Journal of critical care
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Journal of critical care · Feb 2023
Admission serum sodium and osmolarity are not associated with the occurrence or outcomes of acute respiratory distress syndrome in critically ill.
Previous studies suggested that hypernatremia or hyperosmolarity may have protective effects in lung injury. We hypothesized that hypernatremia and/or hyperosmolarity would prevent ARDS. ⋯ Admission serum sodium or serum osmolarity were not associated with the occurrence or outcomes of ARDS in ICU.
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Journal of critical care · Feb 2023
Observational StudyLung ultrasound to predict gas-exchange response to prone positioning in COVID-19 patients: A prospective study in pilot and confirmation cohorts.
To examine whether lung ultrasound prior to prone positioning can predict the resulting gas-exchange response. ⋯ Anterior LUSI, in addition to other clinical parameters, may be used to aid COVID-19 respiratory strategy and a clinician's decision to prone.
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Journal of critical care · Feb 2023
Observational StudyAssociation between metformin and survival outcomes in in-hospital cardiac arrest patients with diabetes.
Metformin has shown cardioprotective and neuroprotective effects in cardiac arrest and ischemia-reperfusion injury animal models. Therefore, this study aimed to determine the association between diabetes medication and survival outcomes in in-hospital cardiac arrest (IHCA) patients with type 2 DM (T2DM). ⋯ In IHCA patients with T2DM, administration of metformin within 24 h before IHCA was independently associated with survival to discharge.
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Journal of critical care · Feb 2023
The impact of language barriers & interpreters on critical care patient outcomes.
In a multicultural society, the impact of language proficiency and interpreter use on critical care patient outcomes is unknown. ⋯ Being identified as having a requirement for an interpreter was associated with improved outcomes for adults admitted to public hospital ICUs in Victoria. Interpreter services should be more readily available in the hospital setting. It is recommended that patients, family members and clinicians actively use interpreter services when English is not the preferred language of an ICU patient.