Journal of intensive care medicine
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J Intensive Care Med · Aug 2017
Is Admission to the Intensive Care Unit Associated With Chronic Opioid Use? A 4-Year Follow-Up of Intensive Care Unit Survivors.
To describe opioid use before and after intensive care unit (ICU) admission and to identify factors associated with chronic opioid use upto 4 years after ICU discharge. ⋯ Admission to ICU and duration of ICU stay were not associated with chronic opioid use.
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J Intensive Care Med · Aug 2017
ReviewExtracorporeal Support for Chronic Obstructive Pulmonary Disease: A Bright Future.
In the past the only option for the treatment of respiratory failure due to acute exacerbation of chronic obstructive pulmonary disease (aeCOPD) was invasive mechanical ventilation. In recent decades, the potential for extracorporeal carbon dioxide (CO2) removal has been realized. We review the various types of extracorporeal CO2 removal, outline the optimal use of these therapies for aeCOPD, and make suggestions for future controlled trials. We also describe the advantages and requirements for an ideal long-term ambulatory CO2 removal system for palliation of COPD.
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J Intensive Care Med · Aug 2017
Analysis of Unplanned Postoperative Admissions to the Intensive Care Unit.
To investigate factors associated with unplanned postoperative admissions to the intensive care unit (ICU). ⋯ Our study is the first diverse analysis of unplanned postoperative ICU admissions in the literature across multiple specialties and practice models. We found an association of advanced age, higher ASA PS class, and duration of procedure with unplanned ICU admission after surgery. Surgical specialties and procedures with the most unplanned ICU admissions could be areas for quality improvement and clinical pathways in the future.
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J Intensive Care Med · Aug 2017
Observational StudyComparative Effectiveness of Second Vasoactive Agents in Septic Shock Refractory to Norepinephrine.
We aim to identify the appropriate vasoactive agent in patients with septic shock who are refractory to optimal doses of norepinephrine. ⋯ Dobutamine is associated with decreased mortality compared to other second vasoactive agents in septic shock when norepinephrine is not sufficient. A prospective randomized trial examining the outcome impact of the second vasoactive agent is needed.