Journal of critical care
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Journal of critical care · Feb 2021
Randomized Controlled TrialEsophageal balloon calibration during Sigh: A physiologic, randomized, cross-over study.
Optimal esophageal balloon filling volume (Vbest) depends on the intrathoracic pressure. During Sigh breath delivered by the ventilator machine, esophageal balloon is surrounded by elevated intrathoracic pressure that might require higher filling volume for accurate measure of tidal changes in esophageal pressure (Pes). The primary aim of our investigation was to evaluate and compare Vbest during volume controlled and pressure support breaths vs. Sigh breath. ⋯ During Sigh breath, applying a calibrated approach for Pes assessment, a higher Vbest was required compared to VCV and PSV tidal breath.
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Journal of critical care · Dec 2020
Randomized Controlled TrialThe effect of small versus large clog size on emergency response time: A randomized controlled trial.
To assess the effect on healthcare professional emergency response time and safety of small compared to large clog size. ⋯ European size 38 clogs lead to faster emergency response times than size 47 clogs.
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Journal of critical care · Oct 2020
Randomized Controlled TrialEffect of in-bed cycling on acute muscle wasting in critically ill adults: A randomised clinical trial.
To examine whether in-bed cycling assists critically ill adults to reduce acute muscle wasting, improve function and improve quality of life following a period of critical illness. ⋯ In-bed cycling did not reduce muscle wasting in critically ill adults, but this study provides useful effect estimates for large-scale clinical trials.
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Journal of critical care · Oct 2020
Randomized Controlled Trial Observational StudyDeterminants of Total/ionized Calcium in patients undergoing citrate CVVH: A retrospective observational study.
To identify potential determinants of the Total/ionized Ca ratio (T/iCa), a marker of citrate accumulation. ⋯ Besides citrate dose, a high pH and high phosphate, albumin and APACHE are also associated with a rising T/iCa.
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Journal of critical care · Aug 2020
Review Randomized Controlled Trial Multicenter StudyAssociation between delirium prediction scores and days spent with delirium.
To determine the correlation and discriminative value of the E-PRE-DELIRIC and PRE-DELIRIC scores with delirium exposure to evaluate the prognostic value of both models. ⋯ The E-PRE-DELIRIC and PRE-DELIRIC model each poorly correlate and discriminate with days spent with delirium in the 28 days after ICU admission.