Journal of critical care
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Journal of critical care · Apr 2024
Prevalence of frailty and association with patient centered outcomes: A prospective registry-embedded cohort study from India.
We aimed to study the prevalence of frailty, evaluate risk factors, and understand impact on outcomes in India. ⋯ CTRI/2021/02/031503.
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Journal of critical care · Apr 2024
Multicenter StudyCannabis use disorders and outcome of admission to intensive care: A retrospective multi-centre cohort study.
To identify factors associated with cannabinoid use among patients admitted to ICU and its impact on survival. ⋯ Cannabinoid-use disorders were present in 0.8% of ICU admissions in our region and were associated with increased ICU length of stay. Further studies are needed to examine cannabinoids as contributors to and modifiers of critical illness.
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Journal of critical care · Apr 2024
Assessing the impact of a multidimensional approach and an 8-component bundle in reducing incidences of ventilator-associated pneumonia across 35 countries in Latin America, Asia, the Middle East, and Eastern Europe.
Ventilator associated pneumonia (VAP) occurring in the intensive care unit (ICU) are common, costly, and potentially lethal. ⋯ This intervention resulted in a significant VAP rate reduction by 66% that was maintained throughout the 39-month period.
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Journal of critical care · Apr 2024
Dose equivalence for metaraminol and noradrenaline - A retrospective analysis.
Noradrenaline and metaraminol are commonly used vasopressors in critically ill patients. However, little is known of their dose equivalence. ⋯ The median dose equivalence for metaraminol and noradrenaline in this study was 12.5:1. However, there was significant variance in dose equivalence, only half the proportion of variation in noradrenaline infusion dose was predicted by metaraminol dose, and conversion-associated hypotension was common.
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Journal of critical care · Apr 2024
Effects of structured protocolized physical therapy on the duration of mechanical ventilation in patients with prolonged weaning.
20% of patients with mechanical ventilation (MV) have a prolonged, complex weaning process, often experiencing a condition of ICU-acquired weakness (ICUAW), with a severe decrease in muscle function and restricted long-term prognosis. We aimed to analyze a protocolized, systematic approach of physiotherapy in prolonged weaning patients and hypothesized that the duration of weaning from MV would be shortened. ⋯ Protocolized, systematic physiotherapy resulted in an improvement of the clinical outcome in patients with prolonged weaning. Results were objectifiable with the SOMS and the handgrip test.