... result of the decision to withhold or withdraw care, so there is a need for objective measurements of standard ofcare The needs of the patient, their family, and those of the nurses and physicians ... get any patient assessment of the standard of their care The question then is whether the tools used to measure quality ofcare are measuring it from the point of view of supplement How we measure ... abstracts Summary of the major studies on the use of steroids in the treatment of sepsis CriticalCare Vol No Smith sepsis has probably taken a quantum leap forward with the results of the PROWESS...
... demonstration of the beneficial effects of tight control of glucose levels by high doses of insulin, and of enhancing adrenal function in relative adrenal insufficiency by administering low doses of hydrocortisone ... (e.g in face of the appearance of systemic hypotension) The choice of fluid for resuscitation appears to be of importance In a study including 200 cardiac surgery patients, the use of hydroxyethyl ... Gattinoni reminded us of the concept of baby lung in ARDS and the potential deleterious effect of positive end-expiratory pressure application, leading to hyperinflation in healthy parts of the lungs...
... Federation of Societies of Intensive and CriticalCareMedicine (WFSICCM) References Lipman J, Lichtman AR: International perspectives on critical care: criticalcare in Africa CriticalCare Clin ... http://ccforum.com/content/6/1/022 In 1999, a faculty ofCriticalCareMedicine was established in the CollegeofMedicineof South Africa With effect from September 2001, the criticalcare specialist trainees have ... criticalcaremedicine in South Africa Criticalcare healthworkers have to put forth strong motivations to the country’s health policy-makers of the important part they play in the delivery of...
... of Intensive Care Medicine, St George’s Healthcare NHS Trust, Blackshaw Road, London, SW17 0QT, UK Interdepartmental Division ofCriticalCare Medicine, and Department of Medicine, Division of ... Assurance in Intensive Care Medicine] ) or for purposes of research (for example, ANZICS [Australian and New Zealand Intensive Care Society] or ESICM [European Societyof Intensive Care Medicine] flu registries) ... logistics of multicenter trials, which require the inclusion of a broad spectrum of patients and loose co-intervention controls If we consider just a few of the main areas ofcriticalcare medicine, ...
... Baumann MH et al Grading strength of recommendations and quality of evidence in clinical guidelines: report from an AmericanCollegeofChestPhysicians Task Force Chest 2006;129:174–81 Rex DK, Johnson ... prepared by a Task Force from the AmericanSocietyof Colon and Rectal Surgeons (ASCRS), the AmericanSociety for Gastrointestinal Endoscopy (ASGE), and the SocietyofAmerican Gastrointestinal and ... detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi -Society Task Force on Colorectal Cancer, and the AmericanCollegeof Radiology...
... among Protestant physicians than Greek Orthodox physicians The physicians were aware of the patient’s wishes in only 20% of the cases, and the thoughts of the families about end -of- life procedures ... University Collegeof London, UK, a single bolus of terlipressin was followed by a long-lasting vasoconstriction that allowed a reduction of the dose of norepinephrine The issues of safety and ... north and the south of Europe Summary This ESICM Congress gathered a wide array of European ICU professionals, and successfully covered the hot topics related to the careof critically ill patients...
... of the Working Group on Sepsis-Related Problems of the European Societyof Intensive CareMedicine Intensive Care Med 1996, 22:707-710 Anonymous: AmericanCollegeofChest Physician /Society of ... cardiac failure Poster awards The European Societyof Intensive CareMedicine chose seven poster award winners (titles given in the headings below) Documentation of respiratory rate for acutely sick ... 1951 (62) Mean SAPS II score [1] 34 SOFA score values [2] at inclusion SOFA maximum SOFA mean during study period ICU duration of stay (days) Hospital duration of stay (days) 15 Dr Arthur Slutsky...
... 143 5.1 Normal Chest X-Ray / 128 5.2 Mediastinal Structures Visible on a Chest X-Ray / 129 5.3 Chest X-Ray of COPD / 130 5.4 Chest X-Ray of Pneumothorax / 131 5.5 Chest X-Ray of Right Lower Lobe ... Consultant, CriticalCare Nursing and Clinical Research Gainesville, Florida Suzanne M Burns RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM, FAANP Professor of Nursing, Acute and Specialty Care School of Nursing ... the pain radiate to locations other than the chest? What is the severity of the pain (on a scale of 1-10)? What is the time of onset of this episode of pain that caused you to come to the hospital?...
... CriticalCare February 2002 Vol No Ramakrishnan of hyperglycaemia in critically ill patients A total of 1548 medical and surgical patients were randomised ... presented Dr Peter E Morris of the Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA, stressed the importance of patient selection and the caveats of using the drug He also ... coma scale < 3) of a total of 627 who were prospectively followed, 65 died (58 in ICU) within a median of days The only survivor was severely disabled Conclusion In the words of Professor Luciano...
... research (scientific study of the organization, delivery, and financing of health care) ofcriticalcare The influence of organizational features of the ICU on criticalcare epidemiology can be ... associated costs ofcare Crit Care Med 2001, 29:1303-1310 Laupland KB: Population-based epidemiology of intensive care: critical importance of ascertainment of residency status Crit Care 2004 8:R431-R436 ... We therefore not have very good population data on the burden ofcritical illness or the burden of intensive care needs In criticalcare epidemiology, denominators have not been fully understood...
... References Department of Health: Comprehensive Critical Care: a review of adult criticalcare services London: Department of Health; 2000 Department of Health and NHS Modernisation Agency: The National ... aim of this study was to undertake a multicentre, interrupted time-series analysis of the impact of CCOS at the criticalcare unit level, as characterised by the case mix, outcome and activity of ... from criticalcare to the ward, or education and training), staffing (such as doctor-led or nurse-led, or size of team), hours of work (such as round the clock or office hours) and coverage of...
... Anaesth Intensive Care 1995, 23:183-186 Department of Health: Comprehensive Critical Care: A Review of Adult CriticalCare Services London: Department of Health; 2000 Department of Health and NHS ... particular system or cutoff points due to the lack of evidence of accuracy for these scores in clinical practice [9] Despite the lack of evidence, the Institute of Healthcare Improvement recommends ... Daly K, Subbe CP, Rowan K: The impact of the introduction ofcriticalcare outreach services in England: a multicentre interrupted time-series analysis Crit Care 2007, 11:R113 Lee A, Bishop G,...
... influences ofcriticalcare or criticalcare medical conditions Regardless, the results raise concerns about the accuracy of administrative coding, and particularly about the accuracy of post hoc ... Reliability of diagnostic coding in intensive care patients Crit Care 2008, 12:R95 Martin GS: Epidemiology studies in criticalcare Crit Care 2006, 10:136-137 US National Registry of Cardiopulmonary ... example, focus on specific medical conditions) or in breadth of data collected As a criticalcare community, for purposes inclusive of healthcare quality, research and education, we must develop comprehensive...
... CriticalCare Vol 13 No Collinson occurs in a range of other clinical conditions other than cardiac dysfunction, including sepsis [11] Values are frequently raised in the intensive care ... the death hormone The routine measurement of NTproBNP is certainly extremely valuable as part of the initial assessment of a patient admitted to intensive care as a rule-out test for cardiac dysfunction ... Savoy-Moore RT, Rosman HS: Utility of B-type natriuretic peptide and N-terminal pro B-type natriuretic peptide in evaluation of respiratory failure in critically ill patients Chest 2005, 128:288-295 Larsen...
... Sorvillo FJ: The burden of sepsis-associated mortality in the United States from 1999 to 2005: an analysis of multiple-cause -of- death data Crit Care 2009, 13:R28 Page of (page number not for ... excess mortality In critically ill HIV patients, Tumbarello and colleagues [13] assessed a crude mortality of 43%, with an infection-associated excess mortality of 27% A similar rate of bloodstream ... colleagues [14] in non-HIV patients Probably one of the largest investigations was presented by Pittet and colleagues [15], who found a crude mortality of 50% in critically ill patients with infections...
... design of future trials and the practice ofcriticalcaremedicine Our results accord with the findings of a recent report that found low rates of efficacy in trials in criticalcare medicine, ... Journal of Medicine, Journal of the American Medical Association, Lancet, Annals of Internal Medicine) for titles containing the keywords (and variations thereof ) critically ill, intensive care, ... 2Department of Family Medicine, University of Virginia Health System, 1215 Lee Street, Charlottesville, Virginia, 22908, USA and 3Department of Internal Medicine, The Ohio State University Collegeof Medicine, ...
... Anesthesiology, Division ofCritical Care, Vanderbilt University Medical Center, 526 MAB, 1211 21st Ave South, Nashville, TN 37027, USA Department of Medicine, Division of Pulmonary Critical Care, Vanderbilt ... hospital lengths of stay and an unprecedented 15% reduction in 1-year mortality [4] This study pointed to the importance of removing the silos of our care paradigms by centering the care delivered ... just one method of approaching the organizational changes that need to occur to effect a change of culture that will breed success Persisting with our old approach to the back-end ofcare for these...