Intensive care medicine
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Intensive care medicine · Jun 2014
ReviewPosttraumatic stress disorder among survivors of critical illness: creation of a conceptual model addressing identification, prevention, and management.
Quality of life is frequently impaired among survivors of critical illness, and psychiatric morbidity is an important element contributing to poor quality of life in these patients. Among potential manifestations of psychiatric morbidity following critical illness, symptoms of posttraumatic stress are prevalent and intricately linked to the significant stressors present in the intensive care unit (ICU). ⋯ Much remains to be understood about the identification, prevention, and management of this significant public health problem. This article addresses the importance of uniformity in future epidemiologic studies, proposes framing of risk factors into those likely to be modifiable versus non-modifiable, and provides an assessment of modifiable risk factors in the context of a novel conceptual model that offers insight into potential strategies to attenuate symptoms of posttraumatic stress among survivors of critical illness.
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Intensive care medicine · Jun 2014
Characteristics and prognosis of sudden cardiac death in Greater Paris : Population-based approach from the Paris Sudden Death Expertise Center (Paris-SDEC).
Sudden cardiac death (SCD) is a major public health concern, but data regarding epidemiology of this disease in Western European countries are outdated. This study reports the first results from a large registry of SCD. ⋯ Despite being conducted in the therapeutic hypothermia and early coronary angiogram era, hospital discharge survival rate of resuscitated SCD remains poor. The current registry suggests ways to improve pre-hospital and in-hospital care of these patients.
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Intensive care medicine · Jun 2014
Letter Observational StudyCost analysis of miniaturized ECMO in H1N1-related ARDS managed by a single caregiver.