Intensive care medicine
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Intensive care medicine · Feb 2015
Multicenter Study Observational StudyIncidence, characteristics and outcome of ICU-acquired candidemia in India.
A systematic epidemiological study on intensive care unit (ICU)-acquired candidemia across India. ⋯ The study highlighted a high burden of candidemia in Indian ICUs, early onset after ICU admission, higher risk despite less severe physiology score at admission and a vast spectrum of agents causing the disease with predominance of C. tropicalis.
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Intensive care medicine · Feb 2015
Multicenter Study Observational StudyThe Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.
Staff behaviours to optimise patient safety may be influenced by burnout, depression and strength of the safety culture. We evaluated whether burnout, symptoms of depression and safety culture affected the frequency of medical errors and adverse events (selected using Delphi techniques) in ICUs. ⋯ The frequency of selected medical errors in ICUs was high and was increased when staff members had symptoms of depression.
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Intensive care medicine · Feb 2015
Multicenter Study Observational StudyVolume expansion in the first 4 days of shock: a prospective multicentre study in 19 French intensive care units.
To describe the current practices of volume expansion in French intensive care units (ICU). ⋯ High between-centre variability characterised all the aspects of FB prescription and monitoring, but overall haemodynamic exploration to help guide and monitor FB was infrequent.
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Intensive care medicine · Feb 2015
Chloride-liberal vs. chloride-restrictive intravenous fluid administration and acute kidney injury: an extended analysis.
In a previous study, restricting intravenous chloride administration in ICU patients decreased the incidence of acute kidney injury (AKI). To test the robustness of this finding, we extended our observation period to 12 months. ⋯ On extended assessment, the overall impact of restricting chloride-rich fluids on AKI remained. However, sensitivity analysis suggested that other unidentified confounders may have also contributed to fluctuations in the incidence of AKI.