Journal of critical care
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Journal of critical care · Dec 2015
Revisiting endotracheal self-extubation in the surgical and trauma intensive care unit: Are they all fine?
Endotracheal self-extubation (ESE) is a serious health care concern. We designed this study to test our hypothesis that not all patients with ESE are successful in spontaneous breathing and reintubation has negative impact on outcomes. ⋯ Not all patients were fine after ESE. We have not decreased the frequency of ESE or improved outcomes if the patients were reintubated. The need for reintubation was not only associated with a high pulmonary complication rate but also prolonged duration on mechanical ventilation and hospital/ICU stay and increased the hospital costs.
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Journal of critical care · Dec 2015
The impact of endocrine supplementation on adverse events in septic shock.
The objective of this study was to compare the incidence of severe adverse events of vasopressin vs hydrocortisone for endocrine support therapy in patients with septic shock. ⋯ Given the lower incidence of adverse events and faster time to hemodynamic stability, vasopressin appears to be the most advantageous endocrine agent for hemodynamic support in septic shock.
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Journal of critical care · Dec 2015
Predictors of intensive care unit length of stay and intracranial pressure in severe traumatic brain injury.
The aim of this study was to explore the relationship of intracranial pressure (ICP) with intensive care unit (ICU) length of stay in a large cohort of severe traumatic brain injury patients and identify factors associating with prolonged ICU course. ⋯ ICP, as monitored and managed according to BTF guidelines, is not associated with ICU length of stay. Patients with severe TBI and a mass lesion on admission head computed tomography were found to have prolonged ICU LOS independently of other indicators of injury severity and intracranial pressure course.
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Journal of critical care · Dec 2015
The impact of antemortem computed tomographic scanning on postmortem examination rate and frequency of missed diagnosis: A retrospective analysis of postmortem examination data.
The present study was conducted to explore the impact of computed tomographic (CT) scanning on the diagnostic discrepancy rate. ⋯ The postmortem examination rate has decreased, whereas antemortem CT scans has increased.