Journal of critical care
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Journal of critical care · Aug 2015
Low compliance with the 2 minutes of uninterrupted chest compressions recommended in the 2010 International Resuscitation Guidelines.
We aimed to analyze compliance with 2010 European guidelines' quality criteria for external chest compressions (ECC) during 2 minutes of uninterrupted cardiopulmonary resuscitation. ⋯ Compliance with the 2010 guidelines' quality criteria is often poor, mainly due to lack of proper depth. The greater depth recommended in the 2010 guidelines with respect to previous guidelines requires greater force, so BMI < 23 kg/m(2) could hinder compliance. Limiting each rescuer's uninterrupted time doing ECC to 1 minute could help ensure compliance.
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Journal of critical care · Aug 2015
Observational StudyFemoral venous oxygen saturation and central venous oxygen saturation in critically ill patients.
To investigate the relationship between central venous oxygen saturation (ScvO(2)) and femoral venous oxygen saturation (SfvO(2)) in a large group of critically ill patients. ⋯ Central venous oxygen saturation was not representative of the whole systemic circulation in critically ill patients. Central venous oxygen saturation alone might be misleading in goal-directed therapy.
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Journal of critical care · Aug 2015
Implications of atypical antipsychotic prescribing in the intensive care unit.
The purpose of the study was to determine the downstream implications of atypical antipsychotic (AAP) prescribing in the intensive care unit (ICU), including discharge prescribing practices, monitoring, and attributable adverse drug events. ⋯ Because of significant patient-centered implications, AAPs initiated in the ICU require continued evaluation for indication to avoid prolonged and possibly unnecessary use.
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The aim of the study was to describe the Jordanian patients' experience during their stay in intensive care units (ICUs) and to explore factors that contribute to positive and negative experiences. ⋯ Understanding patients' experiences in the ICU would increase nurses' awareness to patients' stressors. It would help policy makers in designing structural and process-related care activities in a manner that promotes positive patient experiences, which would improve quality of care in general and specifically ICU patients' outcome. The ICU environment was found to adversely affect patients in many aspects. In addition, most patients were able to recall their ICU experience.
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Journal of critical care · Aug 2015
Obstructive sleep apnea and acute respiratory failure: An analysis of mortality risk in patients with pneumonia requiring invasive mechanical ventilation.
Although obstructive sleep apnea (OSA) is common and pneumonia is a frequent cause of acute respiratory failure requiring admission to the intensive care unit, little is known about the effect of OSA on this patient population. This study examined outcomes associated with OSA in patients with pneumonia requiring invasive mechanical ventilation. ⋯ In mechanically ventilated patients with pneumonia, OSA was associated decreased in-hospital mortality and nonroutine discharge. It is possible that differences in treatment pattern may partially explain improved survival.