Articles: critical-illness.
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Am. J. Respir. Crit. Care Med. · Aug 2008
Multicenter StudyAcquired weakness, handgrip strength, and mortality in critically ill patients.
ICU-acquired paresis (ICUAP) is common in survivors of critical illness. There is significant associated morbidity, including prolonged time on the ventilator and longer hospital stay. However, it is unclear whether ICUAP is independently associated with mortality, as sicker patients are more prone and existing studies have not adjusted for this. ⋯ ICUAP is independently associated with increased hospital mortality. Handgrip strength is also independently associated with poor hospital outcome and may serve as a simple test to identify ICUAP. Clinical trial registered with www.clinicaltrials.gov (NCT00106665).
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Multicenter Study Comparative Study
[Use of antibiotics for the treatment of multiresistant gram positive cocci infections in critical patients].
This study has been designed to know the use of these antibiotics (ATB) in Intensive Care Units (ICUs). ⋯ The most common use of this ATB was to treat ICU-acquired infections. VAN was the most frequently used drug. Treatments with LZD were modified less frequently for clinical failure and this drug was the one most used in rescue therapies. This information indicates an appropriate use of these ATB in an important percentage of critically patients.
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Intensive care medicine · Jul 2008
Multicenter StudyThe effect of different reference transducer positions on intra-abdominal pressure measurement: a multicenter analysis.
To investigate the effect of different reference transducer positions on intra-abdominal pressure (IAP) measurement. Three reference levels were studied: the symphysis pubis; the phlebostatic axis; and the midaxillary line at the level of the iliac crest. ⋯ In the supine position, IAP(midax) is higher than both IAP(phlebostatic) and IAP(pubis), differences found to be clinically significant; therefore, the symphysis pubis or phlebostatic axis reference lines are not interchangeable with the midaxillary level.
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Multicenter Study
Blood glucose control in critically ill adults and children: a survey on stated practice.
We document clinicians' stated blood glucose control practice patterns in North American pediatric and adult ICUs. ⋯ Blood glucose control with insulin is used frequently for critically ill adults and children. A wide variation in practice exists in blood glucose targets, hyperglycemia and hypoglycemia definitions, and decision algorithms among North American adult and pediatric ICUs.
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Multicenter Study
[Levofloxacin in the treatment of nosocomial infection in critically ill patients].
Levofloxacin (LVX) is one of the most frequently used antibiotics in critical patients admitted to Spanish Intensive Care Units (ICU). Their use in community-acquired infections has been widely documented, while it is less frequent and known in nosocomial infections (NI). ⋯ LVX is a common therapeutic option in the treatment of nosocomial infections in critical patients. It is predominantly used in an empirical manner, at a dose of 0.5 g every 12 hours and in combination with other antibiotics.