American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Randomized Controlled Trial
Impact of a nutritional formula enriched in fish oil and micronutrients on pressure ulcers in critical care patients.
Pressure ulcers are an important source of morbidity and suffering for patients and a formidable burden on caregivers. ⋯ Administration of a feeding formula enriched with fish oil was associated with decreased progression of pressure ulcers and a decrease in blood concentrations of C-reactive protein.
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Albumin is broadly prescribed for critically ill patients although it does not have a mortality benefit over crystalloids. One common use of albumin is to promote diuresis. Objectives To compare urine output in patients treated with furosemide with and without albumin and to assess other variables possibly associated with enhanced diuresis. ⋯ Addition of albumin to a furosemide infusion did not enhance diuresis obtained with furosemide alone in critically ill patients.
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In an attempt to transform the health care system in the United States to improve upon the inadequacies and deficiencies of our current model, the Robert Wood Johnson Foundation and the Institute of Medicine created a collaborative partnership to spell out what aspects of our health care system need to be remodeled. They envisioned that "interprofessional collaboration and coordination would be the 'norm,'"(1) because no discipline functions in isolation of others, certainly not in our intensive care units. ⋯ Richard S. Irwin, MD, Master FCCP Editor in Chief, CHEST.