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  • Mahlon Lomholt posted an update 1 month, 1 week ago

    Is accountable for a dailybasis stick to up. Methods A potential observational study enrolled all invasive mechanically ventilated BTZ043 web patients admitted to 4 ICUs from May 2004 through June 2008. Daily recorded data incorporated: demographics, diagnosis, modes of ventilation, tidal volume/kg (Vt), constructive end-expiratory pressure (PEEP) level, peak inspiratory pressure, plateau pressure (Pplat), recruitment maneuvers, use of sedation and neuromuscular blocking agents (NBA), tracheotomy, barotrauma, ventilation days, and length of keep (LOS) within the ICU. Results are expressed as the imply ?SD and percentage. Differences had been assessed by one-way ANOVA followed by the Tukey test. P <0.05 was considered significant. Results A total of 1,715 patients was studied. Diagnosis prevailed depending on the ICU's characteristics. Ventilatory data are depicted in Table 1. Recruitment maneuvers were used in less than 2 of patients. The most frequent type of ventilatory mode was spontaneous (P 0.05). Intravenous sedation was administered for no far more than 40 in the time on mechanical ventilation. NBA was made use of for no extra than 0.25 of sufferers. LOS and ventilation days have been distinctive amongst ICUs (P 95 ). Procedures Indices of oxygenation have been collected for 30 patients requiring mechanical ventilation >2 days. Information have been collected 4-hourly for 48 hours. The PaO2:FiO2 ratio was determined for each information point and made use of to model the theoretical FiO2 essential to preserve an SaO2 of 95 (paO2 = ten.7 kPa). Outcomes The results are shown in Figure 1. Information are expressed as medians (IQR). The median observed FiO2 was 0.four throughout the study whereas the median FiO2, calculated to retain an SaO2 of 95 , was 0.three. Conclusions Our data demonstrate that critically ill patients may perhaps be exposed to a larger FiO2 than that essential to keep adequate oxygenation. Further, these final results highlight an area of ICU care which has received little study, with no published clinical trials examining the impact of FiO2 on outcome. Reference 1. McKechnie S: The impact of hyperoxia on alveolar epithelial injury and repair. J Intensive Care Soc 2008, 9:94.P35 Are chest X-rays necessary just after chest tube insertion in trauma emergencies?MS Moeng Johannesburg Hospital, Houton, Johannesburg, South Africa Important Care 2009, 13(Suppl 1):P35 (doi: ten.1186/cc7199) Introduction Johannesburg Hospital is a level I trauma center in Gauteng. We routinely do chest X-rays (CXRs) in indicated cases, if feasible, and favor to perform a CXR right after intercostal drain (ICD) insertion to sustain top quality and direct additional care [1]. Solutions A prospective data collection of individuals who had injuries that essential the insertion of an ICD over a period of eight months from 1 August 2006 to 30 March 2007. A questionnaire was developed and it integrated the patients’ demographics, mechanism of injury, reason for ICD insertion, findings of both the initial and post-ICD insertion CXR, chan.