Journal of critical care
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Journal of critical care · Feb 2020
Cost-effectiveness of second-line vasopressors for the treatment of septic shock.
To determine the cost-effectiveness of escalating doses of norepinephrine or norepinephrine plus the adjunctive use of vasopressin or angiotensin II as a second-line vasopressor for septic shock. ⋯ Vasopressin is the most cost-effective second-line vasopressor in both the short- and long-term evaluations. Vasopressor price is a minor contributor to overall cost.
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Journal of critical care · Feb 2020
Randomized Controlled Trial Multicenter StudyGender differences in mortality and quality of life after septic shock: A post-hoc analysis of the ARISE study.
To assess the impact of gender and pre-menopausal state on short- and long-term outcomes in patients with septic shock. ⋯ This post-hoc analysis of a large multi-center trial in early septic shock has shown no short- or long-term survival effect for women overall as well as in the pre-menopausal age-group.
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Journal of critical care · Feb 2020
Acute kidney injury as a risk factor of hyperactive delirium: A case control study.
Delirium and acute kidney injury (AKI) are common organ dysfunctions during critical illness. Both conditions are associated with serious short- and long-term complications. We investigated whether AKI is a risk factor for hyperactive delirium. ⋯ AKI stage 3 is independently associated with hyperactive delirium. Further research is required to explore the factors that contribute to this association.
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Journal of critical care · Feb 2020
Review Historical ArticleThe history of critical care in Kenya.
Critical care is a young specialty in Kenya. From its humble beginnings in the 1960s to present day Kenya, the bulk of this service has largely been provided by anaesthetists. We provide a detailed account of the growth and development of this specialty in our country, the attempts made by our people to grow this service within our borders and the vital role our international partners have played throughout this process. We also share a selection of our successes over the years, the challenges we have faced and our aspirations as we look to the future.
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Journal of critical care · Feb 2020
Multicenter StudyAssessment of the current capacity of intensive care units in Uganda; A descriptive study.
To describe the organizational characteristics of functional ICUs in Uganda. ⋯ This study shows limited accessibility to critical care services in Uganda. With a high variability in the ICU operational characteristics, there is a need for standardization of ICU care in the country.