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Journal of the Intensive Care Society

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https://www.readbyqxmd.com/read/29796080/may-the-force-be-with-you
#1
Wood, Trees
No abstract text is available yet for this article.
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796079/lessons-from-lung-ultrasound
#2
David Ashton-Cleary, Colin Bigham, Thomas Clark, Charly Gibson, Nigel Hollister, Barney Kyle
No abstract text is available yet for this article.
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796078/targeted-bedside-echocardiography-in-the-management-of-critically-ill-patients
#3
Dominic Moor, Ravi Kumar, Theophilus L Samuels
No abstract text is available yet for this article.
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796077/low-tidal-volume-ventilation
#4
Siobhane Holden, Raj Nichani
No abstract text is available yet for this article.
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796076/chronic-lymphocytic-inflammation-with-pontine-perivascular-enhancement-responsive-to-steroids-with-seizures-and-central-pyrexia-in-a-patient-requiring-tracheal-intubation-and-mechanical-ventilation-a-case-report
#5
Rosemary J Wall
Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) has been described in multiple case reports since it was first described in the literature in 2010. The patient described is a 54-year-old man with no significant medical history who presented with ataxia, diplopia and hearing and taste disturbances. His GCS reduced to the point at which he required intubation and he was treated for 50 days on an intensive care unit. The patient's course also includes seizures, first described in 2014, and central pyrexia, which has not been previously described in case reports of CLIPPERS...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796075/an-easily-missed-cause-for-low-gcs-in-a-scottish-intensive-care-unit
#6
Christopher T Edmunds, Caroline Lacey
A case report of a 36-year-old patient who presented with seizures, a large thyroid and decreased consciousness level requiring admission to the intensive care unit, where the final diagnosis had a prevalence of 2.1/100,000 and a female to male ratio of 4:1. The final diagnosis was suggested early by a focussed internet search. This is unusual because as clinicians we often tell the general public to ignore an internet search. The early suggestion demonstrated that in the right hands the use of internet searches can help us make more informed decisions and aid patient management when combined with traditional investigative medical practice...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796074/the-life-and-work-of-antonio-maria-valsalva-1666-1723-popping-ears-and-tingling-tongues
#7
Nathan Jacobs, Michele Bossy, Amish Patel
The Valsalva manoeuvre is the increase in intra-thoracic pressure achieved by attempted expiration against a closed upper airway. The contraction of abdominal and other accessory muscles of respiration attempt to decrease the intra-thoracic volume, whilst the airway is closed either by the forceful apposition of the vocal cords or else by firmly closing the lips and sealing off the nose (e.g. by pinching it). Valsalva described this manoeuver as a way of checking the patency of the Eustachian tube. However, it has found other uses, including as a way to terminate episodes of supraventricular tachycardia and stopping ear popping-pain on high altitude flights...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796073/classic-cases-revisited-death-of-a-nurse-and-the-anatomy-of-error
#8
Anika Sud, Piotr Szawarski
The tragic case of Mayra Cabrera who died as a result of wrong route drug administration is notable as it was the first time a verdict of unlawful killing was recorded against an NHS Trust. Error within medicine is a significant cause of patient morbidity and mortality. We explore the costs of error, the dynamics of error causation, the role of both the individual and institution in accountability for error, as well as transferrable lessons from other industries to reduce error.
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796072/advanced-critical-care-practitioners-practical-experience-of-implementing-the-advanced-critical-care-practitioner-faculty-of-intensive-care-medicine-curriculum-in-a-london-critical-care-unit
#9
Geraldine Lee, Jo-Anne Gilroy, Alistair Ritchie, Vimal Grover, Keetje Gull, Pascale Gruber
With a chronic shortage of doctors in intensive care, alternative roles are being explored. One of these is the role of the Advanced Critical Care Practitioner. The Advanced Critical Care Practitioner Curriculum was developed by the Faculty of Intensive Care Medicine and is used to provide a structured programme of training. The Advanced Critical Care Practitioner programme consists of an academic and clinical component. This article outlines a practical approach of how the programme was developed and is currently being delivered at a single institution...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796071/reducing-sound-and-light-exposure-to-improve-sleep-on-the-adult-intensive-care-unit-an-inclusive-narrative-review
#10
REVIEW
Victoria Bion, Alex Sw Lowe, Zudin Puthucheary, Hugh Montgomery
Purpose: Sleep disturbance is common in intensive care units. It is associated with detrimental psychological impacts and has potential to worsen outcome. Irregular exposure to sound and light may disrupt circadian rhythm and cause frequent arousals from sleep. We sought to review the efficacy of environmental interventions to reduce sound and light exposure with the aim of improving patient sleep on adult intensive care units. Methods: We searched both PubMed (1966-30 May 2017) and Embase (1974-30 May 2017) for all relevant human (adult) studies and meta-analyses published in English using search terms ((intensive care OR critical care), AND (sleep OR sleep disorders), AND (light OR noise OR sound))...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796070/retrospective-analysis-of-cancer-patients-admitted-to-a-tertiary-centre-with-suspected-neutropenic-sepsis-are-c-reactive-protein-and-neutrophil-count-useful-prognostic-biomarkers
#11
Thomas Wilson, Tim Cooksley, Steven Churchill, John Radford, Paul Dark
Historically, neutropenic sepsis has been associated with high mortality rates. However, there has been limited research into cancer patients admitted with suspected sepsis who are found to be non-neutropenic. C-reactive protein has been shown to be raised in cancer patients for reasons other than infection and there have been limited studies to look as its utility as a prognostic biomarker in suspected sepsis in this population. This study looked at 749 patients admitted to a tertiary cancer centre between January 2015 and February 2016 with suspected sepsis...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796069/barriers-to-the-secondary-use-of-data-in-critical-care
#12
Karl Prince, Matthew Jones, Alan Blackwell, Alexander Simpson, Sallyanne Meakins, Alain Vuylsteke
Purpose: We explore the challenges of the secondary use of data in clinical information systems which critical care units in the National Health Service (England) are facing. Methods: We conducted an online survey of critical care units in England regarding their practices in collecting and using clinical information systems and data. Results: Critical care units use clinical information systems typically independently of hospital information systems and focus mainly on using data for auditing, management reporting and research...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796068/discrepancies-in-measuring-bladder-volumes-with-bedside-ultrasound-and-bladder-scanning-in-the-intensive-care-unit-a-pilot-study
#13
Donna M Prentice, Carrie Sona, Brian T Wessman, Enyo A Ablordeppey, Warren Isakow, Cassandra Arroyo, Marilyn Schallom
Objective: Intensive care unit patients are at risk for catheter-associated urinary tract infection. Earlier removal of catheters may be possible with accurate measurement of bladder volume. The purpose was to compare measured bladder volumes with bedside ultrasound, bladder scanner, and urine volume. Design: Prospective correlational descriptive study. Setting: Surgical/trauma intensive care unit and medical intensive care unit. Patients: Renal dialysis patients with less than 100 ml of urine in 24 h prior to urinary catheter removal and patients with suspected catheter obstruction...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796067/a-united-kingdom-register-study-of-in-hospital-outcomes-of-patients-receiving-extracorporeal-carbon-dioxide-removal
#14
Carole Cummins, Andrew Bentley, Daniel F McAuley, James J McNamee, Hannah Patrick, Nicholas A Barrett
Introduction: Extracorporeal membrane carbon dioxide removal may have a role in treatment of patients with hypercapnic respiratory failure and refractory hypoxaemia and/or hypercapnia. Methods: We report on the use, outcomes and complications in United Kingdom intensive care units reporting patients on the Extracorporal Life Support Organisation register. Results: Of 60 patients, 42 (70%) had primarily hypoxic respiratory failure and 18 (30%) primarily hypercapnic respiratory failure...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796066/the-ultrasound-neck-imaging-for-tracheostomy-study-a-study-prompting-ultrasound-screening-prior-to-percutaneous-tracheostomy-procedures-to-improve-patient-outcomes
#15
James Rees, Yumna Haroon, Christopher Hogan, Shibaji Saha, Sharam Derekshani
Introduction: Percutaneous tracheostomy procedures are commonplace in intensive care units worldwide. Haemorrhagic complications, though potentially fatal, are thought to be under-reported. Ultrasonography use has not established itself in these procedures. This study assesses the prevalence and characteristics of pre-tracheal blood vessels, to aid intensivists on potential procedural hazards. Method: A retrospective, observational study was performed in the UK...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796065/the-rule-of-threes-three-factors-that-triple-the-likelihood-of-families-overriding-first-person-consent-for-organ-donation-in-the-uk
#16
James Morgan, Cathy Hopkinson, Cara Hudson, Paul Murphy, Dale Gardiner, Olive McGowan, Cathy Miller
Between 1 April 2012 and 31 March 2015, 263 of the 2244 families in the UK whose loved ones had registered to donate organs for transplantation after their death on the NHS Organ Donor Register chose to override this decision; an override rate of 11.7%. Multivariable logistic regression analysis was applied to data relating to various aspects of the family approach in order to identify factors associated with such overrides. The factors associated with family overrides were failure to involve the Specialist Nurse for Organ Donation in the family approach (odds ratio 3...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796064/cost-of-treating-ventilator-associated-pneumonia-post-cardiac-surgery-in-the-national-health-service-results-from-a-propensity-matched-cohort-study
#17
Heyman Luckraz, Na'ngono Manga, Eshan L Senanayake, Mahmoud Abdelaziz, Shameer Gopal, Susan C Charman, Ramesh Giri, Raymond Oppong, Lazaros Andronis
Background: Ventilator-associated pneumonia is associated with significant morbidity, mortality and healthcare costs. Most of the cost data that are available relate to general intensive care patients in privately remunerated institutions. This study assessed the cost of managing ventilator-associated pneumonia in a cardiac intensive care unit in the National Health Service in the United Kingdom. Methods: Propensity-matched study of prospectively collected data from the cardiac surgical database between April 2011 and December 2014 in all patients undergoing cardiac surgery (n = 3416)...
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796063/specialist-not-tertiary-providing-intensive-care-medicine-in-a-district-general-hospital
#18
EDITORIAL
Chris Thorpe, Louella Vaughan
No abstract text is available yet for this article.
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29796062/a-life-less-ordinary
#19
EDITORIAL
Jonathan Handy
No abstract text is available yet for this article.
May 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456613/lemmingaid
#20
Wood, Trees
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
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