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 StudyDamage control resuscitation using blood component therapy in standard doses has a limited effect on coagulopathy during trauma hemorrhage.
To determine the effectiveness of blood component therapy in the correction of trauma-induced coagulopathy during hemorrhage. ⋯ Damage control resuscitation with standard doses of blood components did not consistently correct trauma-induced coagulopathy during hemorrhage. There is an important opportunity to improve TIC management during damage control resuscitation.
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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
Multicenter StudyPrognosis of neutropenic patients admitted to the intensive care unit.
The prognosis of critically ill cancer patients has improved recently. Controversies remain as regard to the specific prognosis impact of neutropenia in critically ill cancer patients. The primary objective of this study was to assess hospital outcome of critically ill neutropenic cancer patients admitted into the ICU. The secondary objective was to assess risk factors for unfavorable outcome in this population of patients and specific impact of neutropenia. ⋯ Hospital survival was closely associated with younger age and neutropenic enterocolitis. Conversely, need for conventional MV, for renal replacement therapy, and allogeneic hematopoietic stem cell transplantation (HSCT) were associated with poor outcome.