Other bulletins in this series include:

Breast Surgery

Wednesday 2 July 2008

Case management starts in ICU , continues through discharge

Case management starts in ICU , continues through discharge
ISSUE: 2008 ; VOL 19 ; PART 6
Journal Title: Case Management Advisor From EBSCO ( CINAHL with Full Text ) - via Athens (01/2007 - /)
Page: 64
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Chromium Infusion Reverses Extreme Insulin Resistance in a Cardiothoracic ICU Patient

Author(s): Michael Via
ISSUE: 2008 ; VOL 23 ; PART 3 (2008-June)
Journal Title: Nutrition in Clinical Practice ( Ncp ) From Proquest NHS (08/1998 - 08/1998)
Page: 325 - 328

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SLEEP AND HEALTH

Author(s): Trupp , R . J .
ISSUE: 2008 ; VOL 23 ; PART 1 (2008/12/01)
Journal Title: Progress in Cardiovascular Nursing From EBSCO ( CINAHL with Full Text ) - via Athens (03/2004 - /)

From Proquest NHS (01/1998 - 10/2003)
Page: 60-62
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Delirium and use of sedation agents in intensive care

Author(s): Bourne
ISSUE: 2008 ; VOL 13 ; PART 4 (July and August 2008)
Journal Title: Nursing in Critical Care From EBSCO ( CINAHL with Full Text ) - via Athens (01/2003 - /Embargo: 12 months)
Page: 195-202 Search the Web: [article] [author(s)]

What matters to staff in the NHS?

This research study, conducted for the Department of Health by Ipsos MORI, identifies the major emotional and behaviour drivers contributing to staff engagement and motivation to provide high quality patient care. The work has informed the Next Stage Review and the development of the draft NHS Constitution.
(DH - publications) [DH - press release]

Sepsis and septic shock: selection of empiric antimicrobial therapy.

Cunha BA.
Related Articles, LinkOut

Sepsis and septic shock: selection of empiric antimicrobial therapy.Crit Care Clin. 2008 Apr;24(2):313-34, ix. Review. PMID: 18361948 [PubMed - indexed for MEDLINE]

Combination of biphasic transmittance waveform with blood procalcitonin levels for diagnosis of sepsis in acutely ill patients.

Zakariah AN, Cozzi SM, Van Nuffelen M, Clausi CM, Pradier O, Vincent JL.
Related Articles, Substance (MeSH Keyword), LinkOut

Combination of biphasic transmittance waveform with blood procalcitonin levels for diagnosis of sepsis in acutely ill patients.Crit Care Med. 2008 May;36(5):1507-12. PMID: 18434897 [PubMed - indexed for MEDLINE]

Effect of insulin therapy on coagulation and fibrinolysis in medical intensive care patients.

Langouche L, Meersseman W, Vander Perre S, Milants I, Wouters PJ, Hermans G, et al
Effect of insulin therapy on coagulation and fibrinolysis in medical intensive care patients.
Crit Care Med. 2008 May;36(5):1475-80. PMID: 18434900 [PubMed - indexed for MEDLINE]

Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients:

Marik PE, Pastores SM, Annane D, Meduri GU, Sprung CL, et al

Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: consensus statements from an international task force by the American College of Critical Care Medicine.Crit Care Med. 2008 Jun;36(6):1937-49. PMID: 18496365 [PubMed - indexed for MEDLINE]

Current practice in nutritional support and its association with mortality in septic patients

Elke G, Schädler D, Engel C, Bogatsch H, Frerichs I, Ragaller M, Scholz J, Brunkhorst FM, Löffler M, Reinhart K, Weiler N; German Competence Network Sepsis (SepNet).
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Current practice in nutritional support and its association with mortality in septic patients--results from a national, prospective, multicenter study.Crit Care Med. 2008 Jun;36(6):1762-7. PMID: 18496367 [PubMed - indexed for MEDLINE]

MRSA articles

Patel M, Weinheimer JD, Waites KB, Baddley JW. Related Articles, LinkOut

Active surveillance to determine the impact of methicillin-resistant Staphylococcus aureus colonization on patients in intensive care units of a Veterans Affairs Medical Center.Infect Control Hosp Epidemiol. 2008 Jun;29(6):503-9. PMID: 18510459 [PubMed - in process]

Batra R, Eziefula AC, Wyncoll D, Edgeworth J. Related Articles, LinkOut

Throat and rectal swabs may have an important role in MRSA screening of critically ill patients.Intensive Care Med. 2008 May 24; [Epub ahead of print] PMID: 18500421 [PubMed - as supplied by publisher]

Management and control strategies for community-associated methicillin-resistant Staphylococcus aureus.


Avdic E, Cosgrove SE.
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Management and control strategies for community-associated methicillin-resistant Staphylococcus aureus.Expert Opin Pharmacother. 2008 Jun;9(9):1463-79. PMID: 18518778 [PubMed - in process]

Comparison of the effect of protocol-directed sedation with propofol vs. midazolam by nurses in intensive care: efficacy, haemodynamic stability and p

Journal of Clinical Nursing, Jun 2008, vol. 17, no. 11, p. 1510-7,
ISSN: 0962-1067.
AU Huey-Ling-L, Chun-Che-S, Jen-Jen-T.

Research in Taiwan comparing the use of propofol versus midazolam administered by nurses in intensive care as a sedative, using a protocol. Participants were randomised to either group and the effects on sedation, haemodynamic stability, pulse oximetry saturation, assessment on the APACHE score, duration of and weaning time from mechanical ventilation, length of stay, costs and patient satisfaction were examined. 27 refs.

Nursing in Critical Care: Volume 13 Issue 4 (July and August 2008)

You will need your Athens details.

Guest Editorials
Critical care nursing: towards 2015 (p 181-183)
Published Online: Jun 28 2008 6:35AMDOI: 10.1111/j.1478-5153.2008.00287.x
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The impact of the impact factor on publication in critical care nursing (p 184-184)
Published Online: Jun 28 2008 6:35AMDOI: 10.1111/j.1478-5153.2008.00288.x
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Research
Experiences of intensive care nurses assessing sedation/agitation in critically ill patients
(p 185-194)
Stephanie Weir, Anna O'NeillPublished Online: Jun 28 2008 6:35AMDOI: 10.1111/j.1478-5153.2008.00282.x
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Article
Delirium and use of sedation agents in intensive care (p 195-202)Richard S. BournePublished Online: Jun 28 2008 6:35AMDOI: 10.1111/j.1478-5153.2008.00278.x
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Practice Developments
Implementing a ventilator care bundle in an adult intensive care unit (p 203-207)Samantha WestwellPublished Online: Jun 28 2008 6:35AMDOI: 10.1111/j.1478-5153.2008.00279.x
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Managing a good death in critical care: can health policy help? (p 208-214)Maureen Coombs, Tracy LongPublished Online: Jun 28 2008 6:35AMDOI: 10.1111/j.1478-5153.2008.00280.x
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Thinking Outside the Box
Commentary: Jackson JC et al. (2007). Post-traumatic stress disorder and post-traumatic stress symptoms following critical illness in medical intensive care unit patients: assessing the magnitude of the problem (p 215-217)Janice RattrayPublished Online: Jun 28 2008 6:35AMDOI: 10.1111/j.1478-5153.2008.00284.x
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Ventilator-associated pneumonia in adults in developing countries: a systematic review.

Int J Infect Dis. 2008 May 23; [Epub ahead of print] LinkOut
Arabi Y, Al-Shirawi N, Memish Z, Anzueto A.
Intensive Care Department, King Abdulaziz Medical City, ICU 1425, PO Box 22490, Riyadh 11426, Saudi Arabia.

BACKGROUND: Ventilator-associated pneumonia (VAP) is a leading cause of death in hospitalized patients, but there has been no systematic analysis of the incidence, microbiology, and outcome of VAP in developing countries or of the interventions most applicable in that setting.
METHODS: We reviewed MEDLINE (January 1966-April 2007) and bibliographies of the retrieved articles for all observational or interventional studies that examined the incidence, microbiology, outcome, and prevention of VAP in ventilated adults in developing countries. We evaluated the rates of VAP using the National Healthcare Safety Network (NHSN) definitions and the impact of VAP on the intensive care unit (ICU) length of stay (LOS) and mortality, and the impact of interventions used to reduce VAP rates.

RESULTS: The rates of VAP varied from 10 to 41.7 per 1000 ventilator-days and were generally higher than NHSN benchmark rates. Gram-negative bacilli were the most common pathogens (41-92%), followed by Gram-positive cocci (6-58%). VAP was associated with a crude mortality that ranged from 16% to 94% and with increased ICU LOS. Only a small number of VAP intervention studies were performed; these found that staff education programs, implementation of hand hygiene, and VAP prevention practice guidelines, and/or implementation of sedation protocol were associated with a significant reduction in VAP rates. Only one interventional study was a randomized controlled trial comparing two technologies, the rest were sequential observational. This study compared a heat and moisture exchanger (HME) to a heated humidifying system (HHS) and found no difference in VAP rates. CONCLUSIONS: Based on the existing literature, the rate of VAP in developing countries is higher than NHSN benchmark rates and is associated with a significant impact on patient outcome. Only a few studies reported successful interventions to reduce VAP. There is a clear need for additional epidemiologic studies to better understand the scope of the problem. Additionally, more work needs to be done on strategies to prevent VAP, probably with emphasis on practical, low-cost, low technology, easily implemented measures.

PMID: 18502674 [PubMed - as supplied by publisher]

The very elderly in intensive care: admission characteristics and mortality.

Crit Care Resusc. 2008 Jun;10(2):110. LinkOut

Ryan D, Conlon N, Phelan D, Marsh B.
Department of Anaesthesia and Intensive Care Medicine, Mater Misericordiae Hospital, Dublin, Ireland. dryan27@hotmail.com.

OBJECTIVE: It is often assumed that critical care outcomes in the elderly are uniformly poorer than those in younger populations. We examined the pattern of admissions to our intensive care unit in Dublin, Ireland, between 2002 and 2005 to determine the admission characteristics and mortality in those aged 80 years and older. METHODS: Data were collected retrospectively from a local audit database and patient charts.

RESULTS: The very elderly represented 5.1% of ICU admissions over the period with an ICU mortality of 15.4%. Age-adjusted APACHE II scores were similar to those in the younger group (median, 7 for both groups). The average length of ICU stay (+/-SD) was similar in the very elderly and younger groups (4.03+/-0.51 v 4.86+/-0.31 days; P=0.52), as were readmission rates (5.7% v 5.2%).

Sleep quality in mechanically ventilated patients: comparison of three ventilatory modes.

Cabello B, Thille AW, Drouot X, Galia F, Mancebo J, d'Ortho MP, Brochard L.
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Crit Care Med. 2008 Jun;36(6):1749-55. PMID: 18496373 [PubMed - indexed for MEDLINE]

Association between critical care physician management and patient mortality in the intensive care unit.

Levy MM, Rapoport J, Lemeshow S, Chalfin DB, Phillips G, Danis M.
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Ann Intern Med. 2008 Jun 3;148(11):801-9. PMID: 18519926 [PubMed - indexed for MEDLINE]

At-risk drinkers are at higher risk to acquire a bacterial infection during an intensive care unit stay than abstinent or moderate drinkers.

Gacouin A, Legay F, Camus C, Volatron AC, Barbarot N, Donnio PY, Thomas R, Le Tulzo Y.
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Crit Care Med. 2008 Jun;36(6):1735-41. PMID: 18520640 [PubMed - indexed for MEDLINE]

Incidence and clinical effects of intra-abdominal hypertension in critically ill patients.

Vidal MG, Ruiz Weisser J, Gonzalez F, Toro MA, Loudet C, Balasini C, Canales H, Reina R, Estenssoro E.
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Crit Care Med. 2008 Jun;36(6):1823-31. PMID: 18520642 [PubMed - indexed for MEDLINE]

Sleep and breathing: the impact of mechanical ventilation on the quality of sleep.

Cao M, Sarinas PS. Related Articles, LinkOut

Crit Care Med. 2008 Jun;36(6):1960-2. No abstract available. PMID: 18520652
[PubMed - indexed for MEDLINE]

Guidelines for management of small bowel obstruction.

J Trauma. 2008 Jun;64(6):1651-64. LinkOut

Diaz JJ Jr, Bokhari F, Mowery NT, Acosta JA, Block EF, Bromberg WJ, Collier BR, Cullinane DC, Dwyer KM, Griffen MM, Mayberry JC, Jerome R.
Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA. jose.diaz@vanderbilt.edu
PMID: 18545135 [PubMed - in process]

Influence of airway management strategy on "no-flow-time" during an "advanced life support course" for intensive care nurses - a single rescuer resusc

BMC Emerg Med. 2008 Apr 10;8:4. Cited Articles, Free in PMC, LinkOut
Influence of airway management strategy on "no-flow-time" during an "advanced life support course" for intensive care nurses - a single rescuer resuscitation manikin study.