Critical care medicine
-
Critical care medicine · Aug 2019
Observational StudyA 360° Rotational Positioning Protocol of Organ Donors May Increase Lungs Available for Transplantation.
To evaluate the improvement in lung donation and immediate lung function after the implementation of a 360° rotational positioning protocol within an organ procurement organization in the Midwest. ⋯ There was a statistically significant increase in lung donations after implementing rotational positioning of deceased donors. Rotational positioning significantly increased the average difference in PaO2:FIO2 ratios. There was also superior lung function in the rotated group. The authors recommend that organ procurement organizations consider adopting a rotational positioning protocol for donors to increase the lungs available for transplantation.
-
Critical care medicine · Aug 2019
Frailty and Associated Outcomes and Resource Utilization Among Older ICU Patients With Suspected Infection.
Suspected infection and sepsis are common conditions seen among older ICU patients. Frailty has prognostic importance among critically ill patients, but its impact on outcomes and resource utilization in older patients with suspected infection is unknown. We sought to evaluate the association between patient frailty (defined as a Clinical Frailty Scale ≥ 5) and outcomes of critically ill patients with suspected infection. We also evaluated the association between frailty and the quick Sequential Organ Failure Assessment score. ⋯ The presence of frailty among older ICU patients with suspected infection is associated with increased mortality, discharge to long-term care, hospital readmission, resource utilization, and costs. This work highlights the importance of clinical frailty in risk stratification of older ICU patients with suspected infection.
-
Critical care medicine · Aug 2019
Observational StudyIntra-Abdominal Hypertension Is Responsible for False Negatives to the Passive Leg Raising Test.
To compare the passive leg raising test ability to predict fluid responsiveness in patients with and without intra-abdominal hypertension. ⋯ Intra-abdominal hypertension is responsible for some false negatives to the passive leg raising test.