Crit Care Resusc
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Randomized Controlled Trial Comparative Study
Haemodynamic effects of cold versus warm fluid bolus in healthy volunteers: a randomised crossover trial.
To test the hypothesis that changes in cardiac index and mean arterial pressure (MAP) during and after a fluid bolus (FB) are altered by fluid temperature. ⋯ Intravenous FB at body temperature leads to a greater increase in cardiac index compared with room temperature, while the reverse applies to MAP. These findings imply that in healthy volunteers, when a room temperature FB is given, the temperature of the fluid rather than its volume accounts for most of the MAP increase.
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Multicenter Study
Communication with Families Regarding Organ and Tissue Donation after Death in Intensive Care (COMFORT): a multicentre before-and-after study.
To implement a best-practice intervention offering deceased organ donation, testing whether it increased family consent rates. ⋯ Implementation of a multicomponent intervention did not increase consent rates for organ donation, although some components of the intervention exerted significant effect.
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Multicenter Study Observational Study
The carbon footprint of treating patients with septic shock in the intensive care unit.
To use life cycle assessment to determine the environmental footprint of the care of patients with septic shock in the intensive care unit (ICU). ⋯ The carbon footprints of the ICUs were dominated by the energy use for heating, ventilation and air conditioning; consumables were relatively less important, with limited effect of intensity of patient care. There is large opportunity for reducing the ICUs' carbon footprint by improving the energy efficiency of buildings and increasing the use of renewable energy sources.
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Tracheostomy is relatively common in mechanically ventilated patients in the intensive care unit (ICU). The prediction of which patients will receive a tracheostomy is crucial to both clinical decision making and the design of targeted interventional trials of its timing. ⋯ PROSPERO registry no. CRD42018084987.