Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/24573
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dc.contributor.authorTsangaris, I.en
dc.contributor.authorGaliatsou, E.en
dc.contributor.authorKostanti, E.en
dc.contributor.authorNakos, G.en
dc.date.accessioned2015-11-24T19:42:02Z-
dc.date.available2015-11-24T19:42:02Z-
dc.identifier.issn0342-4642-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/24573-
dc.rightsDefault Licence-
dc.subjectApacheen
dc.subjectAdulten
dc.subjectAnoxia/*therapyen
dc.subjectHumansen
dc.subjectInjury Severity Scoreen
dc.subjectMiddle Ageden
dc.subjectPulmonary Gas Exchangeen
dc.subjectRespiration, Artificialen
dc.subjectRespiratory Distress Syndrome, Adult/classification/*therapyen
dc.subjectSurface-Active Agents/*therapeutic useen
dc.titleThe effect of exogenous surfactant in patients with lung contusions and acute lung injuryen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1007/s00134-007-0597-z-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/17377767-
heal.identifier.secondaryhttp://www.springerlink.com/content/xu02567106084315/fulltext.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2007-
heal.abstractOBJECTIVE: To investigate the acute effect of surfactant replacement in multiple-trauma patients with lung contusion and acute lung injury. DESIGN AND SETTING: Prospective randomized clinical trial in the 14-bed ICU of a 750-bed university hospital. PATIENTS AND PARTICIPANTS: Sixteen ventilated trauma patients with severe refractory hypoxemia (PaO(2)/FIO(2)<150 mmHg) and lung contusions. INTERVENTIONS: Patients were randomly assigned to either surfactant administration (n=8) or standard treatment (n=8). A single dose of natural bovine surfactant was instilled bronchoscopically in the involved lung areas; each segmental bronchus received (200/19) mg/kg body weight. MEASUREMENTS AND RESULTS: The surfactant group demonstrated an acute improvement in oxygenation after surfactant replacement compared both to control group and to baseline values. In the surfactant group PaO(2)/FIO(2) increased from 100+/-20 mmHg at baseline to 140+/-20 (6 h), 163+/-26 (12 h), and 187+/-30 mmHg (24h). Compliance increased from 30 to 36 ml/cmH(2)O at 6 h after administration, and this increase remained significant at the 24, 48, and 72 h time points. The surfactant group demonstrated a higher response to recruitment maneuvers than the control group at 6 h. The mean duration of ventilatory support was 5.6 +/-2.6 days in the surfactant group and 8.1+/-2.4 days in the control group. CONCLUSIONS: Surfactant replacement was well tolerated in patients with lung contusions and severe hypoxemia and resulted in improved oxygenation and compliance.en
heal.journalNameIntensive Care Meden
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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