Relevant bibliographies by topics / Intensive care unit (ICU)

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  2. Dissertations / Theses
  3. Books
  4. Book chapters
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Academic literature on the topic 'Intensive care unit (ICU)'

Author: Grafiati
Published: 4 June 2021
Last updated: 25 January 2023

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Journal articles on the topic "Intensive care unit (ICU)"

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Muralidharagopalan, Niranjanan Raghavn, Kamalakumar Karuppasamy, and Somasundaram Subramanian. "Intensive care unit delirium - does prolonged intensive care unit stay increase morbidity." International Journal of Research in Orthopaedics 6, no. 3 (April 22, 2020): 477. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20201061.

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<p class="abstract"><strong>Background:</strong> The term intensive care unit (ICU) delirium or ICU psychosis denotes the transient period of psychosis exhibited by the geriatric patients placed in long term ICU care. This condition can be mistaken for organic neurological deterioration and can result in improper treatment, delayed rehabilitation and longer ICU stay. The objective of the study was to analyse the outcome of early ward rehabilitation in post-surgical patients with ICU psychosis.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective case control study of 45 geriatric patients (above 60 years of age) who developed delirium or psychosis after long term ICU stay (&gt;4 days) following a major trauma and orthopaedic procedure. Of the 45 patients, 28 patients (group A) were shifted out of ICU after haemodynamic stability despite continued delirious episodes. The remaining 17 patients (group B) were those who were retained in the ICU for complete neurological recovery.<strong></strong></p><p class="abstract"><strong>Results:</strong> Significant positive difference was noted in patients who were shifted out of ICU early (group A) compared to group B. Group A patients had faster recovery, lesser delirious episodes (2.3±0.9 compared to 13.4±2.7) and fewer days of hospital stay (4.9±1.2 compared to 12.4±2.6) when compared to group B. None of the patients had any episodes of psychosis after discharge from the hospital when followed up for duration of 6 months.</p><p class="abstract"><strong>Conclusions:</strong> Post-operative geriatric patients diagnosed with ICU psychosis fare better with early out of ICU mobilisation. It is not essential to wait for full neurological recovery to shift these patients out of ICU though close ward monitoring may be essential in some cases.</p>
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Ok, G., H. Yilmaz, D. Tok, K. Erbüyün, S. Çoban, and G. Dinç. "Evaluating Sleep Characteristics in Intensive Care Unit and Non-Intensive Care Unit Physicians." Anaesthesia and Intensive Care 39, no. 6 (November 2011): 1071–75. http://dx.doi.org/10.1177/0310057x1103900614.

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Healthcare workers’ cognitive performances and alertness are highly vulnerable to sleep loss and circadian rhythms. The purpose of this study was to investigate the changes in sleep characteristics of intensive care unit (ICU) and non-ICU physicians. Actigraphic sleep parameters, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Hamilton Depression Rating Scale were evaluated for ICU and non-ICU physicians on the day before shift-work and on three consecutive days after shift-work. Total sleep time, sleep latency, wakefulness after sleep onset, total activity score, movement fragmentation index, sleep efficiency, daytime naps and total nap duration were also calculated by actigraph. In the ICU physicians, the mean Pittsburgh Sleep Quality Index score was significantly higher than the non-ICU physicians (P=0.001), however mean Epworth Sleepiness Scale scores were not found significantly different between the two groups. None of the scores for objective sleep parameters were statistically different between the groups when evaluated before and after shift-work (P >0.05). However in both ICU and non-ICU physicians, sleep latency was observed to be decreased within the three consecutive-day period after shift-work with respect to basal values (P <0.001). Total sleep time, total activity score and sleep efficiency scores prior to shift-work were significantly different from shift-work and the three consecutive-days after shift-work, in both groups. Working in the ICU does not have an impact on objective sleep characteristics of physicians in this study. Large cohort studies are required to determine long-term health concerns of shift-working physicians.
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Kalabalik, Julie, Luigi Brunetti, and Radwa El-Srougy. "Intensive Care Unit Delirium." Journal of Pharmacy Practice 27, no. 2 (December 10, 2013): 195–207. http://dx.doi.org/10.1177/0897190013513804.

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Purpose: The recent literature regarding intensive care unit (ICU) delirium and updated clinical practice guidelines are reviewed. Summary: Recent studies show that ICU delirium in critically ill patients is an independent predictor of higher mortality, longer ICU and hospital stay, and is associated with multiple clinical complications. Delirium has been reported to occur in greater than 80% of hospitalized critically ill patients, yet it remains an underdiagnosed condition. Several subtypes of delirium have been identified including hypoactive, hyperactive, and mixed presentation. Although the exact mechanism is unknown, several factors are thought to interact to cause delirium. Multiple risk factors related to medications, acute illness, the environment, and patient characteristics may contribute to the development of delirium. Practical bedside screening tools have been validated and are recommended to identify ICU patients with delirium. Nonpharmacologic interventions such as early mobilization have resulted in better functional outcomes, decreased incidence and duration of delirium, and more ventilator-free days. Data supporting pharmacologic treatments are limited. Conclusion: Clinicians should become familiar with tools to identify delirium in order to initiate treatment and remove mitigating factors early in hospitalization to prevent delirium. Pharmacists are in a unique position to reduce delirium through minimization of medication-related risk factors and development of protocols.
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Hayhurst, Christina J., Pratik P. Pandharipande, and Christopher G. Hughes. "Intensive Care Unit Delirium." Anesthesiology 125, no. 6 (December 1, 2016): 1229–41. http://dx.doi.org/10.1097/aln.0000000000001378.

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Hochman, Beth R., Mark E. Barry, Meghan B. Lane-Fall, Steven R. Allen, Daniel N. Holena, Brian P. Smith, Lewis J. Kaplan, and Jose L. Pascual. "Handoffs in the Intensive Care Unit." American Journal of Medical Quality 32, no. 2 (July 9, 2016): 186–93. http://dx.doi.org/10.1177/1062860615617238.

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Operating room (OR) to intensive care unit (ICU) handoffs are complex and known to be associated with adverse events and patient harm. The authors hypothesized that handoff quality diminishes during nights/weekends and that bedside handoff practices are similar between ICUs of the same health system. Bedside OR-to-ICU handoffs were directly observed in 2 surgical ICUs with different patient volumes. Handoff quality measures were compared within the ICUs on weekdays versus nights/weekends as well as between the high- and moderate-volume ICUs. In the high-volume ICU, transmitter delivery scores were significantly better during off hours, while other measures were not different. High-volume ICU scores were consistently better than those in the moderate-volume ICU. Bedside handoff practices are not worse during off hours and may be better in ICUs used to a higher patient volume. Specific handoff protocols merit evaluation and training to ensure consistent practices in different ICU models and at different times.
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Beltrami, Flávia Gabe, Xuân-Lan Nguyen, Claire Pichereau, Eric Maury, Bernard Fleury, and Simone Fagondes. "Sleep in the intensive care unit." Jornal Brasileiro de Pneumologia 41, no. 6 (December 2015): 539–46. http://dx.doi.org/10.1590/s1806-37562015000000056.

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ABSTRACT Poor sleep quality is a consistently reported by patients in the ICU. In such a potentially hostile environment, sleep is extremely fragmented and sleep architecture is unconventional, with a predominance of superficial sleep stages and a limited amount of time spent in the restorative stages. Among the causes of sleep disruption in the ICU are factors intrinsic to the patients and the acute nature of their condition, as well as factors related to the ICU environment and the treatments administered, such as mechanical ventilation and drug therapy. Although the consequences of poor sleep quality for the recovery of ICU patients remain unknown, it seems to influence the immune, metabolic, cardiovascular, respiratory, and neurological systems. There is evidence that multifaceted interventions focused on minimizing nocturnal sleep disruptions improve sleep quality in ICU patients. In this article, we review the literature regarding normal sleep and sleep in the ICU. We also analyze sleep assessment methods; the causes of poor sleep quality and its potential implications for the recovery process of critically ill patients; and strategies for sleep promotion.
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Park, Jin. "Sleep in Intensive Care Unit Patients." Journal of Sleep Medicine 18, no. 2 (August 31, 2021): 66–71. http://dx.doi.org/10.13078/jsm.210016.

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Sleep disturbances are common among patients admitted to the intensive care unit (ICU); however, these issues tend to receive less attention because critical care is prioritized in seriously ill patients. Recent studies have reported that sleep disturbances in patients admitted to the ICU are associated with delirium, weakened immunity, long-term cognitive decline, and persistent sleep disorders. Sleep disturbances in the ICU are attributable to the disease per se and also to the ICU environment that is not conducive to good sleep. Continuous exposure to light and noise are major environmental risk factors that disrupt the circadian rhythm and interfere with deep sleep. Sleep analysis using polysomnography in patients admitted to the ICU typically reveals increase in sleep latency, sleep fragmentation, and decreased stage N3 and rapid eye movement sleep, which are associated with poor prognosis even in patients with severe neurological conditions, including traumatic brain injury and intracranial hemorrhage. Polysomnography is the gold standard for objective evaluation of sleep; however, its applicability is limited in ICU settings, and novel methods such as continuous electroencephalographic spectral analysis and actigraphy have recently been proposed in clinical practice. Efforts to reduce nighttime light and noise (which are modifiable environmental factors) can improve sleep quality. In this article, the author reviews the studies that discuss characteristics of sleep disturbances, the associated risk factors and their correlation with prognosis among patients admitted to the ICU, as well as possible strategies to improve sleep quality in this patient population.
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Hill, Rosamund A., and Keith H. Chiappa. "Electrophysiologic Monitoring in the Intensive Care Unit." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 21, S1 (February 1994): S12—S16. http://dx.doi.org/10.1017/s0084255900007488.

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AbstractElectroencephalography (EEG) and evoked potential studies are established monitoring tools in the neurological intensive care unit (ICU). These neurophysiologic techniques provide information on physiological state and response to therapy, and may aid diagnosis and prognosis. Serial studies or continuous monitoring may enable changes to be detected prior to irreversible deterioration in the patient's condition. Current computer technology allows simultaneous display and correlation of electrophysiologic parameters, cardiovascular state and intracranial pressure (ICP). Continuous EEG monitoring in the ICU has been shown to have a decisive or contributing impact on medical decision making in more than three-quarters of patients. In addition, continuous EEG monitoring has revealed previously unsuspected non-convulsive seizures in one-third of patients. SEPs and BAEPs can provide useful prognostic information in coma - however, these tests are etiologically nonspecific and must be carefully integrated into the clinical situation. Motor evoked potentials offer a potentially useful tool for evaluating motor system abnormalities in the ICU.
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Christmas, A. Britton, Elizabeth Freeman, Angela Chisolm, Peter E. Fischer, Gaurav Sachdev, David G. Jacobs, and Ronald F. Sing. "Trauma Intensive Care Unit ‘Bouncebacks': Identifying Risk Factors for Unexpected Return Admission to the Intensive Care Unit." American Surgeon 80, no. 8 (August 2014): 778–82. http://dx.doi.org/10.1177/000313481408000827.

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Return transfer (RT) to the intensive care unit (ICU) negatively impacts patient outcomes, length of stay (LOS), and hospital costs. This study assesses the most common events necessitating RT in trauma patients. We performed a retrospective chart review of ICU RT from 2004 to 2008. Patient demographics, injuries and injury severity, reason for transfer, LOS, interventions, and outcomes data were collected. Overall, 158 patients required readmission to the ICU. Respiratory insufficiency/ failure (48%) was the most common reason for RT followed by cardiac (16%) and neurological (13%) events. The most commonly associated injuries were traumatic brain injuries (TBIs) (32%), rib fractures (30%), and pulmonary contusions (20%). Initial ICU LOS was 6.6 ± 8 days (range, 1 to 44 days) with 4.4 ± 7.8 ventilator days. Mean floor time before ICU RT was 5.7 ± 6.3 days (range, 0 to 33 days). Forty-nine patients (31%) required intubation and mechanical ventilation on RT. ICU RT incurred an additional ICU LOS of 8 ± 8.5 days (range, 1 to 40 days) and 5.2 ± 7.5 ventilator days. Mortality after a single RT was 10 per cent (n = 16). RT to the ICU most often occurs as a result of respiratory compromise, and patients with TBI are particularly vulnerable. Trauma pulmonary hygiene practices should be evaluated to determine strategies that could decrease RT.
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Zhang, Wei, Yun Tang, Huan Liu, Li ping Yuan, Chu chu Wang, Shu fan Chen, Jin Huang, and Xin yuan Xiao. "Risk prediction models for intensive care unit-acquired weakness in intensive care unit patients: A systematic review." PLOS ONE 16, no. 9 (September 24, 2021): e0257768. http://dx.doi.org/10.1371/journal.pone.0257768.

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Background and objectives Intensive care unit-acquired weakness (ICU-AW) commonly occurs among intensive care unit (ICU) patients and seriously affects the survival rate and long-term quality of life for patients. In this systematic review, we synthesized the findings of previous studies in order to analyze predictors of ICU-AW and evaluate the discrimination and validity of ICU-AW risk prediction models for ICU patients. Methods We searched seven databases published in English and Chinese language to identify studies regarding ICU-AW risk prediction models. Two reviewers independently screened the literature, evaluated the quality of the included literature, extracted data, and performed a systematic review. Results Ultimately, 11 studies were considered for this review. For the verification of prediction models, internal verification methods had been used in three studies, and a combination of internal and external verification had been used in one study. The value for the area under the ROC curve for eight models was 0.7–0.923. The predictor most commonly included in the models were age and the administration of corticosteroids. All the models have good applicability, but most of the models are biased due to the lack of blindness, lack of reporting, insufficient sample size, missing data, and lack of performance evaluation and calibration of the models. Conclusions The efficacy of most models for the risk prediction of ICU-AW among high-risk groups is good, but there was a certain bias in the development and verification of the models. Thus, ICU medical staff should select existing models based on actual clinical conditions and verify them before applying them in clinical practice. In order to provide a reliable basis for the risk prediction of ICU-AW, it is necessary that large-sample, multi-center studies be conducted in the future, in which ICU-AW risk prediction models are verified.
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Dissertations / Theses on the topic "Intensive care unit (ICU)"

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Williams, Teresa. "Delayed discharges from an adult intensive care unit (ICU)." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2003. https://ro.ecu.edu.au/theses/1335.

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Introduction - Maximising efficient and effective use of resources without compromising quality of care is essential in the current healthcare climate. Intensive care unit services are one of the most resource intensive and therefore expensive services within a hospital. Because intensive care unit services comprise a significant portion of hospital costs and resources, appropriate utilisation of intensive care units is imperative. The occurrence of delayed discharges and the reason for the delays is important as they impact on the efficiency and effectiveness of intensive care unit services. Patients who no longer need intensive care unit care block beds for impending admissions, unnecessarily utilise the costly and often scarce resources and by remaining in a stressful environment may experience negative psychological and social effects detrimental to their well being. Study objectives - To determine to what extent delayed discharge from the intensive care unit occurs and ascertain the reasons for these delays. Design - A prospective cross sectional design to determine the number of delayed discharges from the intensive care unit and reasons causing the delay. A discharge was considered to be delayed if the patient was not discharged from the intensive care unit within 8 hours of being deemed suitable for discharge by intensive care unit medical staff. Setting - A level III intensive care unit with 22 beds (12 general and 10 surgical beds in 2 adjacent areas) in a metropolitan tertiary teaching hospital of 955 beds located across two campuses. Sample - A prospective convenience sample of consecutive patients admitted over a 6-month period from September 2000 to March 2001. Exclusions were patients who died whilst in the intensive care unit and those patients who could be discharged prior to commencement of the study. Method. - Intensive care unit medical staff informed nursing shift coordinators when patients could be discharged. The nursing shift coordinators completed the data collection tool on all patients discharged from intensive care unit. Admission and discharge times and APACHE-11 data (a predictive scoring system for ICU patient outcome) were recorded from intensive care unit records. Results - There were 652 discharges, 468 patients were not delayed (71.8%), 176 were delayed (27.0%, 95% CI 23,9%-30.7%) and 8 (1.2%) patients had no delay information available. There were substantial delays in discharging patients from the intensive care unit; for every 5 discharges that were not delayed, 2 patients would be delayed. Unavailable ward beds (81 %) were cited as the main reason for delay in discharge. Delay time from the intensive care unit ranged from 0.2 hours (1 0 minutes) to 617.5 hours (3 weeks, 4 days, 17.5 hours). Mean delay time was 42 hours (I day, 18 hours) and median delay time 21.3 hours. There was a statistical significance difference between-non delayed and delayed patients for APACHE II score on admission (Ɩ = -3.824 {642), p <0.0001) and worst APACHE 11 score in first 24 hours e (Ɩ = -5.123 (642), p <0.0001 ). There was also a statistically significant difference between delay from the intensive care unit and non delayed discharge by admitting diagnosis (Chi sq (12) = 43.235, p < 0.0001); primary organ system failure (chi sq (6) = 14.231, p = 0.027); ward destination (chi sq (7) = -51.486, p < 0.0001 ); specialty (chi sq (23) = -43.371, p = 0.006) and day of eligible discharge (chi sq (6) = 34.008; p < 0.0001 ). Conclusion - Discharge from the intensive care unit is delayed on average by 27% in the study hospital. These delays can be related to how sick the patient was, principle admitting diagnosis, discharge destination and weekend discharge. Reducing these delays would free up beds for other admissions, may result in a cost saving for the health care facility through more efficient resource utilisation and ultimately benefit patients by better managing the discharge process.
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Lim, Marilyn Adeline Mei. "Artificial speech for intensive care unit (ICU) patients and laryngectomees." Thesis, University of Canterbury. Electrical and Computer Engineering, 2005. http://hdl.handle.net/10092/6515.

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A method and prototype device to provide artificial speech for intensive care unit (ICU) patients and laryngectomees is presented. The method assists these patients to produce natural sounding speech by "mouthing the words". A review of the current communication techniques for these patients is presented. The limitations of these techniques suggests that there is a need for a device that produces natural sounding speech (pitch variation and glottal sound source that resembles the actual glottal pulse generated by the vibrating vocal folds) and a device that is user friendly. As vocal folds only vibrate during vowel production, only vowel sounds are considered. Since pitch variation plays a major role in the naturalness of a person's voice, a number of alternative (automatic) pitch control techniques were explored. A unique pitch control technique utilising the changes in jaw height when a person "mouth the words" is presented. The electroglottographic (EGG) signal is used as the glottal sound source signal for this research as the properties of the EGG signal offers a number of advantages compared with other glottal sound source measurement techniques. A new glottal source model known as the twin-bar model, based on EGG measurements from normal volunteers, is also introduced. This model changes the shape of the glottal pulse based on a single parameter: pitch. Perceptual testing of the simulated voice using the twin-bar glottal model and two other well-known models on volunteers showed that the twin-bar model produces more natural sounding voice than the other two models. A new artificial speech system combining the automatic pitch control technique (jaw height) and the glottal sound source (twin-bar model) was constructed. It also includes a number of extra functions that would further improves the speech produced with this system. Existing technology on a laptop (e.g. serial port communication, bluetooth transceivers and USB port) is utilised for the construction of the prototype, with the laptop as the signal processing unit. The prototype was tested on a normal subject.
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Chen, Jane Y. "Stress in ICU and non-ICU nurses." Thesis, Boston University, 1988. https://hdl.handle.net/2144/38019.

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Thesis (M.S.)--Boston University
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Nurses are subjected to occupational stress factors that can result in the syndrome of burnout. This study compared levels of burnout in nurses in a medical-surgical ICU setting to those in non-ICU medical-surgical settings. A randomized sample of 40 nurses of an urban hospital in Taiwan, twenty nurses in an ICU and 20 in five non-ICU settings (general medical-surgical wards), who returned the questionnaire used to measure burnout, were included in the study. The instrument utilized was the Staff Burnout Scale for Health Professionals. The study found no significant difference in levels of burnout in the two groups. Both groups in this study experienced a higher level of burnout than was reported in other studies in United States literature. In particular, two general medical-surgical wards which had high patient/nurse ratios, had very high levels of burnout. The study also found that all nurses with lower educational levels and ICU nurses with more years of work experience had more burnout.
2031-01-01
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Yon, Lauren T. "Integrating mobility into the plan of care in the intensive care unit." Honors in the Major Thesis, University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1341.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Nursing
Nursing
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Mansfield, Allison N. "Nutrition Support Protocols and Early Feeding in the Intensive Care Unit." Bowling Green State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1210191094.

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Ross, Purdie La Von Michelle. "Sleep Deprivation in the Intensive Care Unit: Lowering Elective Intervention Times." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7733.

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Sleep deprivation is a multifactorial phenomenon, occurring frequently in the intensive care unit (ICU) and linked to adverse patient healthcare outcomes. The key practice question of this project focused on determining if retiming of routine laboratory and imaging testing outside of the designated “quiet time” can improve sleep quality among adult patients in the ICU. The purpose was to evaluate the effectiveness of implementing an evidence-based intervention to improve sleep quality in the ICU setting. The theoretical framework was the plan-do-study-act model, which offered a process for implementing a practice change and reevaluation of the intervention’s sustainability within the organization. A thorough literature search of over 100 scholarly journal articles, book references, and expert scholarly reports was completed to gain an understanding of this phenomenon in the ICU setting. The Richards-Campbell Sleep Questionnaire (RCSQ) was the data collection tool used to measure improvement in sleep quality. There were 72 participants that are included in the project. The Wilcoxon rank sum and chi square tests were used for the statistical analysis. The findings did not show statistical significance in the improvement in the RCSQ scores after implementation of the intervention. The recommendations include sleep deprivation training for nursing staff and providers, routine use of the RCSQ for data collection, and repeating the study with an increased number of participants and redefined inclusion and exclusion criteria to be more representative of the ICU patient population. The implication for social change is that this project empowers nursing to embrace a leadership role in using evidence-based practice to change clinical guidelines and improve patient outcomes.
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Williams, Teresa Ann. "Long-term outcomes for patients treated in the Intensive Care Unit (ICU) : a cohort study using linked data." University of Western Australia. School of Population Health, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0005.

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Royal Perth Hospital is the largest hospital in Western Australia and also has the largest intensive care unit (ICU) in the State. It was the first public hospital to provide intensive care services in Western Australia. This thesis examines the intermediateand long-term outcomes of patients admitted to the Royal Perth Hospital ICU between 1987 and 2002. Intermediate-term survival, defined as survival after discharge from hospital to one year and long-term survival, that exceeding one year after discharge, are important outcomes. Information on outcomes can be used by ICU staff in discussions with patients and their families and to inform policy decision-making and future research. The aim of this research was to examine one-year and long-term outcomes of patients admitted to the ICU between 1987 and 2002 and explore the factors that might be associated with the outcomes for 22,298 patients admitted to the ICU. A clinical ICU database was linked to morbidity and mortality databases by Data Linkage WA. A wide range of demographic and clinical factors were examined for their effect on outcome. These included age, sex, comorbidity, severity of illness, organ failure, ICU diagnostic groups, type of admission (medical, elective surgical and non-elective surgical), length of stay in ICU and era of admission (1987-1990, 1991-1994, 1995-1998, 1999-2002). Patients were followed-up to study end, 31st December 2003 or death if it occurred before study end, that is, up to 17 years after the index ICU admission. Kaplan Meier survival curves and Cox regression models were used to examine intermediate and long-term survival for patients who survived to hospital discharge. A comparison of admissions to hospital before and after the index ICU admission was made using descriptive statistics and logistic regression. Throughout the study period survival for the ICU cohort was shorter when compared to the Australian population. This was consistent throughout the follow-up period. The most important determinants of long-term survival were age, comorbidity, severity of illness and diagnostic group but the strength of association varied with the duration of follow-up. Although age, comorbidity and severity of illness increased among the critically ill survival improved over time. Hospital admissions were more frequent after a discharge from hospital that required an admission to ICU than before the index admission, even after adjusting for the ageing of the cohort. This study provides unique information about the survival and other outcomes of patients discharged from a hospital admission that included an ICU stay. The strength of this study lies in the follow-up to 17 years and the more comprehensive range of explanatory factors than in previous studies. This thesis demonstrates that follow-up studies after intensive care should be of sufficient duration to account for the changes that occur in survival over time and indicates the range of factors that should be taken into account when making comparisons of long-term survival.
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Shea, Jacqueline M. "Working with Patients Living with Obesity in the Intensive Care Unit: A Study of Nurses’ Experiences." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31230.

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Nurses who work in the intensive care settings (or units, ICU) in Canada encounter a growing number of patients living with obesity (PLWO) in clinical practice. Many authors suggest that the number of PLWO who are admitted to the ICU has increased significantly because obesity is on the rise in Canada. PLWO are thought to be at a higher risk for developing chronic illnesses and life-threatening complications that require an admission to the ICU. They are also more likely to develop postoperative complications that require life-sustaining treatments, invasive hemodynamic monitoring and evaluation, assistive devices, pharmacological interventions, parenteral nutrition, fluid and electrolyte management, and prolonged admission with associated risks of complications. Yet, there is limited research on the experience of nurses providing care to PLWO. The goal of this qualitative study was to examine the experiences of ICU nurses who work with PLWO and how these experiences affect the way they provide care. More specifically, this study was designed to describe and explore the inclusionary and exclusionary practices developed by nurses providing care to PLWO by drawing Canales’ (2000) Othering framework. Lastly, an additional goal of this study was to document the needs of ICU nurses with respect to the care of PLWO and areas of improvement in the ICU. A total of 11 ICU nurses were interviewed for this study. Data analysis followed the principles of Applied Thematic Analysis (ATA) and revealed four themes. The first theme describes how the PLWO become “Other” in the ICU context. The second theme focuses on exclusionary Othering and how it manifests itself in the way PLWO are differentiated, cared for, and viewed in the ICU context. The third theme sheds light on inclusionary Othering in the form of strategies that are used by ICU nurses to engage with PLWO in a way that is inclusive and transformative. Finally, the last theme concentrates on the ICU environment itself and the resources available (or not available) to nurses, with a particular emphasis on the needs of nurses who provide care to PLWO.
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Emeka-Nweze, Chika Cornelia. "ICU_POC: AN EMR-BASED POINT OF CARE SYSTEM DESIGN FOR THE INTENSIVE CARE UNIT." Case Western Reserve University School of Graduate Studies / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=case1499255523449397.

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Schriber, Peter. "Is the readmission rate to the Intensive Care Unit a useful quality indicator of ICU performance ? /." Genève : Ed. Médecine et hygiène, 2002. http://www.unige.ch/cyberdocuments/theses2002/SchriberP/these.pdf.

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Books on the topic "Intensive care unit (ICU)"

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M, Sutin Kenneth, ed. The ICU book. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2007.

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Marino, Paul L. The ICU book. 3rd ed. Baltimore: Williams & Wilkins, 2007.

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The ICU book. Philadelphia: Lea & Febiger, 1991.

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The ICU book. 2nd ed. Baltimore: Williams & Wilkins, 1998.

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Urman, Richard D., and Gyorgy Frendl. Pocket ICU. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health, 2013.

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LaRoche, Suzette. Handbook of ICU EEG monitoring. New York, NY: Demos Medical Pub., 2013.

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Yunen, José. The 5-minute ICU consult. Philadelphia, Pa: Lippincott Williams & Wilkins, 2012.

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Marik, Paul Ellis. The ICU therapeutics handbook. St. Louis: Mosby, 1996.

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Schwarz, Adam J. Blueprints pocket pediatric ICU. Philadelphia: Lippincott Williams & Wilkins, 2007.

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Falter, Florian. Bedside Procedures in the ICU. London: Springer-Verlag London Limited, 2012.

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Book chapters on the topic "Intensive care unit (ICU)"

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Velly, Lionel, Delphine Boumaza, and Nicolas Bruder. "Parkinson’s Disease in Intensive Care Unit." In Uncommon Diseases in the ICU, 125–38. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-04576-4_12.

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Potié, Frédéric, Olivier Riou, and Marlène Knezynski. "Dengue in the Intensive Care Unit." In Uncommon Diseases in the ICU, 69–78. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-04576-4_7.

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Riou, Olivier, Marlène Knezynski, and Frédéric Potie. "Chikungunya in the Intensive Care Unit." In Uncommon Diseases in the ICU, 79–83. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-04576-4_8.

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Ish, Pranav, and Neeraj Nischal. "HIV in ICU." In Infectious Diseases in the Intensive Care Unit, 247–65. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-4039-4_17.

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Dillon, Ilene L. "Emotions in the Intensive Care Unit." In End-of-Life Communication in the ICU, 107–13. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-72966-4_8.

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Muller, Laurent, Christian Bengler, Claire Roger, Robert Cohendy, and Jean Yves Lefrant. "Pulmonary Arterial Hypertension in Intensive Care Unit." In Uncommon Diseases in the ICU, 37–58. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-04576-4_5.

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Aslakson, Rebecca A., and J. Randall Curtis. "Palliative Care in the Intensive Care Unit (ICU)." In Textbook of Palliative Care, 933–50. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-77740-5_51.

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Aslakson, Rebecca A., and J. Randall Curtis. "Palliative Care in the Intensive Care Unit (ICU)." In Textbook of Palliative Care, 1–18. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-31738-0_51-1.

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Krishna, Asuri, and Aditya Baksi. "Surgical Infections in ICU." In Infectious Diseases in the Intensive Care Unit, 149–56. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-4039-4_10.

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Niyas, Vettakkara Kandy Muhammed, and Manish Soneja. "Tropical Infections in ICU." In Infectious Diseases in the Intensive Care Unit, 37–57. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-4039-4_3.

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Conference papers on the topic "Intensive care unit (ICU)"

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Mann, AS, SM Debanne, and RB Hejal. "Risk Factors for Intensive Care Unit (ICU) Readmission Study." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a5847.

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Sprung, CL, A. Artigas, J. Kesecioglu, M. Baras, and G. Iapichino. "The Development of an Intensive Care Unit (ICU) Triage Score." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a2477.

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Garcia, C., S. Ortiz, J. Posada, and J. Villanueva. "Correntropy based algorithm for mortality prediction in an intensive care unit (ICU)." In 2013 Pan American Health Care Exchanges (PAHCE). IEEE, 2013. http://dx.doi.org/10.1109/pahce.2013.6568261.

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Ferrante, L. E., T. E. Murphy, B. C. Vander Wyk, L. S. Leo-Summers, M. A. Pisani, and T. M. Gill. "Predictors of Functional Decline Among Older Intensive Care Unit (ICU) Survivors." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a5674.

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Babar, L., M. A. Faruqi, O. Ashraf, and T. J. Cheema. "The Intensive Care Unit (ICU) Transfer Delay: A Monetary Sink Hole." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6479.

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Ramsey, Clare D., Kendiss Olafson, Marina Yogendran, Randy Fransoo, and Allan Garland. "Sex Differences In Intensive Care Unit (ICU) Admission Characteristics And Outcomes." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a2550.

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Aguilar Perez, Myriam, Marta Erro Iribarren, Alfonso Ortega López, Sandra Tejado Bravo, Rosalia Laporta Hernandez, Maria Teresa Lazaro Carrasco De La Fuente, and Piedad Ussetti Gil. "Impact of intensive care unit (ICU) admissions in Lung Transplant patients." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.1945.

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Gayen, S., V. Dronamraju, N. Van Der Rijst, O. A. O'Corragain, M. E. Vega Sanchez, and E. R. Camac. "Intensive Care Unit (ICU) in a Nutshell Curriculum: A Fellow Led Intervention." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a1527.

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Eaton, T. L., J. B. Seaman, S. Alexander, A. L. Lewis, T. E. Lincoln, B. C. Davis, C. M. Sevin, T. J. Iwashyna, and L. P. Scheunemann. "Integrating Primary Palliative Care and Intensive Care Unit (ICU) Survivor Care: A Qualitative Inquiry of International Post-ICU Clinic Interprofessional Team Members." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3506.

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Fang, W. F., K. Y. Hung, M. L. Tsai, M. Y. Tsai, H. F. Wu, S. H. Lee, H. Yeh, et al. "Severe Pneumonia Progression Grouped by CURB65 on Medical Intensive Care Unit (ICU) Admission." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a1640.

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Reports on the topic "Intensive care unit (ICU)"

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Zerbib, Olivier, Yaniv Hadi, Daniel Kovarsky, Gal Sahaf Levin, Tamar Gottesman, Mor Darkhovsky, and Shaul Lev. Multiple Recurrent Pneumothoraces and Thoracic Drain Insertion in a Mechanically Ventilated Patient Suffering from Methadone Induced Cardiomyopathy. Science Repository, January 2023. http://dx.doi.org/10.31487/j.jcmcr.2022.01.02.

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Objective: To describe the experience of a multimodal therapeutic approach in a patient with methadone-induced dilated cardiomyopathy who developed recurrent bilateral tension pneumothorax. Setting: Department of Intensive Care. Patient: A patient with methadone-induced cardiomyopathy and severe left ventricular dysfunction who after mechanical ventilation underwent bilateral tension pneumothorax and prolonged cardiovascular resuscitation (CPR). Interventions: Cardiac Angiography, Multiple counter–shock (defibrillator dose), Multiple Thoracic Drains. Case Report: A 56-year-old man with past IV drug abuse and severe left ventricular dysfunction was transferred from the intensive cardiac care unit (ICCU) to our intensive care unit (ICU) ward due to suspected aspiration pneumonia. Multiple attempts of weaning off mechanical ventilation were unsuccessful, followed by development of septic shock. Following cardiothoracic consultation, two thoracic drains were placed. Due to repeated events of bilateral tension pneumothorax and CPR attempts, a total of seven thoracic drains were placed, permitting rapid control and improvement in the patient status. The possibility of Extracorporeal Membrane Oxygenation (ECMO) was not considered as supportive care due to methadone use and severe secondary cardiomyopathy. In the following days, control and stabilization of the patient status was obtained. Vasopressor treatment withdrawal, cessation of drainage and removal of five thoracic access points were successfully performed prior to percutaneous tracheostomy. The two remaining drains were removed later on during hospitalization. After 29 days in the ICU, the patient was discharged to a step down ward.
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Busch, Julian Conn, Madhavi Muralidharan, Jasmine Wu, Laura Di Taranti, Enrique Torres Hernandez, Meredith Collard, and Meghan Lane-Fall. Systematic review of OR to ICU handoff standardization interventions highlights need for focus on sustainability and patient outcomes. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2022. http://dx.doi.org/10.37766/inplasy2022.2.0035.

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Review question / Objective: The objective of this review is to examine if and how interventional studies on handoffs of patients from the operating room (OR) to the intensive care unit (ICU) analyze interventional sustainability and their impacts on patient outcomes. Eligibility criteria: Inclusion criteria for studies were as follows: (1) publication of the study as a full-text manuscript in a peer-reviewed journal and (2) description of an intervention to standardize the OR to ICU handoff. Information sources: Information sources are the following electronic databases: ABI Inform, Business Source Complete and HealthBusiness FullText (EBSCO), CINAHL, ClinicalTrials.Gov, Cochrane Review, EMBASE, Ovid Medline, PubMed, Scopus, and Web of Science.
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Tuite, Ashleigh R., David N. Fisman, Ayodele Odutayo, Pavlos Bobos, Vanessa Allen, Isaac I. Bogoch, Adalsteinn D. Brown, et al. COVID-19 Hospitalizations, ICU Admissions and Deaths Associated with the New Variants of Concern. Ontario COVID-19 Science Advisory Table, March 2021. http://dx.doi.org/10.47326/ocsat.2021.02.18.1.0.

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New variants of concern (VOCs) now account for 67% of all Ontario SARS-CoV-2 infections. Compared with early variants of SARS-CoV-2, VOCs are associated with a 63% increased risk of hospitalization, a 103% increased risk of intensive care unit (ICU) admission and a 56% increased risk of death due to COVID-19. VOCs are having a substantial impact on Ontario’s healthcare system. On March 28, 2021, the daily number of new SARS-CoV-2 infections in Ontario reached the daily number of cases observed near the height of the second wave, at the start of the province-wide lockdown, on December 26, 2020. The number of people hospitalized with COVID-19 is now 21% higher than at the start of the province-wide lockdown, while ICU occupancy is 28% higher (Figure 1). The percentage of COVID-19 patients in ICUs who are younger than 60 years is about 50% higher now than it was prior to the start of the province-wide lockdown. Because the increased risk of COVID-19 hospitalization, ICU admission and death with VOCs is most pronounced 14 to 28 days after diagnosis, there will be significant delays until the full burden to the health care system becomes apparent.
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Ding, Huaze, Yiling Dong, Kaiyue Zhang, Jiayu Bai, and Chenpan Xu. Comparison of dexmedetomidine versus propofol in mechanically ventilated patients with sepsis: A meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0103.

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Review question / Objective: The aim of the present study was to evaluate the effects of dexmedetomidine compared with propofol in mechanically ventilated patients with sepsis. Condition being studied: Sepsis, which is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection, contributes the highest mortality to intensive care units (ICU) worldwide . Because of the high incidence of respiratory failure in sepsis care, mechanical ventilation is always adopted to give life support and minimize lung injury . And sedation is a necessary component of sepsis care who suffers from mechanical ventilation. The Society of Critical Care Medicine suggested using either propofol or dexmedetomidine for sedation in mechanically ventilated adults. However, it remained unknown whether patients with sepsis requiring mechanical ventilation will benefit from sedation with dexmedetomidine.
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He, Miao, Zhaoqiong Zhu, Min Jiang, Xingxing Liu, Rui Wu, and Junjie Zhou. Risk factors for postanesthetic emergence delirium in adults: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2022. http://dx.doi.org/10.37766/inplasy2022.1.0021.

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Review question / Objective: Patientor population: patients with emergence delirium; Exposure: anaesthesia and surgery; Control: patients with no emergence delirium; Outcome: risk factors; Study design: meta-analysis. Eligibility criteria: To ensure the quality of this meta-analysis, inclusion criteria was decided before we carried out the search. These criteria were: (a) Original researches that carried out in observational studies. (b)Adult patients who were extubated and recovered at PACU, operation room, or intensive care unit (ICU) after surgeries and anesthesia (including general and neuraxial anesthesia, peripheral nerve blocks and sedation). (c) Risk factors for delirium must be assessed with odds ratio (OR) with 95% confidence interval (CI). Researches must present the results of multivariate regression to be considered eligible for inclusion, since multivariate analysis results shall be used to identify variables eligible for meta-analysis. (d) Full-text available literatures.
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Li, Qu, Xue-Ping Ma, Alimujiang Simayi, Xiao-Li Wang, and Gui-Ping Xu. Comparative efficacy of various pharmacologic treatments of alcohol withdrawal syndrome: A systematic review and network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2021. http://dx.doi.org/10.37766/inplasy2021.12.0010.

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Review question / Objective: Lorazepam and other benzodiazepines (BZDs) are considered the first choice for treatment of Alcohol withdrawal syndrome (AWS). But they have significant addiction potential and can cause fatal respiratory depression if used in large doses. The aim of our study is to conduct a network meta-analysis to provide some data support for the clinical treatment of AWS. The patients were persons with alcohol withdrawal. The intervention being studied must be a comparison of the efficacy of the two pharmacologic treatments. The study should not be included if two pharmacologic treatments belonging to the same category were compared. All studies must include one of the following outcomes: Clinical Institute Withdrawal Assessment, revised (CIWA-Ar) score, length of hospital stay, length of intensive care unit (ICU) stay, and the incidence of delirium or seizures. Condition being studied: Side effects and safety of eleven types of agents currently used to treat alcohol withdrawal syndrome.
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James-Scott, Alisha, Rachel Savoy, Donna Lynch-Smith, and tracy McClinton. Impact of Central Line Bundle Care on Reduction of Central Line Associated-Infections: A Scoping Review. University of Tennessee Health Science Center, November 2021. http://dx.doi.org/10.21007/con.dnp.2021.0014.

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Purpose/Background Central venous catheters (CVC) are typical for critically ill patients in the intensive care unit (ICU). Due to the invasiveness of this procedure, there is a high risk for central line-associated bloodstream infection (CLABSI). These infections have been known to increase mortality and morbidity, medical costs, and reduce hospital reimbursements. Evidenced-based interventions were grouped to assemble a central line bundle to decrease the number of CLABSIs and improve patient outcomes. This scoping review will evaluate the literature and examine the association between reduced CLABSI rates and central line bundle care implementation or current use. Methods A literature review was completed of nine critically appraised articles from the years 2010-2021. The association of the use of central line bundles and CLABSI rates was examined. These relationships were investigated to determine if the adherence to a central line bundle directly reduced the number of CLABSI rates in critically ill adult patients. A summary evaluation table was composed to determine the associations related to the implementation or current central line bundle care use. Results Of the study sample (N=9), all but one demonstrated a significant decrease in CLABSI rates when a central line bundle was in place. A trend towards reducing CLABSI was noted in the remaining article, a randomized controlled study, but the results were not significantly different. In all the other studies, a meta-analysis, randomized controlled trial, control trial, cohort or case-control studies, and quality improvement project, there was a significant improvement in CLABSI rates when utilizing a central line bundle. The extensive use of different levels of evidence provided an excellent synopsis that implementing a central line bundle care would directly affect decreasing CLABSI rates. Implications for Nursing Practice Results provided in this scoping review afforded the authors a diverse level of evidence that using a central line bundle has a direct outcome on reducing CLABSI rates. This practice can be implemented within the hospital setting as suggested by the literature review to prevent or reduce CLABSI rates. Implementing a standard central line bundle care hospital-wide helps avoid this hospital-acquired infection.
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Zhang, Wei, Yun Tang, Huan Liu, and Li ping Yuan. Risk prediction models for intensive care unit-acquired weakness in intensive care unit patients: A systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2021. http://dx.doi.org/10.37766/inplasy2021.4.0010.

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Gao, Tingting, Yang Wang, and Hong Jiang. A Meta analysis of Hospice care in Chinese intensive care unit. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2020. http://dx.doi.org/10.37766/inplasy2020.12.0007.

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Pamplin, Jeremy. The Phase of Illness Paradigm: A Checklist Centric Model to Improve Patient Care in the Burn Intensive Care Unit. Fort Belvoir, VA: Defense Technical Information Center, April 2014. http://dx.doi.org/10.21236/ada612755.

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