Journal of critical care
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Journal of critical care · Jun 2018
Bereaved donor families' experiences of organ and tissue donation, and perceived influences on their decision making.
To elicit bereaved families' experiences of organ and tissue donation. A specific objective was to determine families' perceptions of how their experiences influenced donation decision-making. ⋯ The influence of temporality on donation-decision making is worthy of consideration in the planning of future education, policy, practice, and research for improved rates of family consent to donation.
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Journal of critical care · Jun 2018
Multicenter StudyAssessing frailty in the intensive care unit: A reliability and validity study.
To describe pre-ICU frailty in critically ill patients using the Clinical Frailty Scale (CFS). ⋯ CFS scores can be generated using medical chart review and can be reliably completed by ICU clinicians and research staff.
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Journal of critical care · Jun 2018
Postprandial hypotension in older survivors of critical illness.
In older people postprandial hypotension occurs frequently; and is an independent risk factor for falls, cardiovascular events, stroke and death. The primary aim of this pilot study was to estimate the frequency of postprandial hypotension and evaluate the mechanisms underlying this condition in older survivors of an Intensive Care Unit (ICU). ⋯ In this cohort of older survivors of ICU postprandial hypotension occurred frequently . This suggests that postprandial hypotension is an unrecognised issue in older ICU survivors.
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Journal of critical care · Jun 2018
Multicenter Study Observational StudyCurrent practices and safety of medication use during rapid sequence intubation.
Characterize medication practices during and immediately after rapid sequence intubation (RSI) by provider/location and evaluate adverse drug events. ⋯ Medication practices during RSI vary amongst provider and medications are often used inappropriately. There is opportunity for optimization of medication use during RSI.
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Journal of critical care · Jun 2018
Randomized Controlled TrialA pilot trial of l-carnitine in patients with traumatic brain injury: Effects on biomarkers of injury.
To investigate the effects of l-Carnitine on neuron specific enolase (NSE) as a marker of inflammation in patients with traumatic brain injury (TBI). ⋯ We concluded that despite improvements in neurobehavioral function and the degree of cerebral edema, 7-days of treatment with l-Carnitine failed to reduce serum NSE levels or improve mortality rate at 90days in patients with TBI.