Articles: intensive-care-units.
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J. Neurol. Neurosurg. Psychiatr. · Jan 2000
Snapshot view of emergency neurosurgical head injury care in Great Britain and Ireland.
To study the availability of neurosurgical intensive care for the traumatically brain injured in all 36 neurosurgical centres in the United Kingdom and Ireland receiving head injuries, the response times to referral, and the advice given to the referring hospitals. ⋯ There is a severe shortage of available emergency neurosurgical beds especially in the south east of England. The lack of immediately available neurosurgical intensive care beds results in delays of transfer that could adversely affect the outcome of surgery for traumatic intracranial haematoma. Advice given to the referring units by the receiving doctors is very variable.
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Treatment interference, the disruption or self-removal of technologic devices, is a primary reason for application of physical restraints in acute and critical care settings. The processes of care surrounding treatment interference and the prevention of device disruption have not been comprehensively analyzed. ⋯ This analysis considers the social context of the intensive care unit, including roles and the human-technology interaction. It illustrates the tremendous responsibility that nurses assume in maintaining technologic devices. Next steps in research and policy development are also considered.
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To determine the incidence, risk factors, mortality and organisms causing nosocomial pneumonia (NP) in intubated patients in Paediatric Intensive Care Unit (PICU). ⋯ NP developed only in patients undergoing MV. Duration of MV and duration of stay in the PICU increased the risk of developing NP.
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Intensive care medicine · Jan 2000
Comment Letter Comparative StudyPreliminary data: PIM vs PRISM in infants and children post cardiac surgery in a UK PICU.