"Kindly go back to the past (past posts I mean), and find that meningitis is not the same as meningococcemia, mortality in septic shock is in the 20% to 60% range, posts 8220, 8235 (Spain), posts 7565, 7560 (Ducth) 8599 (meta-analysis), 8216 (France), and 8364 (UK)"
Kindly remind you that sepsis and septic shock relate like sex (JAMA and presidential definitions) and pregnancy. All the latter had the previous but not vice versa.
As of the meningitis and meningococcemia, the number of cases without meningitis must be very low and the number of meningococcal meningitis cases without meningococcemia is probably 0 as the blood-brain barrier brakes in this infection. Detection is another question, the bacteria are literally visible in the cerebrospinal fluid unlike in blood where one has to use more (not very) sophisticated methods to show them. Any credible published source arguing against it?
Peritoneal gas exchange happens in the "steril" space between the guts and the abdominal wall. During laparascopic procedures docs inflate this space with CO2 to make organs visible from the outside. The more ordinary intestinal gas fortunately remains where it belongs to. This peritoneal cavity has a large surface and can, apparently, be used for adjunct gas exchange in ARDS. Artificial blood (and oxygen carrier liquid) can also be used in peritoneal perfusion. The group experimenting with it happens to operate in this country (i.e., U.S.); thus your definition of "poor" needs to be further refined.
Thanks for the statistics,I'm really bad in that. Enjoyed visiting your board. Good discussions. Regards, Stockdoc |