Journal of critical care
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Journal of critical care · Oct 2021
Definition and incidence of hypotension in intensive care unit patients, an international survey of the European Society of Intensive Care Medicine.
Although hypotension in ICU patients is associated with adverse outcome, currently used definitions are unknown and no universally accepted definition exists. ⋯ An absolute MAP threshold of 65 mmHg is most frequently used to define hypotension in ICU patients. In neuro(trauma) patients a higher threshold was reported. The majority of ICU patients are estimated to endure hypotension during their ICU admission for a considerable amount of time, with nurses reporting a higher estimated incidence and time spent in hypotension than physicians.
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Journal of critical care · Oct 2021
Observational StudyManagement of SARS-CoV-2 pneumonia in intensive care unit: An observational retrospective study comparing two bundles.
To compare the effects of two therapeutic bundles of management in SARS-CoV2 ICU patients. ⋯ Within the limitations of our study, changes in therapeutic bundles for SARS-Cov-2 ICU patients might have no effect on in-hospital mortality but were associated with less exposure to mechanical ventilation and reduced hospital length of stay.
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Journal of critical care · Oct 2021
Mortality associated with early changes in ARDS severity in COVID-19 patients - Insights from the PRoVENT-COVID study.
We investigated changes in ARDS severity and associations with outcome in COVID-19 ARDS patients. ⋯ In this cohort of COVID-19 patients, ARDS severity and mortality between severity classes changed substantially over the first 4 days of ventilation. These findings are important, as reclassification could help identify target patients that may benefit from alternative approaches.