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

Comparison of simultaneous bilateral with unilateral total knee arthroplasty.
Conclusion: Simultaneous BTKA should be considered in selected patients under 70 years of age with good compliance and no comorbid disease. PMID: 24747618 [PubMed - in process] (Source: Acta Orthopaedica et Traumatologica Turcica)
Source: Acta Orthopaedica et Traumatologica Turcica - April 22, 2014 Category: Orthopaedics Authors: Ekinci Y, Oner M, Karaman I, Kafadar IH, Mutlu M, Argün M Tags: Acta Orthop Traumatol Turc Source Type: research

Fluctuations in vital signs and behavioural responses of brain surgery patients in the Intensive Care Unit: are they valid indicators of pain?
ConclusionBehaviours were found valid indicators of pain in neurocritically ill patients after elective brain surgery. Fluctuations in vital signs may suggest the presence of pain, but their validity for such use is not supported. They should only be used in combination with other validated pain assessment methods. (Source: Journal of Advanced Nursing)
Source: Journal of Advanced Nursing - April 22, 2014 Category: Nursing Authors: Oxana Kapoustina, Christine Echegaray‐Benites, Céline Gélinas Tags: Original Research Source Type: research

The dysfunctional host response to influenza A H7N9: a potential treatment option?
The newly emerging human pathogen influenza A H7N9 represents a potentially major threat to human health. The virus was first shown to be pathogenic in humans in 2013, and outbreaks continue to occur in China to the present time. The current incident mortality rate is disturbingly high despite the frequent use of antiviral therapy and intensive care management. If the virus gains the capacity for efficient person-to-person transmission, a global influenza pandemic could ensue with devastating consequences. In the absence of an effective vaccine, targeted regulation of the host immune response by immune modulators might be ...
Source: Critical Care - April 22, 2014 Category: Intensive Care Authors: Steven OpalDavid Fedson Source Type: research

The region makes the difference: disparities in management of acute myocardial infarction within Switzerland
Conclusions In Switzerland, significant geographical differences in management and revascularization procedures for AMI were found. (Source: European Journal of Preventive Cardiology)
Source: European Journal of Preventive Cardiology - April 22, 2014 Category: Cardiology Authors: Insam, C., Paccaud, F., Marques-Vidal, P. Tags: Original scientific papers Source Type: research

Identifying unusual performance in Australian and New Zealand intensive care units from 2000 to 2010
Conclusions: The statistical approach proposed in this paper is intended to be used for the review of observed ICU and hospital mortality. Two important messages from our study are firstly, that comprehensive riskadjustment is essential in modelling patient mortality for comparing performance, and secondly, that the appropriate statistical analysis is complicated. (Source: BMC Medical Research Methodology - Latest articles)
Source: BMC Medical Research Methodology - Latest articles - April 22, 2014 Category: Research Authors: Patricia SolomonJohn MoranJessica Kasza Source Type: research

The dysfunctional host response to influenza A H7N9: a potential treatment option?
The newly emerging human pathogen influenza A H7N9 represents a potentially major threat to human health. The virus was first shown to be pathogenic in humans in 2013, and outbreaks continue to occur in China to the present time. The current incident mortality rate is disturbingly high despite the frequent use of antiviral therapy and intensive care management. If the virus gains the capacity for efficient person-to-person transmission, a global influenza pandemic could ensue with devastating consequences. In the absence of an effective vaccine, targeted regulation of the host immune response by immune modulators might be ...
Source: Critical Care - April 22, 2014 Category: Intensive Care Authors: Steven OpalDavid Fedson Source Type: research

Experiences of Mothers of Infants with Neonatal Abstinence Syndrome in the Neonatal Intensive Care Unit
ConclusionThese findings provide nurses with a better understanding of the experiences of mothers who have addiction problems and may lead to more customized nursing care for this high‐risk population of mothers and their infants. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - April 22, 2014 Category: Nursing Authors: Lisa M. Cleveland, Rebecca Bonugli Tags: Research Source Type: research

Non‐nutritive Sucking for Preterm Infants in Egypt
ConclusionNon‐nutritive sucking was found to improve physiological and behavioral responses of preterm infants. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - April 22, 2014 Category: Nursing Authors: Heba Kamhawy, Diane Holditch‐Davis, Sabah Alsharkawy, Safy Alrafay, Kirsten Corazzini Tags: Research Source Type: research

Knowledge on ICU delirium: The worldwide perspective
brings to light a problem that has long been ignored by some Intensive Care personnel. Focus on this issue has remarkably intensified recently and so have studies in this field (). The study presented in the article confirms the results of other similar surveys (), and underlines the fact that knowledge on ICU delirium and other interventions undertaken by nurses, are the same in both the Western and Eastern countries. The related training above all is limited, and know-how on screening methods is not well spread, implying that one of the most frequent manifestations of hypoactive delirium is often not recognised. (Source:...
Source: Intensive and Critical Care Nursing - April 21, 2014 Category: Nursing Authors: Gian Domenico Giusti, Federica Piergentili Tags: Letter to the Editor Source Type: research

Sources of knowledge used by intensive care nurses in Norway: An exploratory study
This study explored the sources of knowledge that intensive care nurses used in their daily nursing practice. It used a qualitative design based on four focus group interviews with 20 intensive care nurses, from four intensive care units in Norway. Data were analysed using systematic text condensation. The following condensed meaning units were identified: research, theoretical knowledge, experiential knowledge, work place culture, clinical expertise and patient participation. This study illustrates the complexity and variety of the knowledge bases of intensive care nurses. Despite some variation in nurses’ familiarity w...
Source: Intensive and Critical Care Nursing - April 21, 2014 Category: Nursing Authors: Heidi B. Bringsvor, Signe Berit Bentsen, Astrid Berland Tags: Original Articles Source Type: research

Nursing Activities Score (NAS): 5 Years of experience in the intensive care units of an Italian University hospital
Summary: Objective: To retrospectively analyse the application of the Nursing Activities Score (NAS) in an intensive care department from January 2006 to December 2011.Method: The sample consists of 5856 patients in three intensive care units (GICU: General Intensive Care Unit, NeuroICU: Neurosurgical Intensive Care Unit, CICU: Cardiothoracic Intensive Care Unit) of an Italian University hospital.The NAS was calculated for each patient every 24hours. In patients admitted to general ICU, the following scores: SAPS 2 and SAPS 3 (Simplified Acute Physiology Score), RASS (Richmond Agitation Sedation Scale) and Braden were also...
Source: Intensive and Critical Care Nursing - April 21, 2014 Category: Nursing Authors: Alberto Lucchini, Christian De Felippis, Stefano Elli, Liliana Schifano, Federica Rolla, Flavia Pegoraro, Roberto Fumagalli Tags: Original Articles Source Type: research

Psychological wellbeing, health related quality of life and memories of intensive care and a specialised weaning centre reported by survivors of prolonged mechanical ventilation
Conclusion: Delusional memories and anxiety disorder were prevalent and associated suggesting interventions to ameliorate delusional memories may reduce anxiety. Difficulty sleeping and thirst were common experiences. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 21, 2014 Category: Nursing Authors: Louise Rose, Mika Nonoyama, Shaghayegh Rezaie, Ian Fraser Tags: Original Articles Source Type: research

Managing hyperactive delirium and spinal immobilisation in the intensive care setting: A case study and reflective discussion of the literature
Summary: The management of ventilated patients on intensive care has, at its core, a care bundle; an evidence based group of actions designed to reduce the risk of ventilator-associated pneumonia. One of these is the daily cessation of sedation medication to expedite weaning from ventilatory support. A reflection-on-action exercise was carried out when a spinally injured patient became physically active during a sedation hold. This was attributed to hyperactive delirium. The concern was the conflict between providing evidence based Intensive Care Unit (ICU) therapy care and maintaining spinal immobility.Reflection on this ...
Source: Intensive and Critical Care Nursing - April 21, 2014 Category: Nursing Authors: Jaime P. Hyde-Wyatt Tags: Reviews Source Type: research

Intensive care readmission: A contemporary review of the literature
Summary: ICU readmissions are a commonly used quality measure but despite decades of research, these adverse events continue to occur. Of particular concern is that readmitted patients have much worse prognoses than those not readmitted. In recent years new clinical service roles have evolved to assist ward staff with the care of acutely ill patients, such as those discharged from ICU. Given the recent emergence of these service roles, a review of contemporary ICU readmission studies was warranted to determine their impact on this adverse event.Reviewed studies indicated the incidence of readmissions and outcomes of these ...
Source: Intensive and Critical Care Nursing - April 21, 2014 Category: Nursing Authors: Malcolm Elliott, Linda Worrall-Carter, Karen Page Tags: Reviews Source Type: research

[Correspondence] Care bundles in intensive care units
Ventilator-associated pneumonia and central-line-associated bloodstream infections are common complications for patients in intensive care units receiving mechanical ventilation and contribute to increased length of stay and mortality. Many studies have shown the effectiveness of care bundles to reduce rates of these complications. In their Article, Lennie Derde and colleagues report that improved hand hygiene plus unit-wide chlorhexidine body-washing reduced acquisition of antimicrobial-resistant bacteria, particularly meticillin-resistant Staphylococcus aureus. (Source: The Lancet Infectious Diseases)
Source: The Lancet Infectious Diseases - April 21, 2014 Category: Infectious Diseases Authors: Samad E J Golzari, Ata Mahmoodpoor Tags: Correspondence Source Type: research

[Correspondence] Care bundles in intensive care units – Authors' reply
We thank Samad Golzari and Ata Mahmoodpoor for their interest and critical reading of our study about reducing antibiotic resistance in intensive care units. (Source: The Lancet Infectious Diseases)
Source: The Lancet Infectious Diseases - April 21, 2014 Category: Infectious Diseases Authors: Marc J M Bonten, Christian Brun-Buisson, Ben S Cooper, Lennie P G Derde, on behalf of all authors Tags: Correspondence Source Type: research

Continuous endotracheal tube cuff pressure control system protects against ventilator-associated pneumonia
The objective of this study was to compare the incidence of VAP in a large sample of patients (n=284) treated with either continuous or intermittent control of endotracheal tube cuff pressure. Methods: We performed a prospective observational study of patients undergoing mechanical ventilation during more than 48 hours in an intensive care unit (ICU) using either continuous or intermittent endotracheal tube cuff pressure control. Multivariate logistic regression analysis (MLRA) and Cox proportional hazard regression analysis were used to predict VAP. The magnitude of the effect was expressed as odds ratio (OR) or hazard ra...
Source: Critical Care - April 21, 2014 Category: Intensive Care Authors: Leonardo LorenteMaría LecuonaAlejandro JiménezLisset LorenzoIsabel RocaJudith CabreraCelina LlanosMaría Mora Source Type: research

High versus Low Blood-Pressure Target in Patients with Septic Shock
This multicentre, open label trial randomized over 700 patients with septic shock to undergo resuscitation to MAP target of 80-85 mmHg or 65-70 mmHg. The primary outcome of mortality was no different in either group at 28 or 90 days. However, the higher target group required less renal replacement therapy. : Hydroxyethyl Starch or Saline for Fluid Resuscitation in Intensive Care. Cardiorenal End Points in a Trial of Aliskiren for Type 2 Diabetes Intensity of Continuous Renal-Replacement Therapy in Critically Ill Patients (Source: Nephrology Now)
Source: Nephrology Now - April 19, 2014 Category: Urology & Nephrology Authors: Nephrology Now editors Tags: Acute Kidney Injury Clinical Nephrology Clinical Trial Results General Nephrology Source Type: research

Am J Respir Crit Care Med; +19 new citations
19 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: Am J Respir Crit Care Med These pubmed results were generated on 2014/04/19PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources. (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - April 19, 2014 Category: Intensive Care Tags: Report Source Type: research

Implementing the PEP uP Protocol in Critical Care Units in Canada: Results of a Multicenter, Quality Improvement Study.
CONCLUSIONS: In the real-life setting, the PEP uP protocol can improve the delivery of EN to critically ill patients. PMID: 24748597 [PubMed - as supplied by publisher] (Source: JPEN Journal Of Parenteral And Enteral Nutrition)
Source: JPEN Journal Of Parenteral And Enteral Nutrition - April 18, 2014 Category: Nutrition Authors: Heyland DK, Dhaliwal R, Lemieux M, Wang M, Day AG Tags: JPEN J Parenter Enteral Nutr Source Type: research

Use of 3 Tools to Assess Nutrition Risk in the Intensive Care Unit.
CONCLUSION: Traditional screening and assessment tools did not uniformly identify patients as malnourished or at nutrition risk in the ICU and therefore may be inappropriate for use in this population. Inclusion of physical assessment, functional status, and severity of illness may be useful in predicting nutrition risk in the ICU. PMID: 24748598 [PubMed - as supplied by publisher] (Source: JPEN Journal Of Parenteral And Enteral Nutrition)
Source: JPEN Journal Of Parenteral And Enteral Nutrition - April 18, 2014 Category: Nutrition Authors: Coltman A, Peterson S, Roehl K, Roosevelt H, Sowa D Tags: JPEN J Parenter Enteral Nutr Source Type: research

Lourdes cutting 23 jobs as part of service realignment
Lourdes Health System is eliminating 23 hospital-based positions and making other clinical and personnel changes to “better position” the Camden-based health-care organization for the future. Alexander J. Hatala, Lourdes president and CEO, said other realignment of resources will include re-designating the intensive care nursery unit at Our Lady of Lourdes Medical Center from a Level-III to a Level-II unit, which will lower operating costs, and making unspecified “leadership changes” in… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - April 17, 2014 Category: Pharmaceuticals Authors: John George Source Type: research

Use of argatroban and catheter-directed thrombolysis with alteplase in an oncology patient with heparin-induced thrombocytopenia with thrombosis.
CONCLUSION: A 63-year-old man with renal amyloidosis and SVC syndrome secondary to HITT was successfully treated with argatroban and CDT with alteplase. PMID: 24733133 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)
Source: American Journal of Health-System Pharmacy : AJHP - April 17, 2014 Category: Drugs & Pharmacology Authors: Dee B, Thomas LL, Gulbis A Tags: Am J Health Syst Pharm Source Type: research

Successful control of a neonatal outbreak caused mainly by ST20 multidrug-resistant SHV-5-producing Klebsiella pneumoniae, Greece
Background: Extended spectrum beta-lactamase-producing Klebsiella pneumoniae (ESBL-Kp) infection can cause significant morbidity and mortality in neonates. We investigated a nosocomial ESBL-Kp outbreak in a neonatal intensive care unit (NICU) of the University Hospital of Larissa (UHL), Central Greece. Methods: A total of sixty-four ESBL-Kp were studied; twenty six isolates were recovered from the NICU and were compared with thirty-eight randomly selected isolates from different wards of the hospital during the period March- December 2012. All isolates were characterized by antimicrobial susceptibility testing, ESBL-produc...
Source: BMC Pediatrics - Latest articles - April 17, 2014 Category: Pediatrics Authors: Angeliki MavroidiApostolos LiakopoulosAntonios GounarisMaria GoudesidouKaterina GaitanaVivi MiriagouEfthymia Petinaki Source Type: research

Early feeding factors associated with exclusive versus partial human milk feeding in neonates receiving intensive care
M Patel (Source: Journal of Perinatology)
Source: Journal of Perinatology - April 17, 2014 Category: Perinatology & Neonatology Authors: T C WalkerS D KeeneR M Patel Source Type: research

A systematic review of therapeutic hypothermia for adult patients following traumatic brain injury
A systematic review highlights the need for more high quality randomised control trials to assess the effectiveness of therapeutic hypothermia after traumatic brain injury. (Source: Critical Care)
Source: Critical Care - April 17, 2014 Category: Intensive Care Authors: Samantha CrossleyJenny ReidRachel McLatchieJudith HaytonClair ClarkMargaret MacDougallPeter Andrews Source Type: research

Sedation and Delirium in Intensive Care
New England Journal of Medicine, Volume 370, Issue 16, Page 1566-1567, April 2014. (Source: New England Journal of Medicine)
Source: New England Journal of Medicine - April 16, 2014 Category: Internal Medicine Tags: article Source Type: research

Health Care Workers and ICU Pain Perceptions
ConclusionHealth care providers' race, age, level of education, and medical subspecialty were significant factors affecting their perceptions of pain management and intended treatment. (Source: Pain Medicine)
Source: Pain Medicine - April 16, 2014 Category: Anesthesiology Authors: Ravali Tarigopula, Naveen K. Tyagi, Jill Jackson, Chaitali Gupte, Pooja Raju, Jennifer LaRosa Tags: Original Article Source Type: research

Advance Care Planning Norms May Contribute to Hospital Variation in End-of-Life ICU Use: A Simulation Study
Conclusions: In this simulation study of 2 AMCs, hospital-based physicians had different perceptions of an identical case. We hypothesize that different advance care planning norms may have influenced their decision-making heuristics. (Source: Medical Decision Making)
Source: Medical Decision Making - April 16, 2014 Category: Health Management Authors: Barnato, A. E., Mohan, D., Lane, R. K., Huang, Y. M., Angus, D. C., Farris, C., Arnold, R. M. Tags: Original Articles Source Type: research

Reducing the impact of insulin sensitivity variability on glycaemic outcomes using separate stochastic models within the STAR glycaemic protocol
Conclusions: SI levels increase significantly, while variability decreases during the first 18 hours of a patients stay in ICU. Virtual trials, using a separate stochastic model for this period, demonstrated a reduction in variability and hypoglycaemia during the first 18 hours without adversely affecting the overall level of control. Thus, use of multiple models can reduce the impact of SI variability during model-based glycaemic control. (Source: BioMedical Engineering OnLine)
Source: BioMedical Engineering OnLine - April 16, 2014 Category: Biomedical Engineering Authors: Felicity ThomasChristopher PrettyLiam FiskGeoffrey ShawJ ChaseThomas Desaive Source Type: research

Efficacy of N-acetylcysteine in preventing atrial fibrillation after cardiac surgery: a meta-analysis of published randomized controlled trials
Conclusions: Prophylactic use of NAC could reduce the incidence of POAF and all-cause mortality in adult patients undergoing cardiac surgery. However, larger RCTs evaluating these and other postoperative complication endpoints are needed. (Source: BMC Cardiovascular Disorders)
Source: BMC Cardiovascular Disorders - April 16, 2014 Category: Cardiology Authors: Xue-Hui LiuChun-Yan XuGuang-Hui Fan Source Type: research

Risk stratification and prognostic performance of the predisposition, infection, response, and organ dysfunction (PIRO) scoring system in septic patients in the emergency department: a cohort study
Conclusions: The study indicates that PIRO is helpful for risk stratification and prognostic determinations in septic patients in the ED. (Source: Critical Care)
Source: Critical Care - April 16, 2014 Category: Intensive Care Authors: Yun-Xia ChenChun-Sheng Li Source Type: research

Checklist for percutaneous tracheostomy in critical care
No description available (Source: Critical Care)
Source: Critical Care - April 16, 2014 Category: Intensive Care Authors: Gokulnath RajendranStephen Hutchinson Source Type: research

Comparison of scoring systems and outcome of patients admitted to a liver intensive care unit of a tertiary referral centre with severe variceal bleeding
ConclusionsMELD score was comparable to ICU prognostic models in predicting mortality. Blood lactate was also predictive of hospital mortality. Delays in referrals and repeated endoscopy were associated with increased re‐bleeding and mortality in this group. (Source: Alimentary Pharmacology and Therapeutics)
Source: Alimentary Pharmacology and Therapeutics - April 16, 2014 Category: Drugs & Pharmacology Authors: M. A. B. Al‐Freah, A. Gera, S. Martini, M. J. W. McPhail, J. Devlin, P. M. Harrison, D. Shawcross, R. D. Abeles, N. J. Taylor, G. Auzinger, W. Bernal, M. A. Heneghan, J. A. Wendon Tags: Original Article Source Type: research

Risk stratification and prognostic performance of the predisposition, infection, response, and organ dysfunction (PIRO) scoring system in septic patients in the emergency department: a cohort study
Conclusions: The study indicates that PIRO is helpful for risk stratification and prognostic determinations in septic patients in the ED. (Source: Critical Care)
Source: Critical Care - April 16, 2014 Category: Intensive Care Authors: Yun-Xia ChenChun-Sheng Li Source Type: research

Increase in nurse numbers linked to better patient survival rates in ICU.
Abstract Higher numbers of nurses per bed are associated with better survival rates among patients in intensive care - and the benefits are at their greatest among the very seriously ill - research suggests. PMID: 24734796 [PubMed - as supplied by publisher] (Source: Nursing Standard)
Source: Nursing Standard - April 16, 2014 Category: Nursing Authors: Duffin C Tags: Nurs Stand Source Type: research

Nutrition Algorithms and Bedside Nutrient Delivery Practices in Pediatric Intensive Care Units: An International Multicenter Cohort Study.
Conclusions: A minority of PICUs employ EN algorithms; recommendations were variable and not in agreement with national guidelines. Optimal EN delivery was achieved in less than one-third of our cohort. EN adjunct therapies were not associated with increased EN delivery. Studies aimed at promoting early EN and decreasing interruptions may optimize energy delivery in the PICU. PMID: 24740498 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - April 16, 2014 Category: Nutrition Authors: Martinez EE, Bechard LJ, Mehta NM Tags: Nutr Clin Pract Source Type: research

Low Energy Intake During the First Week in an Emergency Intensive Care Unit Is Associated With Reduced Duration of Mechanical Ventilation in Critically Ill, Underweight Patients: A Single-Center Retrospective Chart Review.
Conclusion: Reduced energy intake during the first week in EICU was associated with a reduced MVD in clinically ill patients with BMI <20.0 kg/m(2). PMID: 24740496 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - April 16, 2014 Category: Nutrition Authors: Ichimaru S, Fujiwara H, Amagai T, Atsumi T Tags: Nutr Clin Pract Source Type: research

[In Context] News in brief
Early decompressive hemicraniectomy reduces mortality without increasing the risk of severe disability in young patients (60 years or younger) with extensive middle cerebral artery stroke. Results of the DESTINY II trial now show that early hemicraniectomy also increases the probability of survival in older patients (N Engl J Med 2014; 370: 1091–100). 112 patients aged 61 years or older (median 70 years, range 61–82) with malignant middle cerebral artery infarction were randomly assigned to conservative treatment in the intensive care unit (63 patients) or hemicraniectomy (49 patients) within 48 h of symptom onset. (So...
Source: Lancet Neurology - April 15, 2014 Category: Neurology Authors: The Lancet Neurology Tags: In Context Source Type: research

A multicenter study on Leigh syndrome: disease course and predictors of survival
Conclusions: This is a multicenter study performed in a large cohort of patients with Leigh syndrome. Our data help define the natural history of Leigh syndrome and identify novel predictors of disease severity and long-term prognosis. (Source: Orphanet Journal of Rare Diseases)
Source: Orphanet Journal of Rare Diseases - April 15, 2014 Category: Internal Medicine Authors: Kalliopi SofouIrenaeus De CooPirjo IsohanniElsebet OstergaardKarin NaessLinda De MeirleirCharalampos TzoulisJohanna UusimaaIsabell De AngstTuula LönnqvistHelena PihkoKatariina MankinenLaurence BindoffMár TuliniusNiklas Darin Source Type: research

Predicting outcome from subacute unresponsive wakefulness syndrome or vegetative state
Predicting recovery of consciousness in patients who survive their coma but evolve to a vegetative state (recently coined unresponsive wakefulness syndrome) remains a challenge. Most previous prognostic studies have focused on the acute coma phase. A novel outcome scale (combining behavioural, aetiology, electroencephalographic, sleep electroencephalographic and somatosensory evoked potential data) has been proposed for patients in subacute unresponsive wakefulness syndrome. The scale’s clinical application awaits validation in a larger population. (Source: Critical Care)
Source: Critical Care - April 15, 2014 Category: Intensive Care Authors: Olivier BodartSteven Laureys Source Type: research

Rationales of restricted visiting hour in Iranian intensive care units: a qualitative study
ConclusionThe result showed that through restricted visiting hours, nurses try to protect vulnerable ICU patients from physical, psychological and legal risk. Although the ICU nurses' concerns seem reasonable in some cases, a review of visiting policies in order to meet the needs of patients and their families is essential. Relevance to clinical practiceEffective supervision by charge nurses and regulation of environmental activities with visiting hours can resolve many concerns. Health care professionals, especially nurses, are required to create the conditions in which patients' family members are informed about the pati...
Source: Nursing in Critical Care - April 15, 2014 Category: Nursing Authors: Zahra Tayebi, Leili borimnejad, Nahid Dehghan‐Nayeri, Mahmoud Kohan Tags: Research Source Type: research

Goal-directed transfusion protocol via thrombelastography in patients with abdominal trauma: a retrospective study
Conclusions: Goal-directed transfusion protocol via standard TEG was achievable in patients with abdominal trauma. The novel protocol, compared to conventional transfusion management, has the potential to decrease blood product utilization and prevent exacerbation of coagulation function. (Source: World Journal of Emergency Surgery)
Source: World Journal of Emergency Surgery - April 15, 2014 Category: Emergency Medicine Authors: Jian-Yi YinZhenguo ZhaoYousheng LiJian WangDanhua YaoShaoyi ZhangWenkui YuNing LiJieshou Li Source Type: research

The impact of alcohol intoxication in patients admitted due to assault at an Australian major trauma centre: a trauma registry study from 1999 to 2009
Conclusions There was a peak in hospital admissions due to inner city assault around 2000–2002 associated with an overall decline in hospital admissions at this trauma centre over 10 years. Clinical evidence of alcohol intoxication in patients admitted for assault appears to be associated with more severe injury, including severe head injury. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - April 15, 2014 Category: Emergency Medicine Authors: Dinh, M. M., Bein, K. J., Roncal, S., Martiniuk, A. L. C., Boufous, S. Tags: Trauma CNS / PNS, Adult intensive care, Trauma Original article Source Type: research

Rapid Measurement of Human Milk Macronutrients in the Neonatal Intensive Care Unit: Accuracy and Precision of Fourier Transform Mid-Infrared Spectroscopy
Conclusion: The FT mid-IR spectroscope demonstrated high accuracy in measurement of total protein and fat of preterm and term milk with high precision. (Source: Journal of Human Lactation)
Source: Journal of Human Lactation - April 15, 2014 Category: Nursing Authors: Smilowitz, J. T., Gho, D. S., Mirmiran, M., German, J. B., Underwood, M. A. Tags: Original Research Source Type: research

Reduced overtriage and undertriage with a new triage system in an urban accident and emergency department in Botswana: a cohort study
Conclusions PATS is a more predictive triage system than pre-PATS as evidenced by improved overtriage, undertriage and patient severity predictability across triage levels. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - April 15, 2014 Category: Emergency Medicine Authors: Mullan, P. C., Torrey, S. B., Chandra, A., Caruso, N., Kestler, A. Tags: Editor's choice, Child health Original article Source Type: research

Antioxidants in the intensive care unit.
PMID: 24735038 [PubMed - in process] (Source: American Journal of Respiratory and Critical Care Medicine)
Source: American Journal of Respiratory and Critical Care Medicine - April 15, 2014 Category: Respiratory Medicine Authors: Fisher AB, Forman HJ Tags: Am J Respir Crit Care Med Source Type: research

Reply: antioxidants in the intensive care unit.
PMID: 24735040 [PubMed - in process] (Source: American Journal of Respiratory and Critical Care Medicine)
Source: American Journal of Respiratory and Critical Care Medicine - April 15, 2014 Category: Respiratory Medicine Authors: Jain M, Chandel NS Tags: Am J Respir Crit Care Med Source Type: research

Routine post-operative intensive care is not necessary for children with obstructive sleep apnea at high risk after adenotonsillectomy
Conclusions: Our data confirm high rates of AE after AT for high risk patients, however, only 8% suffered a severe AE truly necessitating care in ICU. This outcome was very unlikely if an AE did not occur in PACU. We therefore conclude that routine post-operative ICU care for high risk children may be avoided if prolonged monitoring in the PACU is possible, with admission to ICU reserved for high-risk children with an early AE. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - April 14, 2014 Category: ENT & OMF Authors: Marc Theilhaber, Sarah Arachchi, David S. Armstrong, Margot J. Davey, Gillian M. Nixon Tags: Research papers Source Type: research