Intensive care medicine
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Intensive care medicine · Jun 2013
Aerosol therapy during mechanical ventilation: an international survey.
To describe the practice, knowledge and beliefs about aerosol therapy during mechanical ventilation in an international sample of physicians working in intensive care units (ICU). ⋯ Aerosol therapy during mechanical ventilation is used by over 95 % of intensivists, mostly for bronchodilator and steroid administration, but also frequently for antibiotics. The current scientific knowledge about optimal implementation seemed infrequently applied, suggesting the need for educational programs and research focusing on a better bench-to-bedside transfer of knowledge.
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Intensive care medicine · Jun 2013
Multicenter StudyNumber of supervised studies required to reach competence in advanced critical care transesophageal echocardiography.
To determine the minimum number of supervised transesophageal echocardiography (TEE) that intensivists should perform to reach competence in performing and interpreting a comprehensive hemodynamic assessment in ventilated intensive care unit patients. ⋯ The performance of at least 31 supervised examinations over 6 months is required to reach competence in TEE driven hemodynamic evaluation of ventilated patient.
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Intensive care medicine · Jun 2013
Family satisfaction in the intensive care unit: a quantitative and qualitative analysis.
To assess family satisfaction in the intensive care unit (ICU) and areas for improvement using quantitative and qualitative analyses. ⋯ Families report high satisfaction with intensive care. Nevertheless, there is room for improvement, in particular regarding how ICU staff communicate with families and provide emotional support.
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Intensive care medicine · Jun 2013
Multicenter StudyPredicting non-invasive ventilation failure in children from the SpO₂/FiO₂ (SF) ratio.
Our objective was to assess whether SpO₂/FiO₂ (SF) ratio could be a useful NIV outcome predictor in children with acute respiratory failure (ARF) and tried to develop a predictive model of NIV failure. ⋯ SF ratio is a reliable predictor of early NIV failure in children.
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Intensive care medicine · Jun 2013
Multicenter StudyEffect of different seated positions on lung volume and oxygenation in acute respiratory distress syndrome.
Lung volume available for ventilation is markedly decreased during acute respiratory distress syndrome. Body positioning may contribute to increase lung volume and partial verticalization is simple to perform. This study evaluated whether verticalization had parallel effects on oxygenation and end expiratory lung volume (EELV). ⋯ Verticalization is easily achieved and improves oxygenation in approximately 32 % of the patients together with an increase in EELV. Nonetheless, effect of verticalization on EELV/PBW is not predictable by PaO₂/FiO₂ increase, its monitoring may be helpful for strain optimization.