Journal of critical care
-
Journal of critical care · Apr 2019
Comparative Study Observational StudyEpidemiology, lung mechanics and outcomes of ARDS: A comparison between pregnant and non-pregnant subjects.
We describe the epidemiology, lung mechanics and outcomes of acute respiratory distress syndrome (ARDS) complicating pregnancy. We also compare the outcomes of ARDS in pregnant and non-pregnant females. ⋯ ARDS complicating pregnancy is severe and is associated with high perinatal mortality. However, the outcomes of ARDS in pregnant females were similar to non-pregnant females.
-
Journal of critical care · Apr 2019
Association of septic shock definitions and standardized mortality ratio in a contemporary cohort of critically ill patients.
The newly proposed septic shock definition has provoked a substantial controversy in the emergency and critical care communities. We aim to compare new (SEPSIS-III) versus old (SEPSIS-II) definitions for septic shock in a contemporary cohort of critically ill patients. ⋯ Compared to SEPSIS-II, SEPSIS-III definition of septic shock identifies patients further along disease trajectory with higher likelihood of poor outcome.
-
Journal of critical care · Apr 2019
Non-clinical delays in transfer out of the surgical ICU are associated with increased hospital length of stay and delayed progress of care.
The impact of non-clinical transfer delay (TD) from the ICU to a general care unit on the progress of the patient's care is unknown. We measured the association between TD and: (1) the patient's subsequent hospital length of stay (LOS); (2) the timing of care decisions that would advance patient care. ⋯ TD is associated with longer LOS and delays in milestone clinical decisions that progress care. Eliminating delays in milestones could mitigate TD's impact on LOS.
-
Journal of critical care · Apr 2019
Bedside chest compression skills: Performance and skills retention in in-hospital trained pediatric providers. A simulation study.
To assess the effects of a real-time feedback device and refresher sessions in acquiring and retaining chest compression skills. ⋯ A real-time visual feedback device improved CC skills with better results in infants. Skills decayed over time despite two refresher sessions with feedback.