Abstract
Cardiac fractional shortening on day 1 and day 2 of control and antecedent hypoglycaemia study periods
Highlights
In addition to systemic hemodynamics, the management of neurocritically ill patients is often informed by neuromonitoring
We reviewed consecutive elegible patients with Heparin-induced thrombocytopenia (HIT) and acute respiratory failure (ARF) in one medical university center (Clínica Universidad de Navarra) over a 5 year period, who received fondaparinux for anticoagulation at the time of the HIT diagnosis
Our results show an association between pre-hospital emergency anaesthesia (PHEA) and mortality in awake hypotensive trauma patients, which is increased when hypotension is confirmed to be due to hypovolaemia
Summary
In addition to systemic hemodynamics, the management of neurocritically ill patients is often informed by neuromonitoring. Patients who died were more severely ill compared to patients those who survived (SAPS 3 of 56 [47–63] versus 36 [29–45] respectively; p < 0.001), were older, more frequently came from the ward with longer hospital length of stay before ICU admission, had more comorbidities, more frequently required mechanical ventilation and vasoactive drugs as well as dialysis, had higher lactate levels at admission (2.1 [1.3 3.5] versus 1.6 [1.1 - 2.5] respectively; p < 0.001), and more frequently were “qSOFA positive” (30.4 % vs 9.1 % respectively, p < 0.001). This result should prompt a consideration of outcomes when starting inotropic support in a patient on ICU who presents with a variceal bleed
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