Heart & lung : the journal of critical care
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Clinical trials exploring optimal sedation management in critically ill pediatric patients are urgently needed to improve both short- and long-term outcomes. Concise operational definitions that define and provide best-available estimates of sedation-related adverse events (AE) in the pediatric population are fundamental to this line of inquiry. ⋯ Concise operational definitions that defined and provided best-available event rates of sedation-related AEs in the pediatric population are presented. Uniform reporting of adverse events will improve subject and patient safety.
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Randomized Controlled Trial
Effects of intensive glycemic control on outcomes of cardiac surgery.
To investigate the effects of postoperative intensive glycemic control on patient outcomes. ⋯ This randomized quasi-experimental trial found lower in-hospital mortality with more intense blood glucose control. Effective postoperative glycemic control did not affect the other studied patient outcomes.
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To describe patients with HF and their family members' (FMs) experiences with, and perceptions of, inpatient PC consultations. ⋯ Lack of awareness of PC and the conflation of PC and hospice were barriers to PC, and many participants felt that PC services are needed to fill the gaps in their care. A collaborative model of care may best meet the complex needs of this group.