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Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine

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https://www.readbyqxmd.com/read/30482141/in-hospital-cardiac-arrests-events-worth-monitoring
#1
David Pilcher, Ed Litton, Johnny Millar, Alastair McGeorge, Sue Huckson, Peter Hicks
No abstract text is available yet for this article.
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482140/in-hospital-cardiac-arrests-events-worth-monitoring
#2
Joe McCaffrey, Matthew J Maiden, Cathy Norrish
No abstract text is available yet for this article.
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482139/risk-factors-for-candidaemia-and-their-cumulative-effect-over-time-in-a-cohort-of-critically-ill-non-neutropenic-patients
#3
Zeyad Aljeboori, Alexandra Gorelik, Emily Jenkins, Thomas McFarlane, Jai Darvall
OBJECTIVES: There is an increasing incidence of invasive candidal infections in critically ill patients worldwide, which has prompted development of various risk prediction rules, both clinical and microbiological. To date, however, there is a lack of research into how cumulative risk factors over time affect transition to candidaemia. The aim of this study was to investigate the association of risk factor accumulation over time with candidaemia in a cohort of critically ill, non-neutropenic adult patients...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482138/the-carbon-footprint-of-treating-patients-with-septic-shock-in-the-intensive-care-unit
#4
Forbes McGain, Jason P Burnham, Ron Lau, Lu Aye, Marin H Kollef, Scott McAlister
OBJECTIVE: To use life cycle assessment to determine the environmental footprint of the care of patients with septic shock in the intensive care unit (ICU). DESIGN, SETTING AND PARTICIPANTS: Prospective, observational life cycle assessment examining the use of energy for heating, ventilation and air conditioning; lighting; machines; and all consumables and waste associated with treating ten patients with septic shock in the ICU at BarnesJewish Hospital, St. Louis, MO, United States (US-ICU) and ten patients at Footscray Hospital, Melbourne, Vic, Australia (Aus-ICU)...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482137/intensive-care-implications-of-epidemic-thunderstorm-asthma
#5
Jai N Darvall, Matthew Durie, David Pilcher, Geoffrey Wigmore, Craig French, Dharshi Karalapillai, Forbes McGain, Edward Newbigin, Timothy Byrne, Vineet Sarode, Ben Gelbart, Andrew Casamento, John Dyett, Ashley Crosswell, Joseph Vetro, Joseph McCaffrey, Gopal Taori, Ashwin Subramaniam, Christopher MacIsaac, Anthony Cross, David Ku, Rinaldo Bellomo
OBJECTIVE: To investigate the environmental precipitants, treatment and outcome of critically ill patients affected by the largest and most lethal reported epidemic of thunderstorm asthma. DESIGN, SETTING AND PARTICIPANTS: Retrospective multicentre observational study. Meteorological, airborne particulate and pollen data, and a case series of 35 patients admitted to 15 intensive care units (ICUs) due to the thunderstorm asthma event of 21-22 November 2016, in Victoria, Australia, were analysed and compared with 1062 total ICU-admitted Australian patients with asthma in 2016...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482136/addressing-the-inadvertent-sodium-and-chloride-burden-in-critically-ill-patients-a-prospective-before-and-after-study-in-a-tertiary-mixed-intensive-care-unit-population
#6
Shailesh Bihari, Shivesh Prakash, Simon Potts, Elisha Matheson, Andrew D Bersten
BACKGROUND: Inadvertent fluid loading - and resultant sodium and chloride - is common in critically ill patients. Sources such as fluid used as vehicles for drug infusions and boluses (fluid creep) and maintenance fluid are a common cause. We hypothesised that total sodium and chloride loading can be safely reduced in critically ill patients both by the use of 5% glucose as a diluent for infusions and boluses, when possible, and by its use as a maintenance fluid. METHODS: This was a prospective before-and-after study design in a single centre tertiary mixed intensive care unit (ICU)...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482135/haemodynamic-effects-of-cold-versus-warm-fluid-bolus-in-healthy-volunteers-a-randomised-crossover-trial
#7
Olof Wall, Lars Ehrenberg, Eva Joelsson-Alm, Johan Mårtensson, Rinaldo Bellomo, Christer Svensén, Maria Cronhjort
OBJECTIVE: To test the hypothesis that changes in cardiac index and mean arterial pressure (MAP) during and after a fluid bolus (FB) are altered by fluid temperature. DESIGN: Randomised, controlled, crossover trial. SETTING: Research laboratory at Swedish teaching hospital. PARTICIPANTS: Twenty-one healthy adult volunteers. INTERVENTIONS: Subjects were randomly allocated to 500 mL of Ringer's acetate at room temperature (22°C; cold) or body temperature (38°C; warm)...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482134/communication-with-families-regarding-organ-and-tissue-donation-after-death-in-intensive-care-comfort-a-multicentre-before-and-after-study
#8
Julie E Potter, Lin Perry, Rosalind M Elliott, Anders Aneman, Jorge L Brieva, Elena Cavazzoni, Andrew Th Cheng, Michael J O'Leary, Ian M Seppelt, Robert G Herkes
OBJECTIVE: To implement a best-practice intervention offering deceased organ donation, testing whether it increased family consent rates. DESIGN: A multicentre before-and-after study of a prospective cohort compared with pre-intervention controls. SETTING: Nine Australian intensive care units. PARTICIPANTS: Families and health care professionals caring for donor-eligible patients without registered donation preferences or aged ≤ 16 years...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482133/prediction-of-tracheostomy-in-critically-ill-trauma-patients-a-systematic-review
#9
Andrew J Casamento, Bronwyn Bebee, Neil J Glassford, Rinaldo Bellomo
BACKGROUND: Tracheostomy is relatively common in mechanically ventilated patients in the intensive care unit (ICU). The prediction of which patients will receive a tracheostomy is crucial to both clinical decision making and the design of targeted interventional trials of its timing. OBJECTIVES: We aimed to systematically review the literature to ascertain whether useful predictors of eventual tracheostomy can be identified, with a particular focus on trauma patients...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482132/organ-donation-after-circulatory-death-following-voluntary-assisted-dying-practical-and-ethical-considerations-for-victoria
#10
Steven J Philpot
On 19 June 2019, the Voluntary Assisted Dying Bill 2017 (Vic) will be enacted. Up to ten per cent of people deemed eligible for voluntary assisted dying will be medically suitable for organ donation. Donation after circulatory death after assisted dying is possible, although there are important challenges to address for donation to be successful in this context. This article explores the practical and ethical considerations that need to be reviewed in order to support organ donation after assisted dying. In particular, it discusses the ways in which organ donation will affect the place, timing and mechanism of death, and the ethics around consent for donation...
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30482131/what-should-we-target-after-target
#11
Paul J Young, Rinaldo Bellomo, Marianne J Chapman, Adam M Deane, Sandra L Peake
No abstract text is available yet for this article.
December 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153789/intensive-care-unit-randomised-trial-comparing-two-approaches-to-oxygen-therapy-icu-rox-results-of-the-pilot-phase
#12
LETTER
Paul Young
No abstract text is available yet for this article.
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153788/intensive-care-unit-randomised-trial-comparing-two-approaches-to-oxygen-therapy-icu-rox-results-of-the-pilot-phase
#13
Hadrien Winiszewski, Loic Barrot, Gaël Piton, Gilles Capellier
No abstract text is available yet for this article.
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153787/body-temperature-measurement-methods-and-targets-in-australian-and-new-zealand-intensive-care-units
#14
Salvatore L Cutuli, Eduardo A Osawa, Neil J Glassford, David Marshall, Christopher T Eyeington, Glenn M Eastwood, Paul J Young, Rinaldo Bellomo
OBJECTIVE: In Australian and New Zealand (ANZ) intensive care units (ICUs), the preferred measurement methods and targets for temperature remain uncertain, but are crucial for future interventional studies. We aimed to investigate the reported use of temperature measurement methods and targets in ANZ ICUs. DESIGN, SETTINGS AND PARTICIPANTS: Structured online questionnaire delivered via the email list of the Australian and New Zealand Intensive Care Society Clinical Trials Group...
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153786/chlorhexidine-washing-in-intensive-care-does-not-reduce-bloodstream-infections-blood-culture-contamination-and-drug-resistant-microorganism-acquisition-an-interrupted-time-series-analysis
#15
Roel Kengen, Elcke Thoonen, Kathryn Daveson, Bronwyn Loong, Helen Rodgers, Wendy Beckingham, Karina Kennedy, Ruwan Suwandarathne, Frank van Haren
BACKGROUND: Health care-associated infections are a major cause of morbidity and mortality in intensive care patients. The effect of daily washing with chlorhexidine on these infections is controversial. METHODS: Single-centre, retrospective, open-label, sequential period, interrupted time series (ITS) analysis in a 31-bed tertiary referral mixed intensive care unit (ICU), comparing daily washing with water and soap (from January 2011 to August 2013) with chlorhexidine washing (from November 2013 to December 2015), after the introduction of a unit-level policy of chlorhexidine washing...
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153785/predictors-of-mortality-after-extracorporeal-cardiopulmonary-resuscitation
#16
Bishoy Zakhary, Vinodh B Nanjayya, Jayne Sheldrake, Kathleen Collins, Joshua F Ihle, Vincent Pellegrino
OBJECTIVE: Extracorporeal membrane oxygenation (ECMO) is a promising adjunct to cardiopulmonary resuscitation (CPR) in refractory cardiac arrest (CA). Factors associated with outcome are incompletely characterised. The aim of our study was to identify pre-ECMO factors associated with in-hospital mortality after extracorporeal CPR (ECPR). DESIGN: Retrospective analysis of a prospective cohort of patients. SETTING: Academic quaternary referral hospital...
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153784/increasing-frequency-of-critically-ill-patient-turns-is-associated-with-a-reduction-in-pressure-injuries
#17
Jai N Darvall, Lidgalem Mesfin, Alexandra Gorelik
OBJECTIVE: Pressure injuries are a significant problem for critically ill patients; they increase morbidity, cost, and duration of hospitalisation. Prolonged immobility is a major risk factor, but evidence guiding how frequently patients should be turned to prevent this complication is limited. We aimed to determine the impact of changing from 5-hourly to 3-hourly turns on pressure injury incidence in critically ill patients. DESIGN: We conducted a pre-post intervention evaluation study, comparing a 6-month period during which patient turns were 5-hourly (1 July 2015 - 31 December 2015) with a 6-month period during which turns were 3-hourly (1 February 2016 - 31 August 2016)...
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153783/magnesium-sulfate-therapy-after-cardiac-surgery-a-before-and-after-study-comparing-strategies-involving-bolus-and-continuous-infusion
#18
Eduardo A Osawa, Peter Biesenbach, Salvatore L Cutuli, Glenn M Eastwood, Johan Mårtensson, George Matalanis, Jessica Fairley, Rinaldo Bellomo
BACKGROUND: Magnesium therapy may reduce the risk of atrial fibrillation after cardiac surgery. However, studies are heterogeneous in relation to dosage and method of delivery and no studies have directly compared the biochemical effect of different delivery strategies. AIMS: We conducted a before-and-after study to compare the effects of two strategies of magnesium delivery after cardiac surgery. METHODS: We conducted a prospective interventional before-and-after study...
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153782/fluid-resuscitation-associated-with-elevated-angiopoietin-2-and-length-of-mechanical-ventilation-after-cardiac-surgery
#19
RANDOMIZED CONTROLLED TRIAL
Rachael Parke, Shailesh Bihari, Dani-Louise Dixon, Eileen Gilder, Elena Cavallaro, Shay McGuinness, Andrew D Bersten
BACKGROUND: Fluid restriction in patients with acute respiratory distress syndrome increases ventilator-free days while lowering plasma angiopoietin-2 (Ang-2), a marker of pulmonary endothelial injury. We hypothesised that fluid resuscitation may lead to endothelial injury after cardiac surgery and analysed Ang-2, angiopoietin-1 (Ang-1) and phospholipase A2 (PLA2 ) levels and the impact of fluid management on ventilation time. METHODS: Patients enrolled in a single-centre, prospectively randomised interventional study of liberal or conservative fluid resuscitation strategy had plasma Ang-2, Ang-1 and PLA2 levels measured at baseline (pre-operative), 6 and 24 hours after commencement of cardiopulmonary bypass, and analysed by linear mixed models as liberal v conservative (intention to treat) or high v low fluid group (actual treatment, ≥ 3250 mL of fluid administered), and further subclassified as EuroSCORE (European System for Cardiac Operative Risk Evaluation) II ≥ 0...
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/30153781/design-and-statistical-analysis-plan-for-a-trial-comparing-a-conservative-fluid-management-strategy-with-usual-care-in-patients-after-cardiac-surgery-the-fab-study
#20
RANDOMIZED CONTROLLED TRIAL
Rachael Parke, Eileen Gilder, Michael Gillham, Laurence Walker, Michael Bailey, Shay McGuinness
BACKGROUND: Cardiac surgery is one of the most frequently performed major surgical procedures. Following surgery, haemodynamic instability and prevention of organ dysfunction may be treated in the intensive care unit (ICU) with intravenous fluid, inotropes and vasopressors. In other surgical groups, liberal intravenous fluid administration and a positive fluid balance have been associated with adverse outcomes and increased risk of morbidity and mortality. There is a paucity of evidence to guide intravenous fluid administration in cardiac surgery patients...
September 2018: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
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