Tuesday, 9 December 2008

Early intravenous unfractionated heparin and mortality in septic shock

Zarychanski , R . ; Doucette , S . ; Fergusson , D . ; Roberts , D . ; Houston , D . S . ; Sharma , S . ; Gulati , H . ; Kumar , A .
Ovid ( Journals @ Ovid ) via Athens Full Text (01/1995 - /)
Page: 2973-2979 Vol/Issue: 2008 ; VOL 36 ; PART 11
ISSN Print: 0090-3493 E-ISSN: 1530-0293 Print Holdings: Yes
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Treatment - related risk factors for hospital mortality in Candida bloodstream infections

Labelle , A . J . ; Micek , S . T . ; Roubinian , N . ; Kollef , M . H .
Ovid ( Journals @ Ovid ) via Athens Full Text (01/1995 - /)
Page: 2967-2972 Vol/Issue: 2008 ; VOL 36 ; PART 11
ISSN Print: 0090-3493 E-ISSN: 1530-0293 Print Holdings: Yes
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Unstable Angina and NSTEMI : Are You Up to Date ?

Cunningham , M . C . ; Reilly , J . P . ; Lavie , C . J . ; Sundell , E . T .
Proquest NHS (10/1998 - 02/2003)
Page: 20-26 Vol/Issue: 2008 ; VOL 40 ; PART 10
ISSN Print: 0013-6654
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Coronary heart disease (CHD) is the leading cause of death in the United States, and unstable angina (UA) and non-ST-segment-elevation myocardial infarction (NSTEMI) are often acute manifestations of this disease. Each year, UA and NSTEMI affect more than 1.2 million people in this country, causing significant morbidity and mortality.

In 2007, the American College of Cardiology (ACC) and American Heart Association (AHA) released updated guidelines for the management of patients with UA and NSTEMI, revised from previous guidelines due to a growing body of evidence from clinical trials. The new guidelines were developed by experts from the ACC and the AHA, in collaboration with the American College of Emergency Physicians. The writing committee performed a literature review and made recommendations based on the strength of existing evidence. The committee created classifications (classes I, IIa, IIb, and III) and levels of evidence for each recommendation in order to estimate both the size and certainty of an effect for each recommendation.

Rabina Tindale on the RCN dignity campaign

EBSCO ( CINAHL with Full Text ) - via Athens (02/2002 - /)
Proquest NHS (03/1999 - 07/2006)
Page: 39-39 Vol/Issue: 2008 ; VOL 16 ; PART 7
ISSN Print: 1354-5752
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Improving end - of - life care in emergency departments : Renee Clarke describes how care for dying patients can be improved

EBSCO ( CINAHL with Full Text ) - via Athens (02/2002 - /)
Proquest NHS (03/1999 - 07/2006)
Page: 34-38 Vol/Issue: 2008 ; VOL 16 ; PART 7
ISSN Print: 1354-5752
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The severity of sepsis : yet another factor influencing glycemic control

James S Krinsley
BioMed Central PDF Abstract
Free Medical Journals . com (/1997 - / Embargo: 2 years)
UK PubMed Central (/1997 - /2008)
Page: 194 Vol/Issue: 2008 ; VOL 12 Date: 2008-07-16
ISSN Print: 1364-8535 E-ISSN: 1466-609X
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End - expiratory lung volume during mechanical ventilation : a comparison to reference values and the effect of PEEP in ICU patients with different lu

Ido G Bikker ; Jasper van Bommel ; Dinis dos Reis Miranda ; Jan Bakker and Diederik Gommers
BioMed Central PDF Abstract
Free Medical Journals . com (/1997 - / Embargo: 2 years)
UK PubMed Central (/1997 - /2008)
Page: R145 Vol/Issue: 2008 ; VOL 12 Date: 2008-07-16
ISSN Print: 1364-8535 E-ISSN: 1466-609X
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Antibiotic treatment of bacterial infections of the respiratory tract.

ANAESTHESIA AND INTENSIVE CARE MEDICINE
VOL 9; NUMBER 11; 2008
pp. 506-510

Small, R.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN240033986&field=zid

Bench-to-bedside review: Leadership and conflict management in the intensive care unit.

Critical Care
VOL 11; NUMBER 6; 2007
ISSN 1364-8535
p. 234
Strack van Schijndel, R. J.; Burchardi, H.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=PM018086322&field=zid

Management of Communication and Swallowing in Intensive Care: The Role of the Speech Pathologist.

AACN
pp. 433-443
Baumgartner, C.A.; Bewyer, E.; Bruner, D.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN239723561&field=zid

Sedation Management in the Mechanically Ventilated Critically Ill Patient.

AACN
pp. 421-432
Fuchs, E.M.; Von Rueden, K.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN239723559&field=zid

Pressure Modes of Mechanical Ventilation: The Good, the Bad, and the Ugly.

AACN
pp. 399-411
Burns, S.M.
http://zetoc.mimas.ac.uk/wzgw?db=etoc&terms=RN239723534&field=zid

Tuesday, 25 November 2008

Critical Care Nursing Clinics of America

A Patient- and Family-Centered Care Model Paves the Way for a Culture of Quality and Safety
Patricia Reid Ponte, Kenneth Peterson
pages 451-464
http://www.ccnursing.theclinics.com/article/S0899-5885%2808%2900062-2/abstract
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Nurturing Innovation in the Critical Care Environment: Transforming Care at the Bedside
Lisa Donahue, Sandra Rader, Pamela Klauer Triolo
pages 465-469
http://www.ccnursing.theclinics.com/article/S0899-5885%2808%2900054-3/abstract

Application of the Nursing Worklife Model to the ICU Setting
Milisa Manojlovich, Heather K.S. Laschinger
pages 481-487
http://www.ccnursing.theclinics.com/article/S0899-5885%2808%2900059-2/abstract

Bundled Redesign: Transformational Reorganization of Acute Care Delivery
Gladys M. Campbell, Taya Briley
pages 489-498
http://www.ccnursing.theclinics.com/article/S0899-5885%2808%2900052-X/abstract

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

Curr Opin Infect Dis. 2008 Dec;21(6):604-9.
Related Articles,
Links

Chapman S Jr, Iredell JR.
Centre for Infectious Diseases and Microbiology, Sydney West Area Health Service, Australia bUniversity 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.PMID: 18978528 [PubMed - in process]

Institute for Healthcare Improvement

Website watch at http://www.ihi.org/IHI/Topics/CriticalCare/

Includes: What is a "bundle"?

A "bundle" is a group of interventions related to a disease process that, when executed together, result in better outcomes than when implemented individually.
Examples of bundles include:
Ventilator Bundle
Central Line Bundle
Severe Sepsis Bundles
Learn More

See sections on Intensive Care, Critical Care, Sepsis, Last phase of life and also

How-to Guide: Improving Hand Hygiene
The purpose of this How-to Guide is to help organizations reduce health-care-associated infections, including infections due to antibiotic-resistant organisms, by improving hand hygiene practices and use of gloves among health care workers.