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Rino Alvani Gani, Oska Mesanti, Marcellus Simadibrata, Suhendro, Irsan Hasan, Andri Sanityoso, C. Rinaldi A. Lesmana

Difference in serum procalcitonin levels between decompensated liver cirrhosis patients with and without bacterial infection

Abstract Background: Decompensated liver cirrhosis may increase procalcitonin (PCT) levels in patients without bacterial infection. Previous studies have not provided conclusive results about the difference in serum PCT levels caused by specific liver decompensation and bacterial infection. Objective: To examine the role of PCT in assisting the diagnosis of bacterial infection in decompensated liver cirrhosis […]

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Jesús Cobo Molinos

Diagnosis and treatment of infective endocarditis in intensive care

Abstract Infective endocarditis (IE) is an infectious microbial disease of the heart valvular endothelium. The characteristic lesion consists of the presence of vegetations that can settle in the valvular veils, tendon cords or mural endocardium. Hospital mortality in patients with severe sepsis or septic shock has been between 20 and 50%, a fact probably underestimated […]

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Joseph M. LaRochelle, Kayrah Jack, Brent A. Kitto, Aryn Karpinski, Amy M. Creel

Comparative analysis of clinical pharmacy interventions in a pediatric intensive care unit

Abstract Objective: The objectives of this study were 1) to describe and characterize interventions performed by a clinical pharmacist and 2) provide a comparative analysis of length of stay, mortality, and drug charges in control and intervention groups. Design: This was a retrospective analysis of clinical pharmacy interventions performed in a Pediatric Intensive Care Unit […]

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Eko Prasetyo, Andi Asadul Islam, Mochammad Hatta, Djoko Widodo, Ilhamjaya Pattelongi

The effect of mild hypothermia therapy in the level of MMP-9 protein and the Marshall CT score in high risk traumatic brain injury

Abstract The effect of mild hypothermia therapy (34°-36°C) and alterations of matrix metalloproteinase-9 (MMP-9) were examined in 20 patients with high risk traumatic brain injury (TBI). The neurologic status was assessed using the Full Outline of UnResponsiveness (FOUR) score and the outcome using the Marshall CT score. The objective of this study was to determine […]

Omar Alberto Venegas Gurrola, Mónica Rodríguez Borroel, Omar Uriel Sánchez Alba, César Fabián Díaz García

Use of levocarnitine as an alternative treatment for non-anticoagulant rodenticide poisoning

Abstract The objective of this text is to inform and motivate further investigation about the use of levocarnitine as an alternative antidote in patients poisoned by non-anticoagulant rodenticides in a kind of retrospective study through the report of 3 serial cases presented in the Intensive Care Unit (ICU) of the General Hospital Zacatecas ‘Luz González […]

Ravi Mistry, Ross Freebairn

Methaemoglobinaemia-induced oxygen desaturation complicating chest trauma

Case presentation A 72-year-old man presented to the Emergency Department by ambulance following a rollover motor vehicle crash preceded by black-out symptoms. He had been suffering from dermatitis herpetiformis for the last six years and was being treated with dapsone 100 mg and a partially gluten-free diet. On admission he had a respiratory rate of […]

Abbas Alshami, Johanan Luna, Joseph Varon

Propofol-induced macroglossia: a case report

Abstract A 78-year-old lady, without prior exposure to propofol, was admitted to the hospital due to recurrent seizures, and respiratory arrest, which required intubation in order to secure her airway. Propofol was used as the initial sedative agent. Two weeks later she required again administration of propofol, time at which she developed acute macroglossia. This […]

Susumu Hirosako, Hirotsugu Kohrogi, Katsuyuki Sagishima, Keisuke Sakai, Yohei Migiyama, Hidenobu Kamohara, Hiroaki Kawano, Yoshihiro Kinoshita

Decision making of tracheostomy and extubation outcomes in mechanically ventilated patients evaluated by logistic regression and decision tree analyses

Abstract Background: Most studies determining the predictors of extubation outcomes in patients with mechanical ventilation have not included high-risk populations who avoid extubation and undergo tracheostomy. Objective: To evaluate predictors of extubation intolerance by analyzing patients regardless of whether extubation was attempted or not. Design: Retrospective cohort study. Settings: Mixed intensive care unit (ICU) of […]

Ni Luh Kusuma Dewi, Yohanes WH George

Case report: central venous pressure-guided de-resuscitation in sepsis patients with fluid overload induced acute kidney injury

Abstract Background: Aggressive fluid resuscitation is commonly administered in septic patients as recommended by Surviving Sepsis Campaign. However, positive fluid cumulative balance resulting in fluid overload is correlated with various complications such as acute kidney injury, acute respiratory distress and delayed wound healing. Case report: This report presents four septic patients with fluid overload and […]

Orivaldo Alves Barbosa, João Filho Araujo Ribeiro, Paola Lima Lemos

Status epilepticus caused by cerebral venous thrombosis in the puerperal period: case report and literature review

Abstract Status epilepticus (SE) caused by cerebral venous thrombosis (CVT) is rare in pregnancy and puerperium, with few cases described in literature. Seizures in pregnancy are usually due to previous epilepsy or pregnancy related disease, such as eclampsia, posterior reversible encephalopathy syndrome (PRES), reversible cerebral vasoconstriction syndrome (RCVS), eclampsia and thrombotic thrombocytopenic purpura (TTP). Due […]

Wun Fung Hui, Winnie Kwai Yu Chan

Role of hemofilter with endotoxin adsorption capacity in management of septic shock

Abstract We reported an adolescent male with acute lymphoblastic leukemia who developed septic shock due to Klebsiella pneumoniae. Continuous renal replacement therapy using a hemofilter with endotoxin adsorption capacity was used to remove endotoxin and cytokines. The promising result suggested that this technique may be applied as an adjuvant therapy for treatment of septic shock. […]

Eng Kiang Lee

Incidence of CAUTI in a new integrated ICU/HD in Singapore over 1 year

Abstract Hospital-acquired infection worldwide has been associated with significant mortality and morbidity and unfortunately catheter-associated urinary tract infection (CAUTI) is known to be one of the commonest hospital-acquired infections. A retrospective study was done to determine the incidence of CAUTI in the Intensive Care Unit/High Dependency (ICU/HD) in Ng Teng Fong General Hospital (NTFGH) since […]

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