Articles: critical-illness.
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Randomized Controlled Trial
Use of a noninvasive electromagnetic device to place transpyloric feeding tubes in critically ill children.
The start of transpyloric feedings is often delayed because of challenges in reliably placing tubes blindly at the bedside. ⋯ Placement of transpyloric feeding tubes with the guidance of a noninvasive electromagnetic device significantly increases the time required for accurate placement. Because placement of transpyloric feeding tubes in critically ill children is common practice in many pediatric intensive care units, technology that delays satisfactory placement may be counterproductive in experienced hands.
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Am. J. Respir. Crit. Care Med. · Nov 2011
Randomized Controlled TrialContinuous control of tracheal cuff pressure and microaspiration of gastric contents in critically ill patients.
Underinflation of the tracheal cuff frequently occurs in critically ill patients and represents a risk factor for microaspiration of contaminated oropharyngeal secretions and gastric contents that plays a major role in the pathogenesis of ventilator-associated pneumonia (VAP). ⋯ Continuous control of P(cuff) is associated with significantly decreased microaspiration of gastric contents in critically ill patients.
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Revista médica de Chile · Nov 2011
Randomized Controlled Trial[Prospective assessment of medication errors in critically ill patients in a university hospital].
Critically ill patients are especially vulnerable to medication errors (ME) due to their severe clinical situation and the complexities of their management. ⋯ We found a 34% rate of ME per drug prescribed, which is in concordance with international reports. The identification of those steps more prone to ME in the ICU, will allow the implementation of an intervention program to improve the quality and security of medication management.
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Randomized Controlled Trial Multicenter Study Comparative Study
Early versus late parenteral nutrition in critically ill adults.
Controversy exists about the timing of the initiation of parenteral nutrition in critically ill adults in whom caloric targets cannot be met by enteral nutrition alone. ⋯ Late initiation of parenteral nutrition was associated with faster recovery and fewer complications, as compared with early initiation. (Funded by the Methusalem program of the Flemish government and others; EPaNIC ClinicalTrials.gov number, NCT00512122.).
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Randomized Controlled Trial Multicenter Study Comparative Study
Hypotonic versus isotonic maintenance fluids in critically ill children: a multicenter prospective randomized study.
Study the influence of hypotonic (HT) and isotonic (IT) maintenance fluids in the incidence of dysnatraemias in critically ill children. ⋯ Hypotonic maintenance fluids increase the incidence of hyponatraemia because they decrease blood sodium levels in normonatraemic patients. IT maintenance fluids do not increase the incidence of dysnatraemias and should be considered as the standard maintenance fluids.