Articles: mechanical-ventilation.
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Nursing in critical care · Jan 2016
Randomized Controlled TrialThe effects of music therapy in endotracheal suctioning of mechanically ventilated patients.
Endotracheal suctioning has been identified as a painful procedure for critically ill patients. ⋯ It is recommended that music therapy should be added to the routine nursing care for mechanically ventilated patients.
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Rev Med Inst Mex Seguro Soc · Jan 2016
Comparative Study Observational Study[Predictors of extubation failure in neurosurgical patients].
The information regarding the factors that affect the success of extubation in neurosurgical patients is limited; thus, it is necessary to determine the prevalence, and the associated factors, of extubation failure in neurosurgical patients. ⋯ Performing 6 or more endotracheal tube suction events during the 24 hours before extubation is a risk factor for extubation failure in neurosurgical patients.
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Intensive care medicine · Jan 2016
Observational StudyInterferon-γ production by CMV-specific CD8+ T lymphocytes provides protection against cytomegalovirus reactivation in critically ill patients.
To evaluate the usefulness of the secretion of interferon-γ (IFNγ) by cytomegalovirus (CMV)-specific CD8+ T cells to determine the risk of CMV reactivation in critically ill non-immunosuppressed patients. ⋯ In critically ill non-immunosuppressed patients, the presence of functional CMV-specific CD8+ T lymphocyte response at intensive care unit admission provides protection against CMV reactivation.
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Approximately 20 years have passed since we reported our results of histologically proven cytomegalovirus (CMV) pneumonia in non-immunocompromised ICU patients. Even if there are more recent reports suggesting that CMV may worsen the outcomes for ICU patients, there is no definite answer to this question: is CMV a potential pathogen for ICU patients or is it simply a bystander? ⋯ Cytomegalovirus infection may affect health outcomes for ICU patients. Additional prospective trials are necessary to confirm this hypothesis.
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Intensive care medicine · Jan 2016
Apnea test during brain death assessment in mechanically ventilated and ECMO patients.
To evaluate the feasibility and efficacy of an apnea test (AT) technique that combines the application of positive end expiratory pressure (PEEP) with subsequent pulmonary recruitment in a large cohort of brain-dead patients. ⋯ In a large cohort of consecutive patients, including the largest patient population on ECMO reported to date, our AT technique that combines the application of PEEP with subsequent pulmonary recruitment proved to be feasible and safe.