Journal of critical care
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Journal of critical care · Oct 2015
Factors associated with interhospital transfer of children with respiratory failure from level II to level I pediatric intensive care units.
Of all sources of admission to level I pediatric intensive care units (PICUs), interhospital transfer admissions from level II PICUs carry the highest mortality and resource use burden. We sought to investigate factors associated with transfer of children with respiratory failure from level II to level I PICUs. ⋯ The study identified patient-level and process-of-care factors associated with transfer from level II to level I PICUs. These findings highlight the influence of escalated care on transfer decision making for critically ill children in respiratory failure.
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Journal of critical care · Oct 2015
Multicenter StudyPostintubation hypotension in intensive care unit patients: A multicenter cohort study.
To determine the incidence of postintubation hypotension (PIH) and associated outcomes in critically ill patients requiring endotracheal intubation. ⋯ The development of PIH is common in ICU patients requiring emergency airway control and is associated with poor patient outcomes.
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Journal of critical care · Oct 2015
Multicenter Study Observational StudySepsis may not be a risk factor for mortality in patients with acute kidney injury treated with continuous renal replacement therapy.
We aimed to study the clinical characteristics, courses, and outcomes of critically ill patients with septic acute kidney injury (AKI) treated with continuous renal replacement therapy (CRRT) in comparison with nonseptic AKI treated with CRRT. ⋯ Sepsis may not be a risk factor for mortality in patients with AKI whose condition has become severe enough to require CRRT.
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Journal of critical care · Oct 2015
Risk factors and outcomes associated with new-onset atrial fibrillation during acute respiratory distress syndrome.
Outcomes and risk factors associated with new-onset atrial fibrillation (AF) during acute respiratory distress syndrome (ARDS) are unclear. We investigated mortality and risk factors associated with new-onset AF during ARDS. ⋯ New-onset AF during ARDS is associated with increased mortality; however, its mechanisms require further study.
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Journal of critical care · Oct 2015
Prospective analysis of cardiac collapsibility of inferior vena cava using ultrasonography.
The inferior vena cava (IVC) diameter and its respiratory change (respiratory variation) reportedly correlate well with the central venous pressure and response to fluid. However, changes in the IVC diameter are related to the cardiac rhythm (cardiac variation), which can be useful as an indicator for intravascular volume but can affect respiratory variation. We conducted a prospective analysis of this cardiac variation in adult emergency department patients. ⋯ The IVC cardiac variation affects our interpretation of ultrasonography IVC imaging. The IVC cardiac variation provides several advantages over other parameters of intravascular volume. Therefore, it can be a novel tool to assess the intravascular volume of the patients.