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INTRODUCTION Critically ill surgical patients frequently develop intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) with subsequent high mortality. We compared two temporary abdominal closure systems (Bogota bag and vacuum-assisted closure (VAC) device) in intra-abdominal pressure (IAP) control. METHODS This prospective(More)
BACKGROUND Since the first outbreak of a respiratory illness caused by H1N1 virus in Mexico, several reports have described the need of intensive care or extracorporeal membrane oxygenation (ECMO) assistance in young and often healthy patients. Here we describe our experience in H1N1-induced ARDS using both ventilation strategy and ECMO assistance. (More)
BACKGROUND The use of lung ultrasound (LUS) in ICU is increasing but ultrasonographic patterns of lung are often difficult to quantify by different operators. The aim of this study was to evaluate the accuracy and quality of LUS reporting after the introduction of a standardized electronic recording sheet. METHODS Intensivists were trained for LUS(More)
BACKGROUND To describe the organization of an ECMO-centre from triage by telephone to the phase of inter-hospital transportation with ECMO of patients affected by H1N1-induced ARDS, describing techniques and equipment used. METHODS From September 2009 to January 2010, 18 patients with H1N1-induced ARDS were referred to our ECMO-centre from other(More)
INTRODUCTION Delayed diagnosis of intraabdominal pathology in the intensive care unit (ICU) increases rates of morbidity and mortality. Intraabdominal pathologies are usually identified through presenting symptoms, clinical signs, and laboratory and radiological results; however, these could also delay diagnosis because of inconclusive laboratory tests or(More)
the previous issue of Critical Care, we read with interest the paper by Pittiruti and colleagues [1]. Th e work presents innovative approaches to the problem of venous access in intensive care, but characteristics of the study need to be discussed in order to correctly address the decision-making process at the base of the use of peripherally inserted(More)