Journal of critical care
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Journal of critical care · Dec 2010
Multicenter StudyPredictors for daily interruption of sedation therapy by nurses: a prospective, multicenter study.
The aim of the study was to identify the nurse and patient-related factors predicting daily interruption of sedation (DIS) performance by nurses in the intensive care unit (ICU). ⋯ Educational strategies and institutional protocols focused on improving use of DIS need to consider the various nurse- and patient-related factors that affect DIS performance by nurses in the ICU.
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Journal of critical care · Sep 2010
Multicenter StudyLong-term survival according to ventilation mode in acute respiratory failure secondary to chronic obstructive pulmonary disease: a multicenter, inception cohort study.
The aim of the study was to investigate 5-year survival stratified by mechanical ventilation modality in chronic obstructive pulmonary disease (COPD) patients treated in the ICU. ⋯ The short-term survival benefit of NIV previously found in randomized controlled trials still applies after 5 years of observation.
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Journal of critical care · Jun 2010
Randomized Controlled Trial Multicenter StudyTriggers for emergency team activation: a multicenter assessment.
The purpose of the study was to examine triggers for emergency team activation in hospitals with or without a medical emergency team (MET) system. ⋯ In MET hospitals, more emergency team calls are triggered because staff members are worried about the patient; and fewer calls have multiple triggers. Type of hospital, type of ward, and time of day also affect the nature and frequency of triggers for emergency team activation.
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Journal of critical care · Dec 2009
Multicenter StudyBehavioral and physiologic indicators during a nociceptive procedure in conscious and unconscious mechanically ventilated adults: similar or different?
The purpose of this study was to describe behavioral and physiologic indicators to a nociceptive procedure in conscious and unconscious mechanically ventilated adults and to examine their association with the patients' self-reports of pain. ⋯ The use of behaviors is strongly recommended for pain assessment in unconscious patients, and results from this study support this clinical guideline. Vital signs should be used with caution for the detection of pain as they can be influenced by other factors besides pain.
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Journal of critical care · Dec 2009
Multicenter StudyMore men than women are admitted to 9 intensive care units in British Columbia.
The aim of this study is to determine if more males than females are admitted to adult intensive care units (ICUs). ⋯ More men than women are admitted to ICUs; this difference is especially prominent in elderly patients.