Articles: chronic.
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Journal of critical care · Dec 2015
Where do we go from here? A small scale observation of transfer results from chronic to skilled ventilator facilities.
Skilled nursing facility ventilator units (SNF) are a recent attempt to reduce the costs of an increasing number of patients who are in acute intensive care units and are not able to be liberated from ventilators. Transfers of such patients from long-term care chronic vent units (LTCVs) to SNFs in Maryland began in 2006. The safety of these transfers needs to be assessed. ⋯ We recognize that bias may occur in patients choosing to remain in our LTCV compared to those accepting transfers, the magnitude of the difference in mortality indicates the need for more comprehensive well designed analysis investigating the outcome of all transfers occurring to and from LTCVs.
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Journal of critical care · Dec 2015
Carotid artery corrected flow time measurement via bedside ultrasonography in monitoring volume status.
The purpose of this study is to investigate the possible correlation between corrected flow time (FTc) in carotid artery and changes in volume status. ⋯ The assessment of changes in FTc of carotid artery via Doppler waveform analysis may predict the changes in intravascular volume. The use of this diagnostic modality may be an accurate and noninvasive alternative to currently available methods.