Journal of critical care
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Journal of critical care · Dec 2017
Prognostic value of left ventricular-arterial coupling in elderly patients with septic shock.
To investigate the predictive value of left ventricular-arterial coupling (VAC) for clinical prognosis of elderly patients with septic shock. ⋯ Left VAC has prognostic value in elderly patients with septic shock.
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Journal of critical care · Dec 2017
Comparative StudyDifference in inspiratory flow between volume and pressure control ventilation in patients with flow dyssynchrony.
Flow dyssynchrony is common during volume control ventilation but minimized during pressure control. Characterizing inspiratory flow during pressure control breaths can inform adjustments of the fixed flow of volume control to address flow dyssynchrony. This study compared inspiratory flow peak and pattern between volume control and adaptive pressure control breaths. ⋯ In patients with flow dyssynchrony during volume control ventilation, adjustment of inspiratory flow pattern should be considered to minimize this dyssynchrony.
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Journal of critical care · Dec 2017
Observational StudyQuick sequential organ failure assessment compared to systemic inflammatory response syndrome for predicting sepsis in emergency department.
It is unclear whether quick sequential (sepsis-related) organ failure assessment (qSOFA) also has prognostic value for organ failure in patients with a suspected infection. The aim of this study was to determine whether qSOFA has prognostic value when compared to systemic inflammatory response syndrome (SIRS) in predicting organ failure in patients with a suspected infection in an emergency department (ED). ⋯ qSOFA has a superior ability compared to SIRS in predicting the occurrence of organ failure in patients with a suspected infection. However, given the low sensitivity of qSOFA, further confirmatory tests for organ failure are needed.
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Journal of critical care · Dec 2017
Glycemic control in patients undergoing coronary artery bypass graft surgery: Clinical features, predictors, and outcomes.
Critically ill patients with hyperglycemia have worse prognosis. The degree to which glycemic control is achieved following CABG surgery and the association with clinical outcomes is not well understood. ⋯ Achieving glycemic control following high risk CABG was associated with lower operative mortality and morbidity, yet achieved in only 15% of patients. Hospitals varied considerably in their ability to achieve good glycemic control.