Critical care medicine
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Critical care medicine · Oct 2017
Neurobiologic Correlates of Attention and Memory Deficits Following Critical Illness in Early Life.
Survivors of critical illness in early life are at risk of long-term-memory and attention impairments. However, their neurobiologic substrates remain largely unknown. ⋯ Our findings indicate specific neurobiologic correlates of attention and memory deficits in school-age survivors of neonatal extracorporeal membrane oxygenation and congenital diaphragmatic hernia. A better understanding of the neurobiology following critical illness, both in early and in adult life, may lead to earlier identification of patients at risk for impaired neuropsychological outcome with the use of neurobiologic markers.
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Critical care medicine · Oct 2017
Diabetes Is Not Associated With Increased 90-Day Mortality Risk in Critically Ill Patients With Sepsis.
To determine the association of pre-existing diabetes, hyperglycemia, and hypoglycemia during the first 24 hours of ICU admissions with 90-day mortality in patients with sepsis admitted to the ICU. ⋯ In the current retrospective large database review, diabetes was not associated with adjusted 90-day mortality risk in critically ill patients admitted with sepsis.
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Critical care medicine · Oct 2017
Does Admission to the ICU Prevent African American Disparities in Withdrawal of Life-Sustaining Treatment?
We sought to determine whether black patients admitted to an ICU were less likely than white patients to withdraw life-sustaining treatments. ⋯ This study suggests that Black patients may be less likely to withdraw life-supportive measures than whites, but that this disparity may be absent in patients who spend time in the ICU during their hospitalization.
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Critical care medicine · Oct 2017
Effectiveness and Safety of an Extended ICU Visitation Model for Delirium Prevention: A Before and After Study.
To evaluate the effect of an extended visitation model compared with a restricted visitation model on the occurrence of delirium among ICU patients. ⋯ In this medical-surgical ICU, an extended visitation model was associated with reduced occurrence of delirium and shorter length of delirium/coma and ICU stay.
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Critical care medicine · Oct 2017
Observational StudySingle-Operator Ultrasound-Guided Central Venous Catheter Insertion Verifies Proper Tip Placement.
To evaluate whether a single-operator ultrasound-guided, right-sided, central venous catheter insertion verifies proper placement and shortens time to catheter utilization. ⋯ A single-operator ultrasound-guided central venous catheter insertion is effective in verifying proper tip placement and shortens time to catheter utilization.