Category Archives: Respiratory Symptoms - Part 12

The Role of Selective Digestive Tract Decontamination on Mortality and Respiratory Tract Infections: Conclusion

Only three of the analyzed studies used quantitative cultures of the lower airways obtained by protected specimen brush or telescoping catheters to support the diagnosis of pneumonia. Several investigators have shown that clinical and radiographic criteria may be inaccurate for … Continue reading

The Role of Selective Digestive Tract Decontamination on Mortality and Respiratory Tract Infections: Ananlysis

Six studies described potentially important differences in Gram-positive colonization and infection rates between study groups. Two studies demonstrated trends favoring increased colonization of SDD-treated patients with enterococci and antibiotic-resistant co-agulase-negative staphylococci. Two studies found significantly increased colonization with methicillin-resistant Staphylococcus … Continue reading

The Role of Selective Digestive Tract Decontamination on Mortality and Respiratory Tract Infections: Tracheobronchitis

Seven studies (Table 2) examining 1,306 patients provided bacteriologic data for those patients with acquired pneumonia. The incidence of acquired pneumonia due to Gram-negative bacteria in the SDD-treated group (rate=0.019) was significantly less than that in the control group (rate=0.138, … Continue reading

The Role of Selective Digestive Tract Decontamination on Mortality and Respiratory Tract Infections: Results

When all studies are combined, 2,270 patients were available for analysis. There were 1,165 control patients (51.3 percent) and 1,105 patients treated with SDD (48.7 percent). Three hundred five of the 1,165 control patients died yielding a mortality rate of … Continue reading

The Role of Selective Digestive Tract Decontamination on Mortality and Respiratory Tract Infections: Methods

Twenty-one English-language studies of SDD prophylaxis” were initially identified and reviewed using a data extraction form previously described. These articles were obtained from a MEDLINE search as well as from review of the bibliographies of relevant original investigations and review … Continue reading

The Role of Selective Digestive Tract Decontamination on Mortality and Respiratory Tract Infections

Nosocomial pneumonia accounts for IS to 18 percent of all nosocomial infections in the United States and is the leading cause of patient mortality resulting from nosocomial infection.” The incidence of nosocomial pneumonia in ICUs ranges from 10 to 65 … Continue reading

Femoral Vein Pulmonary Artery Catheterization in the Intensive Care Unit: Conclusion

Three of our patients had ventricular arrhythmias during catheter insertion which were secondary to coiling of the catheter in the right ventricle. This was determined by carefully noting the appearance of the waveform pattern and the length of catheter inserted … Continue reading

Femoral Vein Pulmonary Artery Catheterization in the Intensive Care Unit: Discussion

In the 11 patients without septic shock, two of them became febrile while they had a femoral Swan-Ganz catheter in place. In both of these cases, the fever was attributable to nosocomial pneumonia as these patients developed new lung infiltrates … Continue reading

Femoral Vein Pulmonary Artery Catheterization in the Intensive Care Unit: Results

The electrocardiographic recordings from the catheter insertion were reviewed and the permanent tracings were interpreted independently by both of the authors. Catheter-related septicemia was defined as a septic episode in which no other cause for positive blood cultures could be … Continue reading

Femoral Vein Pulmonary Artery Catheterization in the Intensive Care Unit: Methods

Through the introducer, a quadruple-lumen 7-French thermodilution heparin-bonded flotation catheter (ViggoSpectramed, Oxnard, Calif) was inserted. Before entering the femoral vein, the distal lumen of the pulmonary artery catheter was connected to a pressure monitor system (Siemens, Danvers, Mass) and a … Continue reading

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