Abstract
The plasma B-type natriuretic peptide concentration (BNP) appears not to predict fluid responsiveness in septic shock but no account has been made for the potential influence of cardiac rhythm [1]. Also, no comparison has been made between BNP and other clinical guides to fluid therapy, such as the Doppler aortic flow time corrected for heart rate (FTc) or central venous pressure (CVP). The aim of this preliminary study was to compare BNP, FTc and CVP as predictors of fluid responsiveness in septic shock patients without cardiac dysrhythmia.
Highlights
There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient’s experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients
Results of this study show that early tracheostomy, if perioperative complications
There were no significant differences between the two groups with respect to organ-failure free days (22 vs. 25.5 days, P = 0.11), ventilator-free days (16.5 vs. 23 days, P = 0.15), length of pediatric critical care unit stay (8 vs. 8.5 days, P = 0.93), or the adverse and serious adverse event rate ratios (12.0%, 95% cardiac index (CI) = –2.6 to 26.7, P = 0.15; and 3.2%, 95% CI = –13.7 to 7.8, P = 0.55, respectively)
Summary
There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient’s experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients. Conclusions Our data demonstrate that critically ill patients may be exposed to a higher FiO2 than that required to maintain adequate oxygenation These results highlight an area of ICU care that has received little study, with no published clinical trials examining the effect of FiO2 on outcome. Results Age, sex, the underlying disease and tumour stage (TNM classification), type of previous anticancer treatment, performance status, severity scores (APACHE II, Simplified Acute Physiology Score II, Sequential Organ Failure Assessment), ICU and hospital mortalities and hospital outcome at 3, 6 and 12 months were analysed. Clinical data of 277 post-transplantation patients admitted to the ICU were collected at admission and the SAPS 3 and APACHE II score calculated with respective estimated mortality rates.
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