Journal of critical care
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Journal of critical care · Oct 2019
Observational StudyDifferences in 90-day mortality of delirium subtypes in the intensive care unit: A retrospective cohort study.
Many intensive care unit (ICU) patients suffer from delirium which is associated with deleterious short-term and long-term effects, including mortality. We determined the association between different delirium subtypes and 90-day mortality. ⋯ After adjusting for covariates, including competing risk factors, only the mixed delirium subtype was significantly associated with 90-day mortality.
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Journal of critical care · Oct 2019
ReviewEfficacy of music on sedation, analgesia and delirium in critically ill patients. A systematic review of randomized controlled trials.
There is inadequate evidence supporting the benefit of music on sedation, analgesia or delirium in critically ill patients.
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Journal of critical care · Oct 2019
Review Meta AnalysisDiarrhea and patient outcomes in the intensive care unit: Systematic review and meta-analysis.
We aimed to determine whether diarrhea experienced by patients in the intensive care unit (ICU) is related to their clinical outcomes. ⋯ The diarrhea experienced by patients may be associated with higher mortality and prolonged length of stay in the ICU and hospital.
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Journal of critical care · Oct 2019
ReviewClinical controversies in abdominal sepsis. Insights for critical care settings.
Sepsis is a deadly condition in which the outcome is associated with prompt and adequate recognition, intensive supportive care, antibiotic administration and source control. This last item makes abdominal sepsis a unique treatment challenge. Although pneumonia constitutes the leading cause of sepsis, abdominal sepsis has unique features that merit discussion. ⋯ The epidemiology of abdominal sepsis and its outcomes are difficult to assess due to the large clinical heterogeneity associated with this entity. Further complicating issues is the debate surrounding the effect of early source control (i.e. the "surgeon effect"). This review evaluates and summarizes the current approach to current challenges in patient care and which are the future research directions.
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Journal of critical care · Oct 2019
Randomized Controlled TrialAeration changes induced by high flow nasal cannula are more homogeneous than those generated by non-invasive ventilation in healthy subjects.
Non-invasive mechanical ventilation (NIV) is a standard respiratory support technique used in intensive care units. High-Flow Nasal Cannula (HFNC) has emerged as an alternative, but further evidence is needed. The lung aeration and diaphragm changes achieved with these two strategies in healthy subjects have not been compared to date. ⋯ NIV and HFNC increased EELI in healthy subjects, suggesting an increase in the functional residual capacity. The EELI increase may be higher in NIV, but HFNC produced a more homogeneous change in lung ventilation. HFNC group has a higher MAR-index that could reflect a different ventilatory system adaptation.