Other bulletins in this series include:

Breast Surgery

Tuesday 17 March 2009

Observational study of patient-ventilator asynchrony and relationship to sedation level.

Observational study of patient-ventilator asynchrony and relationship to sedation level.
de Wit M, Pedram S, Best AM, Epstein SK.
J Crit Care. 2009 Mar;24(1):74-80. Epub 2009 Jan 17.PMID: 19272542 [PubMed - in process]Related Articles


Perceived barriers to the use of sedation protocols and daily sedation interruption: a multidisciplinary survey.
Tanios MA, de Wit M, Epstein SK, Devlin JW.
J Crit Care. 2009 Mar;24(1):66-73. Epub 2008 Jun 30.PMID: 19272541 [PubMed - in process]Related Articles

The effect of comorbidities on risk of intensive care readmission during the same hospitalization: a linked data cohort study

The effect of comorbidities on risk of intensive care readmission during the same hospitalization: a linked data cohort study.
Ho KM, Dobb GJ, Lee KY, Finn J, Knuiman M, Webb SA.
J Crit Care. 2009 Mar;24(1):101-7. Epub 2008 Apr 18.PMID: 19272545 [PubMed - in process]Related Articles

Patterns and density of early tracheal colonization in intensive care unit patients.

Patterns and density of early tracheal colonization in intensive care unit patients.
Durairaj L, Mohamad Z, Launspach JL, Ashare A, Choi JY, Rajagopal S, Doern GV, Zabner J.
J Crit Care. 2009 Mar;24(1):114-21.PMID: 19272547 [PubMed - in process]
Related Articles

Impact of bedside open lung biopsies on the management of mechanically ventilated immunocompromised patients with acute respiratory distress syndrome

Impact of bedside open lung biopsies on the management of mechanically ventilated immunocompromised patients with acute respiratory distress syndrome of unknown etiology.
Charbonney E, Robert J, Pache JC, Chevrolet JC, Eggimann P.
J Crit Care. 2009 Mar;24(1):122-8. Epub 2008 Apr 18.PMID: 19272548 [PubMed - in process]
Related Articles

Pubmed: MRSA articles

Decreasing MRSA infections: an end met by unclear means.
Climo MW.JAMA. 2009 Feb 18;301(7):772-3. No abstract available. PMID: 19224756 [PubMed - indexed for MEDLINE]
Related Articles

Methicillin-resistant Staphylococcus aureus central line-associated bloodstream infections in US intensive care units, 1997-2007.
Burton DC, Edwards JR, Horan TC, Jernigan JA, Fridkin SK.JAMA. 2009 Feb 18;301(7):727-36. PMID: 19224749 [PubMed - indexed for MEDLINE]
Related Articles

Routine delirium monitoring in a UK critical care unit

Routine delirium monitoring in a UK critical care unit
Page VJ, Navarange S, Gama S, McAuley DF Critical Care 2009, 13:R16 (9 February 2009)[Abstract] [Full text] [PDF] [PubMed]

The use of personal protective equipment for control of influenza among critical care clinicians: A survey study*

Crit Care Med. 2009 Feb 24. [Epub ahead of print] LinkOut

Daugherty EL, Perl TM, Needham DM, Rubinson L, Bilderback A, Rand CS.

From the Division of Pulmonary/Critical Care Medicine (ELD, DMN, AB, CSR), and Division of Infectious Diseases (TMP), Johns Hopkins University School of Medicine, Baltimore, MD; and Division of Pulmonary/Critical Care Medicine (LR), Department of Medicine, University of Washington, Seattle, WA.

BACKGROUND:: Intensive care units (ICUs) are potential high-risk areas for transmission of viruses causing febrile respiratory illness, such as influenza. Health care-associated influenza is prevented through healthcare worker (HCW) vaccination and effective use of U.S. Centers for Disease Control and Prevention recommended infection control practices, including use of personal protective equipment (PPE). Although effective PPE use may significantly reduce health care-associated influenza transmission, PPE adherence among ICU HCWs for preventing nosocomial influenza infection has not been evaluated. OBJECTIVE:: To characterize ICU HCW behavior, knowledge, and attitudes about recommended precautions for the prevention of health care-associated influenza infections.

DESIGN, SETTING, AND PARTICIPANTS:: A survey of 292 internal medicine housestaff, pulmonary/critical care fellows and faculty, nurses, and respiratory care professionals working in four ICUs in two hospitals in Baltimore, MD.
MEASUREMENTS AND MAIN RESULTS:: Of those surveyed, 84% (n = 244) completed the survey. Only 55% of respondents were able to correctly identify adequate influenza PPE, and 61% reported high adherence (>80%) with PPE use for prevention of nosocomial influenza. In multivariable modeling, odds of high adherence varied by clinician type. Respondents who believed adherence was inconvenient had lower odds of high adherence (odds ratio 0.43, 95% confidence interval 0.22-0.82), and those reporting likelihood of being reprimanded for nonadherence were more likely to adhere (odds ratio 2.16, 95% confidence interval 1.13-4.11).

CONCLUSIONS:: ICU HCWs report suboptimal levels of influenza PPE adherence. This finding in a high-risk setting is particularly concerning, given that it likely overestimates actual behavior. Both suboptimal adherence levels and significant PPE knowledge gaps indicate that ICU HCWs may be at a substantial risk of developing and/or transmitting nosocomial respiratory viral infection. Improving respiratory virus infection control will likely require closing knowledge gaps and changing organizational factors that influence behavior.PMID: 19242326 [PubMed - as supplied by publisher]

The electronic medical record as a tool for infection surveillance: Successful automation of device-days.

Am J Infect Control. 2009 Mar 6. [Epub ahead of print] LinkOut

The electronic medical record as a tool for infection surveillance: Successful automation of device-days.
Wright MO, Fisher A, John M, Reynolds K, Peterson LR, Robicsek A.
Department of Infection Control, NorthShore University HealthSystem, Evanston, IL.

BACKGROUND: Manual collection of central venous catheter, ventilator, and indwelling urinary catheter device-days is time-consuming, often restricted to intensive care units (ICU) and prone to error.

METHODS: We describe the use of an electronic medical record to extract existing clinical documentation of invasive devices. This allowed automated device-days calculations for device-associated infection surveillance in an acute care setting.

RESULTS: The automated system had high sensitivity, specificity, and positive and negative predictive values (>0.90) compared with chart review. The system is not restricted to ICUs and reduces surveillance efforts by a conservative estimate of over 3.5 work-weeks per year in our setting. Eighty percent of urinary catheter days and 50% of central venous catheter-days occurred outside the ICU.

CONCLUSION: Device-days may be automatically extracted from an existing electronic medical record with a higher degree of accuracy than manual collection while saving valuable personnel resources.PMID: 19269712 [PubMed - as supplied by publisher]

Nosocomial infection surveillance and control: current situation in Spanish hospitals.

1: J Hosp Infect. 2009 Mar 7. [Epub ahead of print] LinkOut

Sánchez-Payá J, Bischofberger C, Lizan M, Lozano J, Platón EM, Navarro J, Paz J, Vicente JA.

We studied healthcare-associated infection (HCAI) surveillance and control programmes in Spanish hospitals in 2006 and the human resources and materials used. A questionnaire on the structure, organisation and resources for HCAI surveillance and control was sent to all hospitals registered in the 2005 National Catalogue of Hospitals. A total of 237 hospitals (29.8%) responded, representing 55.9% of the beds included in the catalogue. Some 92% of hospitals had a surveillance and control programme, although 29.9% had had it for less than five years. Only 17.4% of hospitals had one infection control nurse per 250 beds, and only 36.2% had one infection control doctor per 500 beds. Surveillance is the main activity of those responsible for surveillance and control, and the most widely used systems are reviews of microbiology laboratory test results and studies of outbreaks, prevalence surveys, the incidence of certain procedures and of infection in critical care areas. Collaboration in multicentre studies is variable. EPINE, the prevalence survey of nosocomial infections in Spain, is performed annually in 80.5% of centres; ENVIN-UCI, a study of the incidence of infection in critically ill patients, is carried out in 24.8%, and the European study of the incidence of surgical infection, HELICS, in 22.7%. Priority should be given to improving specialised human resources and establishing common surveillance and control systems.
PMID: 19272670 [PubMed - as supplied by publisher]
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Conceptual issues specifically related to health-related quality of life in critically ill patients

Commentary
Conceptual issues specifically related to health-related quality of life in critically ill patients
Hofhuis JG, van Stel HF, Schrijvers AJ, Rommes JH, Bakker J, Spronk PE
Critical Care 2009, 13:118 (19 February 2009)
[Abstract] [Full text] [PDF] [PubMed]

Patients with cancer on the ICU: the times they are changing

Commentary
Patients with cancer on the ICU: the times they are changing
de Jonge E, Bos MM
Critical Care 2009, 13:122 (2 March 2009)
[Abstract] [Full text] [PDF]

Ethics review: End of life legislation – the French model

Critical Care Feb-March 2009

Review
Ethics review: End of life legislation – the French model
Baumann A, Audibert G, Claudot F, Puybasset L Critical Care 2009, 13:204 (23 February 2009)[Abstract] [Full text] [PDF]

Clinical review: Ventilatory strategies for obstetric, brain-injured and obese patients

Critical Care Feb-March 2009

Review
Clinical review: Ventilatory strategies for obstetric, brain-injured and obese patients Lapinsky SE, Posadas-Calleja J, McCullagh I Critical Care 2008, 13:206 (4 March 2009)[Abstract] [Full text] [PDF]

Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units

Critical Care, published between 05-Feb-2009 and 13-Mar-2009

Review
Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units
Xie H, Kang J, Mills GH Critical Care 2009, 13:208 (9 March 2009) [PDF]

Smaller self-inflating bags produce greater guideline consistent ventilation in simulated cardiopulmonary resuscitation

BMC Emergency Medicine, published between 30-Jan-2009 and 13-Mar-2009

Research article
Smaller self-inflating bags produce greater guideline consistent ventilation in simulated cardiopulmonary resuscitation
Nehme Z, Boyle MJ BMC Emergency Medicine 2009, 9:4
(20 February 2009)
[Abstract] [Provisional PDF] [PubMed]

Clinical review: Medication errors in critical care.

Critical Care
VOL 12; NUMBER 2; 2008
ISSN 1364-8535

p. 208
Clinical review: Medication errors in critical care.
Moyen, E.; Camiré, E.; Stelfox, H. T.

Critical Care Clinics

Plagues in the ICU: A Brief History of Community-Acquired Epidemic and Endemic Transmissible Infections Leading to Intensive Care Admission
R. Bruce Light
pages 67-81

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Sepsis and Septic Shock: A History
Duane J. Funk, Joseph E. Parrillo, Anand Kumar
pages 83-101

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History of Technology in the Intensive Care Unit
Nitin Puri, Vinod Puri, R.P. Dellinger
pages 185-200
http://www.criticalcare.theclinics.com/article/S0749-0704%2808%2900079-1/abstract


Historical Perspectives in Critical Care Medicine: Blood Transfusion, Intravenous Fluids, Inotropes/Vasopressors, and Antibiotics
Ryan Zarychanski, Robert E. Ariano, Bojan Paunovic, Dean D. Bell
pages 201-220
http://www.criticalcare.theclinics.com/article/S0749-0704%2808%2900073-0/abstract

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A History of Ethics and Law in the Intensive Care Unit
John M. Luce, Douglas B. White
pages 221-237
http://www.criticalcare.theclinics.com/article/S0749-0704%2808%2900074-2/abstract

The Shortage of Nurses and Nursing Faculty: What Critical Care Nurses Can Do.

CRITICAL CARE NURSE
VOL 29; NUMB 1; SUPP; 2009
ISSN 0279-5442

The Shortage of Nurses and Nursing Faculty: What Critical Care Nurses Can Do.

Clinical review: Critical care transport and austere critical care.

Critical Care
VOL 12; NUMBER 2; 2008
ISSN 1364-8535
p. 207
Clinical review: Critical care transport and austere critical care.
Rice, D. H.; Kotti, G.; Beninati, W.

Continuous monitoring of interface pressure distribution in intensive care patients for pressure ulcer prevention

Journal of Advanced Nursing April 2009

Kozue Sakai; Hiromi Sanada; Noriko Matsui; Gojiro Nakagami; Junko Sugama;
Continuous monitoring of interface pressure distribution in intensive care patients for pressure ulcer prevention

Delirium in the Intensive Care Unit: Medications as Risk Factors.

Critical Care Nurse

pp. 85-87
Delirium in the Intensive Care Unit: Medications as Risk Factors.

Incompetence Among Critical Care Nurses: A Survey Report.

Critical Care Nurse

pp. 12-17
Incompetence Among Critical Care Nurses: A Survey Report.

Further Validation of the Nonverbal Pain Scale in Intensive Care Patients.

CRITICAL CARE NURSE
VOL 29; NUMB 1; 2009
ISSN 0279-5442

pp. 59-66
Further Validation of the Nonverbal Pain Scale in Intensive Care Patients.
Kabes, A.M.; Graves, J.K.; Norris, J.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245651026&field=zid

Current Opinion in Critical Care: Ventilator articles

pp. 30-35
Ventilator-associated pneumonia.
Valencia, A.M.; Torres, M.A.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245565640&field=zid

pp. 36-43
Weaning from ventilatory support.
Epstein, S.K.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245565653&field=zid

pp. 44-51
Mechanical ventilation: epidemiological insights into current practices.
Goligher, E.; Ferguson, N.D.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245565666&field=zid

Sleep and critical care

CURRENT OPINION IN CRITICAL CARE
VOL 15; NUMB 1
Respiratory system; 2009

pp. 25-29
Sleep and critical care.
Bijwadia, J.S.; Ejaz, M.S.

Pleural effusion in the mechanically ventilated patient.

CURRENT OPINION IN CRITICAL CARE
VOL 15; NUMB 1 Respiratory system; 2009
ISSN 1070-5295

pp. 10-17
Pleural effusion in the mechanically ventilated patient.
Graf, J.

pp. 25-29
Sleep and critical care.
Bijwadia, J.S.; Ejaz, M.S.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245565638&field=zid

Incidence of pressure ulcers in intensive care unit patients at risk ..

JOURNAL OF CLINICAL NURSING
VOL 18; NUMBER 5; 2009
ISSN 0962-1067

Incidence of pressure ulcers in intensive care unit patients at risk according to the Waterlow scale and factors influencing the development of pressure ulcers.
Sayar, S.; Turgut, S.; Dogan, H.; Ekici, A.; Yurtsever, S.; Demirkan, F.; Doruk, N.; Tasdelen, B.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245463647&field=zid

Mortality in healthy elderly patients after ICU admission.

Intensive Care Medicine

pp. 550-555
Mortality in healthy elderly patients after ICU admission.
Sacanella, E.; Pérez-Castejón, J. M.; Nicolás, J. M.; Masanés, F.; Navarro, M.; Castro, P.; López-Soto, A.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245470810&field=zid

Mortality in ICU patients with bacterial community-acquired pneumonia: when antibiotics are not enough.

Intensive Care medicine

pp. 430-438
Mortality in ICU patients with bacterial community-acquired pneumonia: when antibiotics are not enough.
Rodriguez, A.; Lisboa, T.; Blot, S.; Martin-Loeches, I.; Solé-Violan, J.; Mendoza, D.; Rello, J.; Community-Acquired, P. I.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245470731&field=zid

Diabetes mellitus is an independent risk factor for ICU-acquired bloodstream infections.

Intensive Care Medicine

pp. 448-454
Diabetes mellitus is an independent risk factor for ICU-acquired bloodstream infections.
Michalia, M.; Kompoti, M.; Koutsikou, A.; Paridou, A.; Giannopoulou, P.; Trikka-Graphakos, E.; Clouva-Molyvdas, P.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245470573&field=zid

Lithium dilution cardiac output measurement in the critically ill patient: determination of precision of the technique.

INTENSIVE CARE MEDICINE
VOL 35; NUMBER 3; 2009
ISSN 0342-4642

pp. 498-504
Lithium dilution cardiac output measurement in the critically ill patient: determination of precision of the technique.
Cecconi, M.; Dawson, D.; Grounds, R. M.; Rhodes, A.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN245470563&field=zid