Comparison of Pulmonary Artery Catheter and Central Venous Catheter for Early Goal Directed Targeted Therapy in Sepsis and Septic Shock

Objective: The aim of the present study was to compare the effect of the pulmonary artery catheterization (PAC) method and the central venous catheterization (CVC) method on hemodynamic and inflammatory parameters in early goal-directed therapy (EGDT)

Severe Lactic Acidosis Associated with Burkitt's Lymphoma

Lactic acidosis is a metabolic acidosis caused by either overproduction or underutilization of lactic acid. Overproduction of lactic acid, known as type A lactic acidosis, is frequent in critically ill patients with hypoperfusion states. Underutilization of lactic acid, known as type B lactic acidosis, is caused by many reasons, including hepatic and liver failure, thiamine deficiency, toxins, drugs, and certain malignancies such as lymphomas and leukemias. We report a patient with severe lactic acidosis and Burkitt's lymphoma without any signs of hypoperfusion that is relieved with chemotherapy

Vitamin D Level and the Association with Morbidity and Mortality in Critically III Patients: A Single-center Study

Objective: The present study aims to evaluate vitamin D (Vit D) level in critically ill patients and to assess its level about morbidity and mortality

Importance of Asprosin for Changes of M. Rectus Femoris Area during the Acute Phase of Medical Critical Illness: A Prospective Observational Study

Asprosin, a new adipokine, is secreted by subcutaneous white adipose tissue and causes rapid glucose release. The skeletal muscle mass gradually diminishes with aging. The combination of decreased skeletal muscle mass and critical illness may cause poor clinical outcomes in critically ill older adults. To determine the relationship between the serum asprosin level, fat-free mass, and nutritional status of critically ill older adult patients, critically ill patients over the age of 65 receiving enteral nutrition via feeding tube were included in the study. The patients’ cross-sectional area of the rectus femoris (RF) of the lower extremity quadriceps muscle was evaluated by serial measurements. The mean age of the patients was 72 ± 6 years. The median (IQR) serum asprosin level was 31.8 (27.4–38.1) ng/mL on the first study day and 26.1 (23.4–32.3) ng/mL on the fourth study day. Serum asprosin level was high in 96% of the patients on the first day, and it was high in 74% on the fourth day after initiation of enteral feeding. The patients achieved 65.9 ± 34.1% of the daily energy requirement for four study days. A significant moderate correlation between delta serum asprosin level and delta RF was found (Rho = −0.369, p = 0.013). In critically ill older adult patients, a significant negative correlation was determined between serum asprosin level with energy adequacy and lean muscle mass

Has High-Frequency Oscillation Technique Any Benefit to Prevent Pulmonary Complications in Abdominal Surgery Patients?

Objective: Postoperative patients requiring intensive care are at risk of developing pneumonia and clearance of secretions may be difficult because of the type of surgery and pain. Enhanced mucociliary clearance with high-frequency chest wall oscillation (HFCWO) therapy devices were previously used in chronic obstructive pulmonary disease and thoracic surgery patients. We studied the short-term effects of HFCWO on postoperative abdominal surgery patients

Current Statement of Intensive Care Units in Turkey: Data obtained from 67 Centers

OBJECTIVES: We aimed to obtain information about the characteristics of the ICUs in our country via a point prevalence study