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Total 49182 results found since Jan 2013.

Prevalence, risk factors, clinical course, and outcome of acute kidney injury in Chinese intensive care units: a prospective cohort study.
CONCLUSIONS: The prevalence of AKI was high among critically ill patients in Chinese ICUs. In comparison with non-AKI patients, patients with RIFLE class R or class I on ICU admission were more susceptibility to progression to class I or class F. The RIFLE criteria were robust and correlated well with clinical deterioration and mortality. PMID: 24286398 [PubMed - in process]
Source: Chinese Medical Journal - November 30, 2013 Category: Journals (General) Authors: Wen Y, Jiang L, Xu Y, Qian CY, Li SS, Qin TH, Chen EZ, Lin JD, Ai Y, Wu DW, Wang YS, Sun RH, Hu ZJ, Cao XY, Zhou FC, He ZY, Zhou LH, An YZ, Kang Y, Ma XC, Yu XY, Zhao MY, Xi XM, DU B, China Critical Care Clinical Trial Group (CCCCTG) Tags: Chin Med J (Engl) Source Type: research

The role of central venous catheters managers and effectiveness of reduction CLABSI in surgical intensive care unit
This study is to analyze the effectiveness of CVC managers for the prevention of central line–associated bloodstream infection (CLABSI) between each 9 months in surgical intensive care unit (SICU).
Source: Journal of Critical Care - June 10, 2015 Category: Intensive Care Authors: Sungdae Shin, Yoon joong Jung, Jun ju Lee, Se ra Kim, Soon heang Lee, Hyo keun No, Min ae Keum, Suk-kyung Hong Tags: Abstract Source Type: research

Current practice of diagnosis and management of acute kidney injury in intensive care unit in resource limited settings
Conclusions Amid increasing concern of AKI in the ICU, our study provides the insight into the management of AKI in resource limited settings.
Source: Journal of Critical Care - April 11, 2018 Category: Gastroenterology Source Type: research

The Validity of SOFA Score to Predict Mortality in Adult Patients with Cardiogenic Shock on Venoarterial Extracorporeal Membrane Oxygenation.
Conclusion: The use of VA-ECMO in adult patients with cardiogenic shock is still associated with high mortality. Serial evaluation of those patients with SOFA score during the first few days of ECMO support is a good predictor of hospital mortality. Increase in SOFA score after 48 hours and hyperlactataemia are significantly associated with increased hospital mortality. PMID: 32963830 [PubMed]
Source: Critical Care Research and Practice - September 25, 2020 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Accuracy of Measuring Bladder Volumes With Ultrasound and Bladder Scanning.
CONCLUSIONS: Bladder volume can be measured accurately with bladder scanning or US, but abdominal fluid remains a confounding factor limiting accuracy of bladder scanning. PMID: 33130866 [PubMed - in process]
Source: American Journal of Critical Care - November 1, 2020 Category: Nursing Authors: Schallom M, Prentice D, Sona C, Vyers K, Arroyo C, Wessman B, Ablordeppey E Tags: Am J Crit Care Source Type: research

Challenges of skill acquisition and maintenance for paediatric critical care nurses when technology usage is low
Introduction: In 2011 the initiation and management of continuous renal replacement therapy (CRRT) at the Women's and Children's Hospital in Adelaide was transferred from the Dialysis Unit to the Paediatric Intensive Care Unit (PICU).
Source: Australian Critical Care - May 1, 2013 Category: Nursing Authors: L. Stacy, M. Dempster Source Type: research

Acute kidney injury (AKI) in paediatric critical care
Incidence of acute kidney injury (AKI) is gradually increasing in children admitted to critical care units partly because of increased awareness of this entity. Though serum creatinine has been used in most definitions, its inability to accurately reflect kidney function has resulted in problems for clinical research in paediatric AKI. This has resulted in the use of more than 35 definitions of AKI in clinical studies, ranging from small changes in serum creatinine to requirement for dialysis. Therefore, comparisons among studies are difficult, resulting in a wide range of quoted epidemiology, morbidity, and mortality rate...
Source: Paediatrics and Child Health - February 13, 2017 Category: Pediatrics Authors: Rupesh Raina, Abigail Chauvin, Akash Deep Tags: Symposium: intensive care Source Type: research

Systematic review and meta-analysis of renal replacement therapy modalities for acute kidney injury in the intensive care unit
Conclusions We did not find a definitive advantage for any RRT modality on short-term patient or kidney survival. Well-designed, adequately-powered trials are needed to better define the role of RRT modalities for treatment of critically ill patients with AKI.
Source: Journal of Critical Care - May 17, 2017 Category: Gastroenterology Source Type: research

A protocol for the 0.9% saline versus Plasma-Lyte 148 for intensive care fluid therapy (SPLIT) study.
CONCLUSION: The SPLIT study started on 1 April 2014 and will provide preliminary data on the comparative effectiveness of using 0.9% saline v Plasma- Lyte 148 as the routine IV fluid therapy in ICU patients. PMID: 25437221 [PubMed - in process]
Source: Critical Care and Resuscitation - December 6, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Platelet Consumption and Filter Clotting Using Two Different Membrane Sizes during Continuous Venovenous Haemodiafiltration in the Intensive Care Unit.
Conclusion. Our study showed that a larger filter surface area did neither reduce the severity of thrombocytopenia and anaemia, nor decrease the frequency of clotting events. PMID: 24868460 [PubMed]
Source: Critical Care Research and Practice - December 1, 2014 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Outcomes of chronic hemodialysis patients in the intensive care unit.
Authors: Chan M, Ostermann M Abstract Patients with end-stage renal disease (ESRD) experience higher rates of hospitalisation, cardiovascular events, and all-cause mortality and are more likely to require admission to the intensive care unit (ICU) than patients with normal renal function. Sepsis and cardiovascular diseases are the most common reasons for ICU admission. ICU mortality rates in patients requiring chronic hemodialysis are significantly higher than for patients without ESRD; however, dialysis patients have a better ICU outcome than those with acute kidney injury (AKI) requiring renal replacement therapy...
Source: Critical Care Research and Practice - December 1, 2014 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Continuous renal replacement therapy: current practice in Australian and New Zealand intensive care units.
CONCLUSIONS: Our results provide insight into existing clinical management of CRRT. There is considerable variation in the prescription of CRRT in Australian and New Zealand ICUs. PMID: 26017125 [PubMed - in process]
Source: Critical Care and Resuscitation - May 31, 2015 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Research and Reviews in the Fastlane 041
This study prospectively validated whether an age-adjusted D-dimer cutoff was associated with an increased diagnostic yield of D-dimer in elderly patients with suspected PE. Compared with a fixed D-dimer cutoff, the combination of pretest clinical probability assessment with age-adjusted D-dimer cutoff was associated with a larger number of patients in whom PE could be considered ruled out with a low likelihood of subsequent clinical venous thromboembolism. So if this is not your clinical practice already, maybe time to use age adjust d-dimer values? Recommended by: Jerremy Fried Read More: Age Adjusted D-Dimer Testing (RE...
Source: Life in the Fast Lane - July 29, 2014 Category: Emergency Medicine Authors: Soren Rudolph Tags: Clinical Research R&R in the FASTLANE critical care Emergency Medicine Intensive Care literature recommendations research and reviews Source Type: blogs