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

Impact of statins in outcomes of septic patients: a systematic review.
CONCLUSION: There is insufficient evidence to support the use of statins in patients with sepsis, as the existing studies failed to prove a consistent mortality benefit. More clinical trials are warranted to provide more conclusive knowledge and ultimately change clinical practice. PMID: 25387213 [PubMed - in process] (Source: Postgraduate Medicine)
Source: Postgraduate Medicine - November 28, 2014 Category: Internal Medicine Tags: Postgrad Med Source Type: research

Association Between Arterial Catheter use and Hospital Mortality in Intensive Care Units
Arterial catheterization (AC) is widely used in intensive care units (ICUs) to monitor arterial blood gases and hemodynamic parameters. However, it is also associated with risks of catheter infections, limb ischemia, and pseudoaneurysms. There is currently a high degree of practice variability in the use of AC, and the clinical benefit of these interventions is unclear. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - November 28, 2014 Category: Emergency Medicine Authors: Matthew Tjajadi Tags: Abstract Source Type: research

Comparison of a continuous noninvasive arterial pressure device with invasive measurements in cardiovascular postsurgical intensive care patients: A prospective observational study
CONCLUSIONCNAP showed acceptable agreement defined by the ATI with invasive measurements for MAP and partially for DAP, but there was considerable variability for SAP. MAP should be preferred for clinical decision making. Cardiac arrhythmia, in contrast to catecholamine dosage or weaning procedures, impaired the accuracy, agreement and interchangeability of CNAP. TRIAL REGISTRATIONClinical trials.gov identifier NCT01003665. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 28, 2014 Category: Anesthesiology Tags: Monitoring Source Type: research

Thoracoscopic repair of congenital diaphragmatic hernia: two centres’ experience with 60 patients
Conclusion Thoracoscopic repair of congenital diaphragmatic hernia can be performed safely in specialised centres. The post-operative recovery and cosmesis are excellent. Diaphragmatic hernia with large defect remains a challenge for surgeons. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - November 28, 2014 Category: Surgery Source Type: research

Use of rapid diagnostic techniques in ICU patients with infections
The use of rapid diagnostic techniques in intensive care unit (ICU) patients to detect infections, such as skin and soft tissue- and urinary tract infections, are reviewed by Almudena Burillo and Emilio Bouza. (Source: Epidemiologic Perspectives and Innovations)
Source: Epidemiologic Perspectives and Innovations - November 28, 2014 Category: Epidemiology Authors: Almudena BurilloEmilio Bouza Source Type: research

How to treat infections in a surgical intensive care unit
The management of infections in surgical intensive care unit patients poses specific challenges. Although the overall approach to the patient is no different from other patients, diagnosis is often problematic. As in other infections, multidrug resistance is increasingly described, and changes in pharmacokinetics may require different dosing strategies. Also the need for source control adds a level of complexity to the management of the patient. Whereas source control was a purely surgical issue before, percutaneous drainage has emerged as an important alternative. Appropriate timing of source control often remains difficu...
Source: BMC Infectious Diseases - November 28, 2014 Category: Infectious Diseases Authors: Jan De WaeleLiesbet De Bus Source Type: research

How to approach and treat viral infections in ICU patients
Patients with severe viral infections are often hospitalized in intensive care units (ICUs) and recent studies underline the frequency of viral detection in ICU patients. Viral infections in the ICU often involve the respiratory or the central nervous system and can cause significant morbidity and mortality especially in immunocompromised patients. The mainstay of therapy of viral infections is supportive care and antiviral therapy when available. Increased understanding of the molecular mechanisms of viral infection has provided great potential for the discovery of new antiviral agents that target viral proteins or host p...
Source: BMC Infectious Diseases - November 28, 2014 Category: Infectious Diseases Authors: Theodoros KelesidisIoannis MastorisAliki MetsiniSotirios Tsiodras Source Type: research

How to treat severe infections in critically ill neutropenic patients?
Severe infections in neutropenic patient often progress rapidly leading to life-threatening organ dysfunction requiring admission to the Intensive Care Unit. Management strategies include early adequate appropriate empirical antimicrobial, early admission to ICU to avoid any delay in the diagnostic and therapeutic management of organ dysfunction. This review discusses the main clinical situations encountered in critically ill neutropenic patients. Specific diagnostic and therapeutic approaches have been proposed for acute respiratory failure, shock, neutropenic enterocolitis, catheter-related infections, cellulitis and pri...
Source: BMC Infectious Diseases - November 28, 2014 Category: Infectious Diseases Authors: Lara ZafraniElie Azoulay Source Type: research

Use of temporary nursing staff and nosocomial infections in intensive care units
ConclusionsNo evidence was found to link the use of temporary nursing staff and nosocomial infections. Instead, nurses' perceptions of staffing adequacy were related to nosocomial infections. Relevance to clinical practiceGiven the greater use of temporary nursing staff in intensive care units, nurse managers in intensive care units need to monitor the levels of temporary nurse staffing and develop a systematic approach for hospitals to assist in these nurses' adjustment, which can reduce the burden of both temporary and permanent intensive care unit nurses. In addition to quantitative measures of nurse staffing, nurses' p...
Source: Journal of Clinical Nursing - November 28, 2014 Category: Nursing Authors: Sung‐Heui Bae, Carol S. Brewer, Maureen Kelly, Alexandra Spencer Tags: Original Article Source Type: research

A prevalence survey of intravascular catheter use in a general hospital.
CONCLUSIONS:: A rapid survey of the care situation of intravascular catheters is feasible and easy to do with our methodology. The data show great opportunity for improvement, mainly in the non-ICU areas. PMID: 25041909 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)
Source: The Journal of Vascular Access - November 27, 2014 Category: Surgery Tags: J Vasc Access Source Type: research

Hospitalisation costs for infant bronchiolitis are up to 20 times higher if intensive care is needed
ConclusionThe hospitalisation costs of infants treated in the PICU for bronchiolitis at less than 12‐months‐of‐age were approximately four times more than for other inpatients and over 20 times more than for outpatients. Strategies are needed to reduce the need for intensive careThis article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - November 27, 2014 Category: Pediatrics Authors: Paula Heikkilä, Leena Forma, Matti Korppi Tags: Regular Article Source Type: research

Staff-Developed Infection Prevention Program Decreases Health Care–Associated Infection Rates in Pediatric Critical Care
The health care team identified the causes of health care–associated infections (HAI) and developed interventions in a pediatric intensive care unit in Gaza. A quasi-experimental pretest-posttest design was used. All 26 full-time staff members in the pediatric intensive care unit participated. The HAI rate decreased significantly from the first to the second year following the implementation of the intervention (208 vs 120.55, odds ratio: 3.21, 95% confidence interval: 1.87-5.11; P < .001). (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 27, 2014 Category: Nursing Tags: Articles Source Type: research

Improving Deep Vein Thrombosis Prophylaxis With Mechanical Modalities in Surgical Intensive Care Unit
Deep vein thrombosis remains a source of adverse outcomes in surgical patients. Deep vein thrombosis is preventable with prophylactic intervention. The success of noninvasive mechanical modalities for prophylaxis relies on compliance with correct application. The goals of this project were to create a guideline that reflected current evidence and expert thinking about mechanical modalities use, assess compliance with mechanical modalities, and develop strategies to disseminate an evidence-based guideline for deep vein thrombosis prophylaxis. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - November 27, 2014 Category: Nursing Tags: Articles Source Type: research

Profound hypokalemia associated with severe diabetic ketoacidosis
Hypokalemia is common during the treatment of diabetic ketoacidosis (DKA); however, severe hypokalemia at presentation prior to insulin treatment is exceedingly uncommon. A previously healthy 8‐yr‐old female presented with new onset type 1 diabetes mellitus, severe DKA (pH = 6.98), and profound hypokalemia (serum K = 1.3 mmol/L) accompanied by cardiac dysrhythmia. Insulin therapy was delayed for 9 h to allow replenishment of potassium to safe serum levels. Meticulous intensive care management resulted in complete recovery. This case highlights the importance of measuring serum potassium levels prior to initia...
Source: Pediatric Diabetes - November 27, 2014 Category: Endocrinology Authors: Shanlee M Davis, Aline B Maddux, Guy T Alonso, Carol R Okada, Peter M Mourani, David M Maahs Tags: Case Report Source Type: research

Managing gastroesophageal reflux symptoms in the very low-birth-weight infant postdischarge.
Abstract Gastroesophageal reflux and gastroesophageal reflux disease symptoms are common challenges for very low-birth-weight infants (<1500 g). These symptoms frequently result in feeding difficulties and family stress. Management of symptoms across healthcare disciplines may not be based on current evidence, and inconsistency can result in confusion for families and delayed interventions. The feeding relationship between infant and caregivers may be impaired when symptoms are persistent and poorly managed. An algorithm for managing gastroesophageal reflux-like symptoms in very low-birth-weight infants (from ho...
Source: Advances in Neonatal Care - November 27, 2014 Category: Nursing Authors: Sherrow T, Dressler-Mund D, Kowal K, Dai S, Wilson MD, Lasby K Tags: Adv Neonatal Care Source Type: research

Close to Me: Enhancing Kangaroo Care Practice for NICU Staff and Parents.
CONCLUSIONS: March of Dimes Close to Me improved knowledge and behavior regarding KC in NICUs. By offering KC education to parents, providing KC awareness and comfort components, and providing information and encouragement on the benefits and feasibility of KC to nurses, hospitals can potentially promote earlier and more frequent use of KC, particularly with infants born less than 28 weeks' gestation. PMID: 25422927 [PubMed - in process] (Source: Advances in Neonatal Care)
Source: Advances in Neonatal Care - November 27, 2014 Category: Nursing Authors: Cooper L, Morrill A, Russell RB, Gooding JS, Miller L, Berns SD Tags: Adv Neonatal Care Source Type: research

Safety of milrinone use in neonatal intensive care units
Milrinone use in the neonatal intensive care unit has increased over the last 10years despite a paucity of published safety data in infants. We sought to determine the safety of milrinone therapy among infants in the neonatal intensive care unit. (Source: Early Human Development)
Source: Early Human Development - November 27, 2014 Category: Perinatology & Neonatology Authors: Samira Samiee-Zafarghandy, Sudha R. Raman, John N. van den Anker, Kerstin McHutchison, Christoph P. Hornik, Reese H. Clark, P. Brian Smith, on behalf of the Best Pharmaceuticals for Children Act—Pediatric Trials Network Administrative Core Committee Source Type: research

A Randomized Controlled Trial of Intensive Care Management for Disabled Medicaid Beneficiaries with High Health Care Costs
ConclusionsWe found no health care cost savings for disabled Medicaid beneficiaries randomized to intensive care management. Among participants, care management may have the potential to increase access to needed care, slow growth in the number and therefore cost of unplanned hospitalizations, and prevent homelessness. These findings apply to start‐up care management programs targeted at high‐cost, high‐risk Medicaid populations. (Source: Health Services Research)
Source: Health Services Research - November 27, 2014 Category: Health Management Authors: Janice F. Bell, Antoinette Krupski, Jutta M. Joesch, Imara I. West, David C. Atkins, Beverly Court, David Mancuso, Peter Roy‐Byrne Tags: Research Article Source Type: research

Does pulse pressure variation predict fluid responsiveness in critically ill patients? A systematic review and meta-analysis
Conclusions: PPV predicts fluid responsiveness accurately in mechanically ventilated patients with relative large tidal volume and without spontaneous breathing and cardiac arrhythmia. (Source: Critical Care)
Source: Critical Care - November 27, 2014 Category: Intensive Care Authors: Xiaobo YangBin Du Source Type: research

Establishment and multi drug resistance evolution of ST235 Pseudomonas aeruginosa strains in the intensive care unit of a Colombian hospital
Publication date: Available online 1 November 2014 Source:Research in Microbiology Author(s): Elena Martinez , Javier Escobar Pérez , Francisco Buelvas , Catalina Tovar , Natasha Vanegas , H.W. Stokes Drug resistant Pseudomonas aeruginosa represents a therapeutic challenge. To assess the diversity of P. aeruginosa antibiotic resistant variants, isolates were recovered from hospital patients in Colombia. Thirty of 60 isolates contained class 1 integrons and five were of Sequence Type ST235 having appeared in a single intensive care unit. All five possessed an unusual integron but showed differences in gene cassette conte...
Source: Research in Microbiology - November 27, 2014 Category: Microbiology Source Type: research

Meta-analysis on central line–associated bloodstream infections associated with a needleless intravenous connector with a new engineering design
Conclusion The NC with an improved engineering design is associated with lower CLA-BSI risk. (Source: American Journal of Infection Control)
Source: American Journal of Infection Control - November 27, 2014 Category: Infectious Diseases Source Type: research

A descriptive study of nurse‐reported missed care in neonatal intensive care units
ConclusionWe find that basic nursing care in the neonatal intensive care unit is missed and that system factors may contribute to missed care in this setting. (Source: Journal of Advanced Nursing)
Source: Journal of Advanced Nursing - November 27, 2014 Category: Nursing Authors: Heather L. Tubbs‐Cooley, Rita H. Pickler, Janet B. Younger, Barbara A. Mark Tags: Original Research: Empirical Research – Quantitative Source Type: research

Reexpansion Pulmonary Edema after chest drainage for pneumothorax: a case report and literature overview
Conclusion RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage. Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favourable outcome. (Source: Respiratory Medicine Case Reports)
Source: Respiratory Medicine Case Reports - November 27, 2014 Category: Respiratory Medicine Source Type: research

Management of inguinal hernia in premature infants: 10-year experience
Conclusions: Delaying HR in premature infants until ready for discharge from the NICU allows for repair closer to term without increasing the risk of incarceration. Because of low occurrence of metachronous hernia contralateral inguinal exploration is not justified. Day surgery HR can be performed in former premature infant if PCA is >47 weeks without increasing postoperative complications. (Source: Journal of Indian Association of Pediatric Surgeons)
Source: Journal of Indian Association of Pediatric Surgeons - November 27, 2014 Category: Surgery Authors: Stanley John CranksonKhalil Al TawilMohammad Al NamshanSaud Al JadaanBeverly Jane BaylonMutaz GieballaIbrahim Hakim Ahmed Source Type: research

Is there a role for telemedicine in disaster medicine?
No abstract (Source: Critical Care)
Source: Critical Care - November 27, 2014 Category: Intensive Care Authors: Felipe PizaMilton SteinmanSergio BaldisserottoRenata MorbeckEliezer Silva Source Type: research

Measurement of family-centered care in the neonatal intensive care unit and professional background
& M Mori (Source: Journal of Perinatology)
Source: Journal of Perinatology - November 27, 2014 Category: Perinatology & Neonatology Authors: N HimuroS MiyagishimaN KozukaH TsutsumiM Mori Source Type: research

New Antibiotic Dosing in Infants
To prevent the devastating consequences of infection, most infants admitted to the neonatal intensive care unit are exposed to antibiotics. However, dosing regimens are often extrapolated from data in adults and older children, increasing the risk for drug toxicity and lack of clinical efficacy because they fail to account for developmental changes in infant physiology. However, newer technologies are emerging with minimal-risk study designs, including ultra-low-volume assays, pharmacokinetic modeling and simulation, and opportunistic drug protocols. With minimal-risk study designs, pharmacokinetic data and dosing regimens...
Source: Clinics in Perinatology - November 27, 2014 Category: Perinatology & Neonatology Authors: Leslie C. Pineda, Kevin M. Watt Source Type: research

Outcomes of direct and indirect medical intensive care unit admissions from the emergency department of an acute care hospital: a retrospective cohort study
Conclusions Indirectly admitted MICU/HDU patients had generally poorer outcomes. As the magnitude of effect may vary across settings, context-specific studies may be useful for improving outcomes. (Source: BMJ Open)
Source: BMJ Open - November 27, 2014 Category: Journals (General) Authors: Molina, J. A. D., Seow, E., Heng, B. H., Chong, W. F., Ho, B. Tags: Open access, Emergency medicine, Intensive care Research Source Type: research

Patients' experiences of postoperative intermediate care and standard surgical ward care after emergency abdominal surgery: a qualitative sub‐study of the Incare trial
ConclusionPostoperative intermediate care enhanced perceptions of quality of care, specifically in patients with a perceived complicated disease course. Patients were eager to contribute actively to their recovery; however, intermediate care patients felt hindered in doing so by continuous monitoring of vital signs. Relevance to clinical practiceIntermediate care may increase patient perceptions of quality and safety of care. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 27, 2014 Category: Nursing Authors: Thordis Thomsen, Morten Vester‐Andersen, Martin Vedel Nielsen, Tina Waldau, Ann Merete Møller, Jacob Rosenberg, Morten Hylander Møller, Kristin Brønnum Nystrup, Bente Appel Esbensen Tags: Original Article Source Type: research

Organ donation after acute brain death: addressing limitations of time and resources in the emergency department.
We present a case illustrative of the complexity of discussing organ donation in the emergency department and suggest that patients who die in the emergency department should be afforded the respect and consideration provided in other parts of the hospital, including facilitation of organ transplantation. As circulatory determination of death becomes a more common antecedent to organ transplantation, specific questions may arise in the emergency department setting. When in the emergency department, how should organ donation be addressed and by whom? Should temporary organ preservation be initiated in the setting of uncerta...
Source: The Yale Journal of Biology and Medicine - November 26, 2014 Category: Universities & Medical Training Tags: Yale J Biol Med Source Type: research

Proton pump inhibitors and histamine-2 receptor antagonists in the intensive care setting: focus on therapeutic and adverse events
Expert Opinion on Drug Safety, Ahead of Print. (Source: Expert Opinion on Drug Safety)
Source: Expert Opinion on Drug Safety - November 26, 2014 Category: Drugs & Pharmacology Tags: article Source Type: research

Review of Evidence About Family Presence During Resuscitation
This article presents relevant research on attitudes about FPDR and interventions to help change practice. The authors also share their experience with a project to implement FPDR in a medical intensive care unit. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 26, 2014 Category: Nursing Authors: Sonya A. Flanders, Jessica H. Strasen Source Type: research

Differences in the handover process and perception between nurses and residents in a critical care setting
ConclusionsMore nurses than residents received prior training in handovers. Nursing handovers were more inclusive of allied health specialties. The perceived importance of the components of handover varied. Greater clarity in management plans was associated with better satisfaction. Relevance to clinical practiceDeficiencies in the handover process (lack of prior training in handovers, not including allied health specialties and not reviewing electronic records before handover) were identified, thus providing opportunities for mutual learning between nurses and residents. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 26, 2014 Category: Nursing Authors: Amartya Mukhopadhyay, Benjamin SH Leong, Adela Lua, Rana Aroos, Jie Jun Wong, Nicola Koh, Nicholette Goh, Kay Choong See, Jason Phua, Yanika Kowitlawakul Tags: Original Article Source Type: research

Cost-effectiveness of Dalteparin vs Unfractionated Heparin for the Prevention of Venous Thromboembolism in Critically Ill Patients
Conclusions and RelevanceFrom a health care payer perspective, the use of the LMWH dalteparin for VTE prophylaxis among critically ill medical-surgical patients was more effective and had similar or lower costs than the use of UFH. These findings were driven by lower rates of pulmonary embolus and heparin-induced thrombocytopenia and corresponding lower overall use of resources with LMWH. (Source: JAMA)
Source: JAMA - November 26, 2014 Category: Journals (General) Source Type: research

High-tech Care Can Save Lives—But It Also May Create Incentives That Result in Lives Lost
In a news story about the care provided to premature infants in neonatal intensive care units (NICUs), reporter Alex Halperin illuminated the miracles and unintended consequences of health care technology. With the use of modern methods, vastly more premature infants now survive early birth—often by many weeks, even months—than was imagined possible a few decades ago. That’s amazing. (Source: JAMA)
Source: JAMA - November 26, 2014 Category: Journals (General) Source Type: research

Contrast-enhanced ultrasound evaluation of renal microcirculation in sheep
Conclusions: CEUS-derived parameters were highly heterogeneous in this sheep model. The current protocol and model did not allow the evaluation of the correlation between macro and microcirculation assessment by CEUS. (Source: Intensive Care Medicine Experimental)
Source: Intensive Care Medicine Experimental - November 26, 2014 Category: Surgery Authors: Antoine SchneiderPaolo CalzavaccaAnthony SchellemanTim HuynhMichael BaileyClive MayRinaldo Bellomo Source Type: research

Pre-hospital identification of trauma patients with early acute coagulopathy and massive bleeding: results of a prospective non-interventional clinical trial evaluating the Trauma Induced Coagulopathy Clinical Score (TICCS)
Conclusion: TICCS can be easily and rapidly measured on the site of trauma by paramedics. In this study of blunt trauma patients, TICCS was able to discriminate between patients with and without need for DCR. TICCS on-site evaluation should allow initiation of optimal care immediately upon hospital admission of patients with severe trauma in need of DCR. In-depth validation of TICCS though requires a larger multicenter prospective study.Trial registrationclinicaltrials.gov NCT02132208 Registered 6 May 2014 (Source: Critical Care)
Source: Critical Care - November 26, 2014 Category: Intensive Care Authors: Martin TongletJean MinonLaurence SeidelJean PoplavskyMichel Vergnion Source Type: research

Epidemiology of severe trauma
Publication date: Available online 24 November 2014 Source:Medicina Intensiva (English Edition) Author(s): F. Alberdi , I. García , L. Atutxa , M. Zabarte Major injury is the sixth leading cause of death worldwide. Among those under 35 years of age, it is the leading cause of death and disability. Traffic accidents alone are the main cause, fundamentally in low- and middle-income countries. Patients over 65 years of age are an increasingly affected group. For similar levels of injury, these patients have twice the mortality rate of young individuals, due to the existence of important comorbidities and associated treatme...
Source: Medicina Intensiva - November 26, 2014 Category: Intensive Care Source Type: research

Epidemiological study of Clostridium difficile infection in critical patients admitted to the Intensive Care Unit
Conclusions The rate of ICD in ICU patients is low, the infection affects severely ill patients, and is associated with high mortality. The presence of CDI is a marker of poor prognosis. (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 26, 2014 Category: Intensive Care Source Type: research

Innovative Approaches in the Perioperative Care of the Cardiac Surgical Patient in the Operating Room and Intensive Care Unit
Publication date: December 2014 Source:Canadian Journal of Cardiology, Volume 30, Issue 12, Supplement Author(s): André Denault , Yoan Lamarche , Antoine Rochon , Jennifer Cogan , Mark Liszkowski , Jean-Sébastien Lebon , Christian Ayoub , Jean Taillefer , Robert Blain , Claudia Viens , Pierre Couture , Alain Deschamps Perioperative care for cardiac surgery is undergoing rapid evolution. Many of the changes involve the application of novel technologies to tackle common challenges in optimizing perioperative management. Herein, we illustrate recent advances in perioperative management by focusing on a number of novel com...
Source: Canadian Journal of Cardiology - November 26, 2014 Category: Cardiology Source Type: research

Prospective evaluation of the acute patient physiologic and laboratory evaluation score and an extended clinicopathological profile in dogs with systemic inflammatory response syndrome
ConclusionsThe determination of the APPLEfast score in clinical setting, as well as the measurement of APP, ATA, lactate, BE, anion gap, ALT, urinary proteins, and electrolytes may be beneficial for a better assessment of dogs with SIRS. Identified parameters were significantly related with the presence of SIRS and their evaluation should be considered for the assessment of disease severity, and guidance of the decision‐making process in critically ill dogs. (Source: Journal of Veterinary Emergency and Critical Care)
Source: Journal of Veterinary Emergency and Critical Care - November 26, 2014 Category: Veterinary Research Authors: Massimo Giunti, Roberta Troia, Paolo Famigli Bergamini, Francesco Dondi Tags: Original Study Source Type: research

A meta-analysis of the effectiveness of crew resource management training in acute care domains
The healthcare industry has seen an increase in the adoption of team training, such as crew resource management (CRM), to improve teamwork and coordination within acute care medical teams. A meta-analysis was carried out in order to quantify the effects of CRM training on reactions, learning, behaviour and clinical care outcomes. Biases in the research evidence are identified and recommendations for training development and evaluation are presented. PUBMED, EMBASE and PsychInfo were systematically searched for all relevant papers. Peer reviewed papers published in English between January 1985 and September 2013, which pres...
Source: Postgraduate Medical Journal - November 26, 2014 Category: Journals (General) Authors: O'Dea, A., O'Connor, P., Keogh, I. Tags: Adult intensive care, Epidemiology, Internet Original article Source Type: research

Management of Hazardous Material Emergencies
As this issue of Emergency Medicine Clinics of North America goes to press, the United States is extraordinarily preoccupied with a number of health concerns indirectly related to the topic of this tome, hazardous materials preparedness. The nation has recently suffered its first death due to Ebola and observed the first case of transmission of the disease in this country. Pediatric intensive care units throughout the country are struggling with respiratory illness caused by Enterovirus D 68. Unrest in the Middle East has raised the specter of a domestic terrorist attack by sympathizers of the so-called Islamic State. (Sou...
Source: Emergency Medicine Clinics of North America - November 25, 2014 Category: Emergency Medicine Authors: Stephen W. Borron, Ziad Kazzi Tags: Preface Source Type: research

Comment on okabayashi et Al. Intensive versus intermediate glucose control in surgical intensive care unit patients. Diabetes care 2014;37:1516-1524.
PMID: 25414410 [PubMed - in process] (Source: Diabetes Care)
Source: Diabetes Care - November 25, 2014 Category: Endocrinology Authors: Viana MV, Viana LV Tags: Diabetes Care Source Type: research

Artificial Lungs
New oxygenator technologies widened the application of extracorporeal life support significantly in the last decade. Currently the use is still limited within intensive care units. Compared to ventricular assist devices for heart failure, lung replacement technology is lagging behind, not allowing discharge on device. Challenges to achieve a true artificial lung for long term use are discussed in this article. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 25, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Martin Strueber Source Type: research

Informed consent for procedures in the intensive care unit: ethical and practical considerations.
Authors: Philpot SJ PMID: 25161030 [PubMed - indexed for MEDLINE] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - November 25, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

The ripple effect of acute neurological injury following cardiac arrest: a reflection.
Authors: Eastwood GM PMID: 25161029 [PubMed - indexed for MEDLINE] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - November 25, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research