Journal of critical care
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Journal of critical care · Dec 2020
ReviewData-driven ICU management: Using Big Data and algorithms to improve outcomes.
The digitalization of the Intensive Care Unit (ICU) led to an increasing amount of clinical data being collected at the bedside. The term "Big Data" can be used to refer to the analysis of these datasets that collect enormous amount of data of different origin and format. Complexity and variety define the value of Big Data. ⋯ A close future effort should be done to validate the knowledge extracted from clinical Big Data and implement it in the clinic. In this article, we provide an introduction to Big Data in the ICU, from data collection and data analysis, to the main successful examples of prognostic, predictive and classification models based on ICU data. In addition, we focus on the main challenges that these models face to reach the bedside and effectively improve ICU care.
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Journal of critical care · Dec 2020
Case ReportsReflux events detected by multichannel bioimpedance smart feeding tube during high flow nasal cannula oxygen therapy and enteral feeding: First case report.
The use of high flow nasal cannula (HFNC) oxygen therapy is common in patients with respiratory distress to prevent intubation or ensure successful extubation. However, these critical patients also need medical nutritional support and practitioners are often reluctant to prescribe oral or enteral feeding, leading to a decrease in energy and protein intake. ⋯ A new technology detecting the presence and duration of gastro-esophageal reflux and preventing aspiration in real-time has been developed and our case shows how HFNC oxygen therapy exposes patients to significantly more reflux events as compared to mechanical ventilation. This is the first description of this technique observed in critical care.
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Journal of critical care · Dec 2020
Randomized Controlled TrialThe effect of small versus large clog size on emergency response time: A randomized controlled trial.
To assess the effect on healthcare professional emergency response time and safety of small compared to large clog size. ⋯ European size 38 clogs lead to faster emergency response times than size 47 clogs.
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Journal of critical care · Dec 2020
Timeline of sepsis bundle component completion and its association with septic shock outcomes.
To assess the impact of the timeline of sepsis bundle completion with clinical outcomes in septic shock. ⋯ We showed an association between the completion of SSC bundle components within three hours with lower mortality or earlier shock reversal. This relationship was not evident when compared to bundle completion in 1 h vs. within 3 h.