journal
https://read.qxmd.com/read/38636357/interfacility-transfer-of-the-critically-ill-transfer-status-does-not-influence-survival
#1
JOURNAL ARTICLE
Garrett McDougall, Osama Loubani
PURPOSE: To estimate differences in case-mix adjusted hospital mortality between adult ICU patients who are transferred during their ICU-stay and those who are not. METHODS: 19,260 visits to 12 ICUs in Nova Scotia (NS), Canada April 2018-September 2023 were analyzed. Data were obtained from the NS Provincial ICU database. Generalized additive models (GAMs) were used to estimate differences in case-mix adjusted hospital mortality between patients who underwent transfer and those who did not...
April 16, 2024: Journal of Critical Care
https://read.qxmd.com/read/38616434/fluids-in-acute-kidney-injury-why-less-may-be-more
#2
JOURNAL ARTICLE
Michael Joannidis, Alexander Zarbock
No abstract text is available yet for this article.
April 13, 2024: Journal of Critical Care
https://read.qxmd.com/read/38609773/how-a-positive-fluid-balance-develops-in-acute-kidney-injury-a-binational-observational-study
#3
JOURNAL ARTICLE
Kyle C White, Ary Serpa-Neto, Rod Hurford, Pierre Clement, Kevin B Laupland, Marlies Ostermann, Barnaby Sanderson, Michelle Gatton, Rinaldo Bellomo
PURPOSE: A positive fluid balance (FB) is associated with harm in intensive care unit (ICU) patients with acute kidney injury (AKI). We aimed to understand how a positive balance develops in such patients. METHODS: Multinational, retrospective cohort study of critically ill patients with AKI not requiring renal replacement therapy. RESULTS: AKI occurred at a median of two days after admission in 7894 (17.3%) patients. Cumulative FB became progressively positive, peaking on day three despite only 848 (10...
April 11, 2024: Journal of Critical Care
https://read.qxmd.com/read/38608348/a-pragmatic-calibration-of-the-rox-index-to-predict-outcome-of-nasal-high-flow-therapy-in-india
#4
JOURNAL ARTICLE
Ryan Brewster, Sitarah Mathias, Suraj Sarvode, Dileep Unnikrishnan, Dileep Raman, Brody Foy, Carl Britto
PURPOSE: Identifying thresholds at which the ROX index would satisfactorily predict HFNC failure across heterogenous resourced contexts is necessary for clinical use. METHODS: Patients ≥18 years admitted to 30 diverse ICUs across 10 states in India who required HFNC for respiratory support were retrospectively included in this study. Patient data and hourly ROX indices were then analyzed and contextualized to clinical outcomes as well as with ROX index thresholds in other regions of the world...
April 11, 2024: Journal of Critical Care
https://read.qxmd.com/read/38603852/major-determinants-of-primary-non-function-from-kidney-donation-after-maastricht-ii-circulatory-death-a-single-center-experience
#5
JOURNAL ARTICLE
Ana Gaspar, Madalena Gama, Gustavo Nobre de Jesus, Sara Querido, Juliana Damas, João Oliveira, Marta Neves, Alice Santana, João Miguel Ribeiro
PURPOSE: Organ shortage greatly limits treatment of patients with end-stage chronic kidney. Maastricht type 2 donation after circulatory death (DCD) has been shown to have similar results in long term outcomes in kidney transplantation, when compared with brain dead donation. Our main goal was to assess Maastricht type 2 DCD and evaluate factors that impact on early graft function. METHODS: A retrospective study was conducted in an ECMO Referral Centre. All patients who received a kidney transplant from Maastricht type 2 DCD were included in study...
April 10, 2024: Journal of Critical Care
https://read.qxmd.com/read/38583302/the-value-of-artificial-intelligence-for-the-treatment-of-mechanically-ventilated-intensive-care-unit-patients-an-early-health-technology-assessment
#6
JOURNAL ARTICLE
Leslie R Zwerwer, Simon van der Pol, Kai Zacharowski, Maarten J Postma, Jan Kloka, Benjamin Friedrichson, Antoinette D I van Asselt
PURPOSE: The health and economic consequences of artificial intelligence (AI) systems for mechanically ventilated intensive care unit patients often remain unstudied. Early health technology assessments (HTA) can examine the potential impact of AI systems by using available data and simulations. Therefore, we developed a generic health-economic model suitable for early HTA of AI systems for mechanically ventilated patients. MATERIALS AND METHODS: Our generic health-economic model simulates mechanically ventilated patients from their hospitalisation until their death...
April 6, 2024: Journal of Critical Care
https://read.qxmd.com/read/38581884/pharyngeal-electrical-stimulation-prior-to-extubation-reduction-of-extubation-failure-rate-in-acute-stroke-patients
#7
JOURNAL ARTICLE
Paul Muhle, Inga Claus, Bendix Labeit, Malte Roderigo, Tobias Warnecke, Rainer Dziewas, Sonja Suntrup-Krueger
PURPOSE: The aim of our study was to assess if PES before extubation can minimize the extubation failure risk in orally intubated, mechanically ventilated stroke patients at high risk of severe dysphagia. MATERIALS AND METHODS: Thirty-two ICU patients were prospectively enrolled in this study presenting with a high risk for dysphagia as defined by a DEFISS (Determine Extubation Failure In Severe Stroke) risk score and compared 1:1 to a retrospective matched patient control group...
April 5, 2024: Journal of Critical Care
https://read.qxmd.com/read/38579430/systemic-tolerance-of-intravenous-milrinone-administration-for-cerebral-vasospasm-secondary-to-non-traumatic-subarachnoid-hemorrhage
#8
JOURNAL ARTICLE
Nathan Julian, Samuel Gaugain, Marc-Antoine Labeyrie, Romain Barthélémy, Sebastien Froelich, Emmanuel Houdart, Alexandre Mebazaa, Benjamin G Chousterman
PURPOSE: Delayed cerebral ischemia (DCI) is a severe subarachnoid hemorrhage (SAH) complication, closely related to cerebral vasospasm (CVS). CVS treatment frequently comprises intravenous milrinone, an inotropic and vasodilatory drug. Our objective is to describe milrinone's hemodynamic, respiratory and renal effects when administrated as treatment for CVS. METHODS: Retrospective single-center observational study of patients receiving intravenous milrinone for CVS with systemic hemodynamics, oxygenation, renal disorders monitoring...
April 4, 2024: Journal of Critical Care
https://read.qxmd.com/read/38575413/letter-for-editor-a-modified-delphi-process-to-identify-rank-and-prioritize-quality-indicators-for-continuous-renal-replacement-therapy-crrt-care-in-critically-ill-patients-and-quality-of-care-and-safety-measures-of-acute-renal-replacement-therapy
#9
LETTER
https://read.qxmd.com/read/38565455/letter-to-the-editor-heart-involvement-a-neglected-manifestation-of-haemophagocytic-syndrome-associated-with-high-mortality
#10
LETTER
Sukriye Miray Kilincer Bozgul, Figen Yargucu Zihni, Nur Akad Soyer, Devrim Bozkurt
No abstract text is available yet for this article.
April 1, 2024: Journal of Critical Care
https://read.qxmd.com/read/38565454/what-every-intensivist-should-know-about-quality-of-life-after-critical-illness
#11
LETTER
Marieke Zegers, Lucy Porter, Koen Simons, Mark van den Boogaard
No abstract text is available yet for this article.
April 1, 2024: Journal of Critical Care
https://read.qxmd.com/read/38555684/multimodal-monitoring-in-patients-with-acute-brain-injury-a-survey-from-critical-care-providers
#12
JOURNAL ARTICLE
Dana Klavansky, Raquel Romero, Neha S Dangayach, Sarah E Nelson, John Liang, Alexandra Reynolds, Spyridoula Tsetsou
BACKGROUND: Multimodal neuromonitoring (MMM) aims to improve outcome after acute brain injury, and thus admission in specialized Neurocritical Care Units with potential access to MMM is necessary. Various invasive and noninvasive modalities have been developed, however there is no strong evidence to support monitor combinations nor is there a known standardized approach. The goal of this study is to identify the most used invasive and non-invasive neuromonitoring modalities in daily practice as well as ubiquitousness of MMM standardization...
March 30, 2024: Journal of Critical Care
https://read.qxmd.com/read/38555251/authors-response-brain-magnetic-resonance-imaging-findings-six-months-after-critical-covid-19-a-prospective-cohort-study
#13
LETTER
Henriikka Ollila, Janne Pihlajamaa, Juha Martola, Laura Hokkanen, Marjaana Tiainen, Johanna Hästbacka
No abstract text is available yet for this article.
March 30, 2024: Journal of Critical Care
https://read.qxmd.com/read/38554544/limitations-of-life-sustaining-therapies-in-south-africa
#14
JOURNAL ARTICLE
Charles Feldman, Gavin M Joynt, Spyros D Mentzelopoulos, Charles L Sprung, Alexander Avidan, Guy A Richards
PURPOSE: Limitations of life sustaining therapies (LLST) are frequent in intensive care units (ICUs), but no previous studies have examined end-of-life (EOL) care and LLST in South Africa (SA). MATERIALS AND METHODS: This study evaluated LLST in SA from the data of a prospective, international, multicentre, observational study (Ethicus-2) and compared practices with countries in the rest of the world. RESULTS: LLST was relatively common in SA, and withholding was more frequent than withdrawing therapy...
March 29, 2024: Journal of Critical Care
https://read.qxmd.com/read/38554543/artificial-intelligence-and-machine-learning-definition-of-terms-and-current-concepts-in-critical-care-research
#15
JOURNAL ARTICLE
Kai Sun, Arkajyoti Roy, Joshua M Tobin
With increasing computing power, artificial intelligence (AI) and machine learning (ML) have prospered, which facilitate the analysis of large datasets, especially those found in critical care. It is important to define these terminologies, to inform a standardized approach to critical care research. This manuscript hopes to clarify these terms with examples from medical literature. Three major components that are required for a successful ML implementation: (i) reliable dataset, (ii) ML algorithm, and (iii) unbiased model evaluation, are discussed...
March 29, 2024: Journal of Critical Care
https://read.qxmd.com/read/38553353/what-every-intensivist-should-know-about-patient-safety-huddles-in-the-icu
#16
JOURNAL ARTICLE
Margo Hoyler, Michael S Niederman, Natalia Ivascu Girardi
Patient safety huddles are brief, multidisciplinary conversations that focus on a specific topic or event. Huddles have been shown to improve communication among healthcare providers in a variety of settings, including the intensive care unit (ICU). This paper presents key features of patient safety huddles and describes the ways in which huddle techniques may be particularly relevant to the practice of critical care.
March 29, 2024: Journal of Critical Care
https://read.qxmd.com/read/38553352/authors-response-heart-involvement-a-neglected-manifestation-of-haemophagocytic-syndrome-associated-with-high-mortality
#17
LETTER
Olivier Lambotte
No abstract text is available yet for this article.
March 28, 2024: Journal of Critical Care
https://read.qxmd.com/read/38552452/automatic-ards-surveillance-with-chest-x-ray-recognition-using-convolutional-neural-networks
#18
JOURNAL ARTICLE
Run Zhou Ye, Kirill Lipatov, Daniel Diedrich, Anirban Bhattacharyya, Bradley J Erickson, Brian W Pickering, Vitaly Herasevich
OBJECTIVE: This study aims to design, validate and assess the accuracy a deep learning model capable of differentiation Chest X-Rays between pneumonia, acute respiratory distress syndrome (ARDS) and normal lungs. MATERIALS AND METHODS: A diagnostic performance study was conducted using Chest X-Ray images from adult patients admitted to a medical intensive care unit between January 2003 and November 2014. X-ray images from 15,899 patients were assigned one of three prespecified categories: "ARDS", "Pneumonia", or "Normal"...
March 28, 2024: Journal of Critical Care
https://read.qxmd.com/read/38552451/minimizing-bias-when-using-artificial-intelligence-in-critical-care-medicine
#19
JOURNAL ARTICLE
Benjamin L Ranard, Soojin Park, Yugang Jia, Yiye Zhang, Fatima Alwan, Leo Anthony Celi, Elizabeth R Lusczek
No abstract text is available yet for this article.
March 28, 2024: Journal of Critical Care
https://read.qxmd.com/read/38552450/the-impact-of-aggressive-and-conservative-propensity-for-initiation-of-neuromuscular-blockade-in-mechanically-ventilated-patients-with-hypoxemic-respiratory-failure
#20
JOURNAL ARTICLE
Zach Shahn, Boris Jung, Daniel Talmor, Edward H Kennedy, Li-Wei H Lehman, Elias Baedorf-Kassis
INTRODUCTION: Neuromuscular blockade (NMB) in ventilated patients may cause benefit or harm. We applied "incremental interventions" to determine the impact of altering NMB initiation aggressiveness. METHODS: Retrospective cohort study of ventilated patients with PaO2/FiO2 ratio < 150 mmHg and PEEP≥ 8cmH2O from the Medical Information Mart of Intensive Care IV database (MIMIC-IV version 1.0) estimating the effect of incremental interventions on in-hospital mortality and ventilator-free days, modifying hourly propensity for NMB initiation to be aggressive or conservative relative to usual care, adjusting for confounding with inverse probability weighting...
March 28, 2024: Journal of Critical Care
journal
journal
29363
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.