Intensive care medicine
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Intensive care medicine · Apr 2016
ReviewPositive and negative effects of mechanical ventilation on sleep in the ICU: a review with clinical recommendations.
Sleep is an essential physiologic process that helps to restore normal body homeostasis. Sleep disturbances have been shown to be associated with poor clinical outcomes, such as a greater risk of cardiovascular disease and increasing mortality. Critically ill patients, particularly those receiving mechanical ventilation, may be more susceptible to sleep disruption. ⋯ We provide recommendations for clinicians regarding optimal ventilatory settings and discuss fields for future research.
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Intensive care medicine · Apr 2016
Letter Review Meta AnalysisEffect of rapid response systems on hospital mortality: a systematic review and meta-analysis.
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Intensive care medicine · Apr 2016
Multicenter StudyRapid response team and hospital mortality in hospitalized patients.
Although rapid response systems are known to reduce in-hospital cardiac arrest rate, their effect on mortality remains debated. The present study aimed to evaluate the effect of implementing an intensivist-led rapid response team (RRT) on mortality in hospitalized patients. ⋯ In the present retrospective study, implementation of an intensivist-led RRT along with educational modules, publicity and bedside simulation-based training was associated with a significant decrease in unexpected and overall mortality of inpatients.