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Critical care, sepsis, shock, CPR, Ventilator

R Linko, S Karlsson, V Pettilä, T Varpula, M Okkonen, V Lund, T Ala-Kokko, E Ruokonen
BACKGROUND AND AIMS: Zinc deficiency leads to susceptibility to infections and may affect pulmonary epithelial cell integrity. Low zinc levels have also been associated with a degree of organ failure and decreased survival in critically ill children. Accordingly, the purpose of the study was to assess serum zinc in adult patients with acute respiratory failure, its association with ventilatory support time, intensive care unit (ICU) length of stay (LOS), organ dysfunction and 30-day mortality...
May 2011: Acta Anaesthesiologica Scandinavica
M Loscar, T Hummel, M Haller, J Briegel, B Wiebecke, W Samtleben, H Berger, P Eichhorn, G Schelling
UNLABELLED: Wegener's granulomatosis is a distinct clinicopathologic entity characterized by granulomatous vasculitis of the upper and lower respiratory tract and glomerulonephritis. This disease can present as a clinical picture which resembles sepsis and adult respiratory distress syndrome (ARDS). Wegener's disease requires immunosuppression which can have detrimental consequences when used in sepsis. The following case report illustrates the diagnostic difficulties encountered by intensive care physicians treating severe pulmonary failure and multiple organ dysfunction in Wegener's granulomatosis appearing as ARDS with sepsis...
November 1997: Der Anaesthesist
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