Journal of critical care
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Journal of critical care · Apr 2018
Preoperative severe hypoalbuminemia is associated with an increased risk of postoperative delirium in elderly patients: Results of a secondary analysis.
To explore the association between the severity of preoperative hypoalbuminemia and the occurrence of postoperative delirium. ⋯ Preoperative severe hypoalbuminemia (≤30.0g/L) was associated with an increased risk of postoperative delirium and worse outcomes.
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Journal of critical care · Apr 2018
Observational StudyA small pericardial effusion is a marker of complicated hospitalization in patients with community-acquired pneumonia.
Although often asymptomatic, presence of small pericardial effusion (SPE) is shown to be associated with adverse events and increased mortality in various conditions. This study aimed to evaluate the frequency and prognostic importance of SPE in a cohort of patients hospitalized for community-acquired pneumonia (CAP). ⋯ This study is the first to demonstrate that the presence of SPE is associated with increased adverse events in patients with CAP.
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Journal of critical care · Apr 2018
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for emergency cardiac support.
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) may provide benefit to patients in refractory cardiac arrest and cardiogenic shock. We aim to summarize our center's 6-year experience with resuscitative VA-ECMO. ⋯ The initiation of VA-ECMO at our center for treatment of refractory cardiac arrest and cardiogenic shock yielded a high proportion of survivors and favorable neurological outcomes.
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Journal of critical care · Apr 2018
Association between postoperative fluid balance and acute kidney injury in patients after cardiac surgery: A retrospective cohort study.
The present study aims to explore appropriate postoperative fluid management in patients after cardiac surgery. ⋯ Compared to zero FB, postoperative positive FB was associated with higher AKI incidence. Yet, the association between negative FB and AKI was insignificant. A "U"-shape association between postoperative fluid intake and AKI was detected.
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Journal of critical care · Apr 2018
Magnesium supplementation: Pharmacokinetics in cardiac surgery patients with normal renal function.
Intravenous magnesium is routinely administered in intensive care units (ICU) to treat arrhythmias after cardiothoracic surgery. There are no data on the pharmacokinetics of continuous magnesium infusion therapy. ⋯ Combined bolus and continuous magnesium infusion therapy leads to a significant and stable increase in magnesium serum concentration despite increased renal excretion and redistribution.