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    722 results match your criteria Australian Critical Care [Journal]

    1 OF 15

    New-onset atrial fibrillation and clinical outcome in non-cardiac intensive care unit patients.
    Aust Crit Care 2017 Aug 26. Epub 2017 Aug 26.
    "Tzanio" Hospital of Piraeus, ICU, Piraeus, Greece.
    Background: Data regarding new onset atrial fibrillation (nAF) in general, non-cardiac, intensive care unit (ICU) patients are limited. However, it has been suggested that nAF is associated with worse clinical outcome in these patients.

    Objective: The purpose of the present work was to study the prognostic impact of nAF, in this setting. Read More

    Families on adult intensive care units: Are they really satisfied? A literature review.
    Aust Crit Care 2017 Aug 24. Epub 2017 Aug 24.
    School of Nursing, Pontificia Universidad Católica de Chile, Avda, Vicuña Mackenna 4860, Macul, 7820436 Santiago, Chile. Electronic address:
    Objectives: Family satisfaction in intensive care units (ICU) is of increasing relevance for family-centred cared. The objective of this review was to explore the characteristics of studies that have used questionnaires to measure the satisfaction of family members of ICU patients.

    Review Methods: A literature review was performed for studies evaluating family satisfaction in the ICU, independent of design. Read More

    Sophia Observation withdrawal Symptoms-Paediatric Delirium scale: A tool for early screening of delirium in the PICU.
    Aust Crit Care 2017 Aug 23. Epub 2017 Aug 23.
    Intensive Care Unit, Departments of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.
    Background: Delirium in critically ill children is a severe neuropsychiatric disorder which has gained increased attention from clinicians. Early identification of delirium is essential for successful management. The Sophia Observation withdrawal Symptoms-Paediatric Delirium (SOS-PD) scale was developed to detect Paediatric Delirium (PD) at an early stage. Read More

    Adherence to standard medication infusion concentrations and its impact on paediatric intensive care patient outcomes.
    Aust Crit Care 2017 Aug 21. Epub 2017 Aug 21.
    Lady Cilento Children's Hospital, Paediatric Intensive Care Unit, Australia.
    Aim: To review compliance with the DERS, and to evaluate the impact on daily fluid balances as a standard outcome in paediatric intensive care.

    Method: A prospective audit of patients admitted to our tertiary level PICU over a 10day period. The audit tool collated information on patient's weight, diagnosis, medication infusions, whether standard concentrations were selected, daily fluid balance, target fluid balance, and renal support including use of diuretics. Read More

    Are pressure injuries related to skin failure in critically ill patients?
    Aust Crit Care 2017 Aug 21. Epub 2017 Aug 21.
    Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
    Background: Pressure injuries contribute significantly to patient morbidity and healthcare costs. Critically ill patients are a high risk group for pressure injury development and may suffer from skin failure secondary to hypoperfusion. The aim of this study was to report hospital acquired pressure injury incidence in intensive care and non-intensive care patients; and assess the clinical characteristics and outcomes of ICU patients reported as having a hospital acquired pressure injury to better understand patient factors associated with their development in comparison to ward patients. Read More

    Evaluation of stress response using psychological, biological, and electrophysiological markers during immersive simulation of life threatening events in multidisciplinary teams.
    Aust Crit Care 2017 Jul 27. Epub 2017 Jul 27.
    ABS Lab - Simulation Laboratory, Faculty of Medicine, University of Poitiers, France; Clinical Investigation Center CIC-INSERM1402, University Hospital of Poitiers, France; Pediatric Emergency Department, University Hospital of Poitiers, France.
    Stress might impair clinical performance in real life and in simulation-based education (SBE). Subjective or objective measures can be used to assess stress during SBE. This monocentric study aimed to evaluate the effects of simulation of life-threatening events on measurements of various stress parameters (psychological, biological, and electrophysiological parameters) in multidisciplinary teams (MDTs) during SBE. Read More

    Long-term cognitive impairment and delirium in intensive care: A prospective cohort study.
    Aust Crit Care 2017 Jul 20. Epub 2017 Jul 20.
    NHMRC Centre for Research Excellence in Nursing, Griffith University, Nathan Campus, Brisbane, Queensland, Australia; Menzies Health Institute Queensland, Griffith University, Nathan Campus, Brisbane, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Nathan Campus, Brisbane, Queensland, Australia; Princess Alexandra Hospital Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia; School of Health Sciences, City University London, London, UK.
    Background: Whilst there is a growing body of research exploring the effect of delirium in intensive care unit (ICU) patients, the relationship between patient delirium and long-term cognitive impairment has not been investigated in settings where low rates of delirium have been reported.

    Objectives: To assess the association between the incidence of delirium, duration of mechanical ventilation and long term cognitive impairment in general ICU patients.

    Methods: Prospective cohort study conducted in a tertiary level ICU in Queensland, Australia. Read More

    Avoiding adult in-hospital cardiac arrest: A retrospective cohort study to determine preventability.
    Aust Crit Care 2017 Jul 19. Epub 2017 Jul 19.
    Alfred Hospital, Melbourne, Victoria, Australia. Electronic address:
    Introduction: This study had three main aims. Develop a methodology for reviewing in-hospital cardiac arrests (IHCA). Assess appropriateness and potential preventability of IHCAs. Read More

    The use and uptake of pupillometers in the Intensive Care Unit.
    Aust Crit Care 2017 Jul 17. Epub 2017 Jul 17.
    Alfred Health, 55 Commercial Road, Melbourne, Australia; National Trauma Research Institute, 85-89 Commercial Road, Melbourne, Australia. Electronic address:
    Background: Traumatic brain injury (TBI) is a significant public health issue. Assessing pupil reactivity is a crucial aspect of its management and the pupillometer has been shown to be a more objective tool compared to the standard penlight. Its use, however, is not widespread. Read More

    Secretion clearance strategies in Australian and New Zealand Intensive Care Units.
    Aust Crit Care 2017 Jun 26. Epub 2017 Jun 26.
    Department of Physiotherapy, Royal Brisbane and Women's Hospital, Australia.
    Introduction/aims: To describe the processes of care for secretion clearance in adult, intubated and mechanically ventilated patients in Australian and New Zealand Intensive Care Units (ICUs).

    Methods/results: A prospective, cross-sectional study was conducted through the Australian and New Zealand Intensive Care Society Clinical Trials Group (ANZICS CTG) Point Prevalence Program. Forty-seven ICUs collected data from 230 patients intubated and ventilated on the study day. Read More

    Post-sepsis cognitive impairment and associated risk factors: A systematic review.
    Aust Crit Care 2017 Jun 20. Epub 2017 Jun 20.
    Postgraduate Program in Health Sciences: Infectology and Tropical Medicine, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Translational Psychiatry Program, Department of Psychiatry and Behavioral Sciences, Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
    Introduction: Post-sepsis cognitive impairment is one of the major sequelae observed in survivors of sepsis. This cognitive impairment can be global or may affect specific domains. A better understanding of these deficits and associated risk factors could influence the care of patients with sepsis. Read More

    Clinical audits to improve critical care: Part 2: Analyse, benchmark and feedback.
    Aust Crit Care 2017 Jun 3. Epub 2017 Jun 3.
    National Centre of Research Excellence in Nursing, Alliance for Vascular Access Teaching and Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Nathan, QLD, Australia.
    Clinical audits are an essential part of the cycle designed to ensure that patients receive the best quality of care. By measuring the care delivered against established best practice standards, it becomes possible to identify shortcomings and to plan targeted strategies and processes for continuous improvement. The success of a clinical audit depends upon defined goals, motivation of stakeholders, appropriate tools and resources, and clear communication. Read More

    Clinical audits to improve critical care: Part 1 Prepare and collect data.
    Aust Crit Care 2017 May 24. Epub 2017 May 24.
    National Centre of Research Excellence in Nursing; Alliance for Vascular Access Teaching and Research (AVATAR) Group; Menzies Health Institute Queensland, Griffith University, Australia.
    Clinical audits are used to examine current practice, compare this with established best practice and implementing change, to ensure patients receive the most effective treatment. They are successful in improving the quality and safety of care provided, and thereby clinical outcomes. Clinical audits are ubiquitous throughout critical care practice, but without the necessary focus, engagement, preparation, method, evaluation and communication, they may be a waste of resources. Read More

    Counterbalancing work-related stress? Work engagement among intensive care professionals.
    Aust Crit Care 2017 May 20. Epub 2017 May 20.
    Department of Intensive Care Adults, Erasmus MC University Medical Center, Rotterdam, The Netherlands. Electronic address:
    Background And Objectives: Working in an Intensive Care Unit (ICU) is increasingly complex and is also physically, cognitively and emotionally demanding. Although the negative emotions of work-related stress have been well studied, the opposite perspective of work engagement might also provide valuable insight into how these emotional demands may be countered. This study focused on the work engagement of ICU professionals and explored the complex relationship between work engagement, job demands and advantageous personal resources. Read More

    Evaluation of a sound environment intervention in an ICU: A feasibility study.
    Aust Crit Care 2017 May 12. Epub 2017 May 12.
    Institute of Health and Caring Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Background: Currently, it is well known that the sound environment in intensive care units (ICU) is substandard. Therefore, there is a need of interventions investigating possible improvements. Unfortunately, there are many challenges to consider in the design and performance of clinical intervention studies including sound measurements and clinical outcomes. Read More

    Structures, processes and outcomes of the Aussie Heart Guide Program: A nurse mentor supported, home based cardiac rehabilitation program for rural patients with acute coronary syndrome.
    Aust Crit Care 2017 May 6. Epub 2017 May 6.
    NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Griffith University, Queensland, Australia. Electronic address:
    Background: Cardiac rehabilitation has a number of benefits for patients, yet participation in it is sub-optimal, especially in regional Australia. Innovative models of cardiac rehabilitation are needed to improve participation. Providing nurse mentors to support patients transitioning from hospital to home represents a new model of service delivery in Australia. Read More

    Critical care clinician perceptions of factors leading to Medical Emergency Team review.
    Aust Crit Care 2017 May 5. Epub 2017 May 5.
    Intensive Care Unit, 145 Studley Road, Heidelberg, Victoria 3084, Australia; Public Health and Preventive Medicine, Monash University, Clayton campus, Melbourne, Victoria 3800, Australia; Department of Surgery, University of Melbourne, 1-100 Grattan Street, Melbourne, Victoria 3010, Australia. Electronic address:
    Background: The introduction of rapid response systems has reduced the incidence of in-hospital cardiac arrest; however, many instances of clinical deterioration are unrecognised. Afferent limb failure is common and may be associated with unplanned intensive care admissions, heightened mortality and prolonged length of stay. Patients reviewed by a Medical Emergency Team are inherently vulnerable with a high in-hospital mortality. Read More

    The effect of guided imagery on physiological and psychological outcomes of adult ICU patients: A systematic literature review and methodological implications.
    Aust Crit Care 2017 Mar 29. Epub 2017 Mar 29.
    Faculty of Nursing, University of Alberta, Edmonton, AB, Canada. Electronic address:
    Objectives: Guided imagery (GI) is a relaxation technique that is being increasingly explored in various patients' populations. We systematically reviewed evidence on the effects of GI on physiological and psychological outcomes of adult critically ill patients and extracted implications for future research.

    Review Method Used: Systematic literature review of published studies based on the Cochrane Guidelines. Read More

    Efficacy and safety of normal saline instillation and paediatric endotracheal suction: An integrative review.
    Aust Crit Care 2017 Mar 24. Epub 2017 Mar 24.
    Paediatric Intensive Care Unit, Lady Cilento Children's Hospital, Queensland, Australia; Paediatric Critical Care Research Group (PCCRG), Lady Cilento Children's Hospital and School of Medicine, University of Queensland, Queensland, Australia. Electronic address:
    Objective: To synthesise research findings regarding the efficacy and safety of normal saline instillation (NSI) during endotracheal suction in the paediatric intensive care unit.

    Data Sources: The Cochrane Library, PROSPERO, the National Health Service Centre for Reviews and Dissemination, PubMed and Cumulative Index to Nursing and Allied Health (CINAHL) databases were systematically searched. Subject headings included "suctioning, endotracheal", "suction", "sodium chloride", "normal saline" and "paediatrics". Read More

    The challenges in caring for morbidly obese patients in Intensive Care: A focused ethnographic study.
    Aust Crit Care 2017 Mar 17. Epub 2017 Mar 17.
    Health Sciences, University of Brighton, United Kingdom.
    Background: Critically ill morbidly obese patients pose considerable healthcare delivery and resource utilisation challenges. However little is known about the care of these patients in intensive care.

    Objective: To explore medical and nursing practices and attitudes in intensive care when caring for critically ill morbidly obese patients. Read More

    Nurse titrated analgesia and sedation in intensive care increases the frequency of comfort assessment and reduces midazolam use in paediatric patients following cardiac surgery.
    Aust Crit Care 2017 Mar 8. Epub 2017 Mar 8.
    Department of Children's Nursing, London South Bank University, United Kingdom; Nursing Research Department, The Royal Children's Hospital, Melbourne, Australia; Department of Nursing, The University of Melbourne, Melbourne, Australia.
    Background: Pain and sedation protocols are suggested to improve the outcomes of patients within paediatric intensive care. However, it is not clear how protocols will influence practice within individual units.

    Objectives: Evaluate a nurse led pain and sedation protocols impact on pain scoring and analgesic and sedative administration for post-operative cardiac patients within a paediatric intensive care unit. Read More

    Relationship between diurnal patterns in Rapid Response Call activation and patient outcome.
    Aust Crit Care 2017 Mar 5. Epub 2017 Mar 5.
    Peninsula Health, 2 Hastings Road (PO Box 52), Frankston, VIC 3199, Australia; Monash University, Peninsula Campus, McMahons Road, Frankston, VIC 3199, Australia. Electronic address:
    Background: The Rapid Response Call (RRC) is a system designed to escalate care to a specialised team in response to the detection of patient deterioration. To date, there have been few studies which have explored the relationship between time of day of RRC and patient outcome.

    Objective: To examine the relationship between the time of RRC activations and patient outcome. Read More

    Content validity testing of the ESAT(©): A decision aid tool for performing endotracheal suction in children.
    Aust Crit Care 2017 Feb 18. Epub 2017 Feb 18.
    School of Nursing and Midwifery, University of Notre Dame Australia/St John of God Murdoch Hospital, Australia; School of Nursing and Midwifery, Edith Cowan University, Australia.
    Background And Purpose: Endotracheal tube suction performed in children can affect clinical stability. Previous research has identified clinical indicators used to perform endotracheal suction. These were used to develop the Endotracheal Suction Assessment Tool(©) (ESAT(©)). Read More

    Developing a minimum dataset for nursing team leader handover in the intensive care unit: A focus group study.
    Aust Crit Care 2017 Feb 23. Epub 2017 Feb 23.
    NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.
    Background: Despite increasing demand for structured processes to guide clinical handover, nursing handover tools are limited in the intensive care unit.

    Objectives: The study aim was to identify key items to include in a minimum dataset for intensive care nursing team leader shift-to-shift handover.

    Methods: This focus group study was conducted in a 21-bed medical/surgical intensive care unit in Australia. Read More

    Inadvertent hypothermia and mortality in critically ill adults: Systematic review and meta-analysis.
    Aust Crit Care 2017 Feb 13. Epub 2017 Feb 13.
    Department of Anesthesiology and Critical Care Medicine, Patras University Hospital, Patras, Greece.
    Objective: Considering that inadvertent hypothermia (IH) is common in Intensive Care Unit (ICU) patients and can be followed by severe complications, this systematic review identified, appraised and synthesized the published literature about the association between IH and mortality in adults admitted to the ICU.

    Data Sources: By using key terms, literature searches were conducted in Pubmed, CINAHL, Cochrane Library, Web of Science and EMBASE.

    Review Methods: According to PRISMA guidelines, articles published between 1980-2016 in English-language, peer-reviewed journals were considered. Read More

    Hydrotherapy for the long term ventilated patient: A case study and implications for practice.
    Aust Crit Care 2017 Feb 7. Epub 2017 Feb 7.
    Royal Brisbane and Women's Hospital, C/- Physiotherapy Department, Level 2 Ned Hanlon Building, Butterfield St and Bowen Bridge Rd, Herston, Brisbane, 4029 Queensland, Australia. Electronic address:
    Hydrotherapy of mechanically ventilated patients has been shown to be safe and feasible in both the acute stages of critical illness and in those requiring long term mechanical ventilation. This case study describes the hydrotherapy sessions of a 36 year old female, who after suffering complications of pneumococcal meningitis, became an incomplete quadriplegic and required long term mechanical ventilation. When implementing hydrotherapy with patients on mechanical ventilation a number of factors should be considered. Read More

    Approaches and adjuncts used by physiotherapists when suctioning adult patients who are intubated and ventilated in intensive care units in Australia and New Zealand: A cross-sectional survey.
    Aust Crit Care 2017 Feb 6. Epub 2017 Feb 6.
    School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845, Australia; Institute for Respiratory Health, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands, WA 6009, Australia; Physiotherapy Department, Royal Perth Hospital, 197 Wellington Street, Perth, WA 6000, Australia. Electronic address:
    Background: Suctioning is an integral component of care for patients who are intubated and ventilated in an intensive care unit (ICU). There appears to be no published data of physiotherapy suctioning practices in Australia or New Zealand.

    Objective: To describe suctioning practices and the factors which have shaped these practices, of experienced physiotherapists working with adults who are intubated and ventilated in an ICU across Australia and New Zealand. Read More

    Noninvasive ventilation for acute exacerbations of asthma: A systematic review of the literature.
    Aust Crit Care 2017 Jan 27. Epub 2017 Jan 27.
    School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Boorooma St, Locked Bag 588, Wagga Wagga, NSW, 2678, Australia.
    Background: Asthma is a chronic disease characterised by reversible airway obstruction caused by bronchospasm, mucous and oedema. People with asthma commonly experience acute exacerbations of their disease requiring hospitalisation and subsequent utilisation of economic and healthcare resources. Noninvasive ventilation has been suggested as a treatment for acute exacerbations of asthma due to its ability to provide airway stenting, optimal oxygen delivery and decreased work of breathing. Read More

    Determination of the feasibility of a multicomponent intervention program to prevent delirium in the Intensive Care Unit: A modified RAND Delphi study.
    Aust Crit Care 2017 Jan 10. Epub 2017 Jan 10.
    Department of Intensive Care Medicine, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands; Radboud Center for Infectious Diseases, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, The Netherlands.
    Background: Delirium is common in Intensive Care Unit (ICU) patients and associated with poor outcome. In non-ICU patients a multicomponent intervention program with non-pharmacological interventions has shown to reduce delirium. Currently, there is insufficient evidence regarding the effects of such a program in ICU patients. Read More

    Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison.
    Aust Crit Care 2017 Sep 4;30(5):244-250. Epub 2017 Jan 4.
    Patient Safety and Quality Improvement Service, Clinical Excellence Division, Queensland Health, Herston, QLD Australia. Electronic address:
    Background: Hospital-acquired pressure injury is associated with increased morbidity and mortality and considered to be largely preventable. Pressure injury prevalence is regarded as a marker of health care quality.

    Objective: To compare the state-wide prevalence, severity and location of pressure injuries of intensive care unit patients compared to patients in non-intensive care wards. Read More

    Early illness experiences related to unexpected heart surgery: A qualitative descriptive study.
    Aust Crit Care 2017 Sep 4;30(5):279-285. Epub 2017 Jan 4.
    School of Nursing, College of Medicine, Chang Gung University, Taiwan; Department of Nursing, Chang Gung University of Science and Technology, Taiwan; Department of Psychiatry, Chang Gung Memorial Hospital at Keelung, Taiwan. Electronic address:
    Background: Most studies on patients' experiences following emergency cardiac surgery focus on evaluation of patients after their discharge. Few studies have evaluated patients' experiences after being transferred from intensive care and before being discharged.

    Objective: This study aimed to describe patients' experiences in the early stages of recovery following emergency heart surgery. Read More


    Post resuscitation management of cardiac arrest patients in the critical care environment: A retrospective audit of compliance with evidence based guidelines.
    Aust Crit Care 2016 Dec 16. Epub 2016 Dec 16.
    Deakin University, School of Nursing and Midwifery/Centre for Quality and Patient Safety Research, Geelong, Australia; Eastern Health, Nelson Road, Box Hill, 3128, Victoria, Australia. Electronic address:
    Background: There is a clear relationship between evidence-based post resuscitation care and survival and functional status at hospital discharge. The Australian Resuscitation Council (ARC) recommends protocol driven care to enhance chance of survival following cardiac arrest. Healthcare providers have an obligation to ensure protocol driven post resuscitation care is timely and evidence based. Read More

    Effect of patient position on endotracheal cuff pressure in mechanically ventilated critically ill patients.
    Aust Crit Care 2017 Sep 16;30(5):267-272. Epub 2016 Dec 16.
    Anesthesiology and Reanimation Department, Ege University Faculty of Medicine, Turkey.
    Background: Endotracheal tube cuff pressure must be maintained within 20-30mH2O to prevent complications. There is limited literature reporting the impact of nursing care on endotracheal cuff pressure. However, few studies have reported the effect of nursing care on endotracheal cuff pressure. Read More

    Nurse practitioner prescribing in Australia: A comprehensive literature review.
    Aust Crit Care 2017 Sep 29;30(5):252-259. Epub 2016 Nov 29.
    Macquarie University, NSW 2109, Australia. Electronic address:
    Background: In Australia, the nurse practitioner (NP) obtained prescriptive authority in some jurisdictions in 2001. One of the key aspects in which the scope of NPs differs from Registered Nurses (RNs) relates to the legal privilege to prescribe medications. Although NPs have had prescriptive authority in Australia since 2001, with access to the Commonwealth subsidy scheme (PBS) since 2010, little is known about NPs prescriptive patterns or outcomes of prescriptive practice. Read More

    Normal saline instillation before suctioning: A meta-analysis of randomized controlled trials.
    Aust Crit Care 2017 Sep 18;30(5):260-265. Epub 2016 Nov 18.
    Center for Evidence-Based Health Care, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; Division of General Surgery, Department of Surgery, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taiwan; Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan. Electronic address:
    Background: For airway management of intensive care unit (ICU) patients who are intubated, a 5-10-mL bolus of sterile normal saline (NS) solution is commonly instilled into an endotracheal or tracheostomy tube before suctioning. However, NS instillation has been associated with adverse events such as dyspnea, increasing heart rate, decreasing of oxygenation, blood pressure, and other vital parameters.

    Objective: To conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the necessity of NS instillation before suctioning in ICU patients. Read More

    Scoping review: The use of early warning systems for the identification of in-hospital patients at risk of deterioration.
    Aust Crit Care 2017 Jul 15;30(4):211-218. Epub 2016 Nov 15.
    Building 18/G.06 Rockhampton, CQUniversity Australia, Bruce Highway, Rockhampton, Queensland 4702, Australia. Electronic address:
    Introduction: Early warning systems (EWS) were developed as a means of alerting medical staff to patient clinical decline. Since 85% of severe adverse events are preceded by abnormal physiological signs, the patient bed-side vital signs observation chart has emerged as an EWS tool to help staff identify and quantify deteriorating patients. There are three broad categories of patient observation chart EWS: single or multiple parameter systems; aggregated weighted scoring systems; or combinations of single or multiple parameter and aggregated weighted scoring systems. Read More

    Early neurological wake-up test in intubated brain-injured patients: A long-term, single-centre experience.
    Aust Crit Care 2017 Sep 14;30(5):273-278. Epub 2016 Nov 14.
    Intensive Care Unit, Sainte Anne Military Hospital, Toulon, France; French Military Health Service Academy Unit, Ecole du Val-de-Grâce, Paris, France.
    Background: In prehospital setting, a severe traumatic brain injury (TBI) requires tracheal intubation, sedation and mechanical ventilation pending the initial imagery. An early neurological wake-up test (ENWT), soon after the initial imaging assessment, allows a rapid neurological reassessment. This strategy authorises an initial clinical examination of reference with which will be compared the later examinations. Read More

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