Showing papers in "Journal of Critical Care in 2015"

TL;DR: Vastus intermedius may be an important muscle to monitor in the future because it demonstrated the greatest change in muscle quality and had the strongest relationship to volitional measures.

TL;DR: This review provides a current and comprehensive appraisal of ICU mobilization techniques in both adult and pediatric critically ill patients and methods of overcoming barriers to early mobilization and enhancing sustainability of mobilization programs are discussed.

TL;DR: Prone positioning improves oxygenation and outcome of patients with acute respiratory distress syndrome undergoing invasive ventilation and was feasible and improved oxygenation in non-intubated, spontaneously breathing patients with ARF.

TL;DR: The purpose was to describe aspiration pneumonia in the context of other lung infections and aspiration syndromes and to distinguish between the main scenarios commonly implied when the terms aspiration or aspiration pneumonia are used.

TL;DR: All published reports of local tissue injury or extravasation from vasopressor administration via either peripheral intravenous (IV) or central venous catheter, derived mainly from case reports, are collected and described.

TL;DR: Positive fluid balances are not associated with either protection against or risk for acute kidney injury, and late positive fluid balance is an independent risk factor for mortality in severe sepsis.

TL;DR: This 3-day communication skills training program increased critical care fellows' self-reported family meeting communication skills and recommended that it be mandatory for future fellows.

TL;DR: A quality improvement strategy to promote early and enhanced rehabilitation within this European ICU improved levels of mobility at critical care discharge, and this was associated with reduced ICU and hospital LOS and reduced days of mechanical ventilation.

TL;DR: Increased understanding of the effects of traumatic stress on family members may help staff improve communication and increase satisfaction of highly distressed family members.

TL;DR: In this pilot randomized trial, NMES did not significantly improve leg strength at hospital discharge and significant improvements in secondary outcomes require investigation in future research.

TL;DR: Utilization of IMV in the US increased from 1993 to 2009 with a decrease in overall mortality, however, trends in utilization and outcomes of IMv differed markedly based on diagnosis.

TL;DR: The use of antipsychotics for surgical ICU patients and dexmedetomidine for mechanically ventilated patients as a preventive strategy may reduce the prevalence of delirium in the ICU.

TL;DR: The study highlights the need to investigate patients' memories of ICU and the coping strategies used by patients to improve their ICU experience and suggests that a systematic follow-up consultation after ICU discharge would be useful for monitoring of post-ICU psychological outcomes.

TL;DR: An elevated RI may be a predictor of persistent AKI in critically ill patients and further studies are warranted, however, to clarify the exact test performance given the marked heterogeneity among the included studies.

TL;DR: Fuid overload is associated with an increased risk of mortality in patients with AKI and the evidence of the relationship between fluid overload and kidney recovery is insufficient.

TL;DR: The BPS and the CPOT are reliable and valid for use in a daily clinical setting and although both scores increased with a presumed painful stimulus, the discriminant validation of the BPS use was less supported because it increased during a nonpainful stimulus.

TL;DR: In patients with severe sepsis and septic shock, levosimendan is associated with a significant reduction in mortality compared with standard inotropic therapy.

TL;DR: Factors independently associated with delirium are preoperative atrial fibrillation, elevated European system for cardiac operative risk evaluation and cognitive impairment, longer surgery duration, postoperative poor quality of sleep, and electrolyte disturbance.

TL;DR: Interventions designed to improve family outcomes after critical illness should address both survivors' and caregivers' support needs as they change across the illness and recovery trajectory.

TL;DR: This study evaluated agreement among trained emergency physicians assessing the degree of B-line presence on bedside ultrasound in patients presenting to the emergency department (ED) with acute undifferentiated dyspnea and determined which thoracic zones offered the highest level of interobserver reliability for sonographic B- line assessment.

TL;DR: A paradigm change is proposed highlighting the need for interventions focused on early psychological support applied in parallel with stabilization of physiologic status in the ICU, including early mobilization, minimization of sedation, improved sleep hygiene, and available psychological interventions.

TL;DR: Hyperlactatemia increases risk of death independent of vasopressor need resulting in different phenotypes within the classic categories of severe sepsis and septic shock.

TL;DR: Cytomegalovirus reactivation was associated with more severe of organ dysfunction, but not with a worse clinical outcome, and the degree of inflammation and the total number of transfused red blood cells units constituted risk factors.

TL;DR: Biomarkers of endothelial glycocalyx and cell damage increased with increasing acute infectious disease severity, correlated with SOFA score, and predicted mortality together with plasma noradrenaline.

TL;DR: Procalcitonin can accurately differentiate culture-negative sepsis from noninfectious SIRS and thereby contribute to early diagnosis and effective management of these conditions.

TL;DR: Understanding patients' experiences in the ICU would help policy makers in designing structural and process-related care activities in a manner that promotes positive patient experiences, which would improve quality of care in general and specifically ICU patients' outcome.

TL;DR: Acute kidney injury can reliably and accurately be detected electronically in ICU patients and the presented method is applicable for both clinical (decision support) and research (enrollment for clinical trials) settings.

TL;DR: Good long-term survival can be achieved in patients who have been successfully weaned from VA-ECMO, and the factors present at initiation and during ECMO can relate to altered risk of long- term survival.

TL;DR: Visiting hours were associated with the satisfaction score and were a protective factor for family members with higher HADS score and patients' severity had a trend toward dissatisfaction and affected emotional disorders.

TL;DR: Mean arterial pressure and MPP deficits were substantial in septic shock patients, with patients with severe AKI having a greater MPP deficit, however, only CVP was independently associated with AKI progression.