Crit Care Resusc
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Observational Study
Assessing the bowel function of critically ill children: a pilot study.
To describe the bowel function of critically ill children. ⋯ Critically unwell children needing more than 24 hours of intensive care have a state of non-defecation for most of the time, with formed stools being rare. Further observational studies will better define bowel function in critically unwell children.
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To establish the prevalence of emergency responses for clinical deterioration (cardiac arrest team or medical emergency team [MET] activation) within 24 hours of emergency admission, and determine if there were differences in characteristics and outcomes of ward patients whose emergency response was within, or beyond, 24 hours of emergency admission. ⋯ One-quarter of emergency responses after admission via the ED occurred within 24 hours. Further research is needed to understand the predictors of deterioration in patients needing emergency admission.
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Observational Study
Intra-abdominal hypertension in postoperative cardiac surgery patients.
To investigate screening variables identifying patients at risk of developing intra-abdominal hypertension (IAH) after cardiac surgery. ⋯ A set of screening criteria routinely available within the first 24 hours of admission to the ICU after cardiac surgery could correctly identify most patients at risk of IAH.
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To examine self-reported treatment preferences among Australasian consultant intensivists for intensive care-acquired hypernatraemia (IAH). ⋯ There is a wide variety of treatments in use for IAH. Most clinicians initiate treatment at a level greater than the level that is independently associated with increased mortality in the literature.1 Initial treatment is equally divided between changes in intravenous fluid and changes in enteral nutrition.