Critical care medicine
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Critical care medicine · May 2015
Randomized Controlled Trial Multicenter StudyImproving Use of Targeted Temperature Management After Out-of-Hospital Cardiac Arrest: A Stepped Wedge Cluster Randomized Controlled Trial.
International guidelines recommend use of targeted temperature management following resuscitation from out-of-hospital cardiac arrest. This treatment, however, is often neglected or delayed. ⋯ Simple quality improvement interventions significantly increased the rates of achieving successful targeted temperature management following out-of-hospital cardiac arrest in a large network of hospitals but did not improve clinical outcomes.
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Critical care medicine · May 2015
Randomized Controlled Trial Comparative StudyVolatile-Based Short-Term Sedation in Cardiac Surgical Patients: A Prospective Randomized Controlled Trial.
To evaluate the differences in extubation times in a group of cardiac surgical patients who were anesthetized and sedated with either IV propofol or inhaled volatile anesthetic agents. ⋯ Inhaled volatile anesthesia and sedation facilitates faster extubation times in comparison with IV propofol for patient undergoing coronary artery bypass graft surgery.
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Critical care medicine · May 2015
Neurologic Outcomes and Postresuscitation Care of Patients With Myoclonus Following Cardiac Arrest.
To evaluate the outcomes of cardiac arrest survivors with myoclonus receiving modern postresuscitation care. ⋯ Nine percent of cardiac arrest survivors with myoclonus after cardiac arrest had good functional outcomes, usually in patients without associated epileptiform activity and after prolonged hospitalization. Deaths occurred early and primarily after withdrawal of life support. It is uncertain whether prolonged care would yield a higher percentage of good outcomes, but myoclonus of itself should not be considered a sign of futility.