Journal of critical care
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Journal of critical care · Dec 2024
Role of diaphragmatic dysfunction in extubation failure among patients at high risk of reintubation: A prospective cohort study.
This study aims to evaluate the role of diaphragmatic dysfunction in extubation failure among patients at high risk of reintubation. ⋯ Diaphragm dysfunction could contribute to an elevated extubation failure rate.
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Journal of critical care · Dec 2024
Surrogates may not accurately estimate resilience and spirituality in neurologically critically ill patients.
Surrogates often provide substituted judgement for neurologically critically ill patients. Resilience and spirituality are understudied constructs in this patient population. In this study we examine how accurately surrogates estimate measures of resilience and spirituality for neurologically critically ill patients. ⋯ Surrogate evaluations lack systematic bias, but may not estimate resilience and spirituality reliably for neurologically critically ill patients.
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Journal of critical care · Dec 2024
Weekly flipped classroom modules in intensive care medical training: Feasibility and acceptance.
Teaching intensive care medicine competencies poses challenges due to trainees' heterogenous backgrounds, shift schedules, and short rotations. To address these challenges, weekly flipped classroom modules (FCMs) were introduced, combining online preparation, control questions, and an on-site course co-facilitated by a trainee and an intensivist. This study aimed to evaluate the feasibility and acceptance of these FCMs. ⋯ Weekly FCMs are both feasibly and well-accepted and may enhance learning motivation in intensive care training. Further multicentre and qualitative studies are recommended to validate their impact.
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Journal of critical care · Dec 2024
Contemporary assessment of short- and functional 90-days outcome in old intensive care patients suffering from COVID-19.
There are limited data about the outcome of old intensive care (ICU) patients suffering from Covid-19 in the post-vaccination era. This study distinguishes the pre- and post-acute illness living conditions of ICU survivors from non-survivors. ⋯ Living conditions influence the outcome of critically ill old patients suffering from Covid-19. Only a minority returned to their initial habitat after ICU survival. Trial registration numberNCT04321265.