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
Thromboelastograph:A prognostic marker in sepsis with organ dysfunction without overt bleeding.
Coagulation abnormalities are not infrequent in sepsis. It is unclear if abnormalities in thromboelastogram (TEG) are associated with mortality in patients with severe sepsis without overt bleeding. ⋯ A subset of patients with severe sepsis without overt bleeding are hypocoagulable. Hypocoagulability is associated with mortality and need for transfusion.
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Journal of critical care · Oct 2021
Multicenter StudyAssociation between increased nonaerated lung weight and treatment failure in patients with de novo acute respiratory failure: Difference between high-flow nasal oxygen therapy and noninvasive ventilation in a multicentre retrospective study.
To determine the association between lung collapse and treatment failure in high-flow nasal cannula oxygen therapy (HFNC) or noninvasive ventilation (NIV). ⋯ Patients with a greater nonaerated lung weight had a higher risk of HFNC failure, but not of NIV failure.
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Journal of critical care · Oct 2021
Transferring home to die from critical care units: A scoping review of international practices.
To identify and characterise the international practices of transferring a dying patient home to die from critical care units. ⋯ Transferring patients home to die from critical care is a complex practice varying significantly across countries. Further research to address current knowledge gaps is important to inform policy and practice.
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Journal of critical care · Oct 2021
Observational StudyEarly neuro-prognostication with the Patient State Index and suppression ratio in post-cardiac arrest patients.
Cardiopulmonary resuscitation guidelines recommend multimodal neuro-prognostication after cardiac arrest using neurological examination, electroencephalography, biomarkers, and brain imaging. The Patient State Index (PSI) and suppression ratio (SR) represent the depth and degree of sedation, respectively. We evaluated the predictive ability of PSI and SR for neuro-prognostication of post-cardiac arrest patients who underwent targeted temperature management. ⋯ The PSI and SR are good predictors for early neuro-prognostication in post-cardiac arrest patients.