Journal of critical care
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Journal of critical care · Oct 2023
The impact of timing of initiating invasive mechanical ventilation in COVID-19-related respiratory failure.
Optimal timing of initiating invasive mechanical ventilation (IMV) in coronavirus disease 2019 (COVID-19)-related respiratory failure is unclear. We hypothesized that a strategy of IMV as opposed to continuing high flow oxygen or non-invasive mechanical ventilation each day after reaching a high FiO2 threshold would be associated with worse in-hospital mortality. ⋯ Initiation of IMV on each day after patients reach high FiO2 threshold was associated with higher inpatient mortality after adjusting for time-varying confounders. Remaining on high flow nasal cannula or non-invasive ventilation does not appear to be harmful compared to IMV. Prospective evaluation is needed.
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Journal of critical care · Oct 2023
Psychiatric patients' intensive care admission characteristics, weaning from mechanical ventilation and sedative drug use: A single center retrospective case-control study.
To describe the characteristics, treatment and outcome, in particular weaning from mechanical ventilation (MV), of critically ill Patients with prior psychiatric conditions (PPC). ⋯ Critically ill PPC had higher mortality rates than their matched counterparts. They also had higher MV rates and were more difficult to wean.
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Journal of critical care · Oct 2023
Association between time of day for rapid response team activation and mortality.
To evaluate the frequency of rapid response team (RRT) calls by time of day and their association with in-hospital mortality. ⋯ We found that nighttime RRT calls were not associated with worse outcomes than daytime RRT calls. However, a decrease in the number of calls and higher mortality was observed during nursing handover periods.