Articles: intensive-care-units.
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Editorial Comment
[Conservative methods for diagnosing catheter-associated bacteremia].
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Patients in the Intensive Care Unit (ICU) experience qualitative and quantitative sleep disruption leading to sleep deprivation and adverse sequelae. Patient-related factors, environmental factors, and health-support techniques contribute to sleep disruption. This quality improvement study examines potential factors contributing to poor sleep in the ICU. ⋯ Patients commonly report poor sleep in the ICU related to environmental factors that are potentially modifiable.
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Med Klin Intensivmed Notfmed · Apr 2012
Review[Drug-induced long QT syndrome. Relevancy in intensive care medicine].
QT-prolonging drugs delay ventricular repolarization and, thus, favor the occurrence of Torsade de pointes (TdP). Intensive care patients are particularly endangered to suffer from this clinical picture as they often simultaneously exhibit multiple risk factors. In the following article, the most important risk factors for drug-induced long QT syndrome are described. ⋯ Potential explanations why prolongation of the QT interval is not the main or only factor for the proarrhythmic potential of QT-prolonging drugs are discussed. Furthermore, a summary of QT-prolonging drugs relevant in intensive care units is given and prevention of drug-induced long QT syndrome with consecutive TdP is discussed. Finally, recommendations for treatment of drug-induced TdP are reviewed.
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Pediatric emergency care · Apr 2012
ReviewTranscutaneous bilirubin measurement methods in neonates and its utility for emergency department use.
Transcutaneous bilirubin measurements correlate with serum bilirubin measurements in neonates. They permit rapid measurements but do not provide fractionation information. Background information of bilirubin measurements is reviewed. The role of transcutaneous bilirubin measurements in the emergency department is reviewed.