Journal of critical care
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Journal of critical care · Jun 2018
ReviewAddressing spirituality during critical illness: A review of current literature.
The purpose of this review is to provide an overview of research on spirituality and religiosity in the intensive care setting that has been published since the 2004-2005 American College of Critical Care Medicine (ACCM) Clinical Practice Guidelines for the Support of Family in the Patient-Centered Intensive Care Unit with an emphasis on its application beyond palliative and end-of-life care. ⋯ Spiritual care has an essential role in the treatment of critically ill patients and families. Current literature offers few insights to support clinicians in navigating this often-challenging aspect of patient care and more research is needed.
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Journal of critical care · Jun 2018
Value of the combination of renal resistance index and central venous pressure in the early prediction of sepsis-induced acute kidney injury.
Early prediction of acute kidney injury (AKI) in septic patients is difficult. This study aimed to assess the values of renal resistive index (RI), central venous pressure (CVP), and their combination in the early prediction of sepsis-induced AKI. ⋯ The combination of RI and CVP was more valuable than either of the two parameters in the early prediction for sepsis-induced AKI.
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Journal of critical care · Jun 2018
Observational StudyInfluence of ward round order on critically ill patient outcomes.
To examine the effect of order in which patients are seen on an Intensive Care Unit (ICU) ward round on ICU length of stay (LOS), mortality and duration of mechanical ventilation. ⋯ The order in which patients were seen on an ICU ward did not affect ICU LOS nor related outcomes.
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Journal of critical care · Jun 2018
Review Meta AnalysisReduced circulating B cells and plasma IgM levels are associated with decreased survival in sepsis - A meta-analysis.
B cell function and antibody production are crucial factors in host protection during inflammation. We aimed to synthesize the available evidence on the association between the reduction of circulating B cells and plasma immunoglobulin (IgM) levels and decreased survival during sepsis. ⋯ The protocol was registered (PROSPERO 2016:CRD42016053184).