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https://www.readbyqxmd.com/read/30092431/open-repair-for-juxtarenal-aortic-aneurysm-short-and-long-term-results
#1
A Desole, A Ferrari, F Tosato, D Milite
INTRODUCTION: The recent technological evolution has also allowed for the treatment of juxtarenal abdominal aortic aneurysms (JAA) with an endovascular technique but short and long-term results must be compared with the results of open treatment that is the gold standard. In this study we analyzed the short and long term results of open surgical treatment (OR) in patients with JAA in our series. METHODS: From January 2006 to December 2016, 155 patients were treated for JAA with open repair; the data were analyzed retrospectively...
August 6, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/30080234/critical-evaluation-of-muscle-mass-loss-as-a-prognostic-marker-of-morbidity-in-critically-ill-patients-and-methods-for-its-determination
#2
Vera Joskova, Anna Patkova, Eduard Havel, Simona Najpaverova, Daniela Uramova, Miroslav Kovarik, Zdenek Zadak, Miloslav Hronek
OBJECTIVE: Loss of muscle mass in critically ill patients is associated with serious consequences, such as prolonged mechanical ventilation, intensive care unit confinement, and higher mortality. Thus, monitoring muscle mass, and especially its decline, should provide a useful indicator of morbidity and mortality. Performing evaluations according only to body mass index is imperfect, therefore the aim of this article was to evaluate appropriate methods for muscle mass loss determination in ICU patients...
August 6, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/30063492/understanding-patient-important-outcomes-after-critical-illness-a-synthesis-of-recent-qualitative-empirical-and-consensus-related-studies
#3
Victor D Dinglas, Leeza N Faraone, Dale M Needham
PURPOSE OF REVIEW: Patients surviving critical illness frequently experience long-lasting morbidities. Consequently, researchers and clinicians are increasingly focused on evaluating and improving survivors' outcomes after hospital discharge. This review synthesizes recent research aimed at understanding the postdischarge outcomes that patients consider important (i.e., patient-important outcomes) for the purpose of advancing future clinical research in the field. RECENT FINDINGS: Across multiple types of studies, patients, family members, researchers, and clinicians have consistently endorsed physical function, cognition, and mental health as important outcomes to evaluate in future research...
July 30, 2018: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/30052575/prognostic-value-of-tissue-oxygen-saturation-using-a-vascular-occlusion-test-in-patients-in-the-early-phase-of-multiorgan-dysfunction-syndrome
#4
Franz Haertel, Diana Reisberg, Martin Peters, Sebastian Nuding, Jochen Schroeder, Karl Werdan, Henning Ebelt
BACKGROUND: Multiple organ dysfunction syndrome (MODS) is a common disease pattern in intensive care units (ICU) which is associated with an increased mortality. The aim of this study was to investigate whether a near-infrared (NIRS) based non-invasive ischemia-reperfusion test (VOT; Vascular Occlusion Test) using the parameter of tissue oxygenation saturation (StO2) contains prognostic information for patients in the early phase of MODS. METHODS: Within a period of 18 months between 2010 and 2012, 56 patients who newly developed MODS (≤ 24 hours after diagnosis, APACHE II score ≥ 20, subgroups: cardiogenic (cMODS) and septic MODS (sMODS)) were included into the study...
July 25, 2018: Shock
https://www.readbyqxmd.com/read/30048540/rehabilitation-for-patients-with-sepsis-a-systematic-review-and-meta-analysis
#5
Shunsuke Taito, Mahoko Taito, Masahiro Banno, Hiraku Tsujimoto, Yuki Kataoka, Yasushi Tsujimoto
The objective of this systematic review was to determine whether rehabilitation impacts clinically relevant outcomes among adult patients with sepsis. Randomized controlled trials from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PEDro, and the World Health Organization International Clinical Trials Platform Search Portal, as well as conference proceedings and reference lists of relevant articles were collected...
2018: PloS One
https://www.readbyqxmd.com/read/30043066/effect-of-in-bed-leg-cycling-and-electrical-stimulation-of-the-quadriceps-on-global-muscle-strength-in-critically-ill-adults-a-randomized-clinical-trial
#6
RANDOMIZED CONTROLLED TRIAL
Guillaume Fossat, Florian Baudin, Léa Courtes, Sabrine Bobet, Arnaud Dupont, Anne Bretagnol, Dalila Benzekri-Lefèvre, Toufik Kamel, Grégoire Muller, Nicolas Bercault, François Barbier, Isabelle Runge, Mai-Anh Nay, Marie Skarzynski, Armelle Mathonnet, Thierry Boulain
Importance: Early in-bed cycling and electrical muscle stimulation may improve the benefits of rehabilitation in patients in the intensive care unit (ICU). Objective: To investigate whether early in-bed leg cycling plus electrical stimulation of the quadriceps muscles added to standardized early rehabilitation would result in greater muscle strength at discharge from the ICU. Design, Setting, and Participants: Single-center, randomized clinical trial enrolling critically ill adult patients at 1 ICU within an 1100-bed hospital in France...
July 24, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/30039871/metformin-for-women-who-are-overweight-or-obese-during-pregnancy-for-improving-maternal-and-infant-outcomes
#7
REVIEW
Jodie M Dodd, Rosalie M Grivell, Andrea R Deussen, William M Hague
BACKGROUND: There has been considerable interest in providing antenatal dietary and lifestyle advice for women with obesity or who are overweight during pregnancy, as a strategy to limit gestational weight gain and improve maternal and infant health. However, such antenatal interventions appear to have a modest effect on gestational weight gain and other clinical pregnancy and birth outcomes and additional strategies are required.Metformin is an oral insulin-sensitising medication that acts to decrease blood glucose concentrations...
July 24, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30037963/cardiomyopathy-induced-by-anabolic-androgenic-steroid-abuse
#8
Orlando Garner, Alfredo Iardino, Ana Ramirez, Maty Yakoby
Bodybuilders use anabolic-androgenic steroids to increase muscle mass, but abuse of these hormones has been related to cardiomyopathy in the past. A 60-year-old Caucasian male bodybuilder with medical history of male hypogonadism and on testosterone replacement therapy, allegedly preparing for a weightlifting competition and receiving stem cell infusions from his trainer, is transferred to the intensive care unit for worsening shortness of breath after failing treatment for community-acquired pneumonia. Chest X-ray on transfer was suggestive of pulmonary oedema, and transthoracic echocardiography showed an ejection fraction of 25%-30%...
July 23, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/30035306/persistence-of-sarcopenia-after-pediatric-liver-transplantation-is-associated-with-poorer-growth-and-recurrent-hospital-admissions
#9
Diana R Mager, Amber Hager, Poh Hwa Ooi, Kerry Siminoski, Susan M Gilmour, Jason Y K Yap
INTRODUCTION: Sarcopenia is prevalent in adults pre-liver transplantation (LTx) and post-LTx contributing to adverse outcomes. Little is known regarding the prevalence of sarcopenia in pediatric LTx recipients. This novel study examined sarcopenia prevalence and associations with post-LTx growth and healthcare utilization in pediatric LTx recipients. METHODS: We prospectively assessed body composition at annual clinical appointments in children (0.5-17 years; n = 58) by Dual-energy-X-ray absorptiometry (absolute/regional/percent fat mass [FM], fat-free mass [FFM], skeletal muscle mass [SMM])...
July 23, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30009733/-effect-of-early-rehabilitation-physiotherapy-on-muscle-quality-and-function-in-critically-ill-patients
#10
Chunyan Zhu, Bao Liu, Tianjun Yang, Qing Mei, Aijun Pan, Dongsheng Zhao
OBJECTIVE: To investigate the effect of early rehabilitation physiotherapy on muscle quality and function in critical patients. METHODS: A prospective randomized controlled study was performed. Adult critically ill patients admitted to intensive care unit (ICU) of Anhui Provincial Hospital from October 1st, 2016 to August 31st, 2017 who had been hospitalized for more than 7 days and had acute physiology and chronic health evaluation II (APACHE II) > 8 were enrolled, and they were divided into treatment group and control group according to random number table method...
June 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/30007926/health-related-quality-of-life-participation-and-physical-and-cognitive-function-of-patients-with-intensive-care-unit-acquired-muscle-weakness-1-year-after-rehabilitation-in-germany-the-gymnast-cohort-study
#11
Simone Thomas, Jan Mehrholz
OBJECTIVE: To describe predictors for health-related quality of life, participation, physical activity and cognitive function in patients with intensive care unit (ICU)-acquired muscle weakness 1 year after discharge from rehabilitation. DESIGN: This is a cohort study. PARTICIPANTS: We included 150 chronic critically ill individuals with ICU-acquired muscle weakness. SETTING: Postacute ICU and rehabilitation units in Germany...
July 13, 2018: BMJ Open
https://www.readbyqxmd.com/read/30007823/inspiratory-muscle-training-for-intensive-care-patients-a-multidisciplinary-practical-guide-for-clinicians
#12
REVIEW
Bernie Bissett, I Anne Leditschke, Margot Green, Vince Marzano, Sarajane Collins, Frank Van Haren
OBJECTIVES: To describe a multidisciplinary approach to inspiratory muscle training (IMT) for patients in the intensive care unit (ICU). BACKGROUND: Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific IMT can ameliorate this weakness. However, IMT is not yet standard practice in many ICUs, possibly because of the wide variety of methods reported and a lack of published practical guidelines...
July 11, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29999589/tubular-epithelial-c1orf54-mediates-protection-and-recovery-from-acute-kidney-injury
#13
Hongyang Xie, Yaqiong Wang, Hang Zhang, Qin Fan, Daopeng Dai, Lingfang Zhuang, Rong Tao, Qiujing Chen, Weifeng Shen, Lin Lu, Xiaoqiang Ding, Ruiyan Zhang, Xiaoxiang Yan
Acute kidney injury (AKI) incidence among hospitalized patients is increasing steadily. Despite progress in prevention strategies and support measures, AKI remains correlated with high mortality, particularly among ICU patients, and no effective AKI therapy exists. Here, we investigated the function in kidney ischaemia-reperfusion injury (IRI) of C1orf54, a newly identified protein encoded by an open reading frame on chromosome 1. C1orf54 expression was high in kidney and low in heart, liver, spleen, lung and skeletal muscle in healthy mice, and in the kidney, C1orf54 was expressed in tubular epithelial cells (TECs), but not in glomeruli...
July 12, 2018: Journal of Cellular and Molecular Medicine
https://www.readbyqxmd.com/read/29995084/clinical-attitudes-and-perceived-barriers-to-early-mobilization-of-critically-ill-patients-in-adult-intensive-care-units
#14
Paula Caitano Fontela, Luiz Alberto Forgiarini, Gilberto Friedman
OBJECTIVE: To investigate the knowledge of multi-professional staff members about the early mobilization of critically ill adult patients and identify attitudes and perceived barriers to its application. METHODS: A cross-sectional study was conducted during the second semester of 2016 with physicians, nursing professionals and physical therapists from six intensive care units at two teaching hospitals. Questions were answered on a 5-point Likert scale and analyzed as proportions of professionals who agreed or disagreed with statements...
April 2018: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/29988636/recovery-of-muscle-weakness-and-physical-function-in-a-patient-with-severe-icu-acquired-weakness-following-pulmonary-embolism-a-case-report
#15
Yosuke Morimoto, Motohiro Sekino, Kiyoyuki Eishi, Ryo Kozu
Although ICU-AW is a common condition in critically ill, it is unclear which intervention is best to treat. We applied combined exercise training and nutritional supplementation, and these were effective to recover the skeletal muscle function and exercise capacity. We should recognize necessity of nutritional support in ICU-AW patients.
July 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29985211/double-cycling-during-mechanical-ventilation-frequency-mechanisms-and-physiologic-implications
#16
Candelaria de Haro, Josefina López-Aguilar, Rudys Magrans, Jaume Montanya, Sol Fernández-Gonzalo, Marc Turon, Gemma Gomà, Encarna Chacón, Guillermo M Albaiceta, Rafael Fernández, Carles Subirà, Umberto Lucangelo, Gastón Murias, Montserrat Rué, Robert M Kacmarek, Lluís Blanch
OBJECTIVES: Double cycling generates larger than expected tidal volumes that contribute to lung injury. We analyzed the incidence, mechanisms, and physiologic implications of double cycling during volume- and pressure-targeted mechanical ventilation in critically ill patients. DESIGN: Prospective, observational study. SETTING: Three general ICUs in Spain. PATIENTS: Sixty-seven continuously monitored adult patients undergoing volume control-continuous mandatory ventilation with constant flow, volume control-continuous mandatory ventilation with decelerated flow, or pressure control-continuous mandatory mechanical ventilation for longer than 24 hours...
July 5, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29983224/assessing-skeletal-muscle-dysfunction-in-sepsis-utilizing-muscle-ultrasound-in-search-for-pathways-to-improve-icu-survivor-s-functional-outcomes
#17
EDITORIAL
Sanjay Dhar, John Oropello, Peter E Morris
No abstract text is available yet for this article.
June 2, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29973987/combination-of-apache-scoring-systems-with-adductor-pollicis-muscle-thickness-for-the-prediction-of-mortality-in-patients-who-spend-more-than-one-day-in-the-intensive-care-unit
#18
Elahe Nematifard, Seyed Hossein Ardehali, Shaahin Shahbazi, Hassan Eini-Zinab, Zahra Vahdat Shariatpanahi
Background: The objective of the present study was to compare the ability of Acute Physiology and Chronic Health Evaluation (APACHE) scoring systems with the combination of an anthropometric variable score "adductor pollicis muscle (APM) thickness" to the APACHE systems in predicting mortality in the intensive care unit. Methods: A prospective observational study was conducted with the APM thickness in the dominant hand, and APACHE II and III scores were measured for each patient upon admission...
2018: Critical Care Research and Practice
https://www.readbyqxmd.com/read/29972393/muscle-sparing-versus-standard-posterolateral-thoracotomy-in-neonates-with-esophageal-atresia
#19
Shahnam Askarpour, Mehran Peyvasteh, Amir Ashrafi, Masoud Dehdashtian, Arash Malekian, Mohammad-Reza Aramesh
The muscle-sparing thoracotomy (MST) has not yet been thoroughly studied and assessed in comparison to the traditional thoracotomy method in newborns. To compare the outcomes of MST and standard posterolateral thoracotomy (PLT) in newborns. Randomized, controlled, double-blind trial on 40 neonates with esophageal atresia, comparing the time of beginning a surgery until seeing the pleura, the duration of hospitalization in the neonatal intensive care unit, the time in ventilator, the time of returning the shoulder function, the time of returning the Moro reflex, and the mortality between the two techniques...
2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29962745/comparison-of-lung-ultrasound-based-weaning-indices-with-rapid-shallow-breathing-index-are-they-helpful
#20
Abhinav Banerjee, Gesu Mehrotra
Background and Aims: The diaphragm is considered the main respiratory muscle and difficulty in weaning can occur because of impaired diaphragmatic function. Hence, monitoring diaphragmatic function is important. The aim of this study is to assess the ability of various lung ultrasound (US) indices and the rapid shallow breathing index (RSBI) to predict the outcome of the weaning process and compare them with RSBI. Materials and Methods: This was a prospective study conducted on patients admitted to critical care unit at a tertiary care hospital in north India from February 2017 to June 2017...
June 2018: Indian Journal of Critical Care Medicine
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