Journal of critical care
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Journal of critical care · Oct 2021
Diuretic strategies in patients with resistance to loop-diuretics in the intensive care unit: A retrospective study from the MIMIC-III database.
To investigate various diuretic strategies to alleviate loop-diuretics resistance in critically ill patients. ⋯ Continuous loop-diuretic infusion and thiazide- or acetazolamide-loop diuretic combinations increased urine output significantly, leading to a negative fluid balance and weight loss.
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Journal of critical care · Oct 2021
Reduced quality of life in ICU survivors - the story behind the numbers: A mixed methods study.
To gain insight into the daily functioning of ICU survivors who reported a reduced quality of life (QoL) one year after ICU admission. ⋯ Reduction in QoL is due to physical, mental, and cognitive health problems, restricting participants what they want to do. However, QoL was not only affected by the critical illness, but also by factors including independency, comorbidity, and life events. Registration: NCT03246334 (clinical trials.gov).
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Journal of critical care · Oct 2021
Verification of the critical-care pain observation tool in conscious patients with hemiparesis or cognitive dysfunction.
Altered cognition or hemiparesis can occur in neurocritical but conscious patients, and recognizing pain is challenging. This study aimed to test the reliability and validity of the Critical-Care Pain Observation Tool (CPOT) in this specific group. ⋯ The CPOT is an appropriate instrument to assess pain in conscious patients, particularly those with cognitive dysfunction. The influence of hemiparesis on the CPOT is noteworthy.
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Journal of critical care · Oct 2021
Comparison of fixed dose versus train-of-four titration of cisatracurium in acute respiratory distress syndrome.
To compare the ventilatory and clinical outcomes associated with a fixed-dose cisatracurium infusion versus a titrated infusion strategy in patients with Acute Respiratory Distress Syndrome (ARDS). ⋯ Fixed-dose cisatracurium was associated with similar ventilatory and clinical outcomes compared to titrated strategy, yet it was associated with a 3-fold increase in dose administered.
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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.