Th Bein

..However, individual-level prospective data on SES in relation to health outcomes among critically ill patients admitted to intensive care units (ICU) are unavailable...

..In the present pilot study we tested the hypothesis that timely initiation of iLA using clear algorithms and an improved cannulation technique will positively influence complication rates and management of lung protective ventilation...

..To investigate the effects of a lung recruitment maneuver on intracranial pressure (ICP) and cerebral metabolism in patients with acute cerebral injury and respiratory failure...

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..In patients with severe asthma or exacerbation of chronic obstructive pulmonary disease, iLA might represent an attractive rescue therapy in the future...

..In this review, technical basements, results from clinical studies, incidence of complications and algorithms for clinical use of extracorporeal lung support systems are discussed...

..Extracorporeal removal of carbon dioxide by interventional lung assist may be a useful tool to enable 'ultraprotective' ventilation in severe acute respiratory distress syndrome...

..Lateral positioning promotes the redistribution of ventilation to the ventral regions of the lung. The use of EIT technology might become a helpful tool for understanding and guiding posture therapy in mechanically ventilated patients...

..Without ethical support, physicians, nurses, and families are not able to come to a decision about medical treatment when value conflicts are involved...

..We conclude that supplementation of low-dose ASA during pumpless extracorporeal lung support is safe and might preserve the function of oxygen transfer...

..After prolonged rescue measures and emergency stabilisation the patient was transferred by helicopter to the emergency department of our clinic...

..Physicians, nurses and families need ethical support to come to a decision about medical treatment when value conflicts are involved...

..We report on a new system, which is characterised by a short circuit arterio-venous shunt using arterio-venous pressure gradient as driving force (pumpless extracorporeal lung assist [pECLA])...

..We compared the effects of an incomplete prone position (IPP, 135( degrees )) with a complete prone position (CPP, 180( degrees )) in patients with ARDS...

..A retrospective analysis was performed to estimate the practicability of a pumpless extracorporeal lung assist system (pECLA) in trauma patients suffering from severe brain injury and the acute respiratory distress syndrome (ARDS)...

..The combination of ARDS and severe brain injury needs special treatment, which includes extensive monitoring techniques to find a solution for therapeutic conflicts...

..Patient outcome in cardiopulmonary organ failure could be improved...

..Extracorporeal membrane oxygenation (ECMO) could represent an important treatment option, if complications were reduced by new technical developments...

..The combination of high-frequency oscillatory ventilation (HFOV) and extracorporeal carbon dioxide removal with the interventional lung assist (iLA) in severe acute respiratory distress syndrome (ARDS) represents a novel treatment option...

..The patient developed acute liver failure 8 weeks after the initial trauma...

..We assume that these cellular deposits lower the efficacy of ECMO. The identification of these cells could be a key for future therapeutic interventions and improvements in the development of MO...

..The aim of this study was to evaluate the performance of the AAI during induction of anesthesia with sevoflurane and remifentanil in pediatric patients...

..The serum values of S-100B and NSE seem not to be falsified by insertion of a ventricular drain. Therefore the prognostic value of these serum markers seems to be preserved despite the surgical manipulation...

..We describe a method that complements conventional continuous heparinisation with the administration of acetylsalicylic acid to inhibit thrombocyte aggregation...

..We demonstrate that, though significantly different under AEP-derived or EEG-derived conditions, AAI values remain within the range indicating the patient's actual hypnotic state as given by the manufacturer of the device...

..Experiences to date are encouraging, although randomized studies are lacking, and the procedure carries significant risks...

..CONCLUSIONS: Interventional lung assist might provide a sufficient rescue measure with easy handling properties and low cost in patients with severe acute respiratory distress syndrome and persistent hypoxia/hypercapnia...

..This case demonstrates a previously unknown, and potentially fatal, risk in living-donor liver transplantation: transmission of a severe infection from a healthy donor to the recipient...

..The main goal was to translate previous clinical experience with the ILA into a consensus for the use of the ILA as a bridge to lung transplantation...

..Dynamic liver function was elevated within 24 h due to an increase in perfusion and regeneration activity of the remaining parenchyma...