Articles: intensive-care-units.
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Critical care medicine · Feb 1995
Randomized Controlled Trial Comparative Study Clinical TrialComparison of propofol and midazolam for sedation in intensive care unit patients.
To evaluate the comparative safety and effectiveness of intravenous infusion of propofol or midazolam when used for 12 to 24 hrs of sedation and to evaluate the quality of sedation during stimulation. ⋯ Propofol was as safe and as efficacious as midazolam for continuous intravenous sedation. The quality of sedation was better in the propofol group.
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Multicenter Study Comparative Study
The use of APACHE III to evaluate ICU length of stay, resource use, and mortality after coronary artery by-pass surgery.
To identify patient characteristics that are associated with increased ICU length of stay, resource use, and hospital mortality after coronary artery bypass surgery. ⋯ A limited number of operative characteristics, the post-operative acute physiology score (APS) of APACHE III and patient demographic data can predict hospital death rate, ICU length of stay, and resource use immediately following coronary by-pass surgery. These estimates may compliment assessments based on pre-operative risk factors in order to more precisely evaluate and improve the efficacy and efficiency of cardiovascular surgery.
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Critical care medicine · Feb 1995
Multicenter Study Comparative StudyComparative assessment of pediatric intensive care: a national multicenter study. Pediatric Intensive Care Assessment of Outcome (PICASSO) Study Group.
Comparative assessment of performance of pediatric intensive care. ⋯ Differences in mortality rates among pediatric ICUs were largely explained by differences in severity of illness. High efficiency rates combined with adequate effectiveness were found in several centers, indicating that admission and discharge decisions might be improved in less efficient centers.
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Intensive Crit Care Nurs · Feb 1995
ReviewThe sedation of patients in intensive care units: a nursing review.
The aim of maintaining optimal levels of sedation in critically ill patients is an important concern of intensive care nurses. In addition, the specific requirements of patients are individual and will vary according to the severity of their illness and/or supportive treatment that they may be undergoing (Hopkinson & Freeman 1988). ⋯ This is followed by consideration of what is meant by optimal levels of sedation, a review of past and current sedation practice and the importance of nurses assessing the depth of sedation of the critically ill patients within their care. Key points are raised, with recommendations for future nursing practice.
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A 5-y (1987-1992) retrospective chart review assessed the survival of patients with acute myelogenous leukemia (AML) who required intubation/ventilatory support in the intensive care unit (ICU). Thirty-two patients were identified, average age 52 +/- 19 (range 14-82) y. Seven patients had undergone bone marrow transplantation for AML 2 weeks to 4 months prior to admission. ⋯ Acute myelogenous leukemia patients had a greater mortality than 2 other intubated patient populations in our ICU admitted during the same time period, a group of 126 consecutive admissions and 53 patients with connective tissue disease. The latter 2 control groups only included patients requiring mechanical ventilation. We conclude that AML patients who require ventilatory support for acute respiratory failure rarely survive their ICU admission.