Critical Care Bulletin: 01/02/2009

Tuesday, 3 February 2009

Understanding ventilator waveforms—and how to use them in patient care

Nursing Critical Care Jan 09

Understanding ventilator waveforms—and how to use them in patient care
Jin Xiong Lian, RN

The clinical effectiveness of central venous catheters treated with anti-infective agents in preventing catheter-related bloodstream infections

Critical Care Medicine Feb 2009

Section: Review Articles
Pages: 702-712
The clinical effectiveness of central venous catheters treated with anti-infective agents in preventing catheter-related bloodstream infections: A systematic review

Authors: Juliet C. Hockenhull, MSc; Kerry M. Dwan, MSc; Godfrey W. Smith, MD;
Carrol L. Gamble, PhD; Angela Boland, PhD; Tom J. Walley, MD; Rumona C.
Dickson, MHSc

Physical therapy utilization in intensive care units:

Critical Care Medicine Feb 2009

Section: Clinical Investigations
Pages: 561-568
Physical therapy utilization in intensive care units: Results from a national survey
Authors: Katherine E. Hodgin, MD; Amy Nordon-Craft, MA; Kim K. McFann, PhD;
Meredith L. Mealer, RN; Marc Moss, MD

The vasopressin and copeptin response to infection, severe sepsis, and septic shock

Critical Care Medicine Feb 09

Section: Clinical Investigations
Pages: 476-482
The vasopressin and copeptin response to infection, severe sepsis, and septic shock

Authors: Stefan Jochberger, MD; Jakob Dörler, MD; Günter Luckner, MD; Viktoria
D. Mayr, MD; Volker Wenzel, MD; Hanno Ulmer, PhD; Nils G. Morgenthaler,
MD; Walter R. Hasibeder, MD; Martin W. Dünser, MD

PIRO score for community-acquired pneumonia:

Critical Care Medicine

Section: Clinical Investigations
Pages: 456-462
PIRO score for community-acquired pneumonia: A new prediction rule for
assessment of severity in intensive care unit patients with
community-acquired pneumonia
Authors: Jordi Rello, MD, PhD; Alejandro Rodriguez, MD, PhD; Thiago Lisboa, MD;
Miguel Gallego, MD; Manel Lujan, MD; Richard Wunderink, MD, PhD

Tight glycemic control may favor fibrinolysis in patients with sepsis

Section: Feature Articles
Pages: 424-431

Title: Tight glycemic control may favor fibrinolysis in patients with sepsis
Authors: Monica Savioli, MD; Massimo Cugno, MD; Federico Polli, MD; Paolo
Taccone, MD; Giacomo Bellani, MD; Paolo Spanu, MD; Antonio Pesenti, MD;
Gaetano Iapichino, MD; Luciano Gattinoni, MD, FRCP

Alkaline phosphatase treatment improves renal function in severe sepsis

Critical Care Medicine

Section: Feature Articles: Pages: 417-423

Alkaline phosphatase treatment improves renal function in severe sepsis
or septic shock patients
Authors: on behalf of the APSEP Study Group

Influence of vasopressor agent in septic shock mortality

Critical Care Medicine - February 2009

Section: Feature Articles
Pages: 410-416
Title: Influence of vasopressor agent in septic shock mortality. Results from
the Portuguese Community-Acquired Sepsis Study (SACiUCI study)
Authors: on behalf of the Portuguese Community-Acquired Sepsis Study Group

Monday, 2 February 2009

Sleep and critical care.

Curr Opin Crit Care. 2009 Feb;15(1):25-9.
Related Articles, Links

Sleep and critical care.

Bijwadia JS, Ejaz MS.
Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota, Minneapolis, Minnesota, USA.

PURPOSE OF REVIEW: Sleep distortion has been studied as an independent risk factor for morbidity and mortality; however, this role in the ICU patients is unclear. These patients suffer from psychological and physiological stressors and significant disturbance in sleep. We conducted a systematic review of all recent data over the last decade to elaborate the extent and implications of sleep disruption in the ICU.

RECENT FINDINGS: Despite adequate data proving that ICU patients have poor quality of sleep over the last three decades, the implications of the sleep distortion in this patient population remains misunderstood. Recently, the Whitehall cohort trial has raised interest in sleep and mortality and substantial data have surfaced regarding prevalence of sleep disturbance in the ICU.

SUMMARY: This article discusses the available data on sleep disruption in patients in the ICU and implications with discussion of effects of ventilators and commonly used medications in the ICU. We will conclude with interventions to improve sleep in the intensive care setting.PMID: 19179868 [PubMed - in process]

Examining the association between chest tube-related factors and the risk of developing healthcare-associated infections in the ICU of a community hos

Intensive and Critical Care Nursing

pp. 38-44
Examining the association between chest tube-related factors and the risk of developing healthcare-associated infections in the ICU of a community hospital: A retrospective case-control study.
Oldfield, M. M.; El-Masri, M. M.; Fox-Wasylyshyn, S. M.

Non-invasive positive pressure ventilation for patients with acute exacerbations of asthma.

pp. 59-60
Non-invasive positive pressure ventilation for patients with acute exacerbations of asthma.
Sutton, L.

Competency in the new language of medical education.

pp. 3-7
Competency in the new language of medical education.
Kilroy, D.A.

EFFICACY OF PROCALCITONIN IN THE EARLY DIAGNOSIS OF BACTERIAL INFECTIONS IN A CRITICAL CARE UNIT.

EFFICACY OF PROCALCITONIN IN THE EARLY DIAGNOSIS OF BACTERIAL INFECTIONS IN A CRITICAL CARE UNIT.

Nakamura A, Wada H, Ikejiri M, Hatada T, Sakurai H, Matsushima Y, Nishioka J, Maruyama K, Isaji S, Takeda T, Nobori T.Shock. 2008 Dec 22. [Epub ahead of print]
PMID: 19106812 [PubMed - as supplied by publisher]
Related Articles

Considerations in Caring for the Critically Ill Older Patient.

Considerations in Caring for the Critically Ill Older Patient.
Pisani MA.J Intensive Care Med. 2008 Dec 28.
[Epub ahead of print]PMID: 19114416 [PubMed - as supplied by publisher]
Related Articles

Sepsis articles

Venous thromboembolism in critically ill patients. Observations from a randomized trial in sepsis.
Shorr AF, Williams MD.Thromb Haemost. 2009 Jan;101(1):139-44.
PMID: 19132200 [PubMed - in process]Related Articles

Management of sepsis in the ICU.
Trejnowska E, Popovich MJ.Int Anesthesiol Clin. 2009 Winter;47(1):55-66. No abstract available. PMID: 19131752 [PubMed - in process]
Related Articles

Managing severe sepsis: a national survey of current practices.
Durthaler JM, Ernst FR, Johnston JA.Am J Health Syst Pharm. 2009 Jan 1;66(1):45-53.PMID: 19106344 [PubMed - in process]
Related Articles

Hyperthermia during anaesthesia and intensive care unit stay.

Hyperthermia during anaesthesia and intensive care unit stay.
Lenhardt R, Grady M, Kurz A.Best Pract Res Clin Anaesthesiol. 2008 Dec;22(4):669-94.PMID: 19137810 [PubMed - in process]Related Articles

Intra-abdominal hypertension: incidence and association with organ dysfunction during early septic shock.

Intra-abdominal hypertension: incidence and association with organ dysfunction during early septic shock.
Regueira T, Bruhn A, Hasbun P, Aguirre M, Romero C, Llanos O, Castro R, Bugedo G, Hernandez G.J Crit Care. 2008 Dec;23(4):461-7. Epub 2008 Apr 18.
PMID: 19056007 [PubMed - in process]
Related Articles

The impact of adverse events in the intensive care unit on hospital mortality and length of stay

Research article
The impact of adverse events in the intensive care unit on hospital mortality and length of stay

Forster AJ, Kyeremanteng K, Hooper J, Shojania KG, van Walraven CBMC Health Services Research 2008, 8:259 (17 December 2008)
[Abstract] [Full text] [PDF] [PubMed] [Related articles]

Empowering family members in end-of-life care decision making in the intensive care unit.

Empowering family members in end-of-life care decision making in the intensive care unit.
Browning AM.Dimens Crit Care Nurs. 2009 Jan-Feb;28(1):18-23.
PMID: 19104247
[PubMed - in process]
Related Articles

A comfortable place to say goodbye.
Millner P, Paskiewicz ST, Kautz D.
Dimens Crit Care Nurs. 2009 Jan-Feb;28(1):13-7.PMID: 19104246
[PubMed - in process]
Related Articles

Close relatives' experiences of caring and of the physical environment when a loved one dies in an ICU.

Close relatives' experiences of caring and of the physical environment when a loved one dies in an ICU.
Fridh I, Forsberg A, Bergbom I.Intensive Crit Care Nurs. 2008 Dec 26. [Epub ahead of print]PMID: 19112022 [PubMed - as supplied by publisher]Related Articles

Nurses' perceptions of leadership in an adult intensive care unit:

Nurses' perceptions of leadership in an adult intensive care unit: A phenomenology study.
Linton J, Farrell MJ.Intensive Crit Care Nurs. 2009 Jan 6. [Epub ahead of print]PMID: 19131249 [PubMed - as supplied by publisher]Related Articles

Gram-negative sepsis in the intensive care unit: avoiding therapeutic failure.

Curr Opin Infect Dis. 2008 Dec;21(6):604-9.
Related Articles,
Links
Gram-negative sepsis in the intensive care unit: avoiding therapeutic failure.
Chapman S Jr, Iredell JR.
Centre for Infectious Diseases and Microbiology, Sydney West Area Health Service, Australia University of Sydney, New South Wales, Australia.

PURPOSE OF REVIEW: The purpose of this review is to examine some of the latest concepts in the management of sepsis and septic shock in the Intensive Care environment, with a focus on Gram-negative infections.

RECENT FINDINGS: Recent developments in adjunctive therapies for sepsis and septic shock are discussed including protocol-driven therapies, the importance of timely appropriate antimicrobials and the growing threat and implications of rising Gram-negative antimicrobial resistance.

SUMMARY: The balance between the most effective and the most responsible prescribing is difficult to strike, but recognition of the impact of antibiotic failure makes it even more important to consider how we husband the microflora of the ICU. New therapeutic options are somewhat limited but goal-directed protocol-driven approaches linked with sound knowledge of the microflora and our impact upon it as an ecosystem is essential.

Intensive Care Medicine articles

Intensive Care Medicine

Building consensus on ICU-acquired weakness.
Herridge, M. S.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN243539170&field=zid

55-62
Management of invasive candidiasis and candidemia in adult non-neutropenic intensive care unit patients:
Part I. Epidemiology and diagnosis.Guery, B. t.; Arendrup, M. C.; Auzinger, G.; Azoulay, l.; Borges Sá, M. r.; Johnson, E. M.; Müller, E.; Putensen, C.; Rotstein, C.; Sganga, G.http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN243539183&field=zidpp.

108-114
Response to hypercapnic challenge is associated with successful weaning from prolonged mechanical ventilation due to brain stem lesions.

Wu, Y. K.; Lee, C. H.; Shia, B. C.; Tsai, Y. H.; Tsao, T. C.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN243539247&field=zid

Previous endotracheal aspirate allows guiding the initial treatment of ventilator-associated pneumonia

Intensive Care Medicine

pp. 101-107
Previous endotracheal aspirate allows guiding the initial treatment of ventilator-associated pneumonia
Jung, B.; Sebbane, M.; Chanques, G.; Courouble, P.; Verzilli, D.; Perrigault, P. F.; Jean-Pierre, H.; Eledjam, J. J.; Jaber, S.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN243539080&field=zid

Year in review in Intensive Care Medicine, 2008

INTENSIVE CARE MEDICINE
VOL 35; NUMBER 1; 2009
ISSN 0342-4642

pp. 30-44
Year in review in Intensive Care Medicine, 2008: I. Brain injury and neurology, renal failure and endocrinology, metabolism and nutrition, sepsis, infections and pneumonia.
Antonelli, M.; Azoulay, E.; Bonten, M.; Chastre, J.; Citerio, G.; Conti, G.; Backer, D.; Lemaire, F. o.; Gerlach, H.; Groeneveld, J.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN243538993&field=zid

Critical Care Bulletin