• Publications
  • Influence
Serial blood lactate levels can predict the development of multiple organ failure following septic shock.
BACKGROUND Despite successful initial resuscitation, septic shock frequently evolves into multiple system organ failure (MSOF) and death. Since blood lactate levels can reflect the degree of cellularExpand
  • 638
  • 9
  • PDF
Blood lactate levels are superior to oxygen-derived variables in predicting outcome in human septic shock.
Recent reports have shown that oxygen delivery (Do2) and oxygen uptake (Vo2) could be related to outcome of critically ill patients. In this study, we examined measurements of cardiac output,Expand
  • 548
  • 9
Veno-arterial carbon dioxide gradient in human septic shock.
Recent reports have shown that venous hypercarbia, resulting in a widening of the veno-arterial difference in PCO2 (dPCO2), is related to systemic hypoperfusion in various forms of low-flow state.Expand
  • 174
  • 4
Myocardial depression characterizes the fatal course of septic shock.
The relationship between cardiac and vascular abnormalities was studied in 68 patients with established septic shock. At time of hemodynamic evaluation, after initial resuscitation, there was noExpand
  • 115
  • 4
Hyperferritinemia in adult onset Still's disease and the hemophagocytic syndrome.
Increments in serum ferritin levels in adult onset Still's disease (AOSD) were reported to be higher than one could expect for a simple inflammatory state. When we analyzed the scores of 40 patientsExpand
  • 123
  • 1
Argyrophilic breast carcinoma, single metastasis to the pituitary gland.
Five years ago, a 44 year-old woman presented with an apparently localized cancer of the right breast, initially treated by surgery, adjuvant chemotherapy and radiotherapy. After a 4 yearExpand
  • 9
  • 1
Uric acid, anion gap and urea concentration in the diagnostic approach to hyponatremia.
We analyzed the serum anion gap (AG = sodium plus potassium minus chloride plus bicarbonate, N = 11-21 mEq/l), serum uric acid and urea concentrations in hyponatremia of various origins. We foundExpand
  • 46
Salmonellosis-associated pancreatitis and pancreas divisum?
  • 45
Non-surgical management of achalasia.
Pneumatic dilatation of the cardia is an effective procedure to treat patients suffering from achalasia. Eighty percent of these patients can be expected to have excellent or good results for 6 yearsExpand
  • 6
[Leukemoid reaction and hypercalcemia in carcinoma of the bladder].
A 76 year-old man with urothelial carcinoma of the bladder presented marked leucocytosis (69,300 mm3) and hypercalcemia (15.4 mg/mm3). The paraneoplastic origin of these observations wasExpand
  • 6