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Total 183139 results found since Jan 2013.

The Development of Critical Care Medicine in China: From SARS to COVID-19 Pandemic.
Authors: Yin H, Wang S, Zhu Y, Zhang R, Ye X, Wei J, Hou PC Abstract Background: Critical care medicine is a branch of medical science that deals with the characteristics and regularity of life-threatening processes initiated by any injury or disease and, accordingly, relevant treatment for patients with critical illness. Conceptions of critical care medicine in China stemmed in the early 1970s. Ever since the establishment of the first intensive care unit (ICU) along with the increasingly incomparable role of ICU in medical practices, critical care medicine has become an indispensable part of the Chinese medical a...
Source: Critical Care Research and Practice - August 29, 2020 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Critical Care Resources in Guangdong Province of China: Three Surveys from 2005 to 2015*
Conclusions: Our study was the first one to investigate the trend and distribution of critical care resources in China. The quantity of ICU beds and staff has been increasing rapidly, but professional training for staff was inadequate. The distribution of critical care resources was unbalanced. Our study can be beneficial for healthcare policymaking and the allocation of critical care resources in Guangdong province and other provinces in China.
Source: Critical Care Medicine - November 18, 2017 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Involvement of Parents in the Care of Preterm Infants: A Pilot Study Evaluating a Family-Centered Care Intervention in a Chinese Neonatal ICU
Objectives: To evaluate the effectiveness and safety of a family-centered care intervention in a Chinese neonatal ICU. Design: Pilot study using a randomized controlled trial design to inform a main randomized controlled trial study. Setting: Stand-alone tertiary children’s hospital in China with a 60-bed neonatal ICU serving as a regional neonatal ICU center. Patients: Premature infants (n = 61) and their parents (n = 110). Interventions: Parent education program followed by parents’ participation in care as primary caregiver until discharge for a minimum of 4 hours per day. Measurements and Main Result...
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Neonatal Intensive Care Source Type: research

The role of acetazolamide in sleep apnea at sea level: a systematic review and meta-analysis
Journal of Clinical Sleep Medicine, Ahead of Print.
Source: Journal of Clinical Sleep Medicine : JCSM - February 4, 2021 Category: Sleep Medicine Authors: Yue-Nan NiHuan YangRobert Joseph Thomas1Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA2Department of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Source Type: research

Epidemiology of Pediatric Severe Sepsis in Main PICU Centers in Southwest China*
Conclusions: This report is the first to present the prevalence, treatment, and outcomes of pediatric severe sepsis in the main PICU centers in Southwest China. The mortality rate remains high; therefore, improved clinical management and implementation of large-scale clinical trials are necessary to improve early diagnoses and treatment.
Source: Pediatric Critical Care Medicine - December 1, 2019 Category: Pediatrics Tags: Feature Articles Source Type: research

Pediatric Reference Change Value Optimized for Acute Kidney Injury: Multicenter Retrospective Study in China
OBJECTIVES: The standard definition of pediatric acute kidney injury (AKI) is evolving, especially for critically ill in the PICU. We sought to validate the application of the Pediatric Reference Change Value Optimized for Acute Kidney Injury in Children (pROCK) criteria in critically ill children. DESIGN: Multicenter retrospective study. SETTING: Six PICUs in mainland China. PATIENTS: One thousand six hundred seventy-eight hospitalized children admitted to the PICU with at least two creatinine values within 7 days. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: AKI was diagnosed...
Source: Pediatric Critical Care Medicine - December 1, 2022 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Expert consensus on clinical standardized application of high-flow nasal cannula oxygen therapy in adults.
Critical Care Medicine Committee of Chinese Association of Chest Physician PMID: 32515918 [PubMed - as supplied by publisher]
Source: Chinese Medical Journal - June 4, 2020 Category: General Medicine Authors: Xu JQ, Su LX, Yan P, Hu XS, Wen RX, Xiao K, Gu HJ, Xia JG, Sun B, Zhou QT, Dong YC, Liu JL, Pan PH, Luo H, Li Q, Song LQ, Xu SC, Li YM, Wang DX, Li D, Zhan QY, Xie LX, Pulmonary & Critical Care Medicine Group of Chinese Thoracic Society/Pulmonary & Tags: Chin Med J (Engl) Source Type: research

Coronavirus Disease 2019 (COVID-19): A critical care perspective beyond China
Publication date: Available online 3 March 2020Source: Anaesthesia Critical Care & Pain MedicineAuthor(s): Jordi Rello, Sofia Tejada, Caroline Userovici, Kostoula Arvaniti, Jérôme Pugin, Grant Waterer
Source: Anaesthesia, Critical Care and Pain Medicine - March 5, 2020 Category: Anesthesiology Source Type: research

A cross-sectional description of open access publication costs, policies and impact in emergency medicine and critical care journals
ConclusionsWe present a single database that captures emergency medicine and critical care journal impact rankings alongside its respective open access cost and green open access policies.
Source: African Journal of Emergency Medicine - March 7, 2019 Category: Emergency Medicine Source Type: research

Continuous Renal Replacement Therapy in Pediatric Severe Sepsis: A Propensity Score-Matched Prospective Multicenter Cohort Study in the PICU
Conclusions: Continuous renal replacement therapy with an ultrafiltration rate of 50 mL/kg/hr decreases hospital mortality rate in pediatric severe sepsis, especially in patients with acute respiratory distress syndrome.
Source: Critical Care Medicine - September 18, 2019 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Investigating the Efficacy of Hydrocolloid Dressing for Preventing Nasotracheal Tube-Related Pressure Injury in the PICU
Objectives: To investigate the efficacy of hydrocolloid dressing in reducing the occurrence rate and severity of nasotracheal tube-related pressure injury. Design: Randomized controlled trial. Setting: A PICU in a tertiary medical center in southern China. Patients: Pediatric patients received invasive mechanical ventilation via nasotracheal tubes. Interventions: The hydrocolloid dressing was cut into an optimal square size, which should cover the area from the nasal columella to the ala. Measurements and Main Results: Eligible participants were randomly allocated to the control group and the experimental ...
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Critical Care Simulation Education Program During the COVID-19 Pandemic
Conclusions We believe that the practical methods reviewed here could be adopted by any health care system that is preparing for an unprecedented surge of critically ill patients.
Source: Journal of Patient Safety - June 1, 2022 Category: Health Management Tags: Original Studies Source Type: research

Novel Coronavirus 2019 (2019-nCoV) Infection: Part I - Preparedness and Management in the Pediatric Intensive Care Unit in Resource-limited Settings.
Abstract First reported in China, the 2019 novel coronavirus has been spreading across globe. Till 26 March, 2020, 416,686 cases have been diagnosed and 18,589 have died the world over. The coronavirus disease mainly starts with a respiratory illness and about 5%-16% require intensive care management for acute respiratory distress syndrome (ARDS) and multi-organ dysfunction. Children account for about 1%-2% of the total cases, and 6% of these fall under severe or critical category requiring pediatric intensive care unit (PICU) care. Diagnosis involves a combination of clinical and epidemiological features with lab...
Source: Indian Pediatrics - March 28, 2020 Category: Pediatrics Authors: Ravikumar N, Nallasamy K, Bansal A, Angurana SK, Basavaraja GV, Sundaram M, Lodha R, Gupta D, Jayashree M, For Intensive Care Chapter Of Indian Academy Of Pediatrics Tags: Indian Pediatr Source Type: research

Potential preventive and therapeutic effect of Chinese herb rhubarb (da huang) for intensive care unit/pediatric intensive care unit gastrointestinal failure patients: A protocol for systematic review
Conclusion: Current evidence suggests that the Chinese herb rhubarb (DH) powder combined with Western medicine was inferior to Western medicine alone in terms of preventive and therapeutic effects in ICU/PICU patients in terms of decreasing GIF occurrence rates (gastrointestinal mucosal hemorrhage and enteroplegia), occurrence rates of MODS, mortality from MODS, and shortened duration time in the ICU/PICU. However, larger sample sizes and rigorously-designed studies are necessary to conclusively determine the association between DH powder and outcomes in ICU/PICU GIF patients.
Source: Medicine - May 1, 2020 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Application of Chinese Medicine in the Management of Critical Conditions: A Review on Sepsis.
Abstract Critical care medicine is a medical specialty engaging the diagnosis and treatment of critically ill patients who have or are likely to have life-threatening organ failure. Sepsis, a life-threatening condition that arises when the body responds to infection, is currently the major cause of death in intensive care units (ICU). Although progress has been made in understanding the pathophysiology of sepsis, many drawbacks in sepsis treatment remains unresolved. For example, antimicrobial resistance, controversial of glucocorticoids use, prolonged duration of ICU care and the subsequent high cost of the treat...
Source: The American Journal of Chinese Medicine - September 8, 2020 Category: Complementary Medicine Authors: Fan TT, Cheng BL, Fang XM, Chen YC, Su F Tags: Am J Chin Med Source Type: research