Intensive care medicine
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Intensive care medicine · Mar 2017
Multicenter StudyLate-onset moderate to severe acute respiratory distress syndrome is associated with shorter survival and higher mortality: a two-stage association study.
To evaluate the association between acute respiratory distress syndrome (ARDS) onset time and prognosis. ⋯ Late-onset moderate to severe ARDS patients had both shorter survival time and higher mortality rate in 28-day and 60-day observations.
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Intensive care medicine · Mar 2017
Practice GuidelineSurviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016.
To provide an update to "Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012". ⋯ Substantial agreement exists among a large cohort of international experts regarding many strong recommendations for the best care of patients with sepsis. Although a significant number of aspects of care have relatively weak support, evidence-based recommendations regarding the acute management of sepsis and septic shock are the foundation of improved outcomes for these critically ill patients with high mortality.
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Intensive care medicine · Mar 2017
Review Practice Guideline Meta Analysis Comparative StudyEarly enteral nutrition in critically ill patients: ESICM clinical practice guidelines.
To provide evidence-based guidelines for early enteral nutrition (EEN) during critical illness. ⋯ We suggest using EEN in the majority of critically ill under certain precautions. In the absence of evidence, we suggest delaying EN in critically ill patients with uncontrolled shock, uncontrolled hypoxaemia and acidosis, uncontrolled upper GI bleeding, gastric aspirate >500 ml/6 h, bowel ischaemia, bowel obstruction, abdominal compartment syndrome, and high-output fistula without distal feeding access.