Critical care medicine
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Critical care medicine · Nov 1995
GuidelineGuidelines for resident physician training in critical care medicine. Guidelines/Practice Parameters Committee, American College of Critical Care Medicine of the Society of Critical Care Medicine.
To define a curriculum that outlines the core knowledge residents should possess upon completion of graduate training in order to be able to formulate and initiate a treatment plan for the critically ill patient. ⋯ A curriculum was developed that defines the core cognitive and procedural skills and special certifications residents should possess upon completion of residency training in order to be able to formulate and initiate a treatment plan for the critically ill patient. Special skills uniquely required for pediatric and adult patient populations are delineated.
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Critical care medicine · Nov 1995
Comparative StudyPrediction of mortality in neonates with congenital diaphragmatic hernia treated with extracorporeal membrane oxygenation.
To determine if data collected by the Extracorporeal Life Support Organization Registry could be used to identify neonates with congenital diaphragmatic hernia who had a > 90% mortality rate, despite the use of extracorporeal membrane oxygenation (ECMO) support. ⋯ Although a number of factors identify neonates with diaphragmatic hernia as being at higher risk of dying despite ECMO support, data currently collected by the neonatal Extracorporeal Life Support Organization Registry do not allow clinicians to effectively discriminate nonsurvivors from survivors.
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Critical care medicine · Nov 1995
Comparative Study Clinical Trial Controlled Clinical TrialInfluence of the quality of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease.
To evaluate the influence of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease. ⋯ The quality of nursing appears to be a measurable and critical factor in the weaning from mechanical ventilation of patients with chronic obstructive pulmonary disease. Below a threshold in the available workforce of ICU nurses, the weaning duration of patients with chronic obstructive pulmonary disease increases dramatically. Therefore, very close attention should be given to the education and number of ICU nurses.
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Critical care medicine · Nov 1995
Clinical Trial Controlled Clinical TrialDifficulties in predicting outcome in cardiac surgery patients.
To evaluate a novel combination of preoperative, intraoperative, and postoperative variables (including the Parsonnet, and the Acute Physiology and Chronic Health Evaluation II and III [APACHE II and III] scores) in cardiac surgery patients in order to predict hospital outcome, complications, and length of stay. ⋯ Cardiac surgery remains a difficult area for outcome prediction. A combination of intraoperative and postoperative variables can improve predictive ability.