Crit Care Resusc
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Observational Study
Faecal diversion system usage in an adult intensive care unit.
To determine the frequency, indications and complications associated with the use of faecal diversion systems (rectal tubes) in critically ill patients. ⋯ Rectal tubes appear to be frequently inserted and can lead to major adverse events in critically ill patients.
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Hyperammonaemia contributes to complications in acute liver failure (ALF) and may be treated with continuous renal replacement therapy (CRRT), but current practice is poorly understood. ⋯ In Australian and New Zealand patients with ALF, CRRT is typically started early, before Stage 3 AKI or severe acidaemia, and in the presence hyperammonaemia. In these more severely ill patients, CRRT use was associated with prevention of extreme hyperammonaemia, which in turn, was associated with increased transplant-free survival.
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To determine the temporal trends of incidence and outcome based on different sources of sepsis using a nationwide administrative database. ⋯ The temporal trends of sepsis incidence and mortality varied among different sources of sepsis, with lower respiratory tract being the highest burden among patients with sepsis. Furthermore, sources of sepsis and the presence of co-infection are independent predictors of mortality. Our results support source-specific preventive and treatment strategies for future sepsis management.