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

Refeeding Syndrome: Unrecognized in Geriatric Medicine
Malnutrition is a well-established syndrome in geriatric medicine, affecting, in particular, fragile elderly individuals in the hospital and in long-term care facilities. Compensating for nutritional deficiencies is a constant and prevailing feature of medical management in geriatric care. Conversely, the potential dangers of refeeding are less well known in fragile, elderly individuals as compared with the context of intensive care. Over a 5-month observation period, 5 patients in our geriatric medicine ward (2% of all cases) presented refeeding syndrome (Table 1). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - October 24, 2014 Category: Health Management Authors: Martial Coutaz, Nicolas Gay Tags: Letter to the Editor Source Type: research

PICC-Associated Bloodstream Infections: Prevalence, Patterns, and Predictors
Peripheral-inserted central catheter (PICC)-associated bloodstream infection is most associated with hospital length of stay, intensive care unit (ICU) status, and number of lumens of the device. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 24, 2014 Category: Surgery Authors: V. Chopra, D. Ratz, L. Kuhn Tags: Abstract Source Type: research

The “obesity–mortality paradox” in severely traumatic patients in intensive care unit
I read with great interest the meta-analysis by Liu et al., which reported that obesity is associated with worse prognosis in traumatic patients [1]. (Source: Injury)
Source: Injury - October 24, 2014 Category: Orthopaedics Authors: Gen-Min Lin Tags: Letter to the Editor Source Type: research

Empiric Weight-Based Vancomycin in Intensive Care Unit Patients With Methicillin-Resistant Staphylococcus aureus Bacteremia
Conclusions:Guideline-recommended dosing of vancomycin in ICU patients with MRSA bacteremia is not significantly associated with nephrotoxicity or in-hospital mortality. However, the 7% absolute difference for in-hospital mortality suggests that larger studies are needed. (Source: The American Journal of the Medical Sciences)
Source: The American Journal of the Medical Sciences - October 24, 2014 Category: Journals (General) Tags: Clinical Investigation Source Type: research

Clinical data needs in the neonatal intensive care unit electronic medical record
Conclusion: NICU providers demonstrate a need for large amounts of EMR data to help guide clinical decision making with differences found when comparing by clinical role. When creating an EMR interface in the NICU there may be a need to offer options for varying degrees of viewable data densities depending on clinical role. (Source: BMC Medical Informatics and Decision Making)
Source: BMC Medical Informatics and Decision Making - October 24, 2014 Category: Information Technology Authors: Marc EllsworthTara LangBrian PickeringVitaly Herasevich Source Type: research

Stress ulcer prophylaxis in the intensive care unit
Publication date: June 2014 Source:Advances in Digestive Medicine, Volume 1, Issue 2 Author(s): Fu-Chen Kuo , Deng-Chyang Wu (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research

Comparison of the efficacy of esomeprazole and famotidine against stress ulcers in a neurosurgical intensive care unit
Conclusion In this small-scale study, the effect of administration of esomeprazole through a nasogastric tube on stress ulcer was similar to that of intravenous famotidine infusion in neurosurgical ICU patients. In addition, the association between prevalence of ventilator-associated pneumonia and administration of esomeprazole was also similar to that observed with famotidine infusion. (Source: Advances in Digestive Medicine)
Source: Advances in Digestive Medicine - October 23, 2014 Category: Gastroenterology Source Type: research

Work Environment and Workplace Bullying among Korean Intensive Care Unit Nurses
Conclusion These findings indicate that the better the nursing work environment, the less workplace bullying nurses will experience. Further research needs to be done to identify factors that influence bullying in the nurses and to develop an intervention that prevents workplace bullying. (Source: Asian Nursing Research)
Source: Asian Nursing Research - October 23, 2014 Category: Nursing Source Type: research

Taiwanese Parents' Experience of Making a “Do Not Resuscitate” Decision for Their Child in Pediatric Intensive Care Unit
Conclusion Open family visiting hours plus staff sensitivity and communication skills training are needed. To help parents with this difficult signing process, nurses and other professionals in the pediatric intensive care unit need education on initiating the conversation, guiding the parents in expressing their fears, and providing continuing support to parents and children throughout the child's end of life process. (Source: Asian Nursing Research)
Source: Asian Nursing Research - October 23, 2014 Category: Nursing Source Type: research

Prostatic abscess: Objective assessment of the treatment approach in the absence of guidelines
Conclusion Transrectal needle aspiration for a prostatic abscess, when done for properly selected cases, could minimise the morbidity of the drainage procedure. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - October 23, 2014 Category: Urology & Nephrology Source Type: research

Early Diagnosis of Sepsis Using Serum Hemoglobin Subunit Beta
Abstract The development of new sepsis-specific biomarkers is mandatory to improve the detection and monitoring of the disease. Hemoglobin is the main oxygen and carbon dioxide carrier in cells of the erythroid lineage and is responsible for oxygen delivery to the respiring tissues of the body. Hemoglobin subunit beta (HBβ) is a component of a larger protein called hemoglobin. The aim of this study was to evaluate blood levels of HBβ in septic patients. A prospective study of 82 patients with sepsis was conducted. Furthermore, C57BL/6 mice were subjected to cecal ligation and puncture (CLP) surgery. Alternativel...
Source: Inflammation - October 23, 2014 Category: Biomedical Science Source Type: research

End-of-life care in a regional level IV neonatal intensive care unit after implementation of a palliative care initiative
echner (Source: Journal of Perinatology)
Source: Journal of Perinatology - October 23, 2014 Category: Perinatology & Neonatology Authors: C SamselB E Lechner Source Type: research

Impact of a palliative care program on end-of-life care in a neonatal intensive care unit
& M Bidegain (Source: Journal of Perinatology)
Source: Journal of Perinatology - October 23, 2014 Category: Perinatology & Neonatology Authors: N YoungeP B SmithR N GoldbergD H BrandonC SimmonsC M CottenM Bidegain Source Type: research

The renal compartment: a hydraulic view
Conclusions: We have presented experimental evidence and a theoretical model that supports the existence of a renal compartment. The mechanical role of the renal capsule investigated in this work may have important implications in elucidating the role of decompressive capsulotomy in reducing the intrarenal pressure in acutely injured kidneys. (Source: Intensive Care Medicine Experimental)
Source: Intensive Care Medicine Experimental - October 23, 2014 Category: Surgery Authors: Pablo CrucesCamila SalasPablo LilloTatiana SalomonFelipe LilloDaniel Hurtado Source Type: research

Reference ranges of kidney dimensions in term newborns: sonographic measurements
Conclusion The reference values of kidney lengths and diagrams from this study may be useful in the sonographic evaluation of kidneys in newborns. (Source: Pediatric Radiology)
Source: Pediatric Radiology - October 22, 2014 Category: Radiology Source Type: research

Characteristics of unit-level patient safety culture in hospitals in Japan: a cross-sectional study
Conclusions: Our study findings demonstrate that PSC varies considerably among different unit types in hospitals in Japan. Factors contributing to low PSC should be identified and possible measures for improving PSC should be developed and initiated. (Source: Epidemiologic Perspectives and Innovations)
Source: Epidemiologic Perspectives and Innovations - October 22, 2014 Category: Epidemiology Authors: Shigeru FujitaKanako SetoTakefumi KitazawaKunichika MatsumotoTomonori Hasegawa Source Type: research

Features of multiple pregnancies obtained by in vitro fertilization or spontaneously
ConclusionsMultiple pregnancies constitute an important health problem due to high perinatal risks and increased health costs. We found maternal age, premature rupture of membranes and cesarean delivery rate significantly high in the IVF group. No significant differences were found between spontaneous and IVF multiple pregnancies in terms of demographic features, hospitalization stay and rate, admission to neonatal intensive care unit, mortality and congenital malformation. (Source: Pediatrics International)
Source: Pediatrics International - October 22, 2014 Category: Pediatrics Authors: Emel Çakar, Sultan Kavuncuoğlu, Esin Yıldız Aldemir, Merih Çetinkaya, Alper Güzeltaş, Gülseren Arslan Tags: Original Article Source Type: research

Flexible ureteroscopy for renal stones
Conclusions The treatment of renal stones with flexible ureteroscopy using the ureteral access sheath shows a high successful rate with a low complication rate. In order to define its indication more precisely, randomized studies comparing RIRS with minimally invasive percutaneous nephrolithotomy procedures (miniperc and microperc) would be necessary. (Source: Actas Urologicas Espanolas)
Source: Actas Urologicas Espanolas - October 22, 2014 Category: Urology & Nephrology Source Type: research

Complications associated with laparoscopic adrenalectomy: Description and standardized assessment
Conclusions Standardized criteria of surgical complications are necessary. Standardization is possible by combined application of two tools. We believe that this evaluation concept of the surgery morbidity must be used systematically in order to achieve a new standard refined, concise and comparative for reports of adverse perioperative events. (Source: Actas Urologicas Espanolas)
Source: Actas Urologicas Espanolas - October 22, 2014 Category: Urology & Nephrology Source Type: research

Use of the Modified Early Warning Score and Serum Lactate to Prevent Cardiopulmonary Arrest in Hematology-Oncology Patients: A Quality Improvement Study
This process improvement project aimed to improve the early identification of clinically deteriorating hematology-oncology patients in order to prevent the development of critical illness and to facilitate timely intensive care unit (ICU) transfers. Using failure modes and effects analysis, a protocol employing the Modified Early Warning Score and serum lactate level was implemented to identify deteriorating patients who required the attention of the rapid response team. Control charts revealed a significant decrease in codes and preventable codes, while ICU transfers remained stable. A retrospective analysis to control fo...
Source: American Journal of Medical Quality - October 22, 2014 Category: Health Management Authors: Young, R. S., Gobel, B. H., Schumacher, M., Lee, J., Weaver, C., Weitzman, S. Tags: Articles Source Type: research

Developing, Implementing, and Evaluating a Multifaceted Quality Improvement Intervention to Promote Sleep in an ICU
Critically ill patients commonly experience poor sleep quality in the intensive care unit (ICU) because of various modifiable factors. To address this issue, an ICU-wide, multifaceted quality improvement (QI) project was undertaken to promote sleep in the Johns Hopkins Hospital Medical ICU (MICU). To supplement previously published results of this QI intervention, the present article describes the specific QI framework used to develop and implement this intervention, which consists of 4 steps: (a) summarizing the evidence to create a list of sleep-promoting interventions, (b) identifying and addressing local barriers to im...
Source: American Journal of Medical Quality - October 22, 2014 Category: Health Management Authors: Kamdar, B. B., Yang, J., King, L. M., Neufeld, K. J., Bienvenu, O. J., Rowden, A. M., Brower, R. G., Collop, N. A., Needham, D. M. Tags: Articles Source Type: research

Endocarditis due to Acinetobacter baumannii
Despite the progress in its knowledge and treatment, infective endocarditis [1–38] remains a therapeutic challenge [23]. Endocarditis due to Acinetobacter is a rare pathology reported mainly in hospitalized patients with predisposing risk factors [39–41] where the antibiotic-resistant Acinetobacter species are increasingly recognized especially in critical illnesses or in intensive care patients. Diverse mechanisms of resistance of these organisms limit the available therapeutic agents, make the infection difficult to treat, and are associated with a greater risk of death [41]. (Source: International Journal of Cardiology)
Source: International Journal of Cardiology - October 22, 2014 Category: Cardiology Authors: Mauro Sturiale, Carlotta Corpina, Letterio Sturiale Source Type: research

What Impact Do Hospital and Unit-Based Rules Have Upon Patient and Family-Centered Care in the Pediatric Intensive Care Unit?
Patient and family-centered care (PFCC) is the foundation for pediatric healthcare. The existence of hospital rules can, however, impact the extent to which PFCC is delivered. This qualitative, grounded theory study identified the existence of explicit and implicit rules in a pediatric intensive care unit, all of which negatively affected the family's ability to receive care that was attentive to their needs. The rules also placed the registered nurse in the challenging position of serving as rule enforcer and facilitator of PFCC. (Source: Journal of Pediatric Nursing)
Source: Journal of Pediatric Nursing - October 22, 2014 Category: Nursing Authors: Jennifer Baird, Betty Davies, Pamela S. Hinds, Christina Baggott, Roberta S. Rehm Source Type: research

Intensive Blood Pressure Control during the Hyper-acute Phase of Intracerebral Hemorrhage in Patients at Risk for Resistant Hypertension: A Retrospective Cohort Study
There is limited data evaluating intensive systolic blood pressure (SBP) control during the hyper-acute phase of intracerebral hemorrhage (ICH) in patients with multiple risk factors for resistant hypertension. We evaluated the feasibility and safety of this intervention in a primary population that includes patients with multiple risk factors for resistant hypertension. (Source: Journal of Critical Care)
Source: Journal of Critical Care - October 22, 2014 Category: Intensive Care Authors: Kerry Mohrien, Lucas Elijovich, Garrett T. Venable, Douglas R. Taylor, G. Morgan Jones Source Type: research

Iv - The Durban World Congress Ethics Round Table: Health Care Professional End-Of-Life Decision-Making
When terminal illness exists, it is common clinical practice worldwide to withhold (WH) or withdraw (WD) life-sustaining treatments. Systematic documentation of perceived practice similarities and differences may allow recommendations to be developed. (Source: Journal of Critical Care)
Source: Journal of Critical Care - October 22, 2014 Category: Intensive Care Authors: Gavin M. Joynt, Jeffrey Lipman, Christiane Hartog, Bertrand Guidet, Fathima Paruk, Charles Feldman, Niranjan Kissoon, Charles L. Sprung Source Type: research

Incidence and Risk Factor Evaluation of Exposure Keratopathy in Critically Ill Patients - A Cohort Study
Recent emphasis on eye care in intensive care unit (ICU) patients has translated to eye assessment being part of routine care. In this setting, we determined the incidence, risk factors and resolution time of exposure keratopathy. (Source: Journal of Critical Care)
Source: Journal of Critical Care - October 22, 2014 Category: Intensive Care Authors: Shilpa Kuruvilla, Jayanthi Peter, Sarada David, Prasanna Samuel Premkumar, Kartik Ramakrishna, Lovely Thomas, Manuel Vedakumar, John Victor Peter Source Type: research

Effectiveness of a Dental Care Intervention in the Prevention of Lower Respiratory Tract Nosocomial Infections among Intensive Care Patients: A Randomized Clinical Trial
Wanessa T. Bellissimo-Rodrigues, DDS, PhD; Mayra G. Menegueti, RN, MS; Gilberto G. Gaspar, MD, PhD; Edson A. Nicolini, MD; Maria Auxiliadora-Martins, MD, PhD; Anibal Basile-Filho, MD, PhD; Roberto Martinez, MD, PhD; Fernando Bellissimo-Rodrigues, MD, PhD Infection Control and Hospital Epidemiology, Volume 35, Issue 11, Page 1342-1348, November 2014. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - October 21, 2014 Category: Epidemiology Tags: article Original Articles Source Type: research

Year in review 2013: Critical Care - nephrology
We review original research in the field of critical care nephrology accepted or published in 2013 in Critical Care and, when considered relevant or linked to these studies, in other journals. Three main topics have been identified and are discussed for a rapid overview: acute kidney injury (diagnosis, risk factors and outcome); timing and modality of renal replacement therapy; and extracorporeal membrane oxygenation and renal dysfunction. (Source: Critical Care)
Source: Critical Care - October 21, 2014 Category: Intensive Care Authors: Zaccaria RicciMatteo Di NardoClaudio Ronco Source Type: research

Early activation of pro-fibrotic WNT5A in sepsis-induced acute lung injury
Conclusions: Our findings suggest that the WNT/?-catenin signaling pathway is activated very early in sepsis-induced ARDS and could play an important role in lung repair and fibrosis. Modulation of this pathway might represent a potential target for treatment for septic and ARDS patients. (Source: Critical Care)
Source: Critical Care - October 21, 2014 Category: Intensive Care Authors: Jesús VillarNuria Cabrera-BenítezÁngela Ramos-NuezCarlos FloresSonia García-HernándezFrancisco ValladaresJosefina López-AguilarLluís BlanchArthur Slutsky Source Type: research

Can early introduction of specialized palliative care limit intensive care, emergency and hospital admissions in patients with severe and very severe COPD? a randomized study
DiscussionGiven the trends toward aggressive and costly care near end-of-life among patients with COPD, a timely introduction of palliative care may limit unnecessary and burdensome personal and societal costs, and invasive approaches. The results of this study may provide directions for future palliative care interventions in this particular population.Trial registration: This trial has been registered at under NCT02223780 (Source: BMC Palliative Care)
Source: BMC Palliative Care - October 21, 2014 Category: Palliative Care Authors: Catherine WeberJerome StirnemannFrançois HerrmannSophie PautexJean- Janssens Source Type: research

FOUR Score, a Reliable Score for Assessing Overt Hepatic Encephalopathy in Cirrhotic Patients
Conclusion The FOUR score can be used to detect and quantify HE in cirrhotic patients, especially by non-hepatologists who are not familiar with the WH scale. (Source: Neurocritical Care)
Source: Neurocritical Care - October 21, 2014 Category: Neurology Source Type: research

Challenges to Measuring Variation in Readmission Rates of Neonatal Intensive Care Patients
Conclusions The California cohort shows significant variation in hospital-level readmission rates after risk adjustment, supporting the premise that readmission rates of prematurely born infants may reflect care quality. However, state data do not include term and early term infants requiring neonatal intensive care. MAX allows for multistate comparisons of all infants requiring NICU care. However, there were extensive missing data in the few states with sufficient information on managed care patients to calculate state-level measures. Constructing a valid readmission measure for NICU care across diverse states and regions...
Source: Academic Pediatrics - October 21, 2014 Category: Pediatrics Source Type: research

Do clinicians know which of their patients have central venous catheters?: a multicenter observational study.
CONCLUSION: Clinicians are frequently unaware of the presence of PICCs and triple-lumen catheters in hospitalized patients. Further study of mechanisms that ensure that clinicians are aware of these devices so that they may assess their necessity seems warranted. PRIMARY FUNDING SOURCE: None. PMID: 25329204 [PubMed - in process] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - October 21, 2014 Category: Internal Medicine Authors: Chopra V, Govindan S, Kuhn L, Ratz D, Sweis RF, Melin N, Thompson R, Tolan A, Barron J, Saint S Tags: Ann Intern Med Source Type: research

Relationship of DNA Methylation and Gene Expression in Idiopathic Pulmonary Fibrosis (IPF).
Conclusions: These results suggest that DNA methylation may be involved in the pathogenesis of IPF. PMID: 25333685 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - October 21, 2014 Category: Intensive Care Authors: Yang IV, Pedersen BS, Rabinovich E, Hennessy CE, Davidson EJ, Murphy E, Guardela BJ, Tedrow JR, Zhang Y, Singh MK, Correll M, Schwarz MI, Geraci M, Sciurba FC, Quackenbush J, Spira A, Kaminski N, Schwartz DA Tags: Am J Respir Crit Care Med Source Type: research

Association between red blood cell storage duration and clinical outcome in patients undergoing off-pump coronary artery bypass surgery: a retrospective study
Conclusions: In patients undergoing off-pump coronary artery bypass, the oldest age of transfused RBCs were associated with a postoperative negative base excess, increased wound complications, and a longer hospital stay, but not with the other in-hospital or long-term outcomes. (Source: BMC Anesthesiology)
Source: BMC Anesthesiology - October 21, 2014 Category: Anesthesiology Authors: Jeong Jin MinJun-Yeol BaeTae Kyong KimDeok Man HongHo Young HwangKi-Bong KimKyou-Sup HanYunseok Jeon Source Type: research

Attributable mortality of central line associated bloodstream infection: systematic review and meta-analysis
Conclusions CLABSI is associated with a significantly increased risk of death supporting the use of extensive efforts to reduce these infections. (Source: Infection)
Source: Infection - October 21, 2014 Category: Infectious Diseases Source Type: research

Preoperative Factors as a Predictor for Early Postoperative Outcomes After Repair of Congenital Transposition of the Great Arteries
Abstract Transposition of the great arteries (TGA) requires early surgical repair during the neonatal period. Several preoperative factors have been identified for the postoperative poor outcome after arterial switch operation (ASO). However, the data remain uncertain an association. Therefore, we investigated the preoperative factors which affect the early postoperative outcomes. Between March 2005 and May 2012, a retrospective study was performed which included 126 infants with an ASO for TGA. Preoperative data included the vasoactive inotropic score (VIS) and baseline hemodynamics. Early postoperative outco...
Source: Mammalian Genome - October 21, 2014 Category: Genetics & Stem Cells Source Type: research

Changes in fibrinolysis and severity of organ failure in sepsis: A prospective observational study using point of care test – ROTEM®
We hypothesized that the thromboelastometry (ROTEM®) fibrinolysis parameter ‘Maximum lysis’ (ML) would have an independent inverse association with the severity of organ failure in sepsis. (Source: Journal of Critical Care)
Source: Journal of Critical Care - October 21, 2014 Category: Intensive Care Authors: Shivesh Prakash, Santosh Verghese, David Roxby, Dani Dixon, Shailesh Bihari, Andrew Bersten Source Type: research

Computed tomography for the identification of a potential infectious source in critically ill surgical patients
Computed tomography (CT) seems already to have an important role to identify an infectious source in the management of patients with sepsis. However, our daily clinical behavior in ordering CT imaging was never scrutinized. (Source: Journal of Critical Care)
Source: Journal of Critical Care - October 21, 2014 Category: Intensive Care Authors: Katja S. Just, Jerome M. Defosse, Joern Grensemann, Frank Wappler, Samir G. Sakka Source Type: research

Systemic matrix metalloproteinase‐8 and tissue inhibitor of metalloproteinases‐1 levels in severe sepsis‐associated coagulopathy
ConclusionIn this first human study, we could show that TIMP‐1 is elevated in the early phase of sepsis‐induced overt DIC, and it correlates both with degree of coagulopathy and disease severity. These findings suggest that TIMP‐1 may play a role in the pathogenesis of DIC in septic patients. (Source: Acta Anaesthesiologica Scandinavica)
Source: Acta Anaesthesiologica Scandinavica - October 20, 2014 Category: Anesthesiology Authors: M. SIVULA, J. HÄSTBACKA, A. KUITUNEN, R. LASSILA, T. TERVAHARTIALA, T. SORSA, V. PETTILÄ Tags: Original Article Source Type: research

The effect of goal-directed therapy on mortality in patients with sepsis - earlier is better: a meta-analysis of randomized controlled trials
Conclusions: The current meta-analysis suggests that GDT significantly reduces overall mortality in patients with sepsis, especially when initiated early. However, due to the variable quality of the studies, strong and definitive recommendations can not be made. (Source: Critical Care)
Source: Critical Care - October 20, 2014 Category: Intensive Care Authors: Wan-Jie GuFei WangJan BakkerLu TangJing-Chen Liu Source Type: research

Diagnosing external ventricular drain-related ventriculitis by means of local inflammatory response: soluble triggering receptor expressed on myeloid cells-1
IntroductionExternal ventricular drainage (EVD)-related ventriculitis is one of the most severe complications associated with the use of EVDs. Establishing an early and certain diagnosis can be difficult in critically ill patients. We performed this prospective study to evaluate the usefulness of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) determination in cerebrospinal fluid (CSF) in the diagnosis of ventriculitis. Methods: Prospective observational study of seventy-three consecutive patients with EVDs. Samples of CSF for culture, cytobiochemical analysis and sTREM-1 determination were extracted thr...
Source: Critical Care - October 20, 2014 Category: Intensive Care Authors: Monica GordonPaula RamirezAlex SorianoManuel PalomoCristina Lopez-FerrazEsther VillarrealSalome MeseguerMaria GomezCarlos FolgadoJuan Bonastre Source Type: research

A 'spicy' encephalopathy: synthetic cannabinoids as cause of encephalopathy and seizure
No abstract (Source: Critical Care)
Source: Critical Care - October 20, 2014 Category: Intensive Care Authors: Irene LouhWilliam Freeman Source Type: research

Circulating cytokines in predicting development of severe acute pancreatitis
Acute pancreatitis is an inflammatory disease process which may present with clinical manifestations ranging from benign self-limited disease to overwhelming sepsis. The ability to predict outcome would be helpful in developing treatment plans, and possibly in stratifying patients for clinical trials. (Source: Critical Care)
Source: Critical Care - October 20, 2014 Category: Intensive Care Authors: Ori Rotstein Source Type: research

The ProVent model learns to speak French
This study is noteworthy because it is the first to describe the performance of the ProVent model both outside the US and in a community hospital-based setting. (Source: Critical Care)
Source: Critical Care - October 20, 2014 Category: Intensive Care Authors: Christopher Cox Source Type: research

[Nocebo effects and negative suggestion in anesthesia.]
Abstract Anesthetists have an impact on patients and healing processes not only through drugs, interventions and therapy but also significantly by their words and personality. A substantial part of observed side effects is caused by nocebo effects and negative suggestion, i.e. by the doctor and the medical surroundings. Every symptom of an illness, side effect or complication can also be induced by the wrong way of talking about it. Patients perceive medical situations, such as an emergency, anesthesia or intensive care as extreme or even as life-threatening. This can induce a natural trance, an altered state of co...
Source: Der Anaesthesist - October 19, 2014 Category: Anesthesiology Authors: Zech N, Seemann M, Hansen E Tags: Anaesthesist Source Type: research

Elective Decompression of the Left Ventricle in Pediatric Patients May Reduce the Duration of Venoarterial Extracorporeal Membrane Oxygenation
Abstract We aimed to determine the effect of elective left heart decompression at the time of initiation of central venoarterial extracorporeal membrane oxygenation (VA ECMO) on VA ECMO duration and clinical outcomes in children in a single tertiary ECMO referral center with a large pediatric population from a national referral center for pediatric cardiac surgery. We studied 51 episodes of VA ECMO in a historical cohort of 49 pediatric patients treated between the years 1990 and 2013 in the Paediatric Intensive Care Unit (PICU) of the Royal Children's Hospital, Melbourne. The cases had a variety of diagnoses including con...
Source: Artificial Organs - October 19, 2014 Category: Transplant Surgery Authors: Douglas F. Hacking, Derek Best, Yves d'Udekem, Christian P. Brizard, Igor E. Konstantinov, Johnny Millar, Warwick Butt Tags: Main Text Article Source Type: research

[Correspondence] Syrian refugees in Turkey: effects on intensive care
Since the civilian war in Syria began, millions of Syrian refugees have migrated to neighbouring countries. According to the Disaster and Emergency Management Agency of the Turkish Government, by July 18, 2014, 1 000 103 Syrian refugees were registered in and outside of the 22 camps in 11 provinces in Turkey. By April 19, 2014, 43 197 surgical operations, excluding caesarean sections and spontaneous deliveries, were done in the Syrian refugee population. Thousands of seriously injured trauma patients from Syria were brought to Turkey for emergency operations and postoperative intensive care. (Source: LANCET)
Source: LANCET - October 18, 2014 Category: Journals (General) Authors: Hatice K Ozdogan, Faruk Karateke, Mehmet Ozdogan, Salim Satar Tags: Correspondence Source Type: research

[Series] Postinjury abdominal compartment syndrome: from recognition to prevention
Postinjury abdominal compartment syndrome (ACS) is an example of a deadly clinical occurrence that was eliminated by strategic research and focused preventions. In the 1990s, the syndrome emerged with the widespread use of damage control surgery and aggressive crystalloid-based resuscitation. Patients who previously exsanguinated on the operating made it to intensive care units, but then developed highly lethal hyperacute respiratory, renal, and cardiac failure due to increased abdominal pressure. (Source: LANCET)
Source: LANCET - October 18, 2014 Category: Journals (General) Authors: Zsolt J Balogh, William Lumsdaine, Ernest E Moore, Frederick A Moore Tags: Series Source Type: research