Journal of critical care
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Journal of critical care · Aug 2013
Prediction of fluid responsiveness in patients admitted to the medical intensive care unit.
Accurate prediction of fluid responsiveness is of importance in the treatment of patients admitted to the intensive care unit (ICU). We investigated whether physical examination, central venous pressure (CVP), central venous oxygen saturation (ScvO2), passive leg raising (PLR) test, and transpulmonary thermodilution (TPTD)-derived parameters can predict volume responsiveness in patients admitted to the ICU. ⋯ Prediction of fluid responsiveness is difficult using physical examination, CVP, ScvO2, PLR maneuver, or TPTD-derived variables in critically ill patients. A volume challenge test should be considered for the assessment of fluid responsiveness in critically ill patients admitted to the ICU.
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Journal of critical care · Aug 2013
Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients.
Medication errors (MEs) are a major factor limiting the effectiveness and safety of pharmacological therapies in critically ill patients. The purpose was to determine if a preventive interventions program (PIP) is associated with a significant reduction on prevalence of patients with MEs in intensive care unit (ICU). ⋯ The implementation of PIP by a multidisciplinary team resulted in a significant reduction on the prevalence of patients with ME at an adult ICU.
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Journal of critical care · Aug 2013
A 5-year observational study of lung-protective ventilation in the operating room: a single-center experience.
We assessed the evolution of lung-protective ventilation strategies during anesthesia and identified factors associated with the selection of a nonprotective ventilation strategy. ⋯ Although use of nonprotective ventilation decreased over time, an important percentage of patients continue to receive nonprotective ventilation.
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Journal of critical care · Aug 2013
Relationships between mortality, morbidity, and physical function in adults who survived a period of prolonged mechanical ventilation.
This study aimed to report mortality, morbidity, and the relationship between these outcomes with physical function in patients who survived prolonged mechanical ventilation during an intensive care unit (ICU) admission. ⋯ For survivors of prolonged mechanical ventilation, physical function during acute care was associated with hospitalization over the following 12 months.
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Journal of critical care · Aug 2013
Assessing the quality of interdisciplinary rounds in the intensive care unit.
Interdisciplinary rounds (IDRs) in the intensive care unit (ICU) are increasingly recommended to support quality improvement, but uncertainty exists about assessing the quality of IDRs. We developed, tested, and applied an instrument to assess the quality of IDRs in ICUs. ⋯ The quality of IDRs in the ICU can be reliably assessed for patient plan of care and process with the IDR Assessment Scale.