-9

    authors: Olivieri C,Costa R,Conti G,Navalesi P

    更新日期:2012-01-01 00:00:00