Critical care medicine
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Critical care medicine · Aug 2016
Multicenter StudyAssociation Between Resilience and Family Member Psychologic Symptoms in Critical Illness.
There are increased rates of depression, anxiety, and stress disorders in families of critically ill patients. Interventions directed at family members may help their ability to cope with this stress. Specifically, resilience is a teachable psychologic construct describing a person's ability to adapt to traumatic situations. Resilience can inherently assist individuals to diminish adverse psychologic outcomes. Consequently, we determined the relationship between resilience and symptoms of depression, anxiety, and acute stress in family members of critically ill patients. ⋯ When caring for the critically ill, resilient family members have fewer symptoms of depression, anxiety, and acute stress. Resilient families were generally better satisfied with the care delivered. These data suggest that interventions aimed at increasing resilience may improve a family member's experience in the ICU.
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Critical care medicine · Aug 2016
Randomized Controlled Trial Multicenter StudyLong-Term Quality of Life Among Survivors of Severe Sepsis: Analyses of Two International Trials.
To describe the quality of life among sepsis survivors. ⋯ Among individuals enrolled in a clinical trial who lived independently prior to severe sepsis, one third had died and of those who survived, a further one third had not returned to independent living by 6 months. Both mortality and quality of life should be considered when designing new interventions and considering endpoints for sepsis trials.
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Critical care medicine · Aug 2016
Multicenter StudyNutritional Status Based on Body Mass Index Is Associated With Morbidity and Mortality in Mechanically Ventilated Critically Ill Children in the PICU.
To determine the influence of admission anthropometry on clinical outcomes in mechanically ventilated children in the PICU. ⋯ Malnutrition is prevalent in mechanically ventilated children on admission to PICUs worldwide. Classification as underweight or obese was associated with higher risk of hospital-acquired infections and lower likelihood of hospital discharge. Underweight children had a higher risk of mortality and fewer ventilator-free days.
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Critical care medicine · Aug 2016
Multicenter StudyLow Tidal Volume Ventilation Use in Acute Respiratory Distress Syndrome.
Low tidal volume ventilation lowers mortality in the acute respiratory distress syndrome. Previous studies reported poor low tidal volume ventilation implementation. We sought to determine the rate, quality, and predictors of low tidal volume ventilation use. ⋯ More than 12 years after publication of the landmark low tidal volume ventilation study, use remains poor. Interventions that improve adoption of low tidal volume ventilation are needed.