MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'American Journal of Critical Care' source. Sat, 20 Mar 2010 14:46:46 +0100 http://www.medworm.com/index.php?rid=3363902&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20225345%26dopt%3DAbstract Authors: Kleinpell R PMID: 20225345 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3363902 Mon, 01 Mar 2010 00:00:00 +0100 3363902 http://www.medworm.com/index.php?rid=3323543&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194604%26dopt%3DAbstract Authors: Munro CL PMID: 20194604 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323543 Mon, 01 Mar 2010 00:00:00 +0100 3323543 http://www.medworm.com/index.php?rid=3323542&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194605%26dopt%3DAbstract Authors: Armola R, Bourgault A, Board RM, Harrington L PMID: 20194605 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323542 Mon, 01 Mar 2010 00:00:00 +0100 3323542 http://www.medworm.com/index.php?rid=3323541&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194606%26dopt%3DAbstract Authors: Fatkin K PMID: 20194606 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323541 Mon, 01 Mar 2010 00:00:00 +0100 3323541 http://www.medworm.com/index.php?rid=3323540&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194607%26dopt%3DAbstract Authors: Grap MJ PMID: 20194607 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323540 Mon, 01 Mar 2010 00:00:00 +0100 3323540 http://www.medworm.com/index.php?rid=3323539&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194608%26dopt%3DAbstract Conclusion Respondents (55%) were unaware of published monitoring guidelines. Hospital leaders could raise awareness by multidisciplinary review of evidence and possibly incorporating continuous ST-segment monitoring into hospitals' standards of practice. PMID: 20194608 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323539 Mon, 01 Mar 2010 00:00:00 +0100 3323539 http://www.medworm.com/index.php?rid=3323538&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194609%26dopt%3DAbstract Conclusions Nurses' use of atrial electrograms improves diagnoses of cardiac arrhythmias. PMID: 20194609 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323538 Mon, 01 Mar 2010 00:00:00 +0100 3323538 http://www.medworm.com/index.php?rid=3323537&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194610%26dopt%3DAbstract Conclusion In addition to their educational value, regular morbidity and mortality conferences formatted for intensive care units are useful for assessing quality of care and patient safety. PMID: 20194610 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323537 Mon, 01 Mar 2010 00:00:00 +0100 3323537 http://www.medworm.com/index.php?rid=3323536&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194611%26dopt%3DAbstract Conclusion Need or demand for nursing care in intensive care units in Poland varies according to the type of intensive care unit and can be determined on the basis of scores on the Therapeutic Intervention Scoring System 28. PMID: 20194611 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323536 Mon, 01 Mar 2010 00:00:00 +0100 3323536 http://www.medworm.com/index.php?rid=3323535&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194612%26dopt%3DAbstract Conclusions Identifying the needs of parents in neonatal intensive care units can enhance nursing communication and allow nurses to incorporate parents' needs into families' plans of care. The family needs inventory can help identify those needs and allows the integration of individualized nursing care to fulfill those needs, providing a positive family-centered experience in the unit for patients and their families. PMID: 20194612 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323535 Mon, 01 Mar 2010 00:00:00 +0100 3323535 http://www.medworm.com/index.php?rid=3323534&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194613%26dopt%3DAbstract Conclusions Head-of-bed angle was perceived correctly by 50% to 86% of clinicians. Nurses tended to underestimate the angle, whereas other clinicians tended to overestimate. Nurses, respiratory therapists, and physical/occupational therapists showed the best understanding of the correct angle for minimizing occurrence of ventilator-associated pneumonia. Elevation gauges were most often used to determine the angle. PMID: 20194613 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323534 Mon, 01 Mar 2010 00:00:00 +0100 3323534 http://www.medworm.com/index.php?rid=3323533&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194614%26dopt%3DAbstract Conclusions Survey results indicate that discrepancies exist between reported practices and policies. Oral care policies appear to be present, but not well used. PMID: 20194614 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323533 Mon, 01 Mar 2010 00:00:00 +0100 3323533 http://www.medworm.com/index.php?rid=3323532&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194615%26dopt%3DAbstract Authors: Sandau KE, Halm MA PMID: 20194615 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323532 Mon, 01 Mar 2010 00:00:00 +0100 3323532 http://www.medworm.com/index.php?rid=3323531&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20194616%26dopt%3DAbstract Authors: Pelter MM, Carey MG, Kasmani R, Irani F PMID: 20194616 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3323531 Mon, 01 Mar 2010 00:00:00 +0100 3323531 http://www.medworm.com/index.php?rid=3307405&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20176912%26dopt%3DAbstract Conclusions Postoperative delirium is common and persistent in older patients in the first 3 days after colorectal surgery. PMID: 20176912 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3307405 Mon, 22 Feb 2010 00:00:00 +0100 3307405 http://www.medworm.com/index.php?rid=3307404&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20176913%26dopt%3DAbstract Conclusions The value of specialty certification and the importance of empowerment among critical care nurses are affirmed. The next step in the continued journey toward increasing retention of critical care nurses, and thereby improving patient care, is to evaluate existing programs focused on retention and identify needed enhancements. PMID: 20176913 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3307404 Mon, 22 Feb 2010 00:00:00 +0100 3307404 http://www.medworm.com/index.php?rid=3223523&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20107234%26dopt%3DAbstract Conclusion Anxious patients had more complications and longer stays than did nonanxious patients. The administration of metoprolol did not eliminate this relationship, perhaps because patients did not receive a sufficient dose of metoprolol to counter the effect of anxiety. PMID: 20107234 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3223523 Wed, 27 Jan 2010 00:00:00 +0100 3223523 http://www.medworm.com/index.php?rid=3223522&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20107235%26dopt%3DAbstract Conclusion Elevated levels of cardiac troponin I after aneurysmal subarachnoid hemorrhage are common in patients with no cardiac history, are associated with severity of the hemorrhage, and are independently predictive of poorer functional recovery and increased disability. PMID: 20107235 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3223522 Wed, 27 Jan 2010 00:00:00 +0100 3223522 http://www.medworm.com/index.php?rid=3149920&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20052794%26dopt%3DAbstract Authors: Kleinpell R PMID: 20052794 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3149920 Fri, 01 Jan 2010 00:00:00 +0100 3149920 http://www.medworm.com/index.php?rid=3143477&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045843%26dopt%3DAbstract Authors: Munro CL PMID: 20045843 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143477 Fri, 01 Jan 2010 00:00:00 +0100 3143477 http://www.medworm.com/index.php?rid=3143476&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045845%26dopt%3DAbstract DISCUSSION: Although alarms are important and sometimes life-saving, they can compromise patients' safety if ignored. This unit-based quality improvement initiative was beneficial as a starting point for revamping alarm management throughout the institution. PMID: 20045845 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143476 Fri, 01 Jan 2010 00:00:00 +0100 3143476 http://www.medworm.com/index.php?rid=3143475&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045846%26dopt%3DAbstract Authors: Bell L PMID: 20045846 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143475 Fri, 01 Jan 2010 00:00:00 +0100 3143475 http://www.medworm.com/index.php?rid=3143474&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045847%26dopt%3DAbstract CONCLUSION: A nursing clinical decision support system integrated into a patient's electronic flow sheet can increase nurses' adherence to guidelines. Pulmonary and gastrointestinal diagnoses, body mass index, and tube feeding are predictors of elevation of the head of the bed. PMID: 20045847 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143474 Fri, 01 Jan 2010 00:00:00 +0100 3143474 http://www.medworm.com/index.php?rid=3143473&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045848%26dopt%3DAbstract CONCLUSIONS: Rates of successful intubation are similar with etomidate and methohexital. Methohexital provides adequate sedation and could be an alternative to etomidate, although both agents were often associated with development of hypotension. Prospective studies are needed to establish the safety of methohexital use in intensive care patients. PMID: 20045848 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143473 Fri, 01 Jan 2010 00:00:00 +0100 3143473 http://www.medworm.com/index.php?rid=3143472&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045849%26dopt%3DAbstract CONCLUSIONS: Although similar in content to other behavioral pain scales, the FLACC can be used across populations of patients and settings, and the scores are comparable to those of the commonly used 0-to-10 number rating scale. PMID: 20045849 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143472 Fri, 01 Jan 2010 00:00:00 +0100 3143472 http://www.medworm.com/index.php?rid=3143471&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045850%26dopt%3DAbstract CONCLUSIONS: Prodromal and acute symptoms of myocardial infarction differed significantly according to race. Racial descriptions of women's prodromal and acute symptoms should assist providers in interpreting women's symptoms. PMID: 20045850 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143471 Fri, 01 Jan 2010 00:00:00 +0100 3143471 http://www.medworm.com/index.php?rid=3143470&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20045851%26dopt%3DAbstract Authors: Carey MG, Al-Zaiti SS, Pelter MM PMID: 20045851 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3143470 Fri, 01 Jan 2010 00:00:00 +0100 3143470 http://www.medworm.com/index.php?rid=3116172&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20026650%26dopt%3DAbstract Conclusions Pediatric intensive care unit nurses play a vital role in caring for dying children and the children's families. Overcoming language and communication barriers with children's families and between interdisciplinary team members could greatly improve the end-of-life experience for dying children. PMID: 20026650 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3116172 Mon, 21 Dec 2009 00:00:00 +0100 3116172 http://www.medworm.com/index.php?rid=3116171&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20026651%26dopt%3DAbstract Conclusions To improve their practice, intensive care nurses should receive formal training on withdrawal of life support, and institutions should develop best practices that support nurses in providing the highest quality care for patients undergoing this procedure. PMID: 20026651 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3116171 Mon, 21 Dec 2009 00:00:00 +0100 3116171 http://www.medworm.com/index.php?rid=3035341&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19940253%26dopt%3DAbstract Conclusion Profound fatigue is more reliable than dyspnea as an indicator of functional class. Nurses must recognize atypical signs and symptoms of worsening functional class to determine clinical status and facilitate patient care decisions. PMID: 19940253 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3035341 Wed, 25 Nov 2009 00:00:00 +0100 3035341 http://www.medworm.com/index.php?rid=3035340&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19940254%26dopt%3DAbstract Authors: Levine SM, Frangos SG, Hanna B, Colen K, Levine JP Medicinal leeches are used to control venous congestion. Aeromonas in the leech gut are essential for digestion of blood. This case report describes a patient who had Aeromonas bacteremia develop after leeching. He had an injury to his hand that required replantation of his thumb. Following the surgery, leech therapy was started with ampicillin-sulbactam prophylaxis. Sepsis developed. Blood cultures were positive for Aeromonas that were resistant to ampicillin-sulbactam. The antibiotic was changed to ciprofloxacin on the basis of the sensitivity profile of the organisms. Cultures from the leech bathwater confirmed it as the source of the Aeromonas. Clinicians who use leech therapy must be aware that leeches can harbor Aeromona... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=3035340 Wed, 25 Nov 2009 00:00:00 +0100 3035340 http://www.medworm.com/index.php?rid=2955816&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880947%26dopt%3DAbstract Authors: Morris PE, Munro CL PMID: 19880947 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955816 Sun, 01 Nov 2009 00:00:00 +0100 2955816 http://www.medworm.com/index.php?rid=2955815&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880948%26dopt%3DAbstract Authors: Lizy C, Brusselaers N, Labeau S, Vandijck D, De Wandel D, Vogelaers D, Blot S PMID: 19880948 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955815 Sun, 01 Nov 2009 00:00:00 +0100 2955815 http://www.medworm.com/index.php?rid=2955814&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880952%26dopt%3DAbstract Authors: Hammer B, Mathers J, Curtis JR, Levy MM PMID: 19880952 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955814 Sun, 01 Nov 2009 00:00:00 +0100 2955814 http://www.medworm.com/index.php?rid=2955813&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880953%26dopt%3DAbstract CONCLUSIONS: The results of this project suggest that infection control efforts may be most appropriately focused on processes rather than on products. PMID: 19880953 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955813 Sun, 01 Nov 2009 00:00:00 +0100 2955813 http://www.medworm.com/index.php?rid=2955812&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880954%26dopt%3DAbstract Authors: Bell L PMID: 19880954 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955812 Sun, 01 Nov 2009 00:00:00 +0100 2955812 http://www.medworm.com/index.php?rid=2955811&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880955%26dopt%3DAbstract CONCLUSIONS: Implementation of an intervention to judge appropriateness of indwelling urinary catheters may result in significant reductions in duration of catheterization and occurrences of catheter-associated urinary tract infections. PMID: 19880955 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955811 Sun, 01 Nov 2009 00:00:00 +0100 2955811 http://www.medworm.com/index.php?rid=2955810&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880956%26dopt%3DAbstract CONCLUSION: Partnering with patients' family members to provide fundamental care to the patients significantly improved the respect, collaboration, support, and overall scores on the family-centered care survey at 48 hours. PMID: 19880956 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955810 Sun, 01 Nov 2009 00:00:00 +0100 2955810 http://www.medworm.com/index.php?rid=2955809&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880957%26dopt%3DAbstract CONCLUSION: Trait anger had a combined effect on the link between serum level of homocysteine and recurrent cardiac events. Interventions to reduce trait anger may improve health outcomes by influencing both trait anger and homocysteine level. PMID: 19880957 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955809 Sun, 01 Nov 2009 00:00:00 +0100 2955809 http://www.medworm.com/index.php?rid=2955808&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880958%26dopt%3DAbstract CONCLUSIONS: Patients with a spouse had longer event-free survival than nonmarried patients did, even in the context of depressive symptoms. PMID: 19880958 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955808 Sun, 01 Nov 2009 00:00:00 +0100 2955808 http://www.medworm.com/index.php?rid=2955807&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880959%26dopt%3DAbstract CONCLUSION: Midlength scales, such the anxiety subscale of the Brief Symptom Inventory or the shortened state version of the State-Trait Anxiety Inventory are best for measuring anxiety in critical care patients. PMID: 19880959 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955807 Sun, 01 Nov 2009 00:00:00 +0100 2955807 http://www.medworm.com/index.php?rid=2955806&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880960%26dopt%3DAbstract Authors: Halm MA PMID: 19880960 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955806 Sun, 01 Nov 2009 00:00:00 +0100 2955806 http://www.medworm.com/index.php?rid=2955805&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880961%26dopt%3DAbstract Authors: Pelter MM, Carey MG PMID: 19880961 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955805 Sun, 01 Nov 2009 00:00:00 +0100 2955805 http://www.medworm.com/index.php?rid=2955804&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19880962%26dopt%3DAbstract Authors: Jaramillo KS, Scruth E, Cheng E After receiving mivacurium, a short-acting neuromuscular blocking agent used for intubation before surgery, a patient experienced prolonged paralysis and prolonged apnea that required ventilator support. Although this complication is rare, all critical care nurses should be aware of it so they can be competent in managing and providing holistic and comprehensive nursing care to the patient and the patient's family. Although this complication has been documented in the anesthesia literature, it has received little mention in critical care nursing journals. PMID: 19880962 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955804 Sun, 01 Nov 2009 00:00:00 +0100 2955804 http://www.medworm.com/index.php?rid=2955803&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19885968%26dopt%3DAbstract Authors: Kleinpell R PMID: 19885968 (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2955803 Sun, 01 Nov 2009 00:00:00 +0100 2955803 http://www.medworm.com/index.php?rid=2947267&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19875722%26dopt%3DAbstract Conclusions The Acute Stroke Dysphagia Screen is an easily administered and reliable tool that has sufficient sensitivity to detect both dysphagia and aspiration risk in acute stroke patients. PMID: 19875722 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2947267 Thu, 29 Oct 2009 00:00:00 +0100 2947267 http://www.medworm.com/index.php?rid=2947266&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19875723%26dopt%3DAbstract Authors: Eyer F, Steimer W, Müller C, Zilker T A woman ingested 10 mg of methyldigoxin in a suicide attempt and presented 19 hours after ingestion with clinical signs of glycoside intoxication. Her serum level of digoxin was 7.4 ng/mL, and antidotal therapy with Fab antibody fragments was started. The manufacturer's recommended dosing scheme was modified, with 80 mg Fab administered intravenously within 15 minutes followed by a continuous infusion at 30 mg/h. Total serum concentration of digoxin increased markedly within minutes after Fab therapy was started, while the level of free digoxin immediately decreased into the nontoxic range without recrudescent toxic effects of digoxin. The cumulative amounts of free and bound digoxin that were excreted in urine within 30 hours after i... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2947266 Thu, 29 Oct 2009 00:00:00 +0100 2947266 http://www.medworm.com/index.php?rid=2828275&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19770414%26dopt%3DAbstract Conclusions Newer medications are used much less than are traditional sedatives and analgesics. Sedation protocols are increasingly used in Australasia, despite equivocal evidence supporting their use. Similarly, daily interruption of sedation is common in management of patients receiving mechanical ventilation. Research is needed to explore contextual and personal factors that may affect sedation management. PMID: 19770414 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2828275 Sun, 20 Sep 2009 23:00:00 +0100 2828275 http://www.medworm.com/index.php?rid=2828274&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19770415%26dopt%3DAbstract Authors: Dampeer RA Spinal cord hematomas are remarkably uncommon. Even more rare are spontaneous spinal subdural hematomas without underlying pathological changes. In some patients, compression of the spinal cord by spinal subdural hematoma has led to acute paraplegia. Spontaneous spinal subdural hematomas occur most often in the thoracic spine and are manifested by sudden back pain that radiates to the upper or lower extremities or to the trunk and variable degrees of motor, sensory, and autonomic disturbances. Clinicians should consider spontaneous spinal subdural hematoma when patients who are taking anticoagulants report back or radicular pain and the development of paraparesis, because early diagnosis is essential for preventing irreversible paralysis. Diagnosis of spontaneous sp... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2828274 Sun, 20 Sep 2009 23:00:00 +0100 2828274 http://www.medworm.com/index.php?rid=2762959&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723851%26dopt%3DAbstract Authors: Munro CL, Morris PE PMID: 19723851 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762959 Mon, 31 Aug 2009 23:00:00 +0100 2762959 http://www.medworm.com/index.php?rid=2762958&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723853%26dopt%3DAbstract Authors: Hopp LJ PMID: 19723853 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762958 Mon, 31 Aug 2009 23:00:00 +0100 2762958 http://www.medworm.com/index.php?rid=2762957&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723855%26dopt%3DAbstract Authors: Pope TM PMID: 19723855 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762957 Mon, 31 Aug 2009 23:00:00 +0100 2762957 http://www.medworm.com/index.php?rid=2762956&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723856%26dopt%3DAbstract Authors: Martinez LG PMID: 19723856 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762956 Mon, 31 Aug 2009 23:00:00 +0100 2762956 http://www.medworm.com/index.php?rid=2762955&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723858%26dopt%3DAbstract Authors: Sherman DA PMID: 19723858 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762955 Mon, 31 Aug 2009 23:00:00 +0100 2762955 http://www.medworm.com/index.php?rid=2762954&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723860%26dopt%3DAbstract This article details the effort of this national volunteer work group, specifically highlighting the development of the new AACN evidence-leveling hierarchy system. PMID: 19723860 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762954 Mon, 31 Aug 2009 23:00:00 +0100 2762954 http://www.medworm.com/index.php?rid=2762953&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723861%26dopt%3DAbstract Authors: Chlan L, Guttormson J, Tracy MF, Bremer KL Although enrolling a sufficient number of participants is a challenge for any multisite clinical trial, recruiting patients who are critically ill and receiving mechanical ventilatory support presents additional challenges because of the severity of the patients' illness and the impediments to their communication. Recruitment challenges related to the research sites, nursing staff, and research participants faced in the first 2 years of a 4-year multisite clinical trial of a patient-directed music intervention for managing anxiety in the intensive care unit were determined. Strategies to overcome these challenges, and thereby increase enrollment, were devised. Individual strategies, such as timing of screening on a unit, were tailored... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762953 Mon, 31 Aug 2009 23:00:00 +0100 2762953 http://www.medworm.com/index.php?rid=2762952&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723862%26dopt%3DAbstract Authors: Shelton AK, Fish AF, Cobb JP, Bachman JA, Jenkins RL, Battistich V, Freeman BD Surrogate decision makers may be poorly prepared to give informed consent for genomics research for their loved ones in intensive care. A review of the challenges and strategies associated with obtaining surrogates' consent for genomics research in intensive care patients revealed that few well-controlled studies have been done on this topic. Yet, a major theme in the literature is the role of health care professionals in guiding surrogates through the informed consent process rather than simply witnessing a signature. Informed consent requires explicit strategies to approach potential surrogates effectively, educate them, and ensure that informed consent has been attained. PMID: 19723862 [PubMe... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762952 Mon, 31 Aug 2009 23:00:00 +0100 2762952 http://www.medworm.com/index.php?rid=2762951&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723863%26dopt%3DAbstract CONCLUSIONS: Chlorhexidine, but not toothbrushing, reduced early ventilator-associated pneumonia in patients without pneumonia at baseline. PMID: 19723863 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762951 Mon, 31 Aug 2009 23:00:00 +0100 2762951 http://www.medworm.com/index.php?rid=2762950&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723864%26dopt%3DAbstract CONCLUSION: Duration of NBD treatment is strongly predictive of the duration of action of rocuronium, and body temperature is predictive of the duration of action of cisatracurium. These data may help decrease the incidence of drug-induced muscle weakness in recovery rooms and surgical intensive care units, particularly if neuromuscular transmission monitoring is not available. PMID: 19723864 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762950 Mon, 31 Aug 2009 23:00:00 +0100 2762950 http://www.medworm.com/index.php?rid=2762949&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723865%26dopt%3DAbstract CONCLUSION: Patients with preoperative nonanuria and postoperative anuria had higher mortality than did patients with no anuria before and after surgery and patients with anuria before surgery. Postoperative residual urine output is an important surrogate marker for disease severity. PMID: 19723865 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762949 Mon, 31 Aug 2009 23:00:00 +0100 2762949 http://www.medworm.com/index.php?rid=2762948&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723866%26dopt%3DAbstract CONCLUSION: Need for mechanical ventilatory support and persistent cognitive impairment at discharge were associated with worse outcomes 4 months after discharge. PMID: 19723866 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762948 Mon, 31 Aug 2009 23:00:00 +0100 2762948 http://www.medworm.com/index.php?rid=2762947&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723867%26dopt%3DAbstract CONCLUSION: Both female patients and patients with metabolic syndrome undergoing CABG surgery are at higher risk for longer postoperative stays. Women with metabolic syndrome are the CABG patients at highest risk for in-hospital death. PMID: 19723867 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762947 Mon, 31 Aug 2009 23:00:00 +0100 2762947 http://www.medworm.com/index.php?rid=2762946&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723868%26dopt%3DAbstract Authors: Halm MA, Gleaves M PMID: 19723868 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762946 Mon, 31 Aug 2009 23:00:00 +0100 2762946 http://www.medworm.com/index.php?rid=2762945&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723869%26dopt%3DAbstract Authors: Day L PMID: 19723869 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762945 Mon, 31 Aug 2009 23:00:00 +0100 2762945 http://www.medworm.com/index.php?rid=2762944&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723870%26dopt%3DAbstract Authors: Carey MG, Pelter MM PMID: 19723870 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762944 Mon, 31 Aug 2009 23:00:00 +0100 2762944 http://www.medworm.com/index.php?rid=2762943&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19723871%26dopt%3DAbstract Authors: Arbour R Brain death is manifested by a flaccid, areflexic patient on assessment of brain function with fixed and dilated pupils at midpoint, loss of consciousness, no response to stimulation, loss of brainstem reflexes, and apnea. A lesion or clinical state responsible for the loss of consciousness must be found. An integral part of clinical evaluation of brain death is apnea testing, which indicates complete loss of brainstem function and respiratory drive. Ventilator triggering or overbreathing the ventilator's set rate may be considered consistent with intrinsic respiratory drive consequent to residual brainstem function. Ventilator autotriggering, however, may potentially occur in a brain-dead patient as a result of interaction between the hyperdynamic cardiovascular syst... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2762943 Mon, 31 Aug 2009 23:00:00 +0100 2762943 http://www.medworm.com/index.php?rid=2716878&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19687515%26dopt%3DAbstract Conclusions A health care delivery model that includes physicians, nurses, and respiratory therapists in the intensive care unit can result in an adequate level of knowledge on evidence-based nonpharmacological guidelines for the prevention of ventilator-associated pneumonia. PMID: 19687515 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2716878 Sun, 16 Aug 2009 23:00:00 +0100 2716878 http://www.medworm.com/index.php?rid=2716877&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19687516%26dopt%3DAbstract Conclusions Although significant differences in thermodilution cardiac index were found between room-temperature and iced injectates during hypothermic body temperatures, these differences were small (mean, <0.11). These findings add to the results of the few studies on accuracy of room-temperature injectates for thermodilution measurement of cardiac index. PMID: 19687516 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2716877 Sun, 16 Aug 2009 23:00:00 +0100 2716877 http://www.medworm.com/index.php?rid=2649734&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19635804%26dopt%3DAbstract Authors: Haap M, Haas CS, Teichmann R, Horger M, Raible A, Lamprecht G Acute primary peritonitis in the absence of other comorbid conditions such as liver cirrhosis, immunosuppression, or nephrotic syndrome is a rare disorder in young adults. In women, ascending genital infections are thought to be a major pathogenic cause of this type of peritonitis. Pus was detected in the peritoneal cavity by abdominal paracentesis in a 27-year-old woman who had no predisposing features for severe peritonitis. Abdominal computed tomography showed perirectal edema. Laparotomy was performed, but no intra-abdominal focus of infection could be detected. The abdomen was irrigated via a subhepatic and retroperitoneal presacral approach, and broad-spectrum antibiotic therapy was started. Blood cultures rev... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2649734 Sun, 26 Jul 2009 23:00:00 +0100 2649734 http://www.medworm.com/index.php?rid=2649733&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19635805%26dopt%3DAbstract Conclusion Our findings suggest that use of advanced tools, a comprehensive oral care protocol, and staff compliance with the protocol can significantly reduce rates of ventilator-associated pneumonia and associated costs. PMID: 19635805 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2649733 Sun, 26 Jul 2009 23:00:00 +0100 2649733 http://www.medworm.com/index.php?rid=2536304&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556406%26dopt%3DAbstract Authors: Morris PE, Munro CL PMID: 19556406 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536304 Sat, 27 Jun 2009 19:16:33 +0100 2536304 http://www.medworm.com/index.php?rid=2536303&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556407%26dopt%3DAbstract Authors: Grap MJ PMID: 19556407 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536303 Sat, 27 Jun 2009 19:16:30 +0100 2536303 http://www.medworm.com/index.php?rid=2536302&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556408%26dopt%3DAbstract Authors: Grap MJ As many as half of critically ill patients require mechanical ventilation. In this article, a program of research focused on reduction of risk associated with mechanical ventilation is reviewed. Airway management practices can have profound effects on outcomes in these patients. How patients are suctioned, types of processes used, effects of suctioning in patients with lung injury, and open versus closed suctioning systems all have been examined to determine best practices. Pneumonia is a common complication of mechanical ventilation (ventilator-associated pneumonia), and use of higher backrest elevations reduces risk of pneumonia, although compliance with such recommendations varies. The studies reviewed here describe backrest elevation practices, factors that affect ... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536302 Sat, 27 Jun 2009 19:16:28 +0100 2536302 http://www.medworm.com/index.php?rid=2536301&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556409%26dopt%3DAbstract Conclusions Patients with heart failure experience symptoms of depression that are similar to those experienced by the general population. Clinicians should assess patients with heart failure for stressors that worsen depressive symptoms. Strategies that researchers and clinicians can use to reduce depressive symptoms in patients with heart failure include engaging patients in activities, positive thinking, and spirituality. Helping patients find enhanced social support may also be important. PMID: 19556409 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536301 Sat, 27 Jun 2009 19:16:25 +0100 2536301 http://www.medworm.com/index.php?rid=2536300&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556410%26dopt%3DAbstract Conclusion Use of chlorhexidine combined with nonpharmacological oral care did not decrease the colonization profile, duration of mechanical ventilation, or length of stay in critically ill children receiving mechanical ventilation. PMID: 19556410 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536300 Sat, 27 Jun 2009 19:16:23 +0100 2536300 http://www.medworm.com/index.php?rid=2536299&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556411%26dopt%3DAbstract Authors: Bell L PMID: 19556411 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536299 Sat, 27 Jun 2009 19:16:21 +0100 2536299 http://www.medworm.com/index.php?rid=2536298&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556412%26dopt%3DAbstract Conclusions Systemic inflammatory response syndrome scores can be measured quickly and easily at the bedside. Data support use of the score to predict length of stay in the intensive care unit. PMID: 19556412 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536298 Sat, 27 Jun 2009 19:16:19 +0100 2536298 http://www.medworm.com/index.php?rid=2536297&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556413%26dopt%3DAbstract Conclusions Distinct physical and psychological symptoms influence functional status in women with heart failure. A systematic multidimensional intervention may be required to target depressive symptoms to improve functional status in women with heart failure. PMID: 19556413 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536297 Sat, 27 Jun 2009 19:16:17 +0100 2536297 http://www.medworm.com/index.php?rid=2536296&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556414%26dopt%3DAbstract Conclusions Adopting a more holistic perspective may support family presence, especially during resuscitative efforts in adults. Allowing the option for patients' families to remain present promotes holistic family-centered care. PMID: 19556414 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536296 Sat, 27 Jun 2009 19:16:14 +0100 2536296 http://www.medworm.com/index.php?rid=2536295&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556415%26dopt%3DAbstract Conclusions Intubation may contribute to worsening of oral health among patients in neuroscience intensive care units. Execution of oral care does not seem to affect intracranial pressure adversely. Oral care should be explored further to promote good oral and systemic health in patients in neuroscience intensive care units and to determine its effect on ventilator-associated pneumonia. PMID: 19556415 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536295 Sat, 27 Jun 2009 19:16:12 +0100 2536295 http://www.medworm.com/index.php?rid=2536294&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556416%26dopt%3DAbstract Authors: Day L PMID: 19556416 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536294 Sat, 27 Jun 2009 19:16:10 +0100 2536294 http://www.medworm.com/index.php?rid=2536293&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556417%26dopt%3DAbstract Authors: Pelter MM, Carey MG PMID: 19556417 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536293 Sat, 27 Jun 2009 19:16:08 +0100 2536293 http://www.medworm.com/index.php?rid=2536291&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19556418%26dopt%3DAbstract Authors: de Groot JW, Gosselink AT, Ottervanger JP A patient in whom acute myocardial infarction developed during diclofenac-induced anaphylaxis is described. ST-segment elevation myocardial infarction is a rare complication of anaphylactic reactions, but can occur even in patients with angiographically normal coronary arteries. Physicians should be aware of such a complication in order to diagnose it early and treat it properly. In the patient described here, according to the temporal relationship with diclofenac intake and the exclusion of coronary stenosis, it is probable that diclofenac caused the symptoms. To our knowledge, this is the first reported case of Kounis syndrome due to diclofenac. The patient's recovery was uneventful. PMID: 19556418 [PubMed - in process] (Source: ... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536291 Sat, 27 Jun 2009 19:16:05 +0100 2536291 http://www.medworm.com/index.php?rid=2536306&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19542058%26dopt%3DAbstract Conclusions Nurses need standardized, evidence-based content for management of secondary brain injury in critically ill patients with traumatic brain injury. PMID: 19542058 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536306 Wed, 17 Jun 2009 23:00:00 +0100 2536306 http://www.medworm.com/index.php?rid=2536305&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19542059%26dopt%3DAbstract Conclusion Nurses value the MET system. Nurses believe that the MET can help them care for acutely ill patients and improve outcomes. However, barriers to MET activation exist, including a fear of criticism and an adherence to a more traditional model of first contacting the responsible physician before activating the MET. PMID: 19542059 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536305 Wed, 17 Jun 2009 23:00:00 +0100 2536305 http://www.medworm.com/index.php?rid=2536308&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435949%26dopt%3DAbstract Authors: Kumar S, Wong G, Maysky M, Shulman M, Olenchock S, Falzon-Kirby M, Oo TH Amniotic fluid embolism is a rare syndrome with potentially lethal outcomes. Complications include cardiorespiratory failure, disseminated intravascular coagulation, seizures, neurological deficits, and death. A 34-year-old woman had amniotic fluid embolism complicated by paradoxical embolism and disseminated intravascular coagulation. Emergency cesarean section followed by cardiopulmonary bypass with removal of the clot from the atria and closure of the patent foramen ovale was performed, resulting in a good outcome for both the mother and the baby. Subsequent treatment with anticoagulants for 6 months was recommended. A literature review revealed that this clinical scenario is rare but can be successful... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536308 Mon, 11 May 2009 23:00:00 +0100 2536308 http://www.medworm.com/index.php?rid=2536307&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19435950%26dopt%3DAbstract Conclusion Measurement of peak flow rate during induced cough is a simple and reproducible intervention that improves predictability of successful decannulation in patients with tracheotomy. PMID: 19435950 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536307 Mon, 11 May 2009 23:00:00 +0100 2536307 http://www.medworm.com/index.php?rid=2536328&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411575%26dopt%3DAbstract Authors: Munro CL PMID: 19411575 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536328 Thu, 30 Apr 2009 23:00:00 +0100 2536328 http://www.medworm.com/index.php?rid=2536326&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411576%26dopt%3DAbstract Authors: Mahoney JJ, Ellison JM, Cariski AT PMID: 19411576 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536326 Thu, 30 Apr 2009 23:00:00 +0100 2536326 http://www.medworm.com/index.php?rid=2536324&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411577%26dopt%3DAbstract Authors: Spoerner D PMID: 19411577 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536324 Thu, 30 Apr 2009 23:00:00 +0100 2536324 http://www.medworm.com/index.php?rid=2536323&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411579%26dopt%3DAbstract Authors: Grap MJ PMID: 19411579 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536323 Thu, 30 Apr 2009 23:00:00 +0100 2536323 http://www.medworm.com/index.php?rid=2536321&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411580%26dopt%3DAbstract Authors: McAdam JL, Puntillo K Concern for the family members of patients who are at high risk of dying in intensive care units is both a necessary and integral part of providing holistic nursing care. When patients are at high risk of dying, their families experience burdens such as decision making and treatment choices that can cause the families psychological and physical symptoms, most commonly stress, anxiety, and depression. These symptoms in turn can affect family members' general well-being. Since the late 1990s, several quantitative and qualitative studies have been done to assess symptoms in such family members. In this review of the literature, the current state of the science on symptoms experienced by family members of patients in the intensive care unit is reviewed and cr... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536321 Thu, 30 Apr 2009 23:00:00 +0100 2536321 http://www.medworm.com/index.php?rid=2536319&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411581%26dopt%3DAbstract Authors: Bell L PMID: 19411581 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536319 Thu, 30 Apr 2009 23:00:00 +0100 2536319 http://www.medworm.com/index.php?rid=2536317&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411582%26dopt%3DAbstract CONCLUSIONS: Glucose values obtained with a point-of-care device differ significantly from those obtained by laboratory analysis. The magnitude of these differences calls into question the widespread practice of using point-of-care glucose testing to guide insulin titration for tight glucose control. Errors in dosing could easily be made because of the large bias and precision associated with a point-of-care device. PMID: 19411582 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536317 Thu, 30 Apr 2009 23:00:00 +0100 2536317 http://www.medworm.com/index.php?rid=2536316&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411583%26dopt%3DAbstract CONCLUSIONS: The direction of bias change between hematocrit groupings was the direction predicted in the manufacturer's information. Precision-to-tolerance measures indicated that the point-of-care equipment was not suitable for testing glucose within the planned "tighter" glycemic standards. PMID: 19411583 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536316 Thu, 30 Apr 2009 23:00:00 +0100 2536316 http://www.medworm.com/index.php?rid=2536315&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411584%26dopt%3DAbstract CONCLUSIONS: The relationship between long-term functional outcome and variability of arterial blood pressure and intracranial pressure levels depends on the timescale at which the variability is measured. Because it is associated with better outcome, greater faster variability may reflect better physiological adaptive capacity. PMID: 19411584 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536315 Thu, 30 Apr 2009 23:00:00 +0100 2536315 http://www.medworm.com/index.php?rid=2536314&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411585%26dopt%3DAbstract CONCLUSIONS: Continued practice development is needed in end-of-life care issues. PMID: 19411585 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536314 Thu, 30 Apr 2009 23:00:00 +0100 2536314 http://www.medworm.com/index.php?rid=2536313&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411586%26dopt%3DAbstract Authors: Halm MA, Armola R PMID: 19411586 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536313 Thu, 30 Apr 2009 23:00:00 +0100 2536313 http://www.medworm.com/index.php?rid=2536312&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411587%26dopt%3DAbstract Authors: Day L PMID: 19411587 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536312 Thu, 30 Apr 2009 23:00:00 +0100 2536312 http://www.medworm.com/index.php?rid=2536311&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411588%26dopt%3DAbstract Authors: Carey BM, Pelter MM PMID: 19411588 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536311 Thu, 30 Apr 2009 23:00:00 +0100 2536311 http://www.medworm.com/index.php?rid=2536310&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19411589%26dopt%3DAbstract Authors: Netzer G, Fuchs BD Casts may be associated with, and mask, serious life-threatening complications, including infection, compartment syndrome, and deep vein thrombosis with or without pulmonary embolism. A 43-year-old woman had necrotizing fasciitis associated with a closed-reduction casting of a tibial fracture. Her treatment highlights the importance of removing a cast and assessing the skin and tissue underneath for signs of infection in patients with suspected infection. Thorough assessment, early diagnosis, and early intervention in necrotizing fasciitis and sepsis are important to improve patients' outcomes. PMID: 19411589 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536310 Thu, 30 Apr 2009 23:00:00 +0100 2536310 http://www.medworm.com/index.php?rid=2536309&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19425195%26dopt%3DAbstract Authors: Grap MJ PMID: 19425195 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536309 Thu, 30 Apr 2009 23:00:00 +0100 2536309 http://www.medworm.com/index.php?rid=2536332&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19383761%26dopt%3DAbstract Authors: Melki I, Matar N, Maalouf S, Rassi S A 3-month-old boy was admitted to the intensive care unit because of septic shock; he required immediate intubation and placement of a nasogastric tube. A confirmatory chest radiograph showed that the nasogastric tube was looping in the hypopharynx and needed to be repositioned. During removal of the nasogastric tube, the infant experienced hypercapnia and respiratory distress. These complications were due to looping and knotting of the nasogastric tube around the nasotracheal tube. PMID: 19383761 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536332 Mon, 20 Apr 2009 23:00:00 +0100 2536332 http://www.medworm.com/index.php?rid=2536330&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19383762%26dopt%3DAbstract Conclusion Nurses and respiratory therapists differed significantly in the management of patients receiving mechanical ventilation. To reduce the risk of ventilator-associated pneumonia, both nurses and respiratory therapists must be consistent in using best practices when managing patients treated with mechanical ventilation. PMID: 19383762 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2536330 Mon, 20 Apr 2009 23:00:00 +0100 2536330 http://www.medworm.com/index.php?rid=2289919&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19304564%26dopt%3DAbstract Authors: Schumm J, Pfeifer R, Ferrari M, Kuethe F, Figulla HR A 21-year-old man with signs and symptoms of rapidly progressive shock was admitted to the intensive care unit for treatment of suspected sepsis. Levels of inflammatory markers (including procalcitonin) were highly elevated, but no obvious focus of infection was apparent. Initial sepsis therapy included administration of broad-spectrum antibiotics, vasoconstrictors, and drotrecogin alfa. Cultures of blood, sputum, and urine showed no growth, and no viruses were detected. The random (no stimulation with corticotropin) cortisol level at admission was less than 25 nmol/L. Assays for autoantibodies to the adrenal cortex were strongly positive and confirmed the diagnosis of adrenal failure caused by Addison disease. After initiat... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2289919 Thu, 19 Mar 2009 04:00:00 +0100 2289919 http://www.medworm.com/index.php?rid=2289918&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19304565%26dopt%3DAbstract Conclusions Mechanical chest percussion may be a safe intervention for nurses to use on neurologically injured patients who are at risk for intracranial hypertension. PMID: 19304565 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2289918 Thu, 19 Mar 2009 04:00:00 +0100 2289918 http://www.medworm.com/index.php?rid=2289917&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19304566%26dopt%3DAbstract Authors: Chian CF, Wu CP, Chen CW, Su WL, Yeh CB, Perng WC No standard protocol exists for the treatment of acute respiratory distress syndrome induced by inhalation of smoke from a smoke bomb. In this case, a 23-year-old man was exposed to smoke from a smoke grenade for approximately 10 to 15 minutes without protective breathing apparatus. Acute respiratory distress syndrome developed subsequently, complicated by bilateral pneumothorax and pneumomediastinum 48 hours after inhalation. Despite mechanical ventilation and bilateral tube thoracostomy, the patient was severely hypoxemic 4 days after hospitalization. His condition improved upon treatment with high-dose corticosteroids, an additional 500-mg dose of methylprednisolone, and the initiation of extracorporeal life support. Arteria... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2289917 Thu, 19 Mar 2009 04:00:00 +0100 2289917 http://www.medworm.com/index.php?rid=2235003&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255094%26dopt%3DAbstract Authors: Morris PE PMID: 19255094 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2235003 Sun, 01 Mar 2009 05:00:00 +0100 2235003 http://www.medworm.com/index.php?rid=2235001&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255095%26dopt%3DAbstract Authors: Sherman DA PMID: 19255095 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2235001 Sun, 01 Mar 2009 05:00:00 +0100 2235001 http://www.medworm.com/index.php?rid=2234999&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255096%26dopt%3DAbstract Authors: Arya SC, Agarwal N, Agarwal S PMID: 19255096 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234999 Sun, 01 Mar 2009 05:00:00 +0100 2234999 http://www.medworm.com/index.php?rid=2234997&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255097%26dopt%3DAbstract Authors: Bryan M PMID: 19255097 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234997 Sun, 01 Mar 2009 05:00:00 +0100 2234997 http://www.medworm.com/index.php?rid=2234995&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255098%26dopt%3DAbstract Authors: Pickett J PMID: 19255098 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234995 Sun, 01 Mar 2009 05:00:00 +0100 2234995 http://www.medworm.com/index.php?rid=2234993&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255099%26dopt%3DAbstract Authors: Grap MJ PMID: 19255099 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234993 Sun, 01 Mar 2009 05:00:00 +0100 2234993 http://www.medworm.com/index.php?rid=2234991&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255100%26dopt%3DAbstract Conclusions Specialty certification and competence of registered nurses are related to patients' safety. Further research on this relationship is needed. PMID: 19255100 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234991 Sun, 01 Mar 2009 05:00:00 +0100 2234991 http://www.medworm.com/index.php?rid=2234989&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255101%26dopt%3DAbstract Conclusions The severity-of-illness score had good interrater variability as a tool for determining sedation targets and identifying candidates for daily interruption of sedation. Future study on how use of the score affects sedative dosing and outcomes is needed. PMID: 19255101 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234989 Sun, 01 Mar 2009 05:00:00 +0100 2234989 http://www.medworm.com/index.php?rid=2234987&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255102%26dopt%3DAbstract Conclusion Blood transfusion was associated with a decreased risk of late (>180 days) death in intensive care patients. PMID: 19255102 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234987 Sun, 01 Mar 2009 05:00:00 +0100 2234987 http://www.medworm.com/index.php?rid=2234984&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255103%26dopt%3DAbstract Conclusions Continuous monitoring of cuff pressure is feasible, accurate, and safe. Cuff pressures vary widely among patients. PMID: 19255103 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234984 Sun, 01 Mar 2009 05:00:00 +0100 2234984 http://www.medworm.com/index.php?rid=2234982&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255104%26dopt%3DAbstract Conclusion Although high-frequency oscillatory ventilation improves oxygenation, severity of traumatic injury and organ failure, not respiratory parameters, are predictors of survival. High-frequency oscillatory ventilation should be considered for pulmonary rescue of severely injured patients with acute respiratory distress syndrome. PMID: 19255104 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234982 Sun, 01 Mar 2009 05:00:00 +0100 2234982 http://www.medworm.com/index.php?rid=2234980&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255105%26dopt%3DAbstract Conclusions Studies are needed in larger samples to identify needs of vulnerable populations of caregivers of patients with heart failure and to develop and test interventions for improving caregivers' outcomes. PMID: 19255105 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234980 Sun, 01 Mar 2009 05:00:00 +0100 2234980 http://www.medworm.com/index.php?rid=2234979&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255106%26dopt%3DAbstract Conclusions Belgian pediatric intensive care nurses are often involved in carrying out medical end-of-life decisions, including administration of life-ending drugs, whereas their participation in decision making is more limited. Most think that the current euthanasia law should be extended to minors so that administering life-ending drugs would be possible for terminally ill children in specific circumstances. PMID: 19255106 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234979 Sun, 01 Mar 2009 05:00:00 +0100 2234979 http://www.medworm.com/index.php?rid=2234978&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255107%26dopt%3DAbstract Authors: Halm MA PMID: 19255107 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234978 Sun, 01 Mar 2009 05:00:00 +0100 2234978 http://www.medworm.com/index.php?rid=2234977&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255108%26dopt%3DAbstract Authors: Pelter MM, Carey MG PMID: 19255108 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234977 Sun, 01 Mar 2009 05:00:00 +0100 2234977 http://www.medworm.com/index.php?rid=2234975&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19255109%26dopt%3DAbstract Authors: Asselbergs FW, Kremer Hovinga TK, Bouwsma C, van Ingen J A 45-year-old man with end-stage renal disease due to polycystic kidney disease was admitted to the hospital because of recurrent abdominal pain, progressive peripheral motor neuron neuropathy, and respiratory failure. The diagnosis of acute intermittent porphyria was confirmed by an elevated porphyrin concentration in the urine and the presence of an R167Q mutation in the porphobilinogen deaminase gene. Use of hydroxyzine, weight loss, and/or a mild upper respiratory viral infection might have been the provoking factor of the acute intermittent porphyria. Treatment with intravenous hemin (3 mg/kg) and a high-carbohydrate diet (3000 kcal/d) had no clinical effect. Tetraplegia and chronic respiratory insufficiency develop... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2234975 Sun, 01 Mar 2009 05:00:00 +0100 2234975 http://www.medworm.com/index.php?rid=2212256&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19234098%26dopt%3DAbstract Authors: Larson EL, Cohen B, Ross B, Behta M The Centers for Disease Control and Prevention recently updated guidelines for isolation precautions and added specific recommendations for the management of multidrug-resistant organisms. However, the extent to which these recommendations are followed is unknown. Although the recommendations are based on studies with high internal validity, the effectiveness of these interventions in clinical practice also is unknown. Evidence of the effectiveness of isolation precautions for preventing transmission of infections caused by multidrug-resistant organisms in acute care settings, with methicillin-resistant Staphylococcus aureus as an example, was reviewed. Despite a lack of experimental data, numerous descriptive and correlational studies and a... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2212256 Fri, 20 Feb 2009 05:00:00 +0100 2212256 http://www.medworm.com/index.php?rid=2212255&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19234099%26dopt%3DAbstract Conclusions A new model for nurse orientation that was focused on critical thinking and competence validation improved retention and satisfaction and serves as a template for orientation of nurses throughout the medical center. PMID: 19234099 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2212255 Fri, 20 Feb 2009 05:00:00 +0100 2212255 http://www.medworm.com/index.php?rid=2212254&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19234100%26dopt%3DAbstract Authors: Perme C, Chandrashekar R New technologies in critical care and mechanical ventilation have led to long-term survival of critically ill patients. An early mobility and walking program was developed to provide guidelines for early mobility that would assist clinicians working in intensive care units, especially clinicians working with patients who are receiving mechanical ventilation. Prolonged stays in the intensive care unit and mechanical ventilation are associated with functional decline and increased morbidity, mortality, cost of care, and length of hospital stay. Implementation of an early mobility and walking program could have a beneficial effect on all of these factors. The program encompasses progressive mobilization and walking, with the progression based on a patient... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2212254 Fri, 20 Feb 2009 05:00:00 +0100 2212254 http://www.medworm.com/index.php?rid=2076240&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116393%26dopt%3DAbstract Authors: Morris PE PMID: 19116393 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076240 Thu, 01 Jan 2009 05:00:00 +0100 2076240 http://www.medworm.com/index.php?rid=2076239&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116394%26dopt%3DAbstract Authors: Chao YF PMID: 19116394 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076239 Thu, 01 Jan 2009 05:00:00 +0100 2076239 http://www.medworm.com/index.php?rid=2076238&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116395%26dopt%3DAbstract Authors: Dunn DA PMID: 19116395 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076238 Thu, 01 Jan 2009 05:00:00 +0100 2076238 http://www.medworm.com/index.php?rid=2076237&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116396%26dopt%3DAbstract Authors: Kazory A, Ducloux D PMID: 19116396 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076237 Thu, 01 Jan 2009 05:00:00 +0100 2076237 http://www.medworm.com/index.php?rid=2076236&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116397%26dopt%3DAbstract Authors: Metheny N PMID: 19116397 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076236 Thu, 01 Jan 2009 05:00:00 +0100 2076236 http://www.medworm.com/index.php?rid=2076235&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116398%26dopt%3DAbstract Authors: Stambovsky M PMID: 19116398 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076235 Thu, 01 Jan 2009 05:00:00 +0100 2076235 http://www.medworm.com/index.php?rid=2076234&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116399%26dopt%3DAbstract Authors: Grap MJ PMID: 19116399 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076234 Thu, 01 Jan 2009 05:00:00 +0100 2076234 http://www.medworm.com/index.php?rid=2076233&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116400%26dopt%3DAbstract Conclusions As a result of this study, a practice change was made hospital-wide: rather than a standard opaque pressure dressing, a transparent film dressing is used for all patients after removal of a femoral sheath. PMID: 19116400 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076233 Thu, 01 Jan 2009 05:00:00 +0100 2076233 http://www.medworm.com/index.php?rid=2076232&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116401%26dopt%3DAbstract Conclusions Not all elements of communication were related to the selected adverse outcomes. The connection between characteristics of the practice environment at the unit level and adverse outcomes remains elusive. PMID: 19116401 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076232 Thu, 01 Jan 2009 05:00:00 +0100 2076232 http://www.medworm.com/index.php?rid=2076231&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116402%26dopt%3DAbstract Conclusions Bath basins are a reservoir for bacteria and may be a source of transmission of hospital-acquired infections. Increased awareness of bath basins as a possible source of transmission of hospital-acquired infections is needed, particularly for high-risk patients. PMID: 19116402 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076231 Thu, 01 Jan 2009 05:00:00 +0100 2076231 http://www.medworm.com/index.php?rid=2076230&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116403%26dopt%3DAbstract Authors: McNamara L PMID: 19116403 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076230 Thu, 01 Jan 2009 05:00:00 +0100 2076230 http://www.medworm.com/index.php?rid=2076229&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116404%26dopt%3DAbstract Conclusions Deep sedation may be associated with depression of parasympathetic function in patients receiving mechanical ventilation. Use of benzodiazepines most likely contributed to this finding. PMID: 19116404 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076229 Thu, 01 Jan 2009 05:00:00 +0100 2076229 http://www.medworm.com/index.php?rid=2076228&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116405%26dopt%3DAbstract Conclusions Enteral feeding alone is often suboptimal after neonatal cardiac surgery. New strategies to improve caloric intake may enhance postoperative recovery. PMID: 19116405 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076228 Thu, 01 Jan 2009 05:00:00 +0100 2076228 http://www.medworm.com/index.php?rid=2076227&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116406%26dopt%3DAbstract Conclusions After completion of a quality improvement intervention, health care personnel and a computerized clinical information system calculated sufficiently reliable APACHE II scores for clinical, research, and administrative purposes. PMID: 19116406 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076227 Thu, 01 Jan 2009 05:00:00 +0100 2076227 http://www.medworm.com/index.php?rid=2076226&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116407%26dopt%3DAbstract Conclusions Use of a commonly used point-of-care device when precise glucose values are needed may lead to faulty treatment decisions. PMID: 19116407 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076226 Thu, 01 Jan 2009 05:00:00 +0100 2076226 http://www.medworm.com/index.php?rid=2076225&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116408%26dopt%3DAbstract Authors: Bourgault AM, Halm MA PMID: 19116408 [PubMed - as supplied by publisher] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076225 Thu, 01 Jan 2009 05:00:00 +0100 2076225 http://www.medworm.com/index.php?rid=2076224&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116409%26dopt%3DAbstract Authors: Day L PMID: 19116409 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076224 Thu, 01 Jan 2009 05:00:00 +0100 2076224 http://www.medworm.com/index.php?rid=2076223&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116410%26dopt%3DAbstract Authors: Carey MG, Pelter MM PMID: 19116410 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076223 Thu, 01 Jan 2009 05:00:00 +0100 2076223 http://www.medworm.com/index.php?rid=2076222&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19116411%26dopt%3DAbstract Authors: Bruns AS, Sood N A systemic infection due to community-acquired methicillin-resistant Staphylococcus aureus occurred in a hospital-naive 17-year-old girl with no history of soft-tissue infection. Although the initial signs and symptoms were indolent, systemic manifestations occurred, including extensive lung parenchymal damage and acute respiratory distress syndrome. The patient required long-term mechanical ventilation and was given linezolid for 8 weeks. Blood cultures eventually became negative for the staphylococci, and the patient was discharged to a rehabilitation facility. A probable source of the infection was the patient's self-cutting and self-piercing. PMID: 19116411 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=2076222 Thu, 01 Jan 2009 05:00:00 +0100 2076222 http://www.medworm.com/index.php?rid=1956183&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18978242%26dopt%3DAbstract Authors: McNamara L PMID: 18978242 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=1956183 Sat, 01 Nov 2008 04:00:00 +0100 1956183 http://www.medworm.com/index.php?rid=1956182&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18978245%26dopt%3DAbstract Authors: Klein M, Remi J, Pfister HW, Straube A, Rupprecht TA, Weckbach S, Pfefferkorn T Besides being a treatment option for narcolepsy, gamma-hydroxybutyrate is used as an adjuvant during anesthesia in Europe. In addition, it is illegally used as a recreational drug. Fixed and dilated, asymmetric pupils developed in 2 patients during continuous therapy with intravenous gamma-hydroxybutyrate, which was added to the long-term anesthetics fentanyl and midazolam. Cerebral herniation as an alternative cause for the pupillary changes was ruled out by using continuous intracranial pressure monitoring and computed tomography. In both patients, the pupillary abnormalities resolved after discontinuation of gamma-hydroxybutyrate. Thus, fixed and dilated pupils that are asymmetric seem to be an ... American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=1956182 Sat, 01 Nov 2008 04:00:00 +0100 1956182 http://www.medworm.com/index.php?rid=1931132&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18978230%26dopt%3DAbstract Authors: Dracup K PMID: 18978230 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=1931132 Sat, 01 Nov 2008 04:00:00 +0100 1931132 http://www.medworm.com/index.php?rid=1931131&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18978231%26dopt%3DAbstract Authors: Pope TM PMID: 18978231 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=1931131 Sat, 01 Nov 2008 04:00:00 +0100 1931131 http://www.medworm.com/index.php?rid=1931130&cid=s_37384_27_f&fid=37384&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18978232%26dopt%3DAbstract Authors: Bylone M PMID: 18978232 [PubMed - in process] (Source: American Journal of Critical Care) American Journal of Critical Care journals http://www.medworm.com/rss/comments.php?id=1931130 Sat, 01 Nov 2008 04:00:00 +0100 1931130