Articles: critical-illness.
-
To identify a PICU Core Outcome Measurement Set (PICU COMS), a set of measures that can be used to evaluate the PICU Core Outcome Set (PICU COS) domains in PICU patients and their families. ⋯ The PICU COMS delineates measures to evaluate domains in the PICU COS and facilitates comparability across future research studies to characterize PICU survivorship and enable interventional studies to target long-term outcomes after critical illness.
-
Thyroid-stimulating hormone (TSH) is ordered commonly among inpatients, but the possibility of nonthyroidal illness syndrome challenges interpretation. ⋯ Canadian experts agreed upon nine specific indications for ordering an inpatient TSH, with others requiring consideration of previous TSH measurement and clinical context.
-
J Pain Symptom Manage · Nov 2022
Care Intensity and Palliative Care in Chronically Critically Ill Infants.
Increasingly, chronically critically ill (CCI) infants survive to discharge from Neonatal Intensive Care Units (NICUs). Little is known about their care intensity and the primary and specialty palliative care families receive at and following discharge. ⋯ CCI infants receive intensive medical care including multiple medical technologies, medications, and specialty follow up at discharge and remain complex at one year of life. Most receive primary interprofessional palliative care in the NICU, however these infants and their families may have limited access to specialty palliative care in the short- and long-term.
-
Internal medicine journal · Nov 2022
Administration of pharmacological sleep aids prior to, during and following critical illness.
Sleep in the intensive care unit (ICU) is frequently disturbed and this may have a detrimental effect on recovery. ⋯ Pharmacological sleep aids are administered frequently in the ICU with administration increasing substantially after ICU discharge.