objectives the main aim of this study was to evaluate the usefulness of applying extracorporeal liver support techniques to treat this group of patients. patients and methods the data from 23 hospital admissions of 21 patients with ald who were admitted to the department of anesthesiology and intensive therapy (a⁢) at the dr wł. biegański regional specialist hospital in łódź between march 20...

OBJECTIVE To test the hypothesis that administration of albumin to correct hypoalbuminemia might have beneficial effects on organ function in a mixed population of critically ill patients. DESIGN : Prospective, controlled, randomized study. SETTING Thirty-one-bed, mixed medicosurgical department of intensive care. PATIENTS All adult patients with a serum albumin concentration < or =30 g/L...

In the practice of medicine, multiple scores and prognostic systems have been developed to quantify disease severity, assess prognosis, and guide therapeutic interventions. The Glasgow Coma Scale, the Model for End Stage Liver Disease (MELD), and the American Society of Anesthesiologists Physical Status Classification are but a few examples. Heterogeneity in the practice of intensive care medic...

PURPOSE Extracorporeal membrane oxygenation (ECMO) has been utilized for critically ill patients, such as those with life-threatening respiratory failure or post-cardiotomy cardiogenic shock. This study compares the predictive value of Acute Physiology, Age, and Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA), and Organ System Failure (OSF) obtained on the f...

Although patients receiving extracorporeal life support (ECLS) as a bridge to transplantation have demonstrated worse outcomes than those without ECLS, we investigated the key factors in improvement of their posttransplant outcome. From December 2003 2018, 257 adult who underwent heart (HTx) at our institution were included. We identified 100 (38.9%) HTx during ECLS (ECLS group). The primary ou...

BACKGROUND Evidence-based guidelines for severe traumatic brain injury (TBI) do not include strategies for fluid administration. The protocol used in this study includes albumin administration to maintain normal colloid osmotic pressure and advocates a neutral to slightly negative fluid balance. The aim of this study was to analyze the occurrence of organ failure and the mortality in patients w...

Positive fluid balance is a risk factor for mortality in critically ill patients, especially those requiring continuous renal replacement therapy (CRRT). However, the association between daily fluid balance and various organ impairments remains unclear. This study investigated the impacts of daily fluid balance prior to CRRT on organ dysfunction, as well as mortality in critically ill patients....

BACKGROUND The importance of cardiomyocyte damage during sepsis has been a recent subject of interest. The progression of sepsis results in the upregulation of proinflammatory cytokines, which act in concert to damage cardiomyocytes and produce cardiac contractile dysfunction. B-type natriuretic peptide (BNP) is a neurohormone released from the ventricles of the heart in response to myocardial ...

OBJECTIVES To determine whether the daily use of 5% tea tree oil (TTO) body wash (Novabac 5% Skin Wash) compared with standard care [Johnson's Baby Softwash (JBS)] had a lower incidence of methicillin-resistant Staphylococcus aureus (MRSA) colonization. PATIENTS The study setting was two intensive care units (ICUs; mixed medical, surgical and trauma) in Northern Ireland between October 2007 a...