Journal of critical care
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Journal of critical care · Oct 2018
Decompressive laparotomy for the treatment of the abdominal compartment syndrome during extracorporeal membrane oxygenation support.
Extracorporeal membrane oxygenation (ECMO) is increasingly used with various indications. The clinical course can be complicated by an abdominal compartment syndrome (ACS). A decompressive laparotomy (DL) can be an option. ⋯ Approximately 10% of patients undergoing VA-ECMO support developed an ACS. If DL is undertaken, SAPS II scores can be used as predictive factor for mortality.
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Journal of critical care · Oct 2018
Review Meta AnalysisAssociation between arterial hyperoxia and mortality in critically ill patients: A systematic review and meta-analysis.
The relationship between arterial hyperoxia exposure and clinical outcome is under increasing scrutiny. We therefore performed an update meta-analysis to evaluate the effect of arterial hyperoxia on hospital mortality in critically ill adults. ⋯ The results of current meta-analysis suggest that arterial hyperoxia may be associated with increased hospital mortality in critically ill patients.
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Journal of critical care · Oct 2018
Meta AnalysisNon-invasive ventilation in children and adults in low- and low-middle income countries: A systematic review and meta-analysis.
We systematically reviewed the effects of NIV for acute respiratory failure (ARF) in low- and low-middle income countries. ⋯ NIV for ARF in these settings appears to be effective.
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Journal of critical care · Oct 2018
ReviewRespiratory depression in low acuity hospital settings-Seeking answers from the PRODIGY trial.
Predicting episodes or severity of cardiorespiratory decompensation has proved to be challenging in patients with stable surgical or medical conditions, recovering on the general care floor (ward). Critical cardiorespiratory events on hospital floors may be prevented by early detection of deterioration using continuous, electronic cardiorespiratory monitoring (CEM). ⋯ The validation-derivation cohort design will derive this score from RD detected by continuous, blinded, multiparameter cardiorespiratory (heart rate, respiratory rate, end tidal carbon dioxide, and pulse oximetry) monitoring of patients on the ward receiving parenteral (including epidural) opioids for primary analgesia. This review provides a comprehensive synopsis on respiratory compromise in lower acuity hospital settings (ward) and describes the protocol of the PRODIGY trial as a means to enable prediction and early response to these events.