Critical care medicine
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Critical care medicine · Oct 2017
Randomized Controlled Trial Multicenter StudySedation Management in Children Supported on Extracorporeal Membrane Oxygenation for Acute Respiratory Failure.
To describe sedation management in children supported on extracorporeal membrane oxygenation for acute respiratory failure. ⋯ In children, the initiation of extracorporeal membrane oxygenation support is associated with deep sedation, substantial sedative exposure, and increased frequency of iatrogenic withdrawal syndrome. A standardized, goal-directed, nurse-driven sedation protocol may help mitigate these effects.
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Critical care medicine · Oct 2017
Admission to Intensive Care for Palliative Care or Potential Organ Donation: Demographics, Circumstances, Outcomes, and Resource Use.
To describe the characteristics, circumstances, change over time, resource use, and outcomes of patients admitted to ICUs in Australia and New Zealand for the purposes of "palliative care of a dying patient" or "potential organ donation," and compare with actively managed ICU patients. ⋯ Patients admitted to ICU to manage end-of-life care represent a small proportion of overall ICU admissions, with an increasing proportion of "potential organ donation" admissions. They have shorter ICU lengths of stay than actively managed patients, suggesting resource use for these patients is not disproportionate.