Articles: intensive-care-units.
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Randomized Controlled Trial Clinical Trial
Effects of intrathecal opioid on extubation time, analgesia, and intensive care unit stay following coronary artery bypass grafting.
To determine if intrathecal opioid decreases time to extubation after coronary artery bypass surgery without compromising postoperative analgesia. ⋯ Intrathecal opioid can facilitate early extubation and discharge from the ICU without compromising analgesia or increasing myocardial ischemia.
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Multicenter Study Clinical Trial
[Characteristics of patients and use of resource in French pediatric intensive care units. Le groupe francophone de Rèanimation et urgences pédiatriques].
Evaluation of case-mix and resource consumption in pediatric intensive care units (ICU) is required. ⋯ The results of this study can be used for interinstitutional comparison and a broader appraisal of pediatric intensive care. They illustrate the relationship between severity of illness and resource consumption. French pediatric ICU efficiency seems to be high, as compared to North American and Dutch results.
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An extremely low birthweight (ELBW) protocol was developed at this regional neonatal intensive care unit. The focus was the standardization of care related to the implementation/maintenance of a humidified environment and attention to prevention of skin excoriation in the extremely low birthweight infant (< 1000 g). Steps toward successful implementation of the standardized approach required an interdisciplinary commitment, literature review of current practice methodologies, a definition of nursing and medical approach to these infants in the first days of life, and an evaluation of the practice change focusing on patient outcomes. A comparative review was completed that evaluated the change in patient outcomes of the extremely low birthweight infants relative to fluid and electrolyte status in the first five days of life after implementation of the protocol as compared to prior to implementation of the protocol.