Abstract
In modern intensive care medicine there is a strive for enteral nutrition (EN) since it has been shown to protect gut mucosal function, to reduce infective morbidity, to hasten recovery from illness and to contribute to a lower mortality rate. EN requires a functioning, intact gastrointestinal tract, may cause diarrhoea and has an attendant risk of pulmonary aspiration. Further, data indicate that discrepancies between prescription and delivery of EN carry a risk of undernutrition. We therefore designed this study, with the aim to identify discrepancies between prescribed and delivered nutrition and to evaluate benefits and problems associated with EN and parenteral nutrition (PN). We also compared the actual amounts of fat, glucose and nitrogen delivered with calculated requirements.
Highlights
In contrast to conventional surgical tracheostomy, percutaneous dilational tracheostomy (PDT) in different variants is spreading rapidly in intensive care units today
Summary Our study demonstrated that LS is a good alternative to restore cardiac contractile function when combined with NE
The use of AVP may lead to further deteriorate sepsis-related myocardial dysfunction even when combined with a positive inotropic agent
Summary
In contrast to conventional surgical tracheostomy, percutaneous dilational tracheostomy (PDT) in different variants is spreading rapidly in intensive care units today. The objectives of the current study were (1) to assess the prognostic significance of plasma concentrations of NSE for early prediction of outcome in patients at risk for anoxic encephalopathy after cardiopulmonary resuscitation (CPR), and (2) to compare the prognostic information provided by NSE measurements with that provided by conventional risk indicators (clinical neurological examination and computerised tomography [CT] scan of the brain). Independent pulmonary ventilation was introduced in the 1930s and allows the utilization of different ventilatory strategies for each lung to improve gas exchange, respiratory mechanics or both in patients with heterogeneous lung diseases It is not clear whether the lower inflection point (LIP) on the inspiratory limb or the point of maximum curvature (PMC) on the deflation limb of the pressure–volume (PV) curve should be used for the positive end-expiratory pressure (PEEP) setting in acute lung injury (ALI). The long-term outcome, health-related quality of life (HRQL), and ICU and hospital costs of medical ICU patients were assessed
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