1,720,971 research outputs found
Respiratory Care Topics about High Frequency Percussive Ventilation during Surgical Bronchial Repair
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Continuous Real-Time Urine Output Monitoring for Early Detection of Acute Kidney Injury
No full textIn critically ill patients, acute kidney injury (AKI) is a common complication. In some cases, oliguria may be the only sign verifying this condition. The consensus definitions of RIFLE and AKIN are based on changes in creatinine and urine output and define classes of severity within AKI. While meaningful change in serum creatinine is often not detectable until 48 h after deterioration in kidney function, urine output is a more rapid physiological parameter and detectable at the patient's bedside. Although urine output is a critical parameter in the intensive care unit, routine urine output measurements are performed manually. As a result, they may not be done timely and may be subject to inaccuracies due to human factors. The URINFO(center dot) system is an innovative digital urine meter that provides continuous minute-to-minute monitoring of urine output, thereby enhancing kidney monitoring and the acquisition of more reliable urine output information in real-time. Consequently, monitoring of urine output with URINFO may enable rapid therapeutic interventions and can be incorporated into patient data systems, thereby improving therapy management. Copyright (C) 2011 S. Karger AG, Base
NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN IS AN EARLY BIOMARKER FOR ACUTE KIDNEY INJURY IN AN ADULT ICU POPULATION
No full textExtracorporeal CO(2) Removal - A Way to Achieve Ultraprotective Mechanical Ventilation and Lung Support: The Missing Piece of Multiple Organ Support Therapy
No full textExtracorporeal therapies are able to sustain life through different mechanisms. This approach, called multiple organ support therapy, can in fact obtain blood purification by hemodialysis/hemofiltration to replace kidney function, temperature control, electrolyte and acid-base control to mimic homeostatic regulation of the kidney and circulation, fluid balance control to support the right hydration and cardiac performance, cardiac support removing cardiodepressant substances and equilibrating potassium levels, blood detoxification and liver support by coupled plasma filtration and adsorption or direct adsorption on blood (hemoperfusion), immunomodulation and endothelial support in the presence of sepsis by cutting the peaks of pro- and anti-inflammatory mediators, and immunoadsorption or adsorption of specific substances such as endotoxin. A missing piece of this group of therapies was the protective lung support. Today this is made possible by removal of CO, either by complete extracorporeal membrane oxygenation or by using decapneization in conjunction with hemofiltration in a system called DECAP/DECAPSMART. In conclusion, circulating blood outside the body and treating it with different filters or cartridges in a multiple organ support therapy may represent an important support for multiple organ dysfunction conditions induced by sepsis, acute respiratory distress syndrome and in recent times by complicated H1N1-related infections. Copyright (C) 2010 S. Karger AG, Base
PATTERNS OF STROKE VOLUME VARIATION DURING CONTINUOUS RENAL REPLACEMENT THERAPY: A CASE REPORT
No full textNEFROINT: AN ITALIAN MULTICENTER PROSPECTIVE STUDY TO EVALUATE ACUTE KIDNEY INJURY IN CRITICALLY ILL PATIENTS. PRELIMINARY RESULTS OF THE PILOT STUDY
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