Journal of critical care
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Journal of critical care · Apr 2013
Reasons underlying interhospital transfers to an academic medical intensive care unit.
Interhospital critical care transfers are common, yet few studies address the underlying reasons for transfers. We examined clinician and patient/surrogate perceptions about interhospital transfers and assessed their agreement on these transfers. ⋯ Stakeholders do not always agree on the reasons for critical care transfers. Efforts to improve communication are warranted to ensure informed patient choices.
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Journal of critical care · Apr 2013
Effectiveness of sepsis bundle application in cirrhotic patients with septic shock: a single-center experience.
To evaluate the effect of adherence to evidence-based guidelines of the Surviving Sepsis Campaign (SSC) on the outcome of cirrhotic patients with septic shock admitted to the intensive care unit. ⋯ In our observational study, the adherence to the interventions recommended by the SSC evidence-based guidelines did not provide an improvement in the survival rate of cirrhotic patients with septic shock.
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Journal of critical care · Apr 2013
Configuration of the circle of Willis is associated with less symptomatic intracerebral hemorrhage in ischemic stroke patients treated with intravenous thrombolysis.
The circle of Willis (CoW) is a primary collateral pathway that compensates quickly for a drop in cerebral blood flow. Using the complete CoW as a surrogate marker for good collateral circulation, its prognostic value after intravenous thrombolysis was examined. ⋯ Complete CoW independently predicted functional independence and survival.
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Journal of critical care · Apr 2013
Comparative StudyImproved aneurysmal subarachnoid hemorrhage outcomes: a comparison of 2 decades at an academic center.
Management of aneurysmal subarachnoid hemorrhage (aSAH) has evolved over the past 2 decades, including refinement of neurosurgical techniques, availability of endovascular options, and evolution of neurocritical care; their impact on SAH outcomes is unclear. ⋯ Our institutional experience over 2 decades confirms that patients with aSAH have shown significant outcome improvements over time.
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Journal of critical care · Apr 2013
Effects of intravenous low-dose recombinant human atrial natriuretic peptide on renal function in the perioperative management for gastrointestinal perforation or ileus: a retrospective single-center study.
We studied the effectiveness of human atrial natriuretic peptide (hANP) on management of acute kidney injury. ⋯ Intravenous low dose of hANP was useful as acute kidney injury management in gastrointestinal perforation and ileus patients undergoing non-elective surgery.