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https://www.readbyqxmd.com/read/29924423/methods-of-enteral-nutrition-administration-in-critically-ill-patients-continuous-intermittent-cyclic-and-bolus-feeding
#1
REVIEW
Satomi Ichimaru
There are several methods of enteral nutrition (EN) administration, including continuous, cyclic, intermittent, and bolus techniques, which can be used either alone or in combination. Continuous feeding involves hourly administration of EN over 24 hours assisted by a feeding pump; cyclic feeding involves administration of EN over a time period of <24 hours generally assisted by a feeding pump; intermittent feeding involves administration of EN over 20-60 minutes every 4-6 hours via pump assist or gravity assist; and bolus feeding involves administration of EN over a 4- to 10-minute period using a syringe or gravity drip...
June 20, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29923972/rapid-detection-of-mycoplasma-pneumoniae-by-loop-mediated-isothermal-amplification-assay
#2
Xin Yuan, Changqing Bai, Qian Cui, Han Zhang, Jing Yuan, Kaiwen Niu, Yuzhong Feng, Xin Jin, Puyuan Li, Huiying Liu
To improve the diagnosis and treatment of Mycoplasma pneumoniae (Mp) infection and reduce the misuse of antibiotics, we sought to establish a loop-mediated isothermal amplification (LAMP) assay for rapid detection of Mp.Six primers specific for the Mp P1 gene were designed, and the LAMP method was used to rapidly detect Mp. The sensitivity of the LAMP method was determined by serial dilution of the standard Mp strain FH (standard strains of Mycoplasma pneumoniae). Specificity was assessed with 17 common pathogenic microorganisms in the respiratory tract...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923941/intensive-care-mortality-prognostic-model-for-pediatric-pulmonary-hypertension
#3
Emily Morell Balkin, Matt S Zinter, Satish K Rajagopal, Roberta L Keller, Jeffrey R Fineman, Martina A Steurer
OBJECTIVES: The disease burden and mortality of children with pulmonary hypertension are significantly higher than for the general PICU population. We aimed to develop a risk-adjustment tool predicting PICU mortality for pediatric pulmonary hypertension patients: the Pediatric Index of Pulmonary Hypertension Intensive Care Mortality score. DESIGN: Retrospective analysis of prospectively collected multicenter pediatric critical care data. SETTING: One-hundred forty-three centers submitting data to Virtual Pediatric Systems database between January 1, 2009, and December 31, 2015...
June 19, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29923903/pressure-injury-risk-factors-in-critical-care-patients-a-descriptive-analysis
#4
Jill Cox, Sharon Roche, Virginia Murphy
BACKGROUND: Pressure injury (PI) development in the critical care population is multifactorial. Despite the application of evidence-based prevention strategies, PIs do occur and may be unavoidable in some patients. OBJECTIVES: To describe the risk factors associated with PI development in a sample of medical-surgical intensive care unit patients and determine whether these risk factors were congruent with the risk factors proposed in the work of the National Pressure Ulcer Advisory Panel on unavoidable PIs...
July 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29922844/the-challenge-of-local-consent-requirements-for-global-critical-care-databases
#5
Stuart McLennan, David Shaw, Leo Anthony Celi
No abstract text is available yet for this article.
June 19, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29921262/motivation-for-feedback-seeking-among-pediatric-residents-a-mixed-methods-study
#6
Duncan Henry, Travis Vesel, Christy Boscardin, Sandrijn van Schaik
BACKGROUND: For effective self-directed life-long learning physicians need to engage in feedback-seeking, which means fostering such behavior during training. Self-determination theory (SDT) posits that intrinsic motivation is fostered when the environment optimizes the individual's experience of autonomy, relatedness, and competence. Educational settings meeting these psychological needs may foster intrinsic motivation in trainees, enhance their desire for feedback, and promote feedback-seeking...
June 19, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29915940/correction-to-impact-on-mortality-of-prompt-admission-to-critical-care-for-deteriorating-ward-patients-an-instrumental-variable-analysis-using-critical-care-bed-strain
#7
Steve Harris, Mervyn Singer, Colin Sanderson, Richard Grieve, David Harrison, Kathryn Rowan
This article was originally published under a CC BY-NC 4.0 license, but has now been made available under a CC BY 4.0 license. The PDF and HTML versions of the paper have been modified accordingly.
May 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29915622/impact-of-meteorological-conditions-and-pm2-5-on-the-onset-of-acute-aortic-dissection-in-monsoonal-climate
#8
Xiao-Nan He, Jin-Liang Zhan, Cheng Zhang, Yu Chen, Wei Gong, Wang Ji, Shao-Ping Nie
Objective: To investigate the impact of meteorological conditions and PM2.5 on the onset of acute aortic dissection in monsoonal climate. Methods: A linear regression analysis was performed in monsoonal climate epidemiological survey for a period of four years on the impact of meteorological factors (minimal temperature, mean temperature, maximal temperature, average daily surface temperature, day temperature range, relative humidity, mean wind speed, and atmospheric pressure) and PM2...
April 2018: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/29914871/secondary-peritonitis-principles-of-diagnosis-and-intervention
#9
REVIEW
James T Ross, Michael A Matthay, Hobart W Harris
Secondary peritonitis accounts for 1% of urgent or emergent hospital admissions and is the second leading cause of sepsis in patients in intensive care units globally. Overall mortality is 6%, but mortality rises to 35% in patients who develop severe sepsis. Despite the dramatic growth in the availability and use of imaging and laboratory tests, the rapid diagnosis and early management of peritonitis remains a challenge for physicians in emergency medicine, surgery, and critical care. In this article, we review the pathophysiology of peritonitis and its potential progression to sepsis, discuss the utility and limitations of the physical examination and laboratory and radiographic tests, and present a paradigm for the management of secondary peritonitis...
June 18, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29913072/postgraduate-clinical-physiotherapy-education-in-acute-hospitals-a-cohort-study
#10
Emma K Bastick, David D O'Keeffe, Melanie K Farlie, Danielle T Ryan, Terry P Haines, Nikki Katz, Jessica L Knight, Laura K Keely, Kelly J Saber, Tamica R Sturgess, Elizabeth H Skinner
BACKGROUND: Junior physiotherapists require satisfactory clinical skills to work effectively within the acute hospital setting for service quality and consistency. OBJECTIVE: To investigate the effects of stream-specific clinical training on junior physiotherapist self-efficacy, self-rated confidence, and self-rated ability to work independently during weekend shifts. DESIGN: Prospective cohort study. PARTICIPANTS: Eighteen junior physiotherapists...
June 18, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29912937/comparison-of-three-non-invasive-hemodynamic-monitoring-methods-in-critically-ill-children
#11
Chanapai Chaiyakulsil, Marut Chantra, Poomiporn Katanyuwong, Anant Khositseth, Nattachai Anantasit
INTRODUCTION: Hemodynamic parameters measurements were widely conducted using pulmonary artery catheter (PAC) with thermodilution as a reference standard. Due to its technical difficulties in children, transthoracic echocardiography (TTE) has been widely employed instead. Nonetheless, TTE requires expertise and is time-consuming. Noninvasive cardiac output monitoring such as ultrasonic cardiac output monitor (USCOM) and electrical velocimetry (EV) can be performed rapidly with less expertise requirement...
2018: PloS One
https://www.readbyqxmd.com/read/29912133/risk-stratifying-the-critically-ill-will-more-acronyms-and-definitions-lead-to-misuses-in-critical-care-literature-and-patient-care
#12
David Applebury, Alexander Hallac
No abstract text is available yet for this article.
July 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29912131/limitations-in-conclusions-regarding-critical-care-transport
#13
Susan R Wilcox, Michael A Frakes, Evie G Marcolini, Imoigele P Aisiku, Jason Cohen
No abstract text is available yet for this article.
July 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29912104/toward-the-plateau-of-productivity-enhancing-the-value-of-machine-learning-in-critical-care
#14
Vincent X Liu
No abstract text is available yet for this article.
July 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29912101/improving-the-state-of-use-and-understanding-of-multistate-models-in-critical-care
#15
Jarone Lee, Edward A Bittner
No abstract text is available yet for this article.
July 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29912069/the-impact-of-critical-care-nursing-certification-on-pediatric-patient-outcomes
#16
Patricia A Hickey, Kimberlee Gauvreau, Courtney Porter, Jean A Connor
OBJECTIVES: To examine the relationship of nursing and unit characteristics including Critical Care Registered Nurse certification on patient complications for children undergoing congenital heart surgery in free-standing children's hospitals in the United States. DESIGN: A cross-sectional descriptive survey of nursing and organizational characteristics was sent electronically. SETTING: Free-standing children's hospitals in the United States...
June 14, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29911284/lung-and-diaphragm-ultrasound-as-predictors-of-success-in-weaning-from-mechanical-ventilation
#17
Eva Tenza-Lozano, Ana Llamas-Alvarez, Enrique Jaimez-Navarro, Javier Fernández-Sánchez
BACKGROUND: Lung and diaphragm ultrasound methods have recently been introduced to predict the outcome of weaning from mechanical ventilation (MV). The aim of this study is to assess the reliability and accuracy of these techniques for predicting successful weaning in critically ill adults. METHODS: We conducted two studies: a cross-sectional interobserver agreement study between two sonographers and a prospective cohort study to assess the accuracy of lung and diaphragm ultrasound for predicting weaning and extubation outcome...
June 18, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29910544/competence-of-intensivists-in-focused-transthoracic-echocardiography-in-intensive-care-unit-a-prospective-observational-study
#18
Muthapillai Senthilnathan, Pankaj Kundra, Sandeep Kumar Mishra, Savitri Velayudhan, Ajith Ananthakrishna Pillai
Objectives: Focused transthoracic echocardiography (fTTE) in critical care can be used to assess patient's volume status, ventricular contractility, right ventricle chamber size, and valvular abnormalities. The objective of the study was to assess the competency of intensivists in performing fTTE in Intensive Care Unit (ICU) patients after a brief training course by cardiologist using a specific ECHO protocol. Methods: One hundred and four patients in ICU were recruited for this prospective observational study over a period of 12 months...
May 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29907274/a-targeted-management-approach-to-cardiogenic-shock
#19
REVIEW
Mithun Chakravarthy, Masaki Tsukashita, Srinivas Murali
Cardiogenic shock is a clinical syndrome characterized by low cardiac output and sustained tissue hypoperfusion resulting in end-organ dysfunction and death. In-hospital mortality rates range from 50% to 60%. Urgent diagnosis, timely transfer to a tertiary or quaternary medical facility with critical care management capabilities and multidisciplinary shock teams is a must to increase survival. Aggressive, hemodynamically guided medical management with careful monitoring of clinical and hemodynamic parameters with timely use of appropriate mechanical circulatory support devices is often necessary...
July 2018: Critical Care Clinics
https://www.readbyqxmd.com/read/29907267/critical-care-airway-management
#20
REVIEW
Etieno U Umobong, Paul H Mayo
Critical care airway management is associated with a variety of complications, including severe oxygen desaturation, life-threatening hypotension, and death. This article reviews aspects of airway management that are relevant to intensivists and emergency medicine clinicians tasked with improving the quality of urgent endotracheal intubation in the critically ill patient.
July 2018: Critical Care Clinics
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