Journal of critical care
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Journal of critical care · Jun 2018
Dead space analysis at different levels of positive end-expiratory pressure in acute respiratory distress syndrome patients.
To analyze the effects of positive end-expiratory pressure (PEEP) on Bohr's dead space (VDBohr/VT) in patients with acute respiratory distress syndrome (ARDS). ⋯ Increases in PEEP result in higher VDBohr/VT only when associated with an increase in driving pressure.
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Journal of critical care · Jun 2018
Sustained increase in angiopoietin-2, heparin-binding protein, and procalcitonin is associated with severe sepsis.
The identification of infection at its early stage in vulnerable patients is challenging. This study aimed to investigate potential biomarkers to distinguish patients progressing to severe sepsis from those with uncomplicated sepsis. ⋯ These findings indicated that sustained elevation of Ang-2, HBP, and PCT were associated with severe infection in critically ill patients.
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Journal of critical care · Jun 2018
Postprandial hypotension in older survivors of critical illness.
In older people postprandial hypotension occurs frequently; and is an independent risk factor for falls, cardiovascular events, stroke and death. The primary aim of this pilot study was to estimate the frequency of postprandial hypotension and evaluate the mechanisms underlying this condition in older survivors of an Intensive Care Unit (ICU). ⋯ In this cohort of older survivors of ICU postprandial hypotension occurred frequently . This suggests that postprandial hypotension is an unrecognised issue in older ICU survivors.
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Journal of critical care · Jun 2018
Observational StudySuccessful weaning from continuous renal replacement therapy. Associated risk factors.
To identify risk factors of successful continuous renal replacement therapy (CRRT) weaning and to evaluate the effect of furosemide in the recovery of urine output after CRRT stop. ⋯ Urine output after CRRT stop was the main risk factor of successful CRRT weaning. Administration of furosemide increased the strength of this association.
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Journal of critical care · Jun 2018
ReviewAddressing spirituality during critical illness: A review of current literature.
The purpose of this review is to provide an overview of research on spirituality and religiosity in the intensive care setting that has been published since the 2004-2005 American College of Critical Care Medicine (ACCM) Clinical Practice Guidelines for the Support of Family in the Patient-Centered Intensive Care Unit with an emphasis on its application beyond palliative and end-of-life care. ⋯ Spiritual care has an essential role in the treatment of critically ill patients and families. Current literature offers few insights to support clinicians in navigating this often-challenging aspect of patient care and more research is needed.