Journal of critical care
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Journal of critical care · Jun 2013
ReviewNonpharmacologic interventions for prevention of catheter-related thrombosis: a systematic review.
The aim of this study was to summarize randomized controlled trials (RCTs) of nonpharmacologic interventions for prevention of catheter-related thromboses (CRTs). ⋯ Peripherally inserted central catheters and femoral insertion of CVCs should be avoided if possible. Randomized controlled trials are needed to ascertain the effects of other nonpharmacologic interventions to prevent CRT.
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Journal of critical care · Jun 2013
Effect of pulse pressure on the predictability of stroke volume variation for fluid responsiveness in patients with coronary disease.
We hypothesized that the predictability of stroke volume variation (SVV) on fluid responsiveness would be reduced in patients with coronary disease who have wide pulse pressure (PP). ⋯ In contrast to patients with normal PP, SVV does not predict fluid responsiveness in patients with coronary disease who have wide PP.
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Journal of critical care · Jun 2013
Review Meta AnalysisAntipyretic therapy in febrile critically ill adults: A systematic review and meta-analysis.
To determine whether fever control with antipyretic therapy effects the mortality of febrile critically ill adults. ⋯ This meta-analysis found no evidence that fever treatment influences mortality in critically ill adults without acute neurological injury. However, studies were underpowered to detect clinically important differences.
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Journal of critical care · Jun 2013
Multicenter StudyMotivation and job satisfaction of Tele-ICU nurses.
Although the first tele-ICU has been in existence for more than 12 years, little is known about the work of tele-ICU nurses. This study examines sources of motivation and satisfaction of tele-ICU nurses. ⋯ Most tele-ICU nurses are satisfied with their job. They like the challenge in their work and the opportunity to learn. For some nurses, the transition from a bedside caregiver to an information manager can be difficult. Other nurses have found a balance by working part-time in the tele-ICU and part-time in the ICU.
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Journal of critical care · Jun 2013
Randomized Controlled TrialAssessment of the safety and feasibility of administering antipyretic therapy in critically ill adults: a pilot randomized clinical trial.
To assess the safety and feasibility of treating critically ill adults with different fever control strategies. ⋯ This study demonstrated the safety and feasibility of administering antipyretic therapy in critically ill adults. The key finding was a lower than expected incidence of fever.