Journal of critical care
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Journal of critical care · Dec 2020
Rapid implementation of a mobile prone team during the COVID-19 pandemic.
The coronavirus disease 2019 (COVID-19) is associated with high rates of acute respiratory distress syndrome (ARDS). Prone positioning improves mortality in moderate-to-severe ARDS. Strategies to increase prone positioning under crisis conditions are needed. ⋯ The rapid development of a mobile prone team safely provided prone positioning to a large number of COVID-19 patients with moderate-to-severe ARDS.
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Journal of critical care · Dec 2020
Observational StudyA low dose heparinized saline protocol is associated with improved duration of arterial line patency in critically ill COVID-19 patients.
Critically ill patients with Coronavirus Disease 2019 (COVID-19) have high rates of line thrombosis. Our objective was to examine the safety and efficacy of a low dose heparinized saline (LDHS) arterial line (a-line) patency protocol in this population. ⋯ A LDHS protocol was associated with a clinically significant improvement in a-line patency duration in COVID-19 patients, without increased bleeding risk.
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Journal of critical care · Dec 2020
Observational StudyInadequate prophylactic effect of low-molecular weight heparin in critically ill COVID-19 patients.
The aim of this study was to investigate potential markers of coagulopathy and the effects of thromboprophylaxis with low-molecular-weight heparin (LMWH) on thromboelastography (TEG) and anti-factor Xa in critically ill COVID-19 patients. ⋯ Patients with COVID-19 have hypercoagulability with high MA on TEG. The effect of LMWH on thromboembolic disease, anti-factor Xa activity and TEG was variable and could not be reliably predicted. This indicates that standard prophylactic doses of LMWH may be insufficient. Monitoring coagulation and the LMWH effect is important in patients with COVID-19 but interpreting the results in relation to risk of thromboembolic disease poses difficulties.
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Journal of critical care · Dec 2020
Do perceived honorary authors influence publication chance? Survey evidence from the journal of critical care.
Perceived Honorary Authors (PHAs) are defined as authors on manuscripts who did not contribute enough. The association between PHAs and publication chance in journals is unknown. As a start, our aim was to examine the prevalence of PHAs in the Journal of Critical Care (JCC). Furthermore, we investigated whether PHAs influences publication chance in the JCC. Also, we attempt to replicate factors associated with the prevalence of PHAs found in earlier studies. ⋯ The prevalence of PHAs was conform other studies 13%, and did not influence publication chance.