Journal of critical care
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Journal of critical care · Apr 2018
End-organ recovery post-ventricular assist device can prognosticate survival.
This study examines our institutional ventricular assist devices (VADs) experience over two decades to understand trends towards predictors of mortality. ⋯ Persistent end-organ impairment in the first 2weeks after VAD placement could be a useful prognostic marker for survival to transplant.
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Journal of critical care · Apr 2018
Observational StudyPredictive factors for the outcome of high flow nasal cannula therapy in a pediatric intensive care unit: Is the SpO2/FiO2 ratio useful?
To determine the predictive factors for the outcome of high-flow nasal cannula (HFNC) therapy in a pediatric intensive care unit (PICU). ⋯ Monitoring the S/F ratio might be useful and practical to avoid delaying escalation to another ventilation support. Failure to achieve S/F>200 at 60min should be a warning for the escalation of respiratory support.
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Journal of critical care · Apr 2018
Multicenter StudyMeasurement of respiratory rate by multiple raters in a clinical setting is unreliable: A cross-sectional simulation study.
To evaluate the inter-observer reliability of nurses assessing respiratory rate. ⋯ We found a wide variation in measurements of RR with both few and many observers assessing exactly the same patients.
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Journal of critical care · Apr 2018
Randomized Controlled TrialAntioxidant reserve of the lungs and ventilator-associated pneumonia: A clinical trial of high dose selenium in critically ill patients.
To evaluate the effect of supplemental selenium administration on the incidence of ventilator-associated pneumonia (VAP) in critically ill patients. ⋯ Despite increasing the antioxidant activity, selenium supplementation did not affect the incidence of VAP in critically ill patients. The risk of developing VAP or death within 30days of ICU admission remained the same in the treatment and the controls.