Journal of critical care
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Journal of critical care · Aug 2020
Randomized Controlled TrialClinical impact of lung ultrasound monitoring for diagnosis of ventilator associated pneumonia: A diagnostic randomized controlled trial.
Studies have shown that lung-ultrasound may be superior to chest x-ray (CXR) in diagnosing ventilator-associated pneumonia (VAP). This study investigated whether the use of lung-ultrasound monitoring could detect VAP earlier and improve patient outcome. ⋯ The use of lung-ultrasound monitoring for diagnosis of VAP improves patient outcome when compared to the standard diagnostic strategy that relies on CXR.
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Journal of critical care · Aug 2020
Associations between hospital occupancy, intensive care unit transfer delay and hospital mortality.
Hospital occupancy (HospOcc) pressures often lead to longer intensive care unit (ICU) stay after physician recognition of discharge readiness. We evaluated the relationships between HospOcc, extended ICU stay, and patient outcomes. ⋯ ICU transfer delay exponentially increased above a threshold hospital occupancy and may be associated with increased hospital mortality.