Journal of critical care
-
Journal of critical care · Aug 2019
Observational StudyThe effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients.
To measure effects of ED crowding on lung-protective ventilation (LPV) utilization in critically ill ED patients. ⋯ ED patients remain on suboptimal tidal volume settings with infrequent ventilator adjustments during the ED stay. Hospitals should focus on both systemic factors and bedside physician and/or respiratory therapist interventions to increase LPV utilization in times of ED boarding and crowding for all patients.
-
Journal of critical care · Aug 2019
Kinetic analysis of cardiac compressions during cardiopulmonary resuscitation.
Little is known about the dynamics of cardiac compression during cardiopulmonary resuscitation (CPR). The purpose of this study was to investigate the dynamics of chest compressions by analyzing movement of the right ventricular free wall excursion during CPR. ⋯ Maintaining high compression velocity is helpful in achieving adequate compression depth during CPR.
-
Journal of critical care · Aug 2019
Ischemia-related vascular complications of percutaneously initiated venoarterial extracorporeal membrane oxygenation: Indication setting, risk factors, manifestation and outcome.
Venoarterial (VA) ECMO is widely accepted as salvage therapy for cardio-respiratory or cardiac failure. Vascular complications from cannulation are common and potentially life-threatening. Here, we retrospectively analyzed vascular complications following VA ECMO therapy. ⋯ Cannula size and indication setting are the most important factors for the development of ischemic complications following VA ECMO.
-
Journal of critical care · Aug 2019
The impact of errors on healthcare professionals in the critical care setting.
Medical errors occur at high rates in intensive care units (ICUs) and have great consequences. The impact of errors on healthcare professionals is rarely discussed. We hypothesized that issues regarding blame and guilt following errors in the ICU exist and may be dependent on type of practitioner, level of experience, and error type. ⋯ In critical care, blame and guilt after medical errors are common and affect all providers. Critical care practitioners have identified methods which may help mitigate adverse feeling after medical errors, including debriefing and talking with colleagues. Hospitals may benefit from developing these types of strategies after medical errors.