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Journal of Critical Care

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https://www.readbyqxmd.com/read/29331668/earlier-and-enhanced-rehabilitation-of-mechanically-ventilated-patients-in-critical-care-a-feasibility-randomised-controlled-trial
#1
David McWilliams, Charlotte Jones, Gemma Atkins, James Hodson, Tony Whitehouse, Tonny Veenith, Emma Reeves, Lauren Cooper, Catherine Snelson
BACKGROUND: Systematic reviews of early rehabilitation within intensive care units have highlighted the need for robust multi-centre randomised controlled trials with longer term follow up. This trial aims to explore the feasibility of earlier and enhanced rehabilitation for patients mechanically ventilated for ≥5days and to assess the impact on possible long term outcome measures for use in a definitive trial. METHODS: Patients admitted to a large UK based intensive care unit and invasively ventilated for ≥5days were randomised to the rehabilitation intervention or standard care on a 1:1 basis, stratified by age and SOFA score...
January 4, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29325700/2017-reviewers
#2
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
January 4, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29301657/assessing-association-between-fluid-balance-and-acute-kidney-injury-after-cardiac-surgery
#3
LETTER
Yi Liu, Fu-Shan Xue, Ya-Yang Liu, Gui-Zhen Yang
No abstract text is available yet for this article.
January 2, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29310974/sepsis-in-tropical-regions-report-from-the-task-force-on-tropical-diseases-by-the-world-federation-of-societies-of-intensive-and-critical-care-medicine
#4
Steven McGloughlin, Guy A Richards, Mohd Basri Mat Nor, Shirish Prayag, Tim Baker, Pravin Amin
Sepsis and septic shock in the tropics are caused by a wide array of organisms. These infections are encountered mainly in low and middle-income countries (LMIC) where a lack of infrastructure and medical facilities contribute to the high morbidity and mortality. Published sepsis guidelines are based on studies primarily performed in high income countries and as such recommendations may or may not be relevant to practice in the tropics. Failure to adhere to guidelines, particularly among non-intensive care specialists even in high-income countries, is an area of concern for sepsis management...
December 30, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29304489/clinical-features-and-outcomes-of-tetanus-analysis-using-a-national-inpatient-database-in-japan
#5
Mikio Nakajima, Shotaro Aso, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga
PURPOSE: This study was performed to elucidate the current clinical features and outcomes of tetanus using a national inpatient database in Japan. MATERIALS AND METHODS: We used the Japanese Diagnosis Procedure Combination inpatient database to retrospectively investigate patients with tetanus from July 2010 to March 2016. We examined the patients' characteristics; the proportions of patients requiring tracheal intubation, mechanical ventilation, and tracheostomy; and the discharge status...
December 29, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29304488/factors-associated-with-elevated-cardiac-troponin-levels-in-patients-with-acute-pulmonary-thromboembolism
#6
Samad Ghaffari, Nariman Sepehrvand, Leili Pourafkari, Reza Hajizadeh, Elnaz Javanshir, Mehdi Nadiri, Nader D Nader
PURPOSE: We aimed to investigate the factors that are associated with increased cardiac troponin I (cTnI) leakage in the acute pulmonary embolism (PTE) setting and their alignment with patient outcome. METHODS: Adult patients with a diagnosis of PTE were enrolled in this prospective cohort study. The primary endpoint of interest was major adverse cardio-pulmonary events (MACPE), defined as the composite of in-hospital all-cause mortality, need for thrombolysis and mechanical ventilation and surgical embolectomy during index hospitalization...
December 29, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29310091/measurement-of-respiratory-rate-by-multiple-raters-in-a-clinical-setting-is-unreliable-a-cross-sectional-simulation-study
#7
Mikkel Brabrand, Peter Hallas, Lars Folkestad, Cecilie Hovitz Lautrup-Larsen, Jacob Broder Brodersen
OBJECTIVE: To evaluate the inter-observer reliability of nurses assessing respiratory rate. METHODS: We presented seven minimum 60-seconds long videos of thoraces of non-identifiable patients breathing to experienced nurses from several Danish emergency departments. Two videos were assessed by 50 raters while five were reviewed by eight. The videos were shown using an online system that also recorded the counted respiratory rate. RESULTS: A total of 140 nurses participated with a median of 15years' experience...
December 28, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29321100/the-changing-face-of-critical-care-task-force-on-tropical-diseases
#8
EDITORIAL
Jean-Louis Vincent, John C Marshall, Janice L Zimmerman
No abstract text is available yet for this article.
December 27, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29291585/quality-of-dying-and-death-in-the-icu-the-euroq2-project
#9
Rik T Gerritsen, Hanne Irene Jensen, Matty Koopmans, J Randall Curtis, Lois Downey, Jose G M Hofhuis, Ruth A Engelberg, Peter E Spronk, Jan G Zijlstra
PURPOSE: Knowledge of families' perspective of quality of intensive care unit (ICU) care is important, especially with regard to end-of-life (EOL) care. Adaptation of the US-developed "Quality of dying and death questionnaire" (QODD) to a European setting is lacking. The primary aim of this study is to examine the euroQODD's usability and its assessments of EOL care in a cohort of Danish and Dutch family members. METHODS: Family members of patients dying in an ICU after a stay of at least 48h were sent the euroQODD three weeks after the patient died...
December 26, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29289914/incidence-outcomes-and-outcome-prediction-of-unplanned-extubation-in-critically-ill-children-an-11year-experience
#10
R Al-Abdwani, C B Williams, C Dunn, J Macartney, K Wollny, H Frndova, N Chin, D Stephens, C S Parshuram
PURPOSE: Unplanned extubation represents loss of control in the ICU, is associated with harm and is used as a measure of quality of care. We evaluated the rates and consequences of unplanned extubation. MATERIALS AND METHODS: Eligible patients were intubated, <18years, and in ICU. Patient, care-related and environmental characteristics were compared in patients who did and did not receive positive pressure ventilation in the 24h after events. Rates are expressed per 100 intubation-days...
December 24, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29288963/antioxidant-reserve-of-the-lungs-and-ventilator-associated-pneumonia-a-clinical-trial-of-high-dose-selenium-in-critically-ill-patients
#11
Ata Mahmoodpoor, Hadi Hamishehkar, Sarvin Sanaie, Nazila Behruzizad, Afshin Iranpour, Evin Koleini, Nader D Nader
PURPOSE: To evaluate the effect of supplemental selenium administration on the incidence of ventilator-associated pneumonia (VAP) in critically ill patients. METHODS: Ninety-nine mechanically ventilated patients were randomized to receive either selenium or isotonic saline infusion for 10days. The primary endpoint was serum glutathione peroxidase-3 (GPX-3) activity and secondary endpoints were development of VAP or death, ICU stay and vasopressor requirement. Serum concentrations of selenium and GPX-3 were measured on Day-1, Day-4 and Day-10...
December 24, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29306205/relevance-of-and-aspen-criteria-of-malnutrition-to-predict-hospital-mortality-in-critically-ill-patients-a-prospective-study
#12
G D Ceniccola, T P Holanda, R S F Pequeno, V S Mendonça, A B M Oliveira, L S F Carvalho, I de Brito-Ashurst, W M C Araújo
PURPOSE: Malnutrition is prevalent in the intensive care units (ICU), yet, there is a paucity of validated assessment tools. Subsequently, this study evaluates the validity of the malnutrition AND-ASPEN tool as an ICU mortality predictor. METHODS: Patients admitted to a large mixed ICU (72 beds) from 2014 to 2016, were followed during stay and had electronic health records on sex, age, Apache II and baseline nutrition assessment collected at admission. Patients with shortstay (<48h) and missing data were excluded...
December 21, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29288964/association-between-chloride-content-of-intravenous-fluids-and-acute-kidney-injury-in-critically-ill-medical-patients-with-sepsis
#13
Megan P Jaynes, Claire V Murphy, Naeem Ali, Annalise Krautwater, Amy Lehman, Bruce A Doepker
No abstract text is available yet for this article.
December 20, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29277290/accuracy-and-reliability-of-brain-natriuretic-peptide-bnp-in-predicting-the-prognosis-of-non-cardiac-patients-with-sepsis
#14
Xianshi Zhou, Simeng Wu, Ye Ye
No abstract text is available yet for this article.
December 20, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29287932/legislating-how-critical-care-physicians-discuss-and-implement-do-not-resuscitate-orders
#15
EDITORIAL
Courtenay R Bruce, Trevor Bibler, Andrew Childress, Savitri Fedson
A few weeks ago, Texas took an unprecedented position on unilateral DNRs by passing Senate Bill (SB) 11, which requires patient/surrogate consent for writing DNR orders. The motivation behind the bill was based on the drafters' beliefs that physicians frequently write unilateral DNR orders. SB 11, however, does not stop at requiring physicians to seek consent for DNR orders. Instead, the legislation uncharacteristically exceeds what is typically within the scope and role boundaries for lawmakers by legislating how physicians discuss and implement DNR orders...
December 18, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29338900/noninvasive-ventilation-failure-in-pneumonia-patients-%C3%A2-65years-old-the-role-of-cough-strength
#16
LETTER
A Úbeda-Iglesias, L Alonso-Romero
No abstract text is available yet for this article.
December 16, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29257983/bedside-screen-for-oral-cavity-structure-salivary-flow-and-vocal-production-over-the-14days-following-endotracheal-extubation
#17
Cheryl Chia-Hui Chen, Kuo-Hsiang Wu, Shih-Chi Ku, Ding-Cheng Chan, Jang-Jaer Lee, Tyng-Guey Wang, Tzu-Yu Hsiao
PURPOSE: To describe the sequelae of oral endotracheal intubation by evaluating prevalence rates of structural injury, hyposalivation, and impaired vocal production over 14days following extubation. MATERIALS AND METHODS: Consecutive adults (≥20years, N=114) with prolonged (≥48h) endotracheal intubation were enrolled from medical intensive care units at a university hospital. Participants were assessed by trained nurses at 2, 7, and 14days after extubation, using a standardized bedside screening protocol...
December 16, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29275269/improving-icu-services-in-resource-limited-settings-perceptions-of-icu-workers-from-low-middle-and-high-income-countries
#18
Rashan Haniffa, A Pubudu De Silva, Luciano de Azevedo, Dilini Baranage, Aasiyah Rashan, Inipavudu Baelani, Marcus J Schultz, Arjen M Dondorp, Martin W Dünser
PURPOSE: To evaluate perceptions of intensive care unit (ICU) workers from low-and-middle income countries (LMICs) and high income countries (HICs). MATERIALS AND METHODS: A cross sectional design. Data collected from doctors using an anonymous online, questionnaire. RESULTS: Hundred seventy-five from LMICs and 43 from HICs participated. Barriers in LMICs were lack of formal training (Likert score median 3 [inter quartile range 3]), lack of nurses (3[3]) and low wages (3[4])...
December 14, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29274597/healthcare-costs-of-icu-survivors-are-higher-before-and-after-icu-admission-compared-to-a-population-based-control-group-a-descriptive-study-combining-healthcare-insurance-data-and-data-from-a-dutch-national-quality-registry
#19
Ilse van Beusekom, Ferishta Bakhshi-Raiez, Nicolette F de Keizer, Marike van der Schaaf, Wim B Busschers, Dave A Dongelmans
PURPOSE: To identify subgroups of ICU patients with high healthcare utilization for healthcare expenditure management purposes such as prevention and targeted care. MATERIALS AND METHODS: We conducted a descriptive cohort study, combining a national health insurance claims database and a national quality registry database for ICUs. Claims data in the timeframe 2012-2014 were combined with the clinical data of ICU patients admitted to an ICU during 2013. A population based control group was created based on the ICU population...
December 14, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/29274594/prospective-cohort-study-on-noise-levels-in-a-pediatric-cardiac-intensive-care-unit
#20
Gonzalo Garcia Guerra, Ari R Joffe, Cathy Sheppard, Jodie Pugh, Elham Khodayari Moez, Irina A Dinu, Hsing Jou, Lisa Hartling, Sunita Vohra
No abstract text is available yet for this article.
December 14, 2017: Journal of Critical Care
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