Journal of critical care
-
Journal of critical care · Dec 2018
Observational StudyHigher than standard dosing regimen are needed to achieve optimal antibiotic exposure in critically ill patients with augmented renal clearance receiving piperacillin-tazobactam administered by continuous infusion.
To determine whether augmented renal clearance (ARC) impacts negatively on piperacillin-tazobactam unbound concentrations in critically ill patients receiving 16 g/2 g/day administered continuously. ⋯ When targeting a theoretical MIC at the upper limit of the susceptibility range, the desirable target (100%fT>16) may not be achieved in patients with CrCL ≥ 170 mL/min receiving PTZ 16 g/2 g/day administered continuously.
-
Journal of critical care · Dec 2018
Admission to bed 13 in the ICU does not reduce the chance of survival.
To examine whether admission to bed number 13 on our intensive care unit has any negative impact on the patient's hospital mortality. ⋯ Admission to bed number 13 was not associated with a significant increase in hospital mortality when compared to admission to other bed numbers.
-
Journal of critical care · Dec 2018
Obesity survival paradox in pneumonia supported with extracorporeal membrane oxygenation: Analysis of the national registry.
To investigate whether the obesity survival paradox, where obesity is associated with improved survival, exists for pneumonia supported with extracorporeal membrane oxygenation (ECMO). ⋯ An obesity survival paradox exists in pneumonia supported with ECMO.
-
Journal of critical care · Dec 2018
Ultrasound-guided percutaneous dilatational tracheostomy using a saline-filled endotracheal tube cuff as an ultrasonographic puncture target: A feasibility study.
The saline-filled endotracheal tube (ETT) cuff can be easily identified under cervical ultrasound and can serve as an ideal puncture target during percutaneous dilatational tracheostomy (PDT). The authors present their initial experience with this novel technique. ⋯ PDT performed using a saline-filled cuff as the ultrasound-guided puncture target and an endotracheal tube exchanger is feasible, and appeared to be easier to perform than standard PDT. Larger studies are required to confirm the safety and benefits of this technique.
-
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.