Journal of critical care
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Journal of critical care · Dec 2020
Timeline of sepsis bundle component completion and its association with septic shock outcomes.
To assess the impact of the timeline of sepsis bundle completion with clinical outcomes in septic shock. ⋯ We showed an association between the completion of SSC bundle components within three hours with lower mortality or earlier shock reversal. This relationship was not evident when compared to bundle completion in 1 h vs. within 3 h.
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Journal of critical care · Dec 2020
A national survey of critical care services in hospitals accredited for training in a lower-middle income country: Pakistan.
To describe the extent and variation of critical care services in Pakistan. ⋯ Pakistan, a lower middle-income country, has an established network of critical care facilities with access to basic equipment, but inequalities in its distribution. Investment in critical care training for doctors and nurses is needed.
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Journal of critical care · Dec 2020
Quantitative-analysis of computed tomography in COVID-19 and non COVID-19 ARDS patients: A case-control study.
The aim of this study was to assess whether the computed tomography (CT) features of COVID-19 (COVID+) ARDS differ from those of non-COVID-19 (COVID-) ARDS patients. ⋯ 22 patients were included, of whom 13 presented with COVID-19 ARDS. Lung weight was significantly higher in COVID- patients, but all COVID+ patients presented supranormal lung weight values. Noninflated lung tissue was significantly higher in COVID- patients (36 ± 14% vs. 26 ± 15% of total lung weight at end-expiration, p < 0.01). Tidal recruitment was significantly higher in COVID- patients (20 ± 12 vs. 9 ± 11% of VT, p < 0.05). Lung density histograms of 5 COVID+ patients with high elastance (type H) were similar to those of COVID- patients, while those of the 8 COVID+ patients with normal elastance (type L) displayed higher aerated lung fraction.
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Journal of critical care · Dec 2020
Observational StudyValidity of a clinical scale in predicting the failure of non-invasive ventilation in hypoxemic patients.
The HACOR scale is a clinical score that can predict early failure of NIV in hypoxemic acute respiratory failure (ARF) The aim of this study is to analyze the validity of the HACOR scale. ⋯ The HACOR scale measured at 1 h after NIV initiation accurately predicts NIV failure, especially in pneumonia and ARDS.
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Journal of critical care · Dec 2020
Diarrhea and elevation of plasma markers of cholestasis are common and often occur concomitantly in critically ill patients.
We aimed to describe epidemiology of diarrhea and cholestasis in critically ill patients and explore associations between these two conditions. ⋯ Cholestasis is more common in patients with diarrhea and vice versa. Diarrhea and cholestasis both occur in approximately one quarter of ICU patients, with significant proportion manifesting beyond the first week in the ICU.