检索结果-南通市图书馆

Predicting factors for the need of extracorporeal membrane oxygenation for suicide attempts by cardiac medication:a single-center cohort study

引用

World Journal of Emergency Medicine 2022年第4期13卷 283-289页

作者： david vandroux Thomas Aujoulat Bernard-Alex Gaüzère Bérénice Puech Bertrand Guihard Olivier Martinet Intensive Care Unit Félix Guyon HospitalUniversity Teaching Hospital of La Réunion97400 Saint DenisReunion IslandFrance Cardiosurgical Intensive Care Unit Dupuytren II HospitalUniversity Teaching Hospital of Limoges87042 LimogesFrance UMR 1094 Neuro-épidémiologie Tropicale University of Limoges87042 LimogesFrance Cardiovascular Anesthesia Department Félix Guyon HospitalUniversity Teaching Hospital of La Réunion97400 Saint DenisReunion IslandFrance Service d’Aide Médicale d’Urgence Félix Guyon HospitalUniversity Teaching Hospital of La Réunion97400 Saint DenisReunion IslandFrance

BACKGROUND:Severe poisoning due to the overdosing of cardiac drugs can lead to cardiovascular *** order to decrease the mortality rate,the most severe patients should be transferred as quickly as possible to an extracorporeal membrane oxygenation(ECMO)***,the predictive factors showing the need for venous-arterial ECMO(VA-ECMO)had never been ***:A retrospective,descriptive,and single-center cohort *** consecutive patients admitted in the largest ICU of Reunion Island(Indian Ocean)between January 2013 and September 2018 for beta-blockers(BB),calcium channel blockers(CCB),renin-angiotensin-aldosterone system blockers,digoxin or anti-arrythmic intentional poisonings were *** implementation was the primary ***:A total of 49 consecutive admissions were *** patients had ECMO,39 patients did not have *** patients in ECMO group died,while no patients in the conventional group *** most relevant ECMO-associated factors were pulse pressure and heart rate at first medical contact and pulse pressure,heart rate,arterial lactate concentration,liver enzymes and left ventricular ejection fraction(LVEF)at *** pulse pressure at first medical contact and LVEF were significant after logistic ***:A transfer to an ECMO center should be considered for a pulse pressure<35 mmHg at first medical contact or LVEF<20%on admission to ICU.

关键词： Extracorporeal membrane oxygenation Implementation Cardiac medication Overdose Predicting factor

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Dobutamine Infusion and Absence of Pulmonary Hypertension Are Associated with Decreased Mortality in a Cohort of 249 Patients with Cardiogenic Shock

引用

Health 2014年第18期6卷 2408-2415页

作者： Sébastien Champion Bernard A. Gaüzère david vandroux Bruno J. Bouchet Didier Drouet Yannick Lefort Réanimation Polyvalente CHU de la Réunion H&ocirc pital Félix Guyon Saint Denis France

Objective: Prognostic analysis of 249 patients admitted for cardiogenic shock (CS) of various origins. Background: Little is known about prognosis of CS from non-ischemic cardiomyopathy. Methods: Retrospective monocentric study of patients referred to an ICU during 2 years. Results: Despite aggressive management including intra-aortic balloon pump (31%), extra-renal replacement therapy (36%), extra-corporeal life support (8%), and catecholamine infusion (97%), in-hospital mortality was 46%. Toxic CS or CS related to deficiency carried a better outcome (mortality 5%). Post-myocardial infarction or post-cardiac arrest CS was associated with higher mortality. In the multivariate analyses, only SAPS II (OR 1.037;1.013 - 1.056;p = 0.0001), pulmonary hypertension (OR 4.8;1.3 - 17;p = 0.02), extra-renal replacement therapy (OR 2.9;1.3 - 6;p = 0.006), and dobutamine infusion (OR 0.44;0.2 - 0.96;p = 0.04) were significantly associated with in-hospital mortality. Conclusion: Dobutamine infusion was associated with a better outcome. Higher SAPS II, pulmonary hypertension, and extra-renal replacement therapy were associated with increased in-hospital mortality.

关键词： Cardiogenic Shock Myocardial Infarction Catecholamine Pulmonary Hypertension Dobutamine Critically Ill

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

反应堆热工水力中CATHARE与TRIO_U程序耦合分析研究

引用

核动力工程 2013年第S1期34卷 201-205页

作者：彭倩余红星 Simone vandroux Fabien PERDU 李松蔚杨雯中国核动力研究设计院核反应堆系统设计技术重点实验室 Reactor Thermal-Hydraulics Associated Labs(RTHAL) CEAGrenoble38054France

采用区域覆盖的耦合方法对一维系统程序CATHARE与三维计算流体力学(CFD)程序TRIO_U进行耦合分析研究,对文中建立的简易模型进行稳态计算,通过耦合前程序误差、耦合平台误差测试,确认解析解、系统程序计算结果、TRIO_U程序计算以及单个... 详细信息

采用区域覆盖的耦合方法对一维系统程序CATHARE与三维计算流体力学(CFD)程序TRIO_U进行耦合分析研究,对文中建立的简易模型进行稳态计算,通过耦合前程序误差、耦合平台误差测试,确认解析解、系统程序计算结果、TRIO_U程序计算以及单个程序均与耦合平台耦合计算结果吻合。分别对3个不同的源项区域(热源、动量源、热交换区域)进行耦合计算,并与CATHARE计算结果进行比较。研究结果表明,耦合方法可以模拟算例中所建立的整个反应堆的简易模型。

关键词：系统程序计算流体力学(CFD) CATHARE TRIO_U

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：