Journal of critical care
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Journal of critical care · Dec 2019
Observational StudyRight ventricular dysfunction in neurologically deceased organ donors: An observational study in a tertiary-care organ donor referral centre.
Right ventricular RV dysfunction among transplant recipients correlates with transplant outcome, but its frequency in donors is unknown. The purpose of this study was to describe the epidemiology of RV dysfunction in potential heart donors." ⋯ We observed a high frequency of RV dysfunction in a sample of potential heart donors. However, the temporal evolution of RV dysfunction, the hemodynamic predictors of RV dysfunction, as well the link between donor RV dysfunction and recipient outcomes need to be assessed with further prospective studies.
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Journal of critical care · Dec 2019
Increased atrial contraction contribution to left ventricular filling during early septic shock.
To assess the atrial systolic function and the contribution of atrial contraction to left ventricular (LV) filling in septic shock patients as compared with healthy volunteers. ⋯ In septic shock patients, LA systolic function increased and greatly contributed to support LV filling. These results highlight the role of preserving atrial contraction on the hemodynamic resuscitation in early septic shock.
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Journal of critical care · Dec 2019
Structural features shared by ICUs belonging to research networks an international survey. "Critical care research network survey".
Major acute care research is conducted within critical care research networks (CCRN). Our aims were to describe CCRN and participating ICUs. ⋯ Despite different organizations, CCRN share similar ventures including the value of improving quality of critical care delivery. Participating ICUs share several structural and managerial patterns. These observations enlighten the importance of CCRN to enhance quality of critical care delivery.
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Journal of critical care · Dec 2019
The impact of real-time chest compression feedback increases with application of the 2015 guidelines.
Cardiac arrest survival depends upon chest compression quality. Real-time audiovisual feedback may improve compression guideline adherence, particularly with the more specific 2015 guidelines. ⋯ The use of real-time audiovisual feedback increases adherence to chest compression guidelines, particularly with application of the narrower 2015 guidelines targets for compression depth and rate.
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Journal of critical care · Dec 2019
Case ReportsRescue stem cell allograft in intensive care unit patients during septic shock with multi-organ failure.
We describe what we believe to be the first two cases of patients who received an allograft in intensive care unit (ICU) despite severe septic shock with multi-organ failure (MOF). ⋯ Allograft should be considered as a rescue therapy in ICU for patients with aplasia, during septic shock with multi-organ failure, however close multidisciplinary discussion is required between intensivists and onco-hematologists.