Journal of critical care
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Journal of critical care · Oct 2015
Randomized Controlled Trial Multicenter StudyImproving rehabilitation after critical illness through outpatient physiotherapy classes and essential amino acid supplement: A randomized controlled trial.
Patients recovering from critical illness may be left with significant muscle mass loss. This study aimed to evaluate whether a 6-week program of enhanced physiotherapy and structured exercise (PEPSE) and an essential amino acid supplement drink (glutamine and essential amino acid mixture [GEAA]) improves physical and psychological recovery. ⋯ Enhanced rehabilitation combined with GEAA supplement may enhance physical recovery and reduce anxiety and depression.
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Journal of critical care · Oct 2015
Randomized Controlled Trial Comparative StudyContinuous infusion vs intermittent vancomycin in neurosurgical intensive care unit patients.
Target plasma level achievement has remained a challenge in neurosurgical intensive care unit patients receiving intravenous vancomycin. We evaluated continuous infusion (CI) and intermittent vancomycin dosing strategies in these patients. ⋯ Continuous infusion appears beneficial for improving attainment of target plasma concentrations, pharmacodynamic goals, and financial burden, without increasing risk of acute kidney injury.
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Journal of critical care · Oct 2015
Randomized Controlled TrialPatient and family perceptions of physical therapy in the medical intensive care unit.
Patient and family member perceptions of physical therapy (PT) in the intensive care unit and the factors that influence their degree of satisfaction have not been described. ⋯ Physical therapy is perceived as necessary and beneficial to recovery by critically ill patients and family members.
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Journal of critical care · Jun 2015
Randomized Controlled Trial Observational StudyExercise-based rehabilitation after hospital discharge for survivors of critical illness with intensive care unit-acquired weakness: A pilot feasibility trial.
The aim of this study was to investigate feasibility of exercise-based rehabilitation delivered after hospital discharge in patients with intensive care unit-acquired weakness (ICU-AW). ⋯ Clinical Trials Identifier NCT00976807.
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Journal of critical care · Apr 2015
Randomized Controlled Trial Comparative StudyThe effect of prognostic data presentation format on perceived risk among surrogate decision makers of critically ill patients: A randomized comparative trial.
The purpose of this study is to determine whether varying the format used to present prognostic data alters the perception of risk among surrogate decision makers in the intensive care unit (ICU). ⋯ Data format had a significant effect on how surrogate decision makers interpreted risk. Qualitative statements are interpreted widely and affected by framing. Where possible, multiple quantitative formats should be used for presenting prognostic information.