Journal of critical care
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Journal of critical care · Feb 2021
Automatic oxygen administration and weaning in patients following mechanical ventilation.
To evaluate efficacy of FreeO2 device in oxygen weaning of patients after being liberated from mechanical ventilation (MV). ⋯ For the purpose of oxygen weaning in patients recovering from MV, automatic O2 titration with FreeO2 was associated with a substantial reduction in O2 delivery and better oxygenation parameters in comparison with constant O2 flow.
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Journal of critical care · Feb 2021
Observational StudyMicrocirculation alterations in severe COVID-19 pneumonia.
To assess the presence of sublingual microcirculatory and skin perfusion alterations in COVID-19 pneumonia. ⋯ COVID-19 patients showed an altered tissue perfusion. Sublingual microcirculation was characterized by decreases in the proportion of perfused vessel and flow velocity along with high vascular densities. This last finding might be related to enhanced angiogenesis or hypoxia-induced capillary recruitment.
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Journal of critical care · Feb 2021
Simulation-based uptraining improves provider comfort in the management of critically ill patients with COVID-19.
The COVID-19 surge required the deployment of large numbers of non-intensive care providers to assist in the management of the critically ill. Institutions took a variety of approaches to "uptraining" such providers though studies describing methods and effectiveness are lacking. ⋯ Simulation-based training improved provider comfort in the management of critically ill patients with COVID-19.
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Journal of critical care · Feb 2021
Early alterations in heart rate are associated with poor outcome in patients with intracerebral hemorrhage.
Cardiac complications are common after spontaneous intracerebral hemorrhage (ICH). In this study we intended to investigate factors associated with higher alterations in heart rate and their impact on outcome. ⋯ The study suggests that a higher variation in heart rate in the early phase after ICH may discriminate patients with poor outcome.
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Journal of critical care · Feb 2021
Case ReportsThe clinical spectrum of pulmonary thromboembolism in patients with coronavirus disease-2019 (COVID-19) pneumonia: A European case series.
To describe the clinical characteristics and outcomes of coronavirus disease-2019 (COVID-19)-associated pulmonary thromboembolism (PTE). ⋯ PTE is a potential life-threatening complication, which occurs frequently in patients with COVID-19. Intermediate therapeutic dose of anticoagulants and extend thromboprophylaxis are necessary after meticulous risk-benefit assessment.