Critical care medicine
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Critical care medicine · Feb 2017
Randomized Controlled TrialHemodynamic Effect of Different Doses of Fluids for a Fluid Challenge: A Quasi-Randomized Controlled Study.
The objectives of this study are to determine what is the minimal volume required to perform an effective fluid challenge and to investigate how different doses of IV fluids in an fluid challenge affect the changes in cardiac output and the proportion of responders and nonresponders. ⋯ The doses of fluids used for an fluid challenge modify the proportions of responders in postoperative patients. A dose of 4 mL/Kg increases transient stop-flow arm arterial-venous equilibrium pressure and reliably detects responders and nonresponders.
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Critical care medicine · Feb 2017
Randomized Controlled TrialA Randomized Trial of Palliative Care Discussions Linked to an Automated Early Warning System Alert.
To determine whether an Early Warning System could identify patients wishing to focus on palliative care measures. ⋯ This study suggests that automated Early Warning System alerts can identify patients potentially benefitting from directed palliative care discussions and reduce the number of ICU transfers.