Journal of critical care
-
Journal of critical care · Jun 2018
Multicenter StudyImpact of physician-less pediatric critical care transport: Making a decision on team composition.
To explore the impact of a physician non-accompanying pediatric critical care transport program, and to identify factors associated with the selection of specific transport team compositions. ⋯ No significant differences were observed with increasing use of a physician non-accompanying team. Selection of transport team compositions was influenced by clinical and system factors, but appreciable variation still remained among triage physicians.
-
Journal of critical care · Jun 2018
ReviewThyrotoxicosis induced cardiomyopathy requiring support with extracorporeal membrane oxygenation.
Thyrotoxicosis-induced cardiomyopathy (TCM) is a rare, potentially life-threatening complication requiring extracorporeal membrane oxygenation (ECMO) for temporary mechanical support while a euthyroid state is being achieved. ⋯ The definitive therapy of TCM is returning the patient to a euthyroid state. For those patients who develop circulatory collapse, however, temporary mechanical support should be strongly considered to allow time for a euthyroid state to be achieved.
-
Journal of critical care · Jun 2018
Hemoglobin thresholds and red blood cell transfusion in adult patients with moderate or severe traumatic brain injuries: A retrospective cohort study.
We aimed to evaluate the association between transfusion practices and clinical outcomes in patients with traumatic brain injury. ⋯ During ICU stay, transfused patients tended to have lower Hb levels and worse outcomes than patients who did not receive RBCs, after adjustment for confounders.
-
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.
-
Journal of critical care · Jun 2018
Predicting central line-associated bloodstream infections and mortality using supervised machine learning.
The purpose of this study was to compare machine learning techniques for predicting central line-associated bloodstream infection (CLABSI). ⋯ This study demonstrates models for identifying patients who will develop CLABSI. Early identification of these patients has implications for quality, cost, and outcome improvements.