Journal of critical care
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Journal of critical care · Dec 2018
Transition to a newly constructed single patient room adult intensive care unit - Clinicians' preparation and work experience.
To describe how clinicians were prepared for the transition to a novel single patient room (SPR) intensive care unit (ICU) and their work experience during this transition. ⋯ The use of preparation strategies that are tailored to clinicians' roles helped build readiness for transition to a novel SPR ICU and facilitated the adaptation process. Challenges related to teamwork dynamics and practices in an isolating environment persisted beyond the adaptation period and must be addressed and overcome to better meet the needs and expectations of ICU clinicians.
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Journal of critical care · Dec 2018
An automated computerized critical illness severity scoring system derived from APACHE III: modified APACHE.
To evaluate the performance of an automated computerized ICU severity scoring derived from the APACHE III. ⋯ mAPACHE has adequate performance to predict mortality.
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Journal of critical care · Dec 2018
Case ReportsThe role of electrical impedance tomography for monitoring during bronchoscopy: A case report.
Continuous monitoring of lung ventilation can be useful in treating patients admitted to the intensive care unit (ICU). Electrical impedance tomography (EIT) has been used as a relatively new imaging technique for this purpose. ⋯ A drainage procedure and subsequent improvement in pulmonary function were monitored using EIT contributed to the treatment process. The patient has been discharged from the hospital with an improved general condition.
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Journal of critical care · Dec 2018
The Italian law on informed consent and advance directives: New rules of conduct for the autonomy of doctors and patients in end-of-life care.
Italy has long lacked a law regulating patients' informed consent and advance directives (ADs). All previous attempts to introduce a law on this matter failed to reach positive outcomes, and aroused heated ideological debate over the exact meaning of life and death. We report on the new law on informed consent and ADs approved by the Italian Parliament on 14th December 2017. ⋯ The effects of the new law must be tested in the field. Its objectives will be achieved if, in clinical practice, ADs are able to satisfactorily represent informed personal preferences through patients' relationships with their physicians, as part of personalized advance care planning. Future studies are necessary to assess the impact of the new law in Italy.
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Journal of critical care · Dec 2018
Review Meta AnalysisEffect of adjunctive corticosteroids on clinical outcomes in adult patients with septic shock - a meta-analysis of randomized controlled trials and trial sequential analysis.
To assess the effect of corticosteroids on clinical outcomes in patients with septic shock. ⋯ Future trials are unlikely to detect a reduction in short-term mortality at a daily doses of 200 mg hydrocortisone. More evidence is required to confirm the beneficial effects of dual corticosteroid therapy.