Journal of critical care
-
Journal of critical care · Dec 2024
Effect of pulmonary artery catheter, type & combination of vasoactives for optimizing lactate clearance in acute myocardial infarction complicated by cardiogenic shock.
Lactate clearance(LC) is critical in managing critically ill patients. We hypothesized that treatment allocation with different vasoactive drugs or the presence of a pulmonary artery catheter (PAC) could affect the behavior of lactate dynamics and, ultimately, the mortality in AMI-CS. ⋯ The right combination of vasoactive medications and the probable use of a PAC could significantly impact the achievement of complete LC in <96 h. The findings support the need for further research and the development of strategies to optimize lactate clearance and improve overall patient survival in this high-risk population.
-
Journal of critical care · Dec 2024
Role of diaphragmatic dysfunction in extubation failure among patients at high risk of reintubation: A prospective cohort study.
This study aims to evaluate the role of diaphragmatic dysfunction in extubation failure among patients at high risk of reintubation. ⋯ Diaphragm dysfunction could contribute to an elevated extubation failure rate.
-
Journal of critical care · Dec 2024
Surrogates may not accurately estimate resilience and spirituality in neurologically critically ill patients.
Surrogates often provide substituted judgement for neurologically critically ill patients. Resilience and spirituality are understudied constructs in this patient population. In this study we examine how accurately surrogates estimate measures of resilience and spirituality for neurologically critically ill patients. ⋯ Surrogate evaluations lack systematic bias, but may not estimate resilience and spirituality reliably for neurologically critically ill patients.
-
Journal of critical care · Dec 2024
Weekly flipped classroom modules in intensive care medical training: Feasibility and acceptance.
Teaching intensive care medicine competencies poses challenges due to trainees' heterogenous backgrounds, shift schedules, and short rotations. To address these challenges, weekly flipped classroom modules (FCMs) were introduced, combining online preparation, control questions, and an on-site course co-facilitated by a trainee and an intensivist. This study aimed to evaluate the feasibility and acceptance of these FCMs. ⋯ Weekly FCMs are both feasibly and well-accepted and may enhance learning motivation in intensive care training. Further multicentre and qualitative studies are recommended to validate their impact.