American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Randomized Controlled Trial
Use of a noninvasive electromagnetic device to place transpyloric feeding tubes in critically ill children.
The start of transpyloric feedings is often delayed because of challenges in reliably placing tubes blindly at the bedside. ⋯ Placement of transpyloric feeding tubes with the guidance of a noninvasive electromagnetic device significantly increases the time required for accurate placement. Because placement of transpyloric feeding tubes in critically ill children is common practice in many pediatric intensive care units, technology that delays satisfactory placement may be counterproductive in experienced hands.
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Randomized Controlled Trial
A simplified score for transfer of patients requiring mechanical ventilation to a long-term care hospital.
Long-term care hospitals are Medicare providers of postacute care that have a mean length of stay of 25 days or more. Early identification and timely transfer of patients requiring mechanical ventilation to such hospitals may improve the efficiency of inpatient care. ⋯ Efforts to aid discharge decision making and optimize hospital resource planning could take advantage of our predictive model and the simplified scoring tool.