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Signa Vitae

A Journal In Intensive Care And Emergency Medicine

Category: Abstracts (Page 1 of 10)

Usage of Adult ECMO in Critically Ill

INTRODUCTION: In the last several decades, it is increasing number of extracorporeal membrane oxygenation (ECMO) therapy in critically ill. From the beginnings, ECMO usage was primary method of life saving in children population for the post partum respiratory problems. In the eighties and nineties, this method expanded and became the life-threatening method in adult medicine. At the beginning of adult era, point was to manage difficult respiratory problems, and later, when technology improved, started to use as the combination of respiratory, and mostly as the circulatory support in the critically ill, today generally known as the extracorporeal life support (ELS).

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Continuous lactate monitoring guided management of the heart transplant patient

Introduction: Lactate is a marker of hypoperfusion and predictor of major complications after cardiac surgery. Morbidity and mortality after cardiac surgery are directly related to the preoperative status as well as to anesthetic, surgical and postoperative factors. Maintainance of stable perfusion and with that appropriate hemodynamic goals is needed to improve outcomes. Continuous lactate and glucose monitoring with Eirus intravascular microdialysis system (Maquet Critical Care, Solna, Sweden) in a 65 year old heart transplant patient was used to guide postoperative management.

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Use of CytoSorb as adjunctive therapy in patients with septic multiorgan failure in General Hospital Varazdin: our experience

Introduction: CytoSorb is a novel sorbent hemoadsorption device for cytokine removal and has been used as adjunctive therapy in management of patients with septic shock. This overview reports on 7 patients with septic shock with multiorgan failure admitted to ICU in General Hospital Varazdin from November 2015 to June 2016 and treated with CytoSorb as adjunctive therapy. The aim was to evaluate the effect of CytoSorb on clinical outcomes, mean arterial pressure (MAP), catecholamine needs and C-reactive protein and blood lactate levels.

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Hemodynamics … New Era in Critical Patient Management

Background: 

For decades, we had been counting on Vital Sign monitoring to diagnose and treat our patients, but vital sign monitoring does not provide us with all the necessary information necessary for quick diagnosis, differential diagnosis, drug titration and better management of our critical patients, for example: flow, resistance, heart contractility, oxygen delivery (DO2) or fluid level in the body (Chart 1).

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Bedside ultrasound in determining the cause of hypotension in critically ill patients – a series of case reports

Introduction: Evaluation of the hemodynamic status in the critically ill patient is a part of everyday practice in the ICU. The results of this assessment are of crucial importance because of their role in determining the optimal treatment and prediction of its efficacy. Prompt and accurate recognition of patients in shock and identification of its potentially reversible causes is the first step towards successful treatment. Ultrasound provides insight into cardiac function, intravascular volume status and the morphology of the main blood vessels – the three major determinants of hemodynamic status.

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