1,721,095 research outputs found
RIGHT VENTRICULAR MYOCARDIAL FUNCTION IN ARF PATIENTS: PEEP AS A CHALLEGNE FOR RIGHT HEART - REPLY
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Perioperative hemodynamic optimization to reduce acute kidney injury and mortality in surgical patients
No full textAcute kidney injury is a serious complication in surgical and critical care
patients and carries an increased risk of mortality and additional hospital costs.
Hemodynamic optimization to reduce mortality in critically ill patients with or
at risk for AKI is supported by high-level evidence. However, several points
of debate are still open, including the type of fluid to be used to reach the
hemodynamic targets, the inotropic support, the choice of the monitoring tool,
as well as of the hemodynamic variables to be targeted, and which subgroup
of the high-risk surgical population could benefit most from a goal-directed
therapy approach
Is Hyperlipasemia Predictive Factor Of Mortality in Critically Hill Patients? A Life Course Approach
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Patient-requiested neuraxial analgesia for labor: impact on rates of cesarean and instrumental vaginal delivery
No full textA systematic review, including a meta-analysis, on the timing
effects of neuraxial analgesia (NA) on cesarean and instrumental
vaginal deliveries in nulliparous women was conducted. Of
20 articles identified, 9 met the inclusion quality criteria (3,320
participants). Cesarean delivery (odds ratio, 1.00; 95% confidence
interval, 0.82–1.23) and instrumental vaginal delivery
(odds ratio, 1.00; 95% confidence interval, 0.83–1.21) rates were
similar in the early NA and control groups. Neonates of women
with early NA had a higher umbilical artery pH and received
less naloxone. In the early NA group, fewer women were not
compliant with assigned treatment and crossed over to the
control group. Women receiving early NA for pain relief are not
at increased risk of operative delivery, whereas those receiving
early parenteral opioid and late epidural analgesia present a
higher risk of instrumental vaginal delivery for nonreassuring
fetal status, worse indices of neonatal wellness, and a lower
quality of maternal analgesia
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