Critical care medicine
-
Critical care medicine · May 2007
Randomized Controlled Trial Comparative StudyVideo-based training increases sterile-technique compliance during central venous catheter insertion.
To evaluate the effect of an online training course containing video clips of central venous catheter insertions on compliance with sterile practice. ⋯ An online training course, with short video clips of actual patient care demonstrating noncompliant behaviors, improved sterile-practice compliance for central venous catheter insertion. Paper handouts with equivalent content did not improve compliance.
-
Critical care medicine · May 2007
Randomized Controlled Trial Multicenter StudyMyocardial infarction following coronary artery bypass graft surgery increases healthcare resource utilization.
To assess the health economic impact of perioperative myocardial infarction in a cohort of patients undergoing coronary artery bypass graft surgery. ⋯ Myocardial infarction following coronary artery bypass graft surgery was associated with a significant increase in intensive care unit time, hospital length of stay, and overall costs, which contributed to greater hospital and physician service costs. Healthcare resource utilization is increased in patients sustaining a myocardial infarction following coronary artery bypass graft surgery.
-
Critical care medicine · May 2007
Randomized Controlled TrialPhase II, randomized, controlled trial of high-dose N-acetylcysteine in high-risk cardiac surgery patients.
To assess the effect of high-dose N-acetylcysteine on renal function in cardiac surgery patients at higher risk of postoperative renal failure. ⋯ In this phase II, randomized, controlled trial, high-dose N-acetylcysteine was no more effective than placebo in attenuating cardiopulmonary bypass-related acute renal failure in high-risk cardiac surgery patients.