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Critical Care Explorations
Scopus
ISSN 2639-8028 · Wolters Kluwer · 1.201 artikel di indeks
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Artikel Jurnal
Effect of Neurologic Conditions on Delirium Duration and Time to ICU Discharge
IMPORTANCE:. Delirium is prevalent and associated with poorer clinical outcomes in critically ill children. OBJECTIVES:. We sought to determine whether presence of baseline developmental delay (DD) or a primary admission diagnosis of an acute neurologic condition (ANC) was associated with longer…
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Artikel Jurnal
Guideline-Concordant Sedative and Analgesia Use in Critically Ill Patients Receiving Sustained Neuromuscular Blockade
OBJECTIVES:. Given significant harms of awake paralysis, guidelines recommend combination sedation and analgesia during neuromuscular blockade. In this study, we sought to describe guideline-concordant use of parenteral sedation and analgesia during sustained neuromuscular blockade among adults…
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Artikel Jurnal
Inhaled L-Epinephrine As a Rescue Therapy in Critical Bronchiolitis
IMPORTANCE:. Viral bronchiolitis is the leading cause of nonelective admission to the PICU. Guidelines recommend management that focuses on supportive care. Evidence suggests that inhaled epinephrine may reduce lower airways resistance and work of breathing in critical bronchiolitis. It has been…
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Artikel Jurnal
Race, Ethnicity, and Social Determinants of Health in PICU Mode of Death: Single-Center Retrospective Cohort Study
IMPORTANCE:. Black and Hispanic/Latino patients are underrepresented in pediatric mode of death (MOD) studies. Although significant disparities have been reported, the associations of MOD with patient-level social determinants of health (SDOH) and the Child Opportunity Index (COI) are unknown…
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Artikel Jurnal
Ketamine for Severe Asthma Exacerbation
This study aimed to evaluate ventilator requirements, gas exchange, and safety outcomes before and after initiation of continuous infusion ketamine in intubated patients with severe asthma exacerbations (SAEs) in ICUs. This retrospective observational study included 38 intubated patients 18 years…
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Artikel Jurnal
Flexible Fidelity: Adaptation of the ICU-PAUSE Handoff Tool During Implementation Across 11 ICUs
IMPORTANCE:. Communication failures during patient handoffs from the ICU to the ward are common and negatively impact patients. Structured handoff communication tools may improve these transitions yet remain infrequently used. OBJECTIVES:. Characterize local determinants of ICU-PAUSE handoff…
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Artikel Jurnal
Clinicians’ Perspectives on Strengthening Interprofessional Teamwork to Support Surrogate Decision-Makers of Critically Ill Patients in ICUs
IMPORTANCE:. Professional societies recommend interprofessional collaboration to support ICU surrogate decision-makers, yet little is known about how to operationalize it. OBJECTIVES:. Determine clinicians’ perceived acceptability of interprofessional collaboration to support surrogates of ICU…
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Artikel Jurnal
Assessment of Structured Tele-Critical Care Training and Its Impact on Clinician's Perceptions of Delivery of Care: A Survey-Based Pilot Study
OBJECTIVES:. Current research does not address the existence and impact of structured tele-critical care (TCC) training on the delivery of care in the ICU. This pilot study aimed to evaluate the association between on boarding elements focused on training and clinicians perceptions of delivery of…
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Artikel Jurnal
Development and Validation of the Family ICU Delirium Detection Instrument
OBJECTIVES (BACKGROUND):. Families play an important role in the care of ICU patients, yet their potential to contribute to the detection of delirium—a common and harmful complication—is often underutilized. This study aimed to adapt the Sour Seven to create the Family ICU Delirium Detection…
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Artikel Jurnal
Immune Checkpoint Inhibitor-Induced Concomitant Polyradiculoneuritis and Myocarditis With Positive Anti-Titin Antibodies: A Case Report and Literature Review
BACKGROUND:. Immune-related adverse events (irAEs) induced by immune checkpoint inhibitors vary widely, raising diagnostic challenges. The management of suspected irAEs requires close collaboration between oncologists and organ specialists. Rarely, irAEs can occur as overlap syndromes and may…
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Artikel Jurnal
Critical Care Advanced Practice Providers: Practice and Workforce
IMPORTANCE:. This study provides nationally representative data on critical care advanced practice provider (APP) workforce structure and practice, addressing gaps in onboarding, productivity assessment, and administrative roles that influence workforce sustainability. OBJECTIVES:. To analyze the…
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Artikel Jurnal
The Utility of Automated, Data-Driven Clinical Support in Telemedicine for Critical Illness: A Survey-Based Study
A growing number of data-driven clinical decision support (CDS) tools are incorporated into tele-critical care, but the clinician perceptions of their utility are largely unknown. The objective of this web-based survey study was to understand the perceived utility of data-driven CDS in…
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Artikel Jurnal
A Framework and Method for Measuring the Implementation of Data Science in Critical Care
BACKGROUND:. The implementation of data science concepts, skills, and tools in critical care research and practice faces multiple, complex barriers. METHODS:. We developed an implementation science-based framework and method for measuring the adoption, implementation, and sustainment of data…
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Artikel Jurnal
Immediate Postoperative Evolution of Cerebral Doppler and Saturation Parameters After Cardiopulmonary Bypass in Infants With Congenital Heart Disease: A Prospective Cohort Study
OBJECTIVES:. To describe temporal trends and instantaneous relationships between middle cerebral artery (MCA) cerebral blood flow velocity, cerebral oxygen saturation (Csat), cerebral fractional tissue oxygen extraction (cFTOE), and systemic arteriovenous oxygen difference (AVo2) during the first…
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Artikel Jurnal
Successful Heat Stroke-Induced Pediatric Acute Liver Failure Treatment With N-Acetylcysteine Case Report
BACKGROUND:. Previously healthy children are at risk of developing exertional heat stroke when experiencing extreme heat. Pediatric clinicians in primary care, emergency department, and critical care settings should be versed in the management of complications of exertional heat stroke. Pediatric…
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Artikel Jurnal
Association Between Positive End-Expiratory Pressure at Venovenous Extracorporeal Membrane Oxygenation Initiation and Liberation Outcomes in Acute Respiratory Distress Syndrome: A Multicenter Retrospective Study
IMPORTANCE:. The optimal level of positive end-expiratory pressure (PEEP) during venovenous extracorporeal membrane oxygenation (ECMO) for acute respiratory distress syndrome (ARDS) remains uncertain. OBJECTIVES:. This study aimed to evaluate the association between initial PEEP settings at ECMO…
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Artikel Jurnal
Prediction of Adverse Events in Single Ventricle Physiology Infants Using Artificial Intelligence Tools
BACKGROUND:. Adverse events (AEs) within the cardiac ICU (CICU) are associated with high mortality and comorbidity. Patients with single ventricle (SV) physiology are particularly vulnerable to experiencing such events before second stage surgery (bidirectional Glenn). Timely identification and…
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Artikel Jurnal
rECMOmender: Reinforcement Learning for Decision Support in Venovenous Extracorporeal Membrane Oxygenation Management
CONTEXT:. Management of ventilator and venovenous extracorporeal membrane oxygenation (ECMO) settings in critically ill adults requires individualized decisions to balance oxygenation, ventilation, and complication risks. Existing approaches rely heavily on clinician experience, with limited…
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Artikel Jurnal
Exploring the Relationship Between Neighborhood Disadvantage and ICU Delirium Characteristics
IMPORTANCE:. Delirium is a neuropsychiatric syndrome characterized by fluctuating disturbances in attention and awareness, associated with worse clinical outcomes and higher mortality. Previous research studies have noted an association between geographic disadvantage and delirium, but it is…
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Artikel Jurnal
Strategies for Safer Cefepime Use to Prevent Neurotoxicity Using the Electronic Health Record
Cefepime, a cornerstone antibiotic in critical care, is associated with underrecognized cefepime-induced neurotoxicity (CIN), particularly in patients 65 years old and older. The true incidence is unknown due to inconsistent monitoring and a lack of diagnostic criteria. The recent Antibiotic Choice…
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