Journal of critical care
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Journal of critical care · Dec 2018
An automated computerized critical illness severity scoring system derived from APACHE III: modified APACHE.
To evaluate the performance of an automated computerized ICU severity scoring derived from the APACHE III. ⋯ mAPACHE has adequate performance to predict mortality.
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Journal of critical care · Dec 2018
Case ReportsThe role of electrical impedance tomography for monitoring during bronchoscopy: A case report.
Continuous monitoring of lung ventilation can be useful in treating patients admitted to the intensive care unit (ICU). Electrical impedance tomography (EIT) has been used as a relatively new imaging technique for this purpose. ⋯ A drainage procedure and subsequent improvement in pulmonary function were monitored using EIT contributed to the treatment process. The patient has been discharged from the hospital with an improved general condition.
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Journal of critical care · Dec 2018
qSOFA as predictor of mortality and prolonged ICU admission in Emergency Department patients with suspected infection.
We assessed the quick Sequential Organ Failure Assessment (qSOFA) score as a predictor of in-hospital mortality or prolonged ICU stay in Emergency Department (ED) patients with suspected infection. ⋯ Among ED patients with suspected infection, a positive qSOFA identified those at much greater risk of mortality and longer ICU stay.
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Journal of critical care · Dec 2018
Tolerability and effectiveness of 4-factor prothrombin complex concentrate (4F-PCC) for warfarin and non-warfarin reversals.
Current guidelines favor 4F-PCC over plasma for warfarin reversal. Uncertainty remains on its thrombotic risk and hemostatic effectiveness when used for direct-acting oral anticoagulants (DOACs), transplants, massive transfusion protocols (MTP), and non-anticoagulated patients. This study sought to evaluate the tolerability and effectiveness of 4F-PCC in a real-world setting. ⋯ Use of 4F-PCC in this real-world setting was associated with variable thromboembolic and hemostatic effectiveness rates based on the indication for reversal.
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Journal of critical care · Dec 2018
Randomized Controlled TrialFurosemide and Albumin for Diuresis of Edema (FADE): A parallel-group, blinded, pilot randomized controlled trial.
To assess the feasibility of a trial evaluating whether hyperoncotic albumin, in addition to diuretics, improves diuresis and facilitates liberation from mechanical ventilation in critically ill adults. ⋯ The current study design did not demonstrate feasibility, but can inform the design of a definitive trial.