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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1986-4-17
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pubmed:abstractText |
Raised intracranial pressure due to cerebral oedema is a major cause of death in fulminant hepatic failure and in the present study we have carried out a controlled clinical trial of continuous hyperventilation in the prevention of this complication. Twenty patients were electively hyperventilated to maintain PaCO2 between 3.5 and 5 kPa. In the other 35 patients mechanical ventilation was instituted only if severe hypoxia or hypercapnia occurred. Cerebral oedema, diagnosed clinically or by a rise in intracranial pressure to greater than 30 mm Hg, occurred in 85% of hyperventilated patients and in 86% of those not so treated. Although there was no significant reduction in the number of episodes of cerebral oedema in the hyperventilated patients (4.8 episodes/24 h) as compared with the controls (5.3 episodes/24 h), hyperventilation did appear to delay the onset of coning but on the basis of these results could not be recommended to be used routinely as a prophylactic measure in the prevention of cerebral oedema in this condition.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0168-8278
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
43-51
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3081622-Adolescent,
pubmed-meshheading:3081622-Adult,
pubmed-meshheading:3081622-Brain Edema,
pubmed-meshheading:3081622-Carbon Dioxide,
pubmed-meshheading:3081622-Clinical Trials as Topic,
pubmed-meshheading:3081622-Female,
pubmed-meshheading:3081622-Hepatic Encephalopathy,
pubmed-meshheading:3081622-Humans,
pubmed-meshheading:3081622-Intracranial Pressure,
pubmed-meshheading:3081622-Male,
pubmed-meshheading:3081622-Middle Aged,
pubmed-meshheading:3081622-Prospective Studies,
pubmed-meshheading:3081622-Respiration, Artificial
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pubmed:year |
1986
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pubmed:articleTitle |
Controlled hyperventilation in the prevention of cerebral oedema in fulminant hepatic failure.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|