Publications by authors named "S Redant"
Background: Patients with severe respiratory failure due to COVID-19 who are not under mechanical ventilation may develop severe hypoxemia when complicated with spontaneous pneumomediastinum (PM). These patients may be harmed by invasive ventilation. Alternatively, veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) may be applied.
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- The study analyzed the effects of a standardized fluid bolus (FB) volume of 4 mL/kg compared to physician-determined FB in critically ill patients to see if it had similar hemodynamic and metabolic outcomes.
- The results showed similar increases in cardiac index and oxygen delivery between the two groups, suggesting that a lower volume FB does not compromise effectiveness.
- Adopting a standardized FB approach may help minimize potential side effects like hemodilution while maintaining hemodynamic responsiveness.
Ammonia and nutritional therapy in the critically ill: when to worry, when to test and how to treat?
Curr Opin Clin Nutr Metab Care
March 2023
Purpose Of Review: Hyperammonaemia is almost always develops in patients with severe liver failure and this remains the commonest cause of elevated ammonia concentrations in the ICU. Nonhepatic hyperammonaemia in ICU presents diagnostic and management challenges for treating clinicians. Nutritional and metabolic factors play an important role in the cause and management of these complex disorders.
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