van den Boogaard, M., et al.
Objectives: To develop and validate a delirium prediction model for adult intensive care patients and determine its additional value compared with prediction by care givers.
Thursday, 16 February 2012
Development and validation of PRE-DELIRIC delirium prediction model for intensive care patients
Development and validation of PRE-DELIRIC delirium prediction model for intensive care patients: Observational multicentre study. BMJ 2012; 344: e420.
Nurses' perceptions of communications training in the ICU
Nurses' perceptions of communications training in the ICU. Intensive and critical care nursing, 2012, 28, p.16-25.
Radtke, J.V., et al.
As a direct result of critical illness and its management, ICU patients and their caregivers are vulnerable to communication breakdown and associated adverse sequelae. Nurses are the most frequent communication partners to critically ill patients during the period in which they are unable to speak. However, nurses do not typically receive training in specialised communication assessment or techniques to use with nonspeaking patients.
The lived experiences of adult intensive care patients who were conscious during mechanical ventilation
The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A phenomenological-hermeneutic study. Intensive and critical care nursing, 2012, 28, p.6-15.
Karlsson, V., et al.
The aim of this study was to illuminate the lived experience of patients who were conscious during mechanical ventilation in an intensive care unit.
Should patients receive general anaesthesia prior to extubation at the end of life?
Should patients receive general anaesthesia prior to extubation at the end of life? Critical care medicine, Feb 2012, Vol. 40(2), p. 631-633.
Truog, R.D., et al.
Billings has proposed that any potentially conscious and imminently dying patient who is undergoing withdrawal of ventilator support should be offered general anesthesia to fully protect against suffering. Here we examine whether his proposal is compatible with the doctrine of double effect, a philosophical construct that is generally in accord with the legal requirements for palliative care in the United States.
Zero risk for central line-associated bloodstream infection. Are we there yet?
Zero risk for central line-associated bloodstream infection. Are we there yet? Critical care medicine, Feb 2012, Vol. 40(2), p. 388-393.
McLaws, M-L. and Burrell, A.R.
Objective: Identify the longest period a central line remains free from central line-associated bloodstream infection during an 18-month insertion-bundle project.
Family response to critical illness: Post-intensive care syndrome - family
Family response to critical illness: Post-intensive care syndrome - family. Critical care medicine, Feb. 2012, Vol. 40(2), p. 618-624.
Davidson, J.E., et al.
http://journals.lww.com/ccmjournal/Abstract/2012/02000/Family_response_to_critical_illness__.34.aspx
The family response to critical illness includes development of adverse psychological outcomes such as anxiety, acute stress disorder, posttraumatic stress, depression, and complicated grief. This cluster of complications from exposure to critical care is now entitled postintensive care syndrome–family.
Masseter tissue oxygen saturation predicts normal central venous oxygen saturation during early goal-directed therapy
Masseter tissue oxygen saturation predicts normal central venous oxygen saturation during early goal-directed therapy and predicts mortality in patients with severe sepsis. Critical care medicine, Feb 2012, Vol. 40(23), p. 435-440.
Gwenhael, C., et al.
This study aimed to investigate, in patients with severe sepsis, the correlation between central venous oxygen saturation and tissue oxygen saturation at different levels.
Energy deficit and length of hospital stay can be reduced by a two-step quality improvement of nutrition therapy
Energy deficit and length of hospital stay can be reduced by a two-step quality improvement of nutrition therapy: The intensive care unit dietitian can make the difference. Critical care medicine, Feb 2012, Vol. 40(2), p. 412-419.
Soguel, LRD, et al.
Critically ill patients are at high risk of malnutrition. Insufficient nutritional support still remains a widespread problem despite guidelines. The aim of this study was to measure the clinical impact of a two-step interdisciplinary quality nutrition program.
Thursday, 12 January 2012
Prevention of ventilator-associated pneumonia or ventilator-associated complications
Prevention of ventilator-associated pneumonia or ventilator-associated compliations: A worthy, yet challenging goal. Critical care medicine, Jan 2012, Vol. 40(1), p.271-277.
Kollef, M.H.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/Prevention_of_ventilator_associated_pneumonia_or.40.aspx
Ventilator-associated pneumonia is a difficult diagnosis to establish in the critically ill patient because of the presence of underlying cardiopulmonary disorders (e.g., pulmonary contusion, acute respiratory distress syndrome, atelectasis) and the nonspecific radiographic and clinical signs associated with this infection.
Kollef, M.H.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/Prevention_of_ventilator_associated_pneumonia_or.40.aspx
Ventilator-associated pneumonia is a difficult diagnosis to establish in the critically ill patient because of the presence of underlying cardiopulmonary disorders (e.g., pulmonary contusion, acute respiratory distress syndrome, atelectasis) and the nonspecific radiographic and clinical signs associated with this infection.
The role of the medical emergency team in end-of-life care
The role of the medical emergency team in end-of-life care: A multicenter, prospective, observational study. Critical care medicine, Jan. 2012, Vol. 40(1), p.98-103.
Jones, D.A., et al.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/The_role_of_the_medical_emergency_team_in.15.aspx
Objective: To investigate the role of medical emergency teams in end-of-life care planning. Design: One month prospective audit of medical emergency team calls. Setting: Seven university-affiliated hospitals in Australia, Canada, and Sweden.
Jones, D.A., et al.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/The_role_of_the_medical_emergency_team_in.15.aspx
Objective: To investigate the role of medical emergency teams in end-of-life care planning. Design: One month prospective audit of medical emergency team calls. Setting: Seven university-affiliated hospitals in Australia, Canada, and Sweden.
Delayed enteral feeding impairs intestinal carbohydrate absorption in critically ill patients
Delayed enteral feeding impairs intestinal carbohydrate absorption in critically ill patients. Critical care medicine, Jan 2012, Vol. 40(1), p.50-54
Nguyen, N.Q., et al.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/Delayed_enteral_feeding_impairs_intestinal.9.aspx
Delay in initiating enteral nutrition has been reported to disrupt intestinal mucosal integrity in animals and to prolong the duration of mechanical ventilation in humans. However, its impact on intestinal absorptive function in critically ill patients is unknown.
Nguyen, N.Q., et al.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/Delayed_enteral_feeding_impairs_intestinal.9.aspx
Delay in initiating enteral nutrition has been reported to disrupt intestinal mucosal integrity in animals and to prolong the duration of mechanical ventilation in humans. However, its impact on intestinal absorptive function in critically ill patients is unknown.
Critical care in pregnancy
Critical care in pregnancy. Critical care, 2011, 15:1014.
Plaat, F. & Naik, M.
http://ccforum.com/content/15/6/1014/abstract
Childbirth is a major event in the lives of mothers and their families. Critical illness in pregnancy is uncommon but may arise from conditions unique to pregnancy, conditions exacerbated by pregnancy and coincidental conditions.
Plaat, F. & Naik, M.
http://ccforum.com/content/15/6/1014/abstract
Childbirth is a major event in the lives of mothers and their families. Critical illness in pregnancy is uncommon but may arise from conditions unique to pregnancy, conditions exacerbated by pregnancy and coincidental conditions.
Early or late parenteral nutrition
Early or late parenteral nutrition: ASPEN vs ESPEN. Critical care, 2011, 15:317.
Cove, M.E. & Pinsky, M.R.
http://ccforum.com/content/pdf/cc10591.pdf
Critically ill patients are often unable to feed themselves, and frequently present in a fasting state. Failure to feed these patients eventually guarantees starvation and, if enough time lapses, death. However, it is less certain when fasting becomes starvation.
Cove, M.E. & Pinsky, M.R.
http://ccforum.com/content/pdf/cc10591.pdf
Critically ill patients are often unable to feed themselves, and frequently present in a fasting state. Failure to feed these patients eventually guarantees starvation and, if enough time lapses, death. However, it is less certain when fasting becomes starvation.
Rationing in the intensive care unit: To disclose or disguise?
Rationing in the intensive care unit: To disclose or disguise? Critical care medicine, Jan 2012, Vol. 40(1), p.261-266.
Young, M.J., et al.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/Rationing_in_the_intensive_care_unit___To_disclose.38.aspx
Growing pressures to ration intensive care unit beds and services pose novel challenges to clinicians. Whereas the question of how to allocate scarce intensive care unit resources has received much attention, the question of whether to disclose these decisions to patients and surrogates has not been explored.
Young, M.J., et al.
http://journals.lww.com/ccmjournal/Abstract/2012/01000/Rationing_in_the_intensive_care_unit___To_disclose.38.aspx
Growing pressures to ration intensive care unit beds and services pose novel challenges to clinicians. Whereas the question of how to allocate scarce intensive care unit resources has received much attention, the question of whether to disclose these decisions to patients and surrogates has not been explored.
Thursday, 15 December 2011
The effect of a simulation-based training intervention on the performance of established critical care unit teams
The effect of a simulation-based training intervention on the performance of established critical care unit teams. Critical care medicine, Dec 2011, Vol. 39(12), p. 2605-2611.
Frengley, R.W., et al.
http://journals.lww.com/ccmjournal/Abstract/2011/12000/The_effect_of_a_simulation_based_training.3.aspx
We evaluated the effectiveness of a simulation-based intervention on improving teamwork in multidisciplinary critical care teams managing airway and cardiac crises and compared simulation-based learning and case-based learning on scores for performance.
Frengley, R.W., et al.
http://journals.lww.com/ccmjournal/Abstract/2011/12000/The_effect_of_a_simulation_based_training.3.aspx
We evaluated the effectiveness of a simulation-based intervention on improving teamwork in multidisciplinary critical care teams managing airway and cardiac crises and compared simulation-based learning and case-based learning on scores for performance.
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