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This page shows you the most recent publications within this specialty of the MedWorm directory.

The need to differentiate fear for energy overfeeding from future benefits of protein feeding: so much to gain!
No abstract available (Source: Current Opinion in Clinical Nutrition and Metabolic Care)
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Does feeding induce maximal stimulation of protein balance?
Purpose of review: Muscle wasting is dramatic in critically ill patients and related to worsened outcome. The question is whether this can be prevented or reduced by adequate protein feeding. Recommendations for protein requirements are different between different societies, because of limited and weak evidence. Most studies, on which these recommendations are based, use nitrogen balance as primary outcome. However, nitrogen balance to estimate protein needs over short periods, is not reliable. Recent findings: Studies using tracer methodology to assess the effects of feeding on whole-body protein synthesis, breakdown and...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Assessment of skeletal muscle mass in critically ill patients: considerations for the utility of computed tomography imaging and ultrasonography
Purpose of review: Low muscularity and skeletal muscle atrophy are commonly exhibited in critically ill patients and have major implications on patient outcomes. Typically, in the ICU, body composition is assessed through anthropometrics or bioelectrical impedance analysis, but these modalities cannot specifically quantify skeletal muscle; thus, we evaluate the merits and challenges of using computed tomography (CT) and ultrasonography to specifically measure skeletal muscle in the ICU. Recent findings: CT-based cut points have been used to identify critically ill patients with low muscle mass, and low muscularity associa...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Optimal nutrition in the paediatric ICU
This article describes the current best available evidence on optimal nutrition in the paediatric intensive care based on different levels of outcome, which can be divided in surrogate and hard clinical outcome parameters. Recent findings: Undernutrition is associated with increased morbidity and mortality, whereas in specific cohorts of critically ill children, such as those with burn injury, obesity is associated with more complications, longer length of stay, and decreased likelihood of survival. There is a relation with adequacy of delivery of enteral nutrition and the amount of protein on length of hospital stay, neu...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Nutritional needs for the critically ill in relation to inflammation
Purpose of review: This review focuses on nutritional needs in critically ill patients. The inflammation corresponding to acute stress is highlighted. Simultaneously, we try to avoid limiting the perspective to only the acute phase. Recent findings: During the last year, a number of important studies on nutritional needs in the critically ill have been published, including large randomized controlled trials. In particular studies addressing the needs for energy and proteins in the critically ill have imparted new knowledge in this field. However, there are few studies concerning the rehabilitation phase after critical ill...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Parenteral nutrition in the ICU setting: need for a shift in utilization
Purpose of review: The difficulties to feed the patients adequately with enteral nutrition alone have drawn the attention of the clinicians toward the use of parenteral nutrition, although recommendations by the recent guidelines are conflicting. This review focuses on the intrinsic role of parenteral nutrition, its new indication, and modalities of use for the critically ill patients. Recent findings: A recent trial demonstrated that selecting either parenteral nutrition or enteral nutrition for early nutrition has no impact on clinical outcomes. However, it must be acknowledged that the risk of relative overfeeding is g...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Does the use of specialized proresolving molecules in critical care offer a more focused approach to controlling inflammation than that of fish oils?
The objective of this manuscript is to review a newly discovered class of specialized proresolving molecules (SPMs), which could help elucidate the discrepancies reported in the critical care literature regarding the anti-inflammatory benefits of fish oil/ω-3 fatty acids. Recent findings: Although use of fish oil has traditionally been thought to reduce or limit the inflammatory process in the critical ill, a new class of endogenously produced highly active lipid mediators derived from arachidonic acid and ω-3 fatty acids (lipoxins, resolvins, protectins, and maresins) have been shown to actively enhance resolution of i...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Is early starvation beneficial for the critically ill patient?
Purpose of review: Anorexia is a preserved evolutionally response that may be beneficial during acute illness. Yet current clinical practice guidelines recommend early and targeted enteral nutritional support. However, the optimal timing of the initiation of enteral nutrition and the caloric and protein requirements of critically ill patients is controversial. Recent findings: Starvation promotes autophagy and this may play a key role in promoting host defenses and the immune response to intracellular pathogens. Because of the perceived benefits of early enteral nutrition and the lack of clinical equipoise, randomized con...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Indications and contraindications for infusing specific amino acids (leucine, glutamine, arginine, citrulline, and taurine) in critical illness
Purpose of review: The review assesses the utility of supplementing parenteral or enteral nutrition of ICU patients with each of five specific amino acids that display pharmacological properties. Specifying indications implies also stating contraindications. Combined supplementation of amino acids with ω3-fatty acids and/or trace elements (immune-enhancing diets) will not be considered in this review because these mixtures do not allow the role of amino acids in the effect (positive or negative) of the mixture to be isolated, and so cannot show whether or not supplementation of a given amino acid is indicated. Recent fi...
Source: Current Opinion in Clinical Nutrition and Metabolic Care - February 7, 2016 Category: Nutrition Tags: NUTRITION AND THE INTENSIVE CARE UNIT: Edited by Peter J.M. Weijs and Stephen A. McClave Source Type: research

Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel [REPORT]
CONCLUSION The international experts recommend various benefits of sutureless and rapid deployment technology, which may represent a helpful tool in aortic valve replacement for patients requiring a biological valve. However, further evidence will be needed to reaffirm the benefit of sutureless and rapid deployment valves. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - February 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Gersak, B., Fischlein, T., Folliguet, T. A., Meuris, B., Teoh, K. H. T., Moten, S. C., Solinas, M., Miceli, A., Oberwalder, P. J., Rambaldini, M., Bhatnagar, G., Borger, M. A., Bouchard, D., Bouchot, O., Clark, S. C., Dapunt, O. E., Ferrarini, M., Laufer, Tags: Basic research vascular REPORT Source Type: research

Transfusion of 1 and 2 units of red blood cells does not increase mortality and organ failure in patients undergoing isolated coronary artery bypass grafting [ADULT CARDIAC]
CONCLUSIONS Our data do not indicate a transfusion-related increase in mortality and multiorgan failure in patients undergoing isolated CABG. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - February 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Koster, A., Zittermann, A., Börgermann, J., Knabbe, C., Diekmann, J., Schirmer, U., Gummert, J. F. Tags: Anesthesia, Cardiac - other, Electrophysiology - arrhythmias, Molecular biology ADULT CARDIAC Source Type: research

EuroSCORE II underestimates mortality after cardiac surgery for infective endocarditis [ADULT CARDIAC]
CONCLUSION Factors independently predictive of mortality after cardiac surgery for IE are obesity, septic shock, large vegetation and a mechanical prosthetic valve IE. EuroSCORE II underestimates post-cardiac surgery mortality in patients with IE. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - February 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Patrat-Delon, S., Rouxel, A., Gacouin, A., Revest, M., Flecher, E., Fouquet, O., Le Tulzo, Y., Lerolle, N., Tattevin, P., Tadie, J.-M. Tags: Basic research vascular ADULT CARDIAC Source Type: research

Electronic surveillance for catheter-associated urinary tract infections at a university-affiliated children's hospital
Publication date: Available online 5 February 2016 Source:American Journal of Infection Control Author(s): Anita I. Sen, Krystal Balzer, Diane Mangino, Maria Messina, Barbara Ross, Philip Zachariah, Lisa Saiman We sought to describe the characteristics of catheter-associated urinary tract infections (CAUTIs) in a children's hospital while demonstrating efficacy of electronic identification of CAUTIs. There were 25 CAUTIs identified over 24 months, with most (88%) occurring in the intensive care units (ICUs). The incidence of ICU CAUTIs decreased during the study period (P = .04). Concordance between electronic...
Source: American Journal of Infection Control - February 6, 2016 Category: Infectious Diseases Source Type: research

Evaluation of the site specificity of acute disuse muscle atrophy developed during a relatively short period in critically ill patients according to the activities of daily living level: A prospective observational study
In critically ill patients, excessive bed rest and immobilisation have been shown to cause disuse muscle atrophy, which contributes to prolonged hospitalisation and decreased activity of daily living (ADL) levels. However, the degree and site specificity of acute disuse muscle atrophy in critically ill patients during a relatively short intensive care unit (ICU) stay have not been fully elucidated. (Source: Australian Critical Care)
Source: Australian Critical Care - February 6, 2016 Category: Nursing Authors: Kenji Kawahara, Takeshi Suzuki, Taisuke Yasaka, Hiromasa Nagata, Yoko Okamoto, Kiyoshi Kita, Hiroshi Morisaki Tags: Research paper Source Type: research

Flexible visiting positively impacted on patients, families and staff in an Australian Intensive Care Unit: A before-after mixed method study
The admission of a relative to intensive care is stressful for families. To help them support the patient, families need assurance, information and an ability to be near their sick relative. Flexible visiting enables patient access but the impact of this on patients, families and staff is not clear. (Source: Australian Critical Care)
Source: Australian Critical Care - February 6, 2016 Category: Nursing Authors: Marion L. Mitchell, Leanne M. Aitken Tags: Research paper Source Type: research

Trisomy 13: Changing Perspectives.
Abstract The diagnosis of trisomy 13 has been considered incompatible with life. Trisomy 13 is associated with a pattern of congenital anomalies and mental disabilities that make caring for these infants a challenge for both the family and health care professionals. The clinical management of trisomy 13 varies based on the organ systems involved. The current standard of care has been withholding intensive support and providing comfort care. Recent literature suggests there are improved outcomes in infants who receive intensive care at birth. In addition, case reports evaluating older children with trisomy 13 report...
Source: Neonatal Network - February 5, 2016 Category: Perinatology & Neonatology Authors: Macias G, Riley C Tags: Neonatal Netw Source Type: research

An Innovative Approach to Improving the Accuracy of Delirium Assessments Using the Confusion Assessment Method for the Intensive Care Unit
Conclusion: The results from this project suggest the effectiveness of the program in improving assessment accuracy among difficult-to-assess patients. Further research is needed to demonstrate the effectiveness of this model across other critical care units, patient populations, and organizations. (Source: Dimensions of Critical Care Nursing)
Source: Dimensions of Critical Care Nursing - February 5, 2016 Category: Nursing Tags: Clinical DIMENSION Source Type: research

The Effect of Chlorhexidine Bathing on Rates of Nosocomial Infections Among the Critically Ill Population: An Analysis of Current Clinical Research and Recommendations for Practice
The objective of this article is 3-fold: first, to provide a background on the increased susceptibility to pathogens that have become endemic in many intensive care units; second, to challenge health care providers to question current practice and consider additional ways to ensure safety and better outcomes in the critically ill population; and third, to provide health care providers with clinical evidence to avoid infection control failures. Method: To determine whether published standards for daily patient bathing exist, a search was conducted of bibliographic databases for articles published within the last 5 years (2...
Source: Dimensions of Critical Care Nursing - February 5, 2016 Category: Nursing Tags: Research DIMENSION Source Type: research

The Utility of the Candida Score in Patients With Sepsis
Background: Candida is a leading cause of infection in the intensive care unit. Colonization versus infection remains a challenge. A Candida Score (CS) of 3 or greater has been used to target antifungal therapy in surgical patients at risk of candidemia but has not been well evaluated in medical patients with sepsis. Objectives: The aim of this study was to assess utility of the CS in detecting candidemia early in patients with sepsis. Methods: This was a secondary analysis of patients with sepsis (n = 77) who were followed up for development of new infections. Patients with known fungal infection at admission were exclu...
Source: Dimensions of Critical Care Nursing - February 5, 2016 Category: Nursing Tags: Research DIMENSION Source Type: research

Prospective study on Incontinence‐Associated Dermatitis and its Severity instrument for verifying its ability to predict the development of pressure ulcers in patients with fecal incontinence
Abstract Fecal incontinence with loose stools is a risk factor for skin damage that may develop into a pressure ulcer (PU). The aim of this study was to determine the feasibility of applying the Incontinence‐Associated Dermatitis and its Severity (IADS) instrument to patients with fecal incontinence as a tool to predict PU development. This prospective study enrolled 120 intensive care unit patients with bowel incontinence of Bristol Stool type 5, 6, and 7. Trained nurses evaluated IADS scores and the occurrence of PUs daily for 7 days. Patients with higher IADS scores were significantly more likely to develop a PU (odds...
Source: International Wound Journal - February 5, 2016 Category: Surgery Authors: Kyung Hee Park, Heejung Choi Tags: ORIGINAL ARTICLE Source Type: research

Appropriate positioning of the NAVA catheter
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 5, 2016 Category: Intensive Care Source Type: research

Rapid response teams improve outcomes: no
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 5, 2016 Category: Intensive Care Source Type: research

Rapid response teams improve outcomes: we are not sure
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 5, 2016 Category: Intensive Care Source Type: research

Rapid response teams improve outcomes: yes
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 5, 2016 Category: Intensive Care Source Type: research

Oral mucosal adverse events with chlorhexidine 2 % mouthwash in ICU
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 5, 2016 Category: Intensive Care Source Type: research

Respiratory mechanics and lung stress/strain in children with acute respiratory distress syndrome
In sedated and paralyzed children with acute respiratory failure, the compliance of respiratory system and functional residual capacity were significantly reduced compared with healthy subjects. However, no m... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - February 5, 2016 Category: Intensive Care Authors: Davide Chiumello, Giovanna Chidini, Edoardo Calderini, Andrea Colombo, Francesco Crimella and Matteo Brioni Source Type: research

Association between aspirin therapy and the outcome in critically ill patients: a nested cohort study
Conclusion: Our study showed that the use of aspirin in critically ill patients was not associated with lower mortality, but rather with an increased morbidity.Trial Registration NumberISRCTN07413772 and ISRCTN96294863. (Source: Epidemiologic Perspectives and Innovations)
Source: Epidemiologic Perspectives and Innovations - February 5, 2016 Category: Epidemiology Authors: Shmeylan Al HarbiHani TamimHasan Al-DorziMusharaf SadatYaseen Arabi Source Type: research

Procalcitonin in pediatric intensive care unit of a tertiary care hospital
Conclusions Measurement of serum PCT levels was found to be helpful in diagnosing sepsis in culture negative patients. Lower PCT values can help in ruling out sepsis and limit antimicrobial use. High initial PCT levels can predict severity of sepsis and mortality. (Source: Clinical Epidemiology and Global Health)
Source: Clinical Epidemiology and Global Health - February 5, 2016 Category: Epidemiology Source Type: research

Neonatal developmental care in infant pain management and internalizing behaviours at 18 months in prematurely born children
ConclusionsFindings suggest that higher quality of developmental care related to infant pain management can mitigate behavioural problems at 18 months in children born preterm, to such an extent that preterm children exhibit a behavioural profile similar to that displayed by full‐term children. (Source: European Journal of Pain)
Source: European Journal of Pain - February 5, 2016 Category: Anesthesiology Authors: R. Montirosso, E. Casini, A. Del Prete, R. Zanini, R. Bellù, R. Borgatti, Tags: Original Article Source Type: research

Health-related quality of life and nursing-sensitive outcomes in mechanically ventilated patients in an Intensive Care Unit: a study protocol
Mechanical ventilation (MV) is one of the most utilised techniques in the intensive care unit (ICU), but it can cause sequelae that can negatively influence the patient’s health-related quality of life (HRQL).... (Source: BMC Nursing)
Source: BMC Nursing - February 5, 2016 Category: Nursing Authors: Alba Riera, Elisabet Gallart, Araceli Vicálvaro, Montserrat Lolo, Anabel Solsona, Anna Mont, Jordi Gómez, David Téllez and Carmen Fuentelsaz-Gallego Source Type: research

High Value Care in the Surgical ICU: Effect on Ancillary Resources
Changes in health care policies have influenced transformations in hospital systems to be cost-efficient while maintaining robust outcomes. This is particularly important in intensive care units (ICU) where significant resources are utilized to care for critically-ill patients. We sought to determine if high-value care processes (HVCp) implemented in a surgical ICU (SICU) have an impact on commonly utilized ancillary tests. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - February 5, 2016 Category: Surgery Authors: Ara Ko, Jason S. Murry, David M. Hoang, Megan Y. Harada, Lia Aquino, Charles Coffey, Harry C. Sax, Rodrigo F. Alban Source Type: research

Clinical Characteristics and Factors Influencing the Occurrence of Acute Eosinophilic Pneumonia in Korean Military Personnel.
We describe the clinical characteristics of AEP and demonstrate that AEP patients have recently changed smoking habits and work for the Army. There is an increasing tendency in the numbers of patients and those with higher AEP severity with rising seasonal temperatures. PMID: 26839479 [PubMed - in process] (Source: Journal of Korean Medical Science)
Source: Journal of Korean Medical Science - February 4, 2016 Category: Biomedical Science Tags: J Korean Med Sci Source Type: research

Bidet toilet seats with warm-water tanks: residual chlorine, microbial community, and structural analyses.
Authors: Iyo T, Asakura K, Nakano M, Yamada M, Omae K Abstract Despite the reported health-related advantages of the use of warm water in bidets, there are health-related disadvantages associated with the use of these toilet seats, and the bacterial research is sparse. We conducted a survey on the hygienic conditions of 127 warm-water bidet toilet seats in restrooms on a university campus. The spray water from the toilet seats had less residual chlorine than their tap water sources. However, the total viable microbial count was below the water-quality standard for tap water. In addition, the heat of the toilet seat...
Source: Journal of Water and Health - February 4, 2016 Category: Environmental Health Tags: J Water Health Source Type: research

Influenza Vaccination Coverage Rate for Medical Staff: Influence of Hospital-Based Vaccination Campaign.
The objective of this work was to assess the influence of hospital influenza vaccination campaign directed toward health care workers, combined with dispensing free of charge vaccine, on vaccination rate. The campaign was conducted by the Hospital Infection Control Team of the Czerniakowski Hospital in Warsaw, Poland, separately for physicians, nurses, and physiotherapists. Overall, 37 % of medical staff were vaccinated, including 55 % of physicians and 21 % of nurses. Concerning physicians, the greatest vaccination rate was in the orthopedic (80 %) and ophthalmology units (73 %), whereas the lowest rate was in the intensi...
Source: Advances in Experimental Medicine and Biology - February 4, 2016 Category: Research Tags: Adv Exp Med Biol Source Type: research

Physiology of haemostasis
Publication date: Available online 4 February 2016 Source:Anaesthesia & Intensive Care Medicine Author(s): James Sira, Lorna Eyre Haemostasis is a complex and sophisticated process that requires the interplay of multiple physiological pathways. Cellular and molecular mechanisms interact to seal damaged blood vessels with localized clot formation preventing significant bleeding. Once vascular integrity is restored, clot breakdown occurs and normal haemostasis is reinstated. Thrombohaemorrhagic imbalance may occur in the perioperative period or during critical illness, leading to an increased risk of thrombosis, ...
Source: Anaesthesia and intensive care medicine - February 4, 2016 Category: Anesthesiology Source Type: research

Risks of perioperative blood transfusions
This article outlines the risks associated with perioperative transfusions and discusses the current recommendations for transfusion and use of alternatives to blood transfusion. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - February 4, 2016 Category: Anesthesiology Source Type: research

A comparative study of early and late extubation following transoral odontoidectomy and posterior fixation
Conclusion: Ventilation and oxygenation in the postoperative period in patients undergoing TOO and posterior fixation are not different between the two groups. However, the duration of ICU and hospital stay was prolonged in group D. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - February 4, 2016 Category: Anesthesiology Authors: Manish MardaMihir Prakash PandiaGirija Prasad RathShashank Sharad KaleHarihara Dash Source Type: research

Haematological malignancy in the intensive care unit: microbiology results and mortality
ConclusionIn patients with haematological malignancy admitted to the ICU, culture results are diverse. The combination of neutropenia and positive blood culture is associated with increased 28‐day mortality. We suggest this could be of additional value when assessing mortality risk in this patient group. (Source: European Journal of Haematology)
Source: European Journal of Haematology - February 4, 2016 Category: Hematology Authors: Eduard Johannes Beers, Marcella Catharina Antoinetta Müller, Alexander Petrus Johannes Vlaar, Lodewijk Spanjaard, Walter Marcel Bergh, Tags: Original Article Source Type: research

Clinical Effectiveness of Mupirocin for Preventing Staphylococcus aureus Infections in Nonsurgical Settings: A Meta-analysis
A systematic literature review and meta-analysis was performed to identify effectiveness of mupirocin decolonization in prevention of Staphylococcus aureus infections, among nonsurgical settings. Of the 15 662 unique studies identified up to August 2015, 13 randomized controlled trials, 22 quasi-experimental studies, and 1 retrospective cohort study met the inclusion criteria. Studies were excluded if mupirocin was not used for decolonization, there was no control group, or the study was conducted in an outbreak setting. The crude risk ratios were pooled (cpRR) using a random-effects model. We observed substantial heteroge...
Source: Clinical Infectious Diseases - February 4, 2016 Category: Infectious Diseases Authors: Nair, R., Perencevich, E. N., Blevins, A. E., Goto, M., Nelson, R. E., Schweizer, M. L. Tags: HEALTHCARE EPIDEMIOLOGY Source Type: research

Tools of the Trade: Point-of-Care Ultrasonography as a Stethoscope
Semin Respir Crit Care Med 2016; 37: 068-087DOI: 10.1055/s-0035-1570353Since the advent of portable ultrasonography machines, many providers, including intensivists and pulmonologists, have been trained in point-of-care ultrasonography. When point-of-care ultrasonography is performed with focused clinical question and goal in mind, it serves as a valuable adjunct to physical examination and facilitates patient care and disease management. Its clinical application is now wider than that of a stethoscope in the intensive care unit where the noise level is high. In this review article, crucial ultrasonographic findings, their...
Source: Seminars in Respiratory and Critical Care Medicine - February 4, 2016 Category: Respiratory Medicine Authors: Sekiguchi, Hiroshi Source Type: research

Hyperglycemia and its association with clinical outcomes in postsurgical neonates and small infants in the intensive care unit
The aim of the research was to investigate the association between postsurgical hyperglycemia of neonates and small infants ( (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 4, 2016 Category: Surgery Authors: Yang Wu, Wei Lai, Jiao Pei, Yiyang Zhao, Qi Wang, Bo Xiang Source Type: research

Understanding clinical signs of poor tissue perfusion during septic shock
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 4, 2016 Category: Intensive Care Source Type: research

Music intervention in the acute and critical care settings: Commentary on “The effect of music during bronchoscopy: A meta-analysis”
The article by Tam and colleagues published in this edition of Heart & Lung, succinctly reports on the meta-analysis of research findings testing music as an adjunctive intervention during bronchoscopy. The article provides a coherent summary of the pooled evidence of music's beneficial effect on physiological indicators of relaxation and anxiety as evidenced by reductions in heart rate and blood pressure. We offer here a commentary on the article and music intervention, including key considerations for the implementation of music in practice settings. (Source: Heart and Lung)
Source: Heart and Lung - February 4, 2016 Category: Intensive Care Authors: Linda L. Chlan, Annie Heiderscheit Tags: Heart & Lung Editorial Source Type: research