OBJECTIVES The objective of this study is to investigate the relationship between a physician's subjective mortality prediction and the level of confidence with which that mortality prediction is made. DESIGN AND PARTICIPANTS The study is a prospective cohort of patients less than 18 years of age admitted to a tertiary Paediatric Intensive Care Unit (ICU) at a University Children's Hospital w...

Low T3 syndrome was previously reported to be linked to poor clinical outcomes in critically ill patients. The aim of this study was to evaluate the predictive power of low T3 syndrome for clinical outcomes in patients with community-acquired pneumonia (CAP). Data for 503 patients were analyzed retrospectively, and the primary end point was 30-day mortality. The intensive care unit (ICU) admiss...

BACKGROUND Compared to positive fluid balance (FB), negative FB is associated with improved clinical outcomes in critically ill patients. However, as to whether achieving more negative FB can further improve outcomes has not been investigated. This study aimed to investigate whether more negative FB and restricted fluid intake were associated with improved outcomes in critically ill patients. ...

Introduction Levosimendan is a calcium sensitiser that enhances myocardial contractility without increasing myocardial oxygen consumption or adversely affecting diastolic function. Whilst theoretically attractive, lack of outcome data in critically ill patients means that it is not yet established in intensive care practice. We have been using levosimendan on our Intensive Care Unit (ICU) for m...

conclusions as a result of this study, it was found that critical care nurses with fixed shift schedules display more burnout in emotional exhaustion dimension, compared to those working with rotating shift schedules. results most of the participants were females (62.7%), aged between 22 - 29 years (38.5%), married (59.2%), and had a bachelor degree (86.9%). the mean score of emotional exhausti...

INTRODUCTION Many individual Intensive Care Unit (ICU) characteristics have been associated with patient outcomes, including staffing, expertise, continuity and team structure. Separately, many aspects of clinical care in ICUs have been operationalized through the development of complex treatment protocols. The United State Critical Illness and Injury Trials Group-Critical Illness Outcomes Stud...

background and aim: in recent years, the importance of families’ active participation in care delivery has increased dramatically. nurses’ attitude is a key factor in the implementation and the success of programs which actively involve families in critical care delivery. the purpose of this study was to analyze the effects of relatives’ participation in critical care delivery on nurses’ attitu...

Critical care medicine remains an integral part of inpatient care in every hospital and, with the aging population and advances in clinical care, the need for critical care physicians will continue to expand. As a result, the opportunities for anesthesiologists with subspecialty training in critical care medicine will continue to grow. There are predictions that the demand for highly trained cr...

case presentation in this report, ultrasound-guided sciatic nerve block was performed in a 25-year-old patient with tetanus to progress his respiratory drive which was decreased due to high dose sedative administration. this procedure accelerates the weaning process and extubation. introduction muscle rigidity and generalized spasm can cause severe pain in patients with tetanus. administration ...