Intensive care medicine
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Intensive care medicine · Jun 2014
Use of tracheostomy in the PICU among patients requiring prolonged mechanical ventilation.
The purpose of the present study is to describe the use of tracheostomy, specifically frequency, timing (in relation to initiation of mechanical ventilation), and associated factors, in a large cohort of children admitted to North American pediatric intensive care units (PICUs) and requiring prolonged mechanical ventilation. ⋯ There is significant variation in both the frequency and time to tracheostomy between the studied PICUs for patients requiring prolonged mechanical ventilation; among those who received a tracheostomy, the majority did so after two or more weeks of mechanical ventilation. Future studies examining tracheostomy benefits, disadvantages, outcomes, and resource utilization of this patient subgroup are indicated.
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Intensive care medicine · Jun 2014
Characteristics and prognosis of sudden cardiac death in Greater Paris : Population-based approach from the Paris Sudden Death Expertise Center (Paris-SDEC).
Sudden cardiac death (SCD) is a major public health concern, but data regarding epidemiology of this disease in Western European countries are outdated. This study reports the first results from a large registry of SCD. ⋯ Despite being conducted in the therapeutic hypothermia and early coronary angiogram era, hospital discharge survival rate of resuscitated SCD remains poor. The current registry suggests ways to improve pre-hospital and in-hospital care of these patients.
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Intensive care medicine · Jun 2014
Erratum to: Clinical practice guideline on diagnosis and treatment of hyponatraemia.
Sudden cardiac death (SCD) is a major public health concern, but data regarding epidemiology of this disease in Western European countries are outdated.This study reports the first results from a large registry of SCD. ⋯ Despite being conducted in the therapeutic hypothermia and early coronary angiogram era,hospital discharge survival rate of resuscitated SCD remains poor. The current registry suggests ways to improve pre-hospital and in-hospital care of these patients.