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Journal of Intensive Care Medicine

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https://www.readbyqxmd.com/read/29747562/early-ambulation-in-patients-with-external-ventricular-drains-results-of-a-quality-improvement-project
#1
Syed Omar Shah, Jacqueline Kraft, Nethra Ankam, Paula Bu, Kristen Stout, Sara Melnyk, Fred Rincon, M Kamran Athar
INTRODUCTION: Prolonged immobility in patients in the intensive care unit (ICU) can lead to muscle wasting and weakness, longer hospital stays, increased number of days in restraints, and hospital-acquired infections. Increasing evidence demonstrates the safety and feasibility of early mobilization in the ICU. However, there is a lack of evidence in the safety and feasibility of mobilizing patients with external ventricular drains (EVDs). The purpose of this study was to determine the safety and feasibility of early mobility in this patient population...
June 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28651475/high-frequency-ventilation-modalities-as-salvage-therapy-for-smoke-inhalation-associated-acute-lung-injury-a-systematic-review
#2
Andrew C Miller, Paula A Ferrada, Sameer S Kadri, Krupa Nataraj-Bhandari, Amir Vahedian-Azimi, Sadeq A Quraishi
BACKGROUND: Smoke inhalation-associated acute lung injury (SI-ALI) is a major cause of morbidity and mortality in victims of fire tragedies. To date, there are no evidence-based guidelines on ventilation strategies in acute respiratory distress syndrome (ARDS) after smoke inhalation. We reviewed the existing literature for clinical studies of salvage mechanical ventilation (MV) strategies in patients with SI-ALI, focusing on mortality and pneumonia as outcomes. METHODS: A systematic search was designed in accordance with preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines...
June 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29618293/deficiencies-of-magnesium-replacement-in-the-critically-ill
#3
Drayton A Hammond, Jelena Stojakovic, Niranjan Kathe, Julie Tran, Oktawia A Clem, Kristina Erbach, Jarrod King
No abstract text is available yet for this article.
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28990453/deficiencies-of-magnesium-replacement-in-the-critically-ill
#4
Klayton M Ryman, Todd W Canada
No abstract text is available yet for this article.
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28946777/interventional-removal-of-knotted-pulmonary-artery-catheter-a-case-report
#5
Boohwi Hong, Hyunwoo Park, Yeomyung Yoon, Choonho Jung, Yoon Hee Kim, Chae Seong Lim
A 60-year-old female patient underwent emergency cadaveric liver transplantation. During the insertion of the pulmonary artery catheter (PAC) through the left innominate vein, advancement of the catheter was not successful and a knot occurred. An interventional radiologist performed antegrade rigid wire insertion into the PAC and succeeded in loosening the knot in the vessel. We report the successful removal of a knot through intervention without additional invasive procedures in a hemodynamically unstable patient with a coagulopathy...
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28604159/spiritual-care-in-the-intensive-care-unit-a-narrative-review
#6
Jim Q Ho, Christopher D Nguyen, Richard Lopes, Stephen C Ezeji-Okoye, Ware G Kuschner
Spiritual care is an important component of high-quality health care, especially for critically ill patients and their families. Despite evidence of benefits from spiritual care, physicians and other health-care providers commonly fail to assess and address their patients' spiritual care needs in the intensive care unit (ICU). In addition, it is common that spiritual care resources that can improve both patient outcomes and family member experiences are underutilized. In this review, we provide an overview of spiritual care and its role in the ICU...
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28523953/intracranial-pressure-soon-after-hemicraniectomy-in-malignant-middle-cerebral-artery-infarction
#7
Sang-Beom Jeon, Jung Cheol Park, Sun U Kwon, Yeon-Jung Kim, Seungjoo Lee, Dong-Wha Kang, Jong S Kim
BACKGROUND: Decompressive hemicraniectomy reduces secondary brain injury related to brain edema and increased intracranial pressure (ICP) in patients with malignant middle cerebral artery infarction (MMI). However, a substantial proportion of patients still die despite hemicraniectomy due to refractory brain swelling. OBJECTIVE: We aim to investigate whether ICP measured immediately after hemicraniectomy may indicate decompression effects and predict survival in patients with MMI...
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27821581/association-between-the-use-of-long-acting-insulin-and-hypoglycemia-in-nondiabetic-patients-in-the-surgical-intensive-care-unit
#8
Jordan Masse, Christopher Alan Giuliano, Sara Brown, Renee Alexander Paxton
PURPOSE: The purpose of this study was to examine the association between long-acting insulin and hypoglycemia in nondiabetic surgical intensive care patients. METHODS: This single-center, retrospective cohort study evaluated glycemic control in nondiabetic critically ill surgical patients receiving long-acting insulin plus sliding scale versus those receiving sliding scale alone. Patients were matched based on sliding scale order and type of surgery. The primary outcome was the proportion of patients who experienced hypoglycemia (glucose values <70 mg/dL)...
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27756870/early-goal-directed-therapy-in-severe-sepsis-and-septic-shock-a-meta-analysis-and-trial-sequential-analysis-of-randomized-controlled-trials
#9
Yao Lu, Han Zhang, Fang Teng, Wen-Jun Xia, Gui-Xiang Sun, Ai-Qing Wen
INTRODUCTION: The Surviving Sepsis Campaign guidelines recommend early goal-directed therapy (EGDT) for the resuscitation of patients with sepsis; however, the recent evidences quickly evolve and convey conflicting results. We performed a meta-analysis to evaluate the effect of EGDT on mortality in adults with severe sepsis and septic shock. METHODS: We searched electronic databases to identify randomized controlled trials that compared EGDT with usual care or lactate-guided therapy in adults with severe sepsis and septic shock...
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27302906/temporary-venoarterial-extracorporeal-membrane-oxygenation-ten-year-experience-at-a-cardiac-transplant-center
#10
Bao G Tran, Kim De La Cruz, Stuart Grant, Joseph Meltzer, Peyman Benharash, Ravi Dave, Abbas Ardehali, Richard Shemin, Eugene Depasquale, Ali Nsair
OBJECTIVE: Advances in extracorporeal membrane oxygenation (ECMO) have enabled rapid deployment in a wide range of clinical settings. We report our experience with venoarterial (VA) ECMO in adult patients over 10 years and aim to identify predictors of mortality. DESIGN: This is a retrospective analysis of all adult patients undergoing VA ECMO at a tertiary care center from January 1, 2004, to December 31, 2013. RESULTS: A total of 224 consecutive cases were reviewed...
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29529949/author-s-reponse-to-kompanje-letter-to-the-editor
#11
Anne Laure Dalle Ave, David M Shaw
No abstract text is available yet for this article.
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29529948/controlled-donation-after-circulatory-determination-of-death-ethical-issues-in-withdrawing-life-sustaining-therapy
#12
Erwin J O Kompanje, Jelle L Epker
No abstract text is available yet for this article.
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28521593/use-of-high-frequency-percussive-ventilation-to-expand-organ-donor-pool
#13
Francis Benn, Ashwad Afzal, Berhane Worku, Felix Khusid, Bashar H Fahoum, Iosif Gulkarov
A 34-year-old woman was brought in to the emergency department after a motor vehicle accident. She had signs of traumatic head injury with Glasgow Coma Scale score of 3, and her neurological examination was consistent with brain death. She was persistently hypoxic on conventional mechanical ventilation and high-frequency percussive ventilation was initiated. The patient's oxygenation improved and was sustained long enough to provide time for organ procurement. This is the first case portraying high-frequency percussive ventilation as a bridge for donors failing on conventional mechanical ventilation...
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28506136/predictors-to-intravenous-fluid-responsiveness
#14
Jorge Iván Alvarado Sánchez, William Fernando Amaya Zúñiga, Manuel Ignacio Monge García
Management with intravenous fluids can improve cardiac output in some surgical patients. Management with static preload indicators, such as central venous pressure and pulmonary artery occlusion pressure, has not demonstrated a suitable relationship with changes in the cardiac output induced by intravenous fluid therapy. Dynamic indicators, such as the variability of arterial pulse pressure or stroke volume variation, have demonstrated a suitable relationship. Since improvement in cardiac output does not guarantee an adequate perfusion pressure, in patients with hypotension, it is also necessary to know whether arterial pressure will also increase with intravenous fluid therapy...
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27686326/association-of-microcirculation-macrocirculation-and-severity-of-illness-in-septic-shock-a-prospective-observational-study-to-identify-microcirculatory-targets-potentially-suitable-for-guidance-of-hemodynamic-therapy
#15
Timo Sturm, Julia Leiblein, Verena Schneider-Lindner, Thomas Kirschning, Manfred Thiel
PURPOSE: Clinically unapparent microcirculatory impairment is common and has a negative impact on septic shock, but specific therapy is not established so far. This prospective observational study aimed at identifying candidate parameters for microcirculatory-guided hemodynamic therapy. ClinicalTrials.gov : NCT01530932. MATERIALS AND METHODS: Microcirculatory flow and postcapillary venous oxygen saturation were detected during vaso-occlusive testing (VOT) on days 1 (T0), 2 (T24), and 4 (T72) in 20 patients with septic shock at a surgical intensive care unit using a laser Doppler spectrophotometry system (O2C)...
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27251107/elevated-red-cell-distribution-width-is-associated-with-decreased-ventilator-free-days-in-critically-ill-patients
#16
Tiffany M N Otero, D Dante Yeh, Ednan K Bajwa, Ruben J Azocar, Andrea L Tsai, Donna M Belcher, Sadeq A Quraishi
INTRODUCTION: Elevated red cell distribution width (RDW) is associated with mortality in a variety of respiratory conditions. Recent data also suggest that RDW is associated with mortality in intensive care unit (ICU) patients. Although respiratory failure is common in the ICU, the relationship between RDW and pulmonary outcomes in the ICU has not been previously explored. Therefore, our goal was to investigate the association of admission RDW with 30-day ventilator-free days (VFDs) in ICU patients...
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/24227450/predictors-of-outcome-post-cardiac-arrest
#17
S Bigham, C Bigham, D Martin
Early predictors of prognosis in comatose patients post cardiac arrest help inform decisions surrounding continuation or withdrawal of treatment and provide a framework on which to better inform relatives of the likely outcome. Markers defined prior to the widespread use of therapeutic hypothermia post arrest may no longer be reliable and an up-to-date analysis of the literature is presented.
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29402194/-can-we-discuss-about-rrt-starting-time-before-we-have-a-recovery-biomarker-yes-we-can
#18
Bruno Adler Maccagnan Pinheiro Besen, Thiago Gomes Romano, Marcelo Park
No abstract text is available yet for this article.
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29402193/can-we-really-discuss-about-rrt-starting-time-before-we-have-a-recovery-biomarker
#19
Sílvia Coelho, José António Lopes
No abstract text is available yet for this article.
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29284322/maximizing-nutrition-support-practice-and-measuring-adherence-to-nutrition-support-guidelines-in-a-canadian-tertiary-care-icu
#20
Michele E McCall, Alice Adamo, Katherine Latko, Ashley K Rieder, Nicole Durand, Tova Nathanson
OBJECTIVE: New comprehensive guidelines for nutrition support (NS) in the intensive care unit (ICU) can be used to improve quality of care and benchmark current practice. The objective of this study was to (a) compare NS practices in our medical/surgical ICU (MSICU) to 18 recommendations described in the Canadian Clinical Practice Guidelines and Society of Critical Care Medicine/American Society of Parenteral and Enteral Nutrition guidelines, (b) determine the percentage of goal calories and protein delivered, and (c) identify the barriers to successful NS delivery...
March 2018: Journal of Intensive Care Medicine
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