Journal of critical care
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Journal of critical care · Jun 2023
Observational StudyHigh respiratory effort decreases splanchnic and peripheral perfusion in patients with respiratory failure during mechanical ventilation.
This study aimed to evaluate the effects of high respiratory effort(HRE) on spleen, kidney, intestine, and peripheral perfusion in patients with respiratory failure during mechanical ventilation. ⋯ HRE could decrease perfusion of peripheral tissues and splanchnic organs. The status of HRE should be avoided to protect splanchnic and peripheral organs in mechanically ventilated patients.
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Journal of critical care · Jun 2023
Diagnosing acute kidney injury ahead of time in critically ill septic patients using kinetic estimated glomerular filtration rate.
Accurate and actionable diagnosis of Acute Kidney Injury (AKI) ahead of time is important to prevent or mitigate renal insufficiency. The purpose of this study was to evaluate the performance of Kinetic estimated Glomerular Filtration Rate (KeGFR) in timely predicting AKI in critically ill septic patients. ⋯ Predictive performance of KeGFR combined with UO criteria for diagnosing AKI is excellent. Compared to KDIGO, deterioration of renal function was identified earlier, most prominently for lower stages of AKI. This may shift the actionable window for preventing and mitigating renal insufficiency.
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Journal of critical care · Jun 2023
Drug-related causes attributed to acute kidney injury and their documentation in intensive care patients.
To investigate drug-related causes attributed to acute kidney injury (DAKI) and their documentation in patients admitted to the Intensive Care Unit (ICU). ⋯ Drug-related causes comprise a substantial part of AKI in the ICU patients. However, current unstructured DAKI documentation practice via clinical notes hampers our ability to gain better insights about DAKI occurrence. Therefore, both automating DAKI identification from the clinical notes and increasing structured DAKI documentation should be encouraged.
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Journal of critical care · Jun 2023
Gender distribution of editorial board members in critical care journals: Assessment of gender parity.
To reveal factors related to gender parity on editorial boards of critical care journals indexing in SCI-E. ⋯ Further efforts are needed to expand diversity policies in critical care medicine.