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.
Thursday, 12 January 2012
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.
The factors which influence nurses when weaning patients from mechanical ventilation
The factors which influence nurses when weaning patients from mechanical ventilation: A qualitative study. Intensive & critical care nursing, Oct. 2011, Vol. 27(5), p. 244-252.
Lavelle, C. and Dowling, M.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000711/abstract?rss=yes
The aim of the study was to describe the factors that influence critical care nurses when deciding to wean patients from mechanical ventilation. The study adopted a qualitative methodology, using semi-structured interviews and a vignette.
Lavelle, C. and Dowling, M.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000711/abstract?rss=yes
The aim of the study was to describe the factors that influence critical care nurses when deciding to wean patients from mechanical ventilation. The study adopted a qualitative methodology, using semi-structured interviews and a vignette.
Acute post-traumatic stress in survivors of critical illness who were mechanically ventilated
Acute post-traumatic stress in survivors of critcal illness who were mechanically ventilated: A mixed methods study. Intensive & critical care nursing, Dec. 2011, Vol. 27(6), p. 338-346.
Talisayon, R., et al.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000942/abstract?rss=yes
This study investigated the severity of post-traumatic stress (PTS) symptoms, the relationships between PTS symptoms and clinical and demographic characteristics and the subjective experiences of patients who were critically ill and mechanically ventilated in intensive care.
Talisayon, R., et al.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000942/abstract?rss=yes
This study investigated the severity of post-traumatic stress (PTS) symptoms, the relationships between PTS symptoms and clinical and demographic characteristics and the subjective experiences of patients who were critically ill and mechanically ventilated in intensive care.
Surviving a critical illness through mutually being there with each other
Surviving a critical illness through mutually being there with each other: A grounded theory study. Intensive & critical care nursing, Dec 2011, Vol. 27(6), p. 317-330.
Chiang, V.C.L.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000930/abstract?rss=yes
The objectives of this study were to conduct a theoretical analysis of the critically ill patients’ perceptions of the impact of informal support and care from their main family carer (MFC) during the time of their stay in the hospital (ICU) and thereafter (and vice versa).
Chiang, V.C.L.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000930/abstract?rss=yes
The objectives of this study were to conduct a theoretical analysis of the critically ill patients’ perceptions of the impact of informal support and care from their main family carer (MFC) during the time of their stay in the hospital (ICU) and thereafter (and vice versa).
Natural history of dental plaque accumulation in mechanically ventilated adults: A descriptive correlational study
National history of dental plaque accumulation in mechanically ventilated adults: A descriptive correlational study. Intensive & critical care nursing, Dec 2011, Vol. 27(6), p. 299-304.
Jones, D.J., et al.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000802/abstract?rss=yes
The purpose of this study was to describe the pattern of dental plaque accumulation in mechanically ventilated adults. Accumulation of dental plaque and bacterial colonisation of the oropharynx is associated with a number of systemic diseases including ventilator associated pneumonia.
Jones, D.J., et al.
http://www.intensivecriticalcarenursing.com/article/PIIS0964339711000802/abstract?rss=yes
The purpose of this study was to describe the pattern of dental plaque accumulation in mechanically ventilated adults. Accumulation of dental plaque and bacterial colonisation of the oropharynx is associated with a number of systemic diseases including ventilator associated pneumonia.
Vitamin D deficiency as associated with mortality in the medical intensive care unit
Vitamin D deficiency as associated with mortality in the medical intensive care unit. Critical Care, 2011, 15:R292.
Venkatram, S., et al.
http://ccforum.com/content/15/6/R292/abstract
The incidence of vitamin D deficiency in critically ill patients has been reported to range from as low as 17% to 79%. Data regarding the relationship between 25-hydroxyvitamin D levels and outcomes in the medical intensive care unit are sparse. The goal of the study was to evaluate the prevalence of 25-hydroxyvitamin D deficiency in the medical intensive care unit and its relationship with outcomes.
Venkatram, S., et al.
http://ccforum.com/content/15/6/R292/abstract
The incidence of vitamin D deficiency in critically ill patients has been reported to range from as low as 17% to 79%. Data regarding the relationship between 25-hydroxyvitamin D levels and outcomes in the medical intensive care unit are sparse. The goal of the study was to evaluate the prevalence of 25-hydroxyvitamin D deficiency in the medical intensive care unit and its relationship with outcomes.
Long-term psychological effects of a no sedation protocol in critically ill patients
Long-term psychological effects of a no sedation protocol in critically ill patients. Critical Care, 2011, R:293.
Stroem, T., et al.
http://ccforum.com/content/15/6/R293/abstract
A protocol of no sedation has been shown to reduce the time patients receive mechanical ventilation and reduce intensive care and total hospital length of stay. The long term psychological effects of this strategy have not yet been described. The purpose of the study was to test whether a strategy of no sedation alters long-term psychological outcome compared with a standard strategy with sedation.
Stroem, T., et al.
http://ccforum.com/content/15/6/R293/abstract
A protocol of no sedation has been shown to reduce the time patients receive mechanical ventilation and reduce intensive care and total hospital length of stay. The long term psychological effects of this strategy have not yet been described. The purpose of the study was to test whether a strategy of no sedation alters long-term psychological outcome compared with a standard strategy with sedation.
Decisional responsibility for mechanical ventilation and weaning: an international survey
Decisional responsibility for mechanical ventilation and weaning: An international survey. Critical care 2011, 15:R295.
Rose, L., et al.
http://ccforum.com/content/15/6/R295/abstract
Optimal management of mechanical ventilation and weaning requires dynamic and collaborative decision making to minimize complications and avoid delays in the transition to extubation. In the absence of collaboration, ventilation decision making may be fragmented, inconsistent, and delayed Our objective was to describe the professional group with responsibility for key ventilation and weaning decisions and examine organizational characteristics associated with nurse involvement.
Rose, L., et al.
http://ccforum.com/content/15/6/R295/abstract
Optimal management of mechanical ventilation and weaning requires dynamic and collaborative decision making to minimize complications and avoid delays in the transition to extubation. In the absence of collaboration, ventilation decision making may be fragmented, inconsistent, and delayed Our objective was to describe the professional group with responsibility for key ventilation and weaning decisions and examine organizational characteristics associated with nurse involvement.
Monday, 31 October 2011
Gender-related outcome difference is related to course of sepsis on mixed ICUs
Gender-related outcome difference is related to course of sepsis on mixed ICUs: a prospective, observational clinical study. Critical Care 2011, 15:R151
Nachtigall, I. et al.
Impact of gender on severe infections is in highly controversial discussion with natural survival advantage of females described in animal studies but contradictory to those described human data. This study aims to describe the impact of gender on outcome in mixed intensive care units (ICUs) with a special focus on sepsis.
Nachtigall, I. et al.
Impact of gender on severe infections is in highly controversial discussion with natural survival advantage of females described in animal studies but contradictory to those described human data. This study aims to describe the impact of gender on outcome in mixed intensive care units (ICUs) with a special focus on sepsis.
Impact of quetiapine on resolution of individual delirium symptoms in critically ill patients with delirium
Impact of quetiapine on resolution of individual delirium symptoms in critically ill patients with delirium: a post-hoc analysis of a double-blind, randomized, placebo-controlled study. Critical Care 2011, 15:R215
Devlin, JW., et al.
http://ccforum.com/content/15/5/R215
The outcome of patients with delirium has been linked to the particular delirium symptoms identified with ICDSC evaluation. However, no ICU delirium prevention or treatment strategy published to date reports the impact of interventions on time to resolution of individual delirium symptoms. We hypothesized that the pattern of delirium symptom resolution would differ between patients receiving quetiapine vs. placebo. In this post-hoc analysis, we compared the delirium symptoms evaluated by the ICDSC within our previous randomized study in terms of the time to first resolution and the duration of each delirium symptom.
Devlin, JW., et al.
http://ccforum.com/content/15/5/R215
The outcome of patients with delirium has been linked to the particular delirium symptoms identified with ICDSC evaluation. However, no ICU delirium prevention or treatment strategy published to date reports the impact of interventions on time to resolution of individual delirium symptoms. We hypothesized that the pattern of delirium symptom resolution would differ between patients receiving quetiapine vs. placebo. In this post-hoc analysis, we compared the delirium symptoms evaluated by the ICDSC within our previous randomized study in terms of the time to first resolution and the duration of each delirium symptom.
Outcome effectiveness of the severe sepsis resuscitation bundle with addition of lactate clearance as a bundle item
Outcome effectiveness of the severe sepsis resuscitation bundle with addition of lactate clearance as a bundle item: a multi-national evaluation. Critical Care 2011, 15:R229.
Nguyen, HB., et al.
Implementation of the Surviving Sepsis Campaign (SSC) guidelines has been associated with improved outcome in patients with severe sepsis. Resolution of lactate elevations or lactate clearance has also been shown to be associated with outcome. The purpose of this study was to examine the compliance and effectiveness of the SSC resuscitation bundle with the addition of lactate clearance.
Nguyen, HB., et al.
Implementation of the Surviving Sepsis Campaign (SSC) guidelines has been associated with improved outcome in patients with severe sepsis. Resolution of lactate elevations or lactate clearance has also been shown to be associated with outcome. The purpose of this study was to examine the compliance and effectiveness of the SSC resuscitation bundle with the addition of lactate clearance.
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