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Management of septic shock (SS) with a norepinephrine (noradrenaline)-based haemodynamic algorithm.The choice of the best vasopressor for haemodynamic management of septic shock is controversial. Nevertheless, very few studies have been focused on evaluating different management algorithms. The aim of this study was to evaluate the performance of a norepinephrine (NE)-based management protocol. Experience...
Objective. To assess the acute effect of a lung recruitment maneuver (LRM) on lung morphology in patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). Patients. Ten patients with ALI/ARDS on mechanical ventilation. Design. Prospective clinical study. Setting. Computed tomography (CT) scan facility in a teaching hospital. Interventions. An LRM performed by stepwise increases...
OBJECTIVES: To evaluate the effect of glutamine-supplemented polymeric enteral formulas on the recovery of gut-permeability abnormalities in critically ill patients.METHODS: Twenty-three patients were randomized to receive a conventional casein-based enteral formula (ADN), ADN plus glutamine in a dose of 0.15 g . kg -1 . d -1 or ADN plus 0.30 g . kg -1 . d ...
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