Trending Articles
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Chronic kidney disease (CKD) is an increasing health problem worldwide and is associated with a number of clinical challenges. In this paper, we review recent studies that deal with strategies for the management of patients with CKD undergoing surgery. ⋯ Identification and risk stratification is crucial for the perioperative management of patients with CKD. To improve clinical outcomes, nonemergent procedures should be postponed, renal function optimized, nephrotoxic drugs avoided, and AKI prevented.
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Aust N Z J Psychiatry · Jun 2021
Meta AnalysisAssociation between mode of delivery and postpartum depression: A systematic review and network meta-analysis.
Both elective (OR 1.47, 1.16-1.86) and emergency (OR 1.53, 1.22-1.91) caesarean section is associated with mild postpartum depression in this network meta-analysis.
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Critical care medicine · Sep 2020
Interventions in Post-Intensive Care Syndrome-Family: A Systematic Literature Review.
Data show that family members of ICU patients may have high levels of anxiety, depression, posttraumatic stress disorders, and/or complicated grief. This was previously referred to as post-intensive care syndrome-family. We systematically review randomized controlled trials for post-intensive care syndrome-family. ⋯ Only few data are available on interventions for post-intensive care syndrome-family. It appears that proactive communication and provision of information seems pivotal for post-intensive care syndrome-family treatment. Interestingly, some interventions may even worsen post-intensive care syndrome-family. In the light of the relevance of post-intensive care syndrome-family in daily ICU care, more high-quality data seems urgently needed.
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The National Academies of Medicine describes clinician burnout as a serious threat to organizational health, including employee turnover. ⋯ These findings contribute to the growing body of evidence of nurse burnout and support policies and programs for annual measurement of burnout, increased employee wellbeing support, and improved work environments.