Critical care medicine
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Critical care medicine · Nov 1998
Comparative StudyComparison of self, nurse, and physician assessment of residents rotating through an intensive care unit.
Compare resident evaluations by self, nurses, and attending physicians. ⋯ Self-rating by residents did not correlate to multiple-choice test scores and differed in some criteria with physicians' or nurses' evaluations. We found many similarities and some differences between physicians' and nurses' evaluations of residents. We speculate that different categories of evaluators assess different aspects of performance. Assessment by a varied group of evaluators should be used when attempts to predict future practice are made.
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Critical care medicine · Nov 1998
Comparative StudyDiastolic filling in human severe sepsis: an echocardiographic study.
To determine if nonsurvivors have a more abnormal pattern of left ventricular relaxation than survivors with severe sepsis. ⋯ Severe sepsis nonsurvivors have a more abnormal echocardiographic pattern of left ventricular relaxation than survivors.
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Critical care medicine · Nov 1998
Multicenter Study Comparative StudyPatients readmitted to the intensive care unit during the same hospitalization: clinical features and outcomes.
To determine the clinical features and outcomes of patients readmitted to the intensive care unit (ICU) during the same hospital stay and the causes for these readmissions. ⋯ Patients with GI and neurologic diseases are at greatest risk of requiring ICU readmission. Respiratory diseases are the major reason for readmission due to new complications. Readmitted patients have a high risk of hospital death that may be underestimated by the usual physiologic indicators on either initial admission or readmission. Further studies are required to determine if patients at risk for readmission can be identified early to improve the outcome.
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Critical care medicine · Nov 1998
Review Case ReportsIncreased apnea threshold in a pediatric patient with suspected brain death.
To evaluate the current standards for apnea testing in the evaluation of brain death in children. ⋯ This case report suggests that current guidelines for apnea testing may lead to erroneous evaluation of medullary-respiratory drive.