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Thrombotic stroke in a child with diarrhea-associated hemolytic-uremic syndrome with a good recovery.

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A boy aged 3.5 years with post-diarrheal hemolytic-uremic syndrome (HUS) was referred to our hospital because of convulsion and stupor. He had been admitted to a regional hospital with a 3-day history of bloody diarrhea, colic abdominal pain and fever. Two days later, he had complained of

The use of TDMAC-heparin-impregnated shunt for managing aneurysm of the descending thoracic aorta.

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From April 1981 to December 1988, a total of 23 patients were operated upon for the repair of an aneurysm of the descending thoracic aorta with a tridodecylmethylammonium chloride (TDMAC)-heparin-impregnated shunt. There were 20 men and 3 women. The ages ranged from 29 to 72 years with a mean of

Is persistent hypotension after transient cardiogenic shock associated with an inflammatory response?

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We evaluated the recovery of cardiovascular function after transient cardiogenic shock. Cardiac tamponade was performed for 1 h and post-shock data were collected in 5 domestic large white female pigs (43 +/- 5 kg) for 6 h. The control group (N = 5) was observed for 6 h after 1 h of resting. During

Echocardiography and passive leg raising in the postoperative period: A prospective observational study.

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BACKGROUND Signs of hypovolaemia are frequent in the postoperative period, but not all patients need or respond to fluid administration. An increase in cardiac output (CO) after passive leg raising (PLR) has been demonstrated to be useful as a volume response predictor in non-surgical, spontaneously

Hemodynamic effects of pentobarbital therapy for intracranial hypertension.

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Barbiturate therapy has been employed for reduction of increased intracranial pressure (ICP) after acute brain injury and also for cerebral resuscitation. However, this treatment may be complicated by hypotension with an adverse impact on survival. We, therefore, investigated the acute hemodynamic

Hemodynamic Predictors for Sepsis-Induced Acute Kidney Injury: A Preliminary Study.

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The aim of our study was to assess the association between the macrohemodynamic profile and sepsis induced acute kidney injury (AKI). We also investigated which minimally invasive hemodynamic parameters may help identify patients at risk for sepsis-AKI. We included 71 patients with sepsis and septic

Fluid resuscitation in severe sepsis and septic shock: albumin, hydroxyethyl starch, gelatin or ringer's lactate-does it really make a difference?

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The aim of this study was to investigate whether the type of i.v. fluid administered has an impact on outcome in an animal model of septic shock. The study included 28 anesthetized, invasively monitored, mechanically ventilated female sheep (29.5 +/- 4.0 kg), which received 0.5 g/kg body weight of

Assessment of cardiac and respiratory function during surgery on patients with acute quadriplegia.

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Cardiorespiratory function was assessed in 22 mechanically ventilated patients who underwent surgery within an average of 4.8 days following traumatic spinal cord injury at C3-7. A fluid challenge technique was used to derive right and left ventricular function curves and to assist in choice of

Fluid Management in Acute Kidney Injury.

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The goal of fluid therapy in critical care medicine is to restore hemodynamic stability and vital organ perfusion while avoiding interstitial edema. Acute kidney injury (AKI) is a common complication in critically ill patients. Decisions regarding fluid management in critically ill patients with AKI

[Effect of dopamine and norepinephrine on hemodynamics and tissue oxygenation of patients with septic shock].

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OBJECTIVE To evaluate the effects of dopamine (DA) and norepinephrine (NE) on hemodynamics and tissue oxygenation of patients with septic shock. METHODS Sixteen patients with septic shock were assigned to the groups of DA and NE randomly. They were given DA or NE for 4 hours, then shifted to NE or

The effect of normal saline resuscitation on vital organ blood flow in septic sheep.

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OBJECTIVE To study the effect of resuscitation with normal saline on vital organ blood flow and renal function in sepsis. METHODS Randomized controlled cross-over animal study in the animal laboratory of university physiology institute. METHODS Six merino cross-ewes. METHODS Chronic implantation of

[Central hemodynamic disorders and rheological red blood cell properties in hemorrhagic fever patients with renal syndrome].

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The aim of this study was to detect a relationship between hemodynamic disorders in patients with hemorrhagic fever with the renal syndrome (HFRS) and erythrocyte aggregability and erythrocyte membrane ATPase activity. A total of 100 patients with HFRS of different severity were examined. Central

[The ovarian hyperstimulation syndrome--diagnostic criteria, management procedures].

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The ovarian hyperstimulation syndrome (OHSS) is still a difficult diagnostic and therapeutic problem. OHSS is associated with significant hypertrophy of the ovaries associated with the loss of the intravascular fluid to the third space which results in hypovolaemia, oliguria, electrolyte imbalance,

Urine sodium concentration to predict fluid responsiveness in oliguric ICU patients: a prospective multicenter observational study.

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BACKGROUND Oliguria is one of the leading triggers of fluid loading in patients in the intensive care unit (ICU). The purpose of this study was to assess the predictive value of urine Na(+) (uNa(+)) and other routine urine biomarkers for cardiac fluid responsiveness in oliguric ICU

Acute renal failure in medical and surgical intensive care units--a one year prospective study.

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The spectrum of acute renal failure is different in intensive care unit (ICU) vs. non-ICU population. This one year prospective study carried out in medical and surgical intensive care units showed an incidence of 8.6% of acute renal failure. The incidence of acute renal failure was highest in

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