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Total 116873 results found since Jan 2013.

Protocolized Sedation vs Usual Care in Pediatric Patients Mechanically Ventilated for Acute Respiratory Failure: A Randomized Clinical Trial
(Abstract from JAMA, 313:379–389, 2015) Few data inform sedation practices in pediatric critical care patients, despite notable variation and potential negative outcomes. In some cases, certain sedation therapies, specifically opioids and benzodiazepines, may impair bedside neurological assessment, depress spontaneous ventilation, and prolong mechanical ventilation.
Source: Survey of Anesthesiology - July 29, 2016 Category: Anesthesiology Tags: Critical Care Source Type: research

Physiological and self assessed psychological stress induced by a high fidelity simulation course among third year anaesthesia and critical care residents: an observational study
Discussion Simulation-induced stress, as measured by self-assessment and biological parameter, is high before the session and increases significantly during the course. While this stress did not seem to impact performance negatively, it should be taken into account.
Source: Anaesthesia, Critical Care and Pain Medicine - June 23, 2017 Category: Anesthesiology Source Type: research

Physiological and self-assessed psychological stress induced by a high fidelity simulation course among third year anesthesia and critical care residents: An observational study
Discussion Simulation-induced stress, as measured by self-assessment and biological parameter, is high before the session and increases significantly during the course. While this stress did not seem to impact performance negatively, it should be taken into account.
Source: Anaesthesia, Critical Care and Pain Medicine - December 16, 2017 Category: Anesthesiology Source Type: research

Duration to Establish an Emergency Vascular Access and How to Accelerate It: A Simulation-Based Study Performed in Real-Life Neonatal Resuscitation Rooms
Conclusions: Vascular access establishment in neonatal resuscitation could be accelerated by infrastructural improvements and specific training of medical teams. In simulated in situ neonatal resuscitation, intraosseous access is faster to establish than umbilical venous catheter. Future studies are required to assess efficacy and safety of both approaches in real resuscitation settings.
Source: Pediatric Critical Care Medicine - May 1, 2018 Category: Pediatrics Tags: Neonatal Intensive Care Source Type: research

Health related quality of life and predictive factors six months after intensive care unit discharge
Conclusion In our Cohort, ICU stay does not seem to alter globally neither the mental nor the physical component of the HRQL at 6-month after the discharge. However some domains of the SF-36 are subject to significant changes.
Source: Anaesthesia, Critical Care and Pain Medicine - June 2, 2018 Category: Anesthesiology Source Type: research

Hyperoxia and oxidative stress in anesthesia and critical care medicine.
Authors: Ottolenghi S, Sabbatini G, Brizzolari A, Samaja M, Chiumello D Abstract Oxygen administration is particularly relevant in patients undergoing surgery under general anesthesia and in those who suffer from acute or critical illness. Nevertheless, excess O2, or hyperoxia, is also known to be harmful. Toxicity arises from the enhanced formation of Reactive Oxygen Species (ROS) that, exceeding the antioxidant defense, may generate oxidative stress. Oxidative stress markers are used to quantify ROS toxicity in clinical and non-clinical settings and represent a promising tool to assess the optimal FiO2 in anesthe...
Source: Minerva Anestesiologica - November 5, 2019 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Consent models in Canadian critical care randomized controlled trials: a scoping review
CONCLUSION: Alternate consent models were used in the minority of Canadian-led ICU/PICU RCTs but have been used more frequently over the last decade. This suggests that Canadian ethics boards and research communities are becoming more accepting of alternate consent models in ICU/PICU trials.PMID:34907503 | DOI:10.1007/s12630-021-02176-y
Source: Canadian Journal of Anaesthesia - December 15, 2021 Category: Anesthesiology Authors: Katie O'Hearn Jess Gibson Karla Krewulak Rebecca Porteous Victoria Saigle Margaret Sampson Anne Tsampalieros Nick Barrowman Saoirse Cameron Canadian Critical Care Trials Group Source Type: research

Pediatric Intensive Care Treatment of Uncontrolled Status Epilepticus
The critically ill mechanically ventilated child with ongoing seizures that are refractory to any treatment presents a distinct challenge in pediatric neurocritical care. The evidence base from randomized controlled trials on which anti-epileptic drug (AED) strategy should be used is inadequate. This review of refractory and super-refractory status epilepticus summarizes recent pediatric case series regarding definitions, the second-tier AED therapies once initial anticonvulsants have failed, and the experience of high-dose midazolam, barbiturate anesthesia, and volatile anesthetics for uncontrolled status epilepticus.
Source: Critical Care Clinics - January 4, 2013 Category: Intensive Care Authors: Ryan Wilkes, Robert C. Tasker Source Type: research

Mini-Sims for Critical Care
Conclusion The bottom line is clear: a copy of this book should be in every ICU. We need to ‘make sim happen’ in the workplace and this book is a great entry point. However, nothing replaces the need for clear learning objectives and a skilled teacher, so I encourage clinicians to seek further training in simulation education… Books and mannequins don’t teach themselves. Disclosures The authors of the book provided LITFL with a review copy free-of-charge. The post Mini-Sims for Critical Care appeared first on LITFL.
Source: Life in the Fast Lane - August 31, 2014 Category: Emergency Medicine Authors: Chris Nickson Tags: Book Review amuth samuel Charlie Corke in situ simulation mini-sims for critical care nick simpson Source Type: blogs

Spirituality in health care: The role of needs in critical care
Publication date: December 2014 Source:Trends in Anaesthesia and Critical Care, Volume 4, Issue 6 Author(s): S. Gualdani , M. Pegoli Thanks to the principles of holistic medicine, the patient is increasingly being considered as a body–mind integrated system with a very strong connection between organ functions and psycho-emotional aspects. The term spirituality expresses a very wide concept that goes beyond the actual religious scope and covers many aspects of the most intimate and private sphere of an individual. Contrary to what happens in palliative medicine, in ICU these aspects are often overlooked, even though th...
Source: Trends in Anaesthesia and Critical Care - January 16, 2015 Category: Anesthesiology Source Type: research

Surviving physiological stress: Can insights into human adaptation to austere environments be applied to the critical care unit?
Publication date: Available online 24 November 2016 Source:Trends in Anaesthesia and Critical Care Author(s): Helen McKenna, Daniel Martin The harshest environment that many people will ever face is the critical care unit, where pathology can stress homeostatic mechanisms beyond their limits, leading to multiple organ failure and death. Our understanding of the biology that underlies this catastrophic process remains limited. There is significant variation in survival between individuals with apparently similar severity of organ dysfunction and it is difficult to predict which patients will weather the storm. Survival may...
Source: Trends in Anaesthesia and Critical Care - November 24, 2016 Category: Anesthesiology Source Type: research

Health related quality of life and predictive factors six months after intensive care unit discharge
ConclusionIn our Cohort, ICU stay does not seem to alter globally neither the mental nor the physical component of the HRQL at 6-month after the discharge. However, some domains of the SF-36 are subject to significant changes.
Source: Anaesthesia, Critical Care and Pain Medicine - July 5, 2018 Category: Anesthesiology Source Type: research

Determining the editorial policy of Anaesthesia Critical Care and Pain Medicine (ACCPM)
Publication date: August 2018Source: Anaesthesia Critical Care & Pain Medicine, Volume 37, Issue 4Author(s): Jean-Yves Lefrant, Emmanuel Lorne, Karim Asehnoune, Sylvain Ausset, Pierre Beaulieu, Matthieu Biais, Jean-François Brichant, Beny Charbit, Jean-Michel Constantin, Philippe Cuvillon, Christophe Dadure, Souhayl Dahmani, Jean-Stéphane David, Thomas Fuchs-Buder, Thomas Geeraerts, Anne Godier, Jean-Luc Hanouz, Olivier Joannes-Boyau, Eric Kipnis, Vincent Laudenbach
Source: Anaesthesia, Critical Care and Pain Medicine - July 26, 2018 Category: Anesthesiology Source Type: research