Journal of critical care
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Journal of critical care · Apr 2021
Burnout in ICU doctors and nurses in mainland China-A national cross-sectional study.
A national cross-sectional study was performed to investigate the severity of burnout and its associated factors among doctors and nurses in ICUs in mainland China. ⋯ The burnout rate of ICU doctors and nurses in mainland China is 69.7%. Our study provides baseline data about burnout among Chinese medical staff predating COVID-19, which could help in the analysis and interpretation of burnout during the COVID-19 pandemic.
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Journal of critical care · Apr 2021
Observational StudyIntra-abdominal hypertension, fluid balance, and adverse outcomes after orthotopic liver transplantation.
Intra-abdominal hypertension (IAH) is frequently encountered in critically ill surgical patients. We aimed to evaluate the incidence of IAH after orthotopic liver transplant (OLT) and its impact on organ function, hospital length-of-stay (LOS), and death. ⋯ After OLT, nearly half of the patients presented IAH, that was associated with unfavorable outcomes.
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Journal of critical care · Apr 2021
ICU acquired hypernatremia treated by enteral free water - A retrospective cohort study.
ICU acquired hypernatremia (IAH) is associated with increased morbidity and mortality, however treatment remains controversial. This study aims to determine the effect of enteral free water suppletion in patients with IAH. ⋯ Treatment with enteral free water did not result in a clinically relevant decrease in serum sodium level in patients with IAH. In addition, the volume of enteral free water and the use of diuretics was unrelated with sodium change over 5 days.
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Journal of critical care · Apr 2021
Interactions between carbapenems and valproic acid among the patients in the intensive care units.
To evaluate risk factors for epileptic seizures or status epilepticus (SE) in patients concomitantly receiving valproic acid (VPA) and carbapenems. ⋯ Carbapenems decreased VPA serum concentration and increased the risk of epileptic seizures and SE, which led to increased length of ICU stay.