Journal of critical care
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Journal of critical care · Feb 2022
Monitoring, management, and outcome of hypotension in Intensive Care Unit patients, an international survey of the European Society of Intensive Care Medicine.
Hypotension in the ICU is common, yet management is challenging and variable. Insight in management by ICU physicians and nurses may improve patient care and guide future hypotension treatment trials and guidelines. ⋯ Both physicians and nurses report that hypotension in ICU patients is underdiagnosed, preventable, and believe that hypotension influences morbidity. Hypotension management is generally not protocolized, but the majority of respondents would like to have a specific hypotension management protocol.
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Journal of critical care · Feb 2022
Observational StudyRespiratory and peripheral muscular ultrasound characteristics in ICU COVID 19 ARDS patients.
Severe cases of coronavirus disease 2019 develop ARDS requiring admission to the ICU. This study aimed to investigate the ultrasound characteristics of respiratory and peripheral muscles of patients affected by COVID19 who require mechanical ventilation. ⋯ The early changes detected by echogenicity ultrasound suggest a potential benefit of proactive early therapies designed to preserve respiratory and peripheral muscle architecture to reduce days on MV, although what constitutes a clinically significant change in muscle echogenicity remains unknown.
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Journal of critical care · Feb 2022
Comment LetterRESPONSE TO JCRC-D-21-01479: Multivariable analysis suggest that mechanical ventilation>48 h, the detection of an aneurysm, a lower Hunt and Hess grade and a pretreated psychiatric disorder were associated with the development of delirium: beware of numerous potential confounders!