773 results match your criteria Australian Critical Care [Journal]


A retrospective evaluation of nutrition support in relation to clinical outcomes in critically ill patients with an open abdomen.

Aust Crit Care 2018 Jun 11. Epub 2018 Jun 11.

Department of Critical Care Services, Trauma Services, Royal Adelaide Hospital, Port Rd, Adelaide, 5000, Australia; Centre of Clinical Research Excellence (CRE) in Translating Science to Good Health, The University of Adelaide, Frome Rd, Adelaide, 5000, Australia; Discipline of Acute Care Medicine, The University of Adelaide, Frome Rd, Adelaide, 5000, Australia.

Background: Optimising nutrition support in critically ill patients with an open abdomen is challenging.

Objectives: The aims of this study were to (i) quantify the amount and adequacy of nutrition support administered and (ii) determine any relationships that exist between mode of nutrition support delivery and clinical outcomes in critically ill patients with an open abdomen.

Methods: A retrospective review of critically ill patients mechanically ventilated for at least 48 h with an open abdomen in a mixed quaternary referral intensive care unit. Read More

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June 2018
1 Read

Variability in alignment of central venous pressure transducer to physiologic reference point in the intensive care unit-A descriptive and correlational study.

Aust Crit Care 2018 Jun 1. Epub 2018 Jun 1.

Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Health and Caring Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.

Background: The phlebostatic axis is the most commonly used anatomical external reference point for central venous pressure measurements. Deviation in the central venous pressure transducer alignment from the phlebostatic axis causes inadequate pressure readings, which may affect treatment decisions for critically ill patients in intensive care units.

Aim: The primary aim of the study was to assess the variability in central venous pressure transducer levelling in the intensive care unit. Read More

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Effects of extracorporeal membrane oxygenation pump flow, backflow cannulae, mean arterial blood pressure, and pulse pressure on Doppler-derived flow velocities of the lower limbs in patients on peripheral veno-arterial extracorporeal membrane oxygenation: A pilot study.

Aust Crit Care 2018 May 29. Epub 2018 May 29.

St Vincent's Hospital Sydney, 390 Victoria St, Darlinghurst, NSW, 2010, Australia.

Background: Reported rates of limb ischaemia on peripheral veno-arterial extracorporeal membrane oxygenation (pVA ECMO) vary from 1-52%.

Objectives: Primary: To explore (i) the feasibility for appropriately trained intensive care unit staff to measure Doppler derived flow velocities of the lower limbs for patients on pVA ECMO; and (ii) whether these measurements are clinically useful. Secondary: explore the relationship between ECMO pump flow, backflow cannulae (BFC) properties, mean arterial blood pressure (MAP), and pulse pressure on flow velocities. Read More

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May 2018
1 Read

How often do we perform painful and stressful procedures in the paediatric intensive care unit? A prospective observational study.

Aust Crit Care 2018 May 17. Epub 2018 May 17.

Intensive Care and Department of Pediatric Surgery, Erasmus University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands; Division of Neonatology, Department of Pediatrics, Erasmus University Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.

Background: Adequate analgesia and sedation is crucial in critical care. There is little knowledge on the extent of painful and stressful procedures on children admitted to a paediatric intensive care unit (PICU) and its analgesic and/or sedative management.

Objective: The primary objective was to determine the number of painful and stressful procedures per patient per day in our PICU patients, including the numbers of attempts. Read More

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Implementing an educational program to improve critical care nurses' enteral nutritional support.

Aust Crit Care 2018 May 11. Epub 2018 May 11.

College of Nursing & Research Institute of Nursing Science, Seoul National University, Seoul, South Korea. Electronic address:

Background: Although international nutrition societies recommend enteral nutrition guidelines for patients in intensive care units (ICUs), large gaps exist between these recommendations and actual clinical practice. Education programs designed to improve nurses' knowledge about enteral nutrition are therefore required. In Korea, there are no educational intervention studies about evidence-based guidelines of enteral nutrition for critically ill patients. Read More

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Cognitive impairment in intensive care unit patients: A pilot mixed-methods feasibility study exploring incidence and experiences for recovering patients.

Aust Crit Care 2018 May 10. Epub 2018 May 10.

Faculty of Health, University of Technology Sydney, 15 Broadway, Ultimo, NSW, 2007, Australia. Electronic address:

Background: Despite improvements in survival after critical illness and intensive care unit (ICU) treatment, some recovering patients still face ongoing challenges. There are few investigations exploring the incidence, risk factors, and trajectory for cognitive impairment (CI) in former ICU patients in Australia.

Objectives: To test the feasibility of a study protocol designed to ascertain the incidence and impact of CI during recovery from a critical illness. Read More

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"When no-one's looking," the application of lung recruitment and normal saline instillation with paediatric endotracheal suction: An exploratory study of nursing practice.

Aust Crit Care 2018 May 8. Epub 2018 May 8.

Menzies Health Institute, Griffith University, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Queensland, Australia; Paediatric Intensive Care Unit, Lady Cilento Children's Hospital, Queensland, Australia; Intensive Care Unit, Princess Alexandra Hospital, Queensland, Australia. Electronic address:

Background: The complex nature of the Paediatric Intensive Care Unit (PICU) patient requires the bedside nurse to make rapid, complex decisions regarding endotracheal suction (ETS) interventions. It is not understood what influences nurses' decision making in the context of ETS, however, the actions of the clinician have a direct impact on the efficacy of the ETS event and patient outcomes.

Objectives: To explore and describe the use of normal saline instillation and lung recruitment with paediatric ETS in a cohort of Australian nurses, and to identify factors that influence normal saline use with ETS. Read More

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Handover from operating theatre to the intensive care unit: A quality improvement study.

Aust Crit Care 2018 Apr 26. Epub 2018 Apr 26.

Gold Coast Health, 1 Hospital Blvd, Southport, QLD 4215, Australia; Griffith University, Parklands Drive, Southport, QLD 4222, Australia. Electronic address:

Background: Transitioning a patient from the operating theatre (OT) to the intensive care unit (ICU) is a dynamic and complex process. Handover of the critically ill postoperative patient can contribute to procedural and communication errors. Standardised protocols are means for structuring and improving handover content. Read More

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Effect of minimally invasive endotracheal tube suctioning on physiological indices in adult intubated patients: An open-labelled randomised controlled trial.

Aust Crit Care 2018 Apr 25. Epub 2018 Apr 25.

Karolinska Instituttet, Alfred Nobels Allé 23, 141 52 Huddinge, Sweden. Electronic address:

Background: Endotracheal tube suctioning (ETS) is one of the most frequent procedures performed by nurses in intensive care units. Nevertheless, some suctioning practices are still being performed that do not provide any benefit for patients.

Objectives: To investigate the effects of minimally invasive ETS (MIETS) versus routine ETS (RETS) on physiological indices in adult intubated patients. Read More

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Mobilisation is feasible in intensive care patients receiving vasoactive therapy: An observational study.

Aust Crit Care 2018 Apr 24. Epub 2018 Apr 24.

Discipline of Physiotherapy, University of Canberra, Australia; Canberra Hospital, ACT Health, Canberra, Australia. Electronic address:

Background: Mobilisation of intensive care unit (ICU) patients reduces ICU-acquired weakness and is associated with better functional outcomes. However, the prevalence of mobilisation of ICU patients remains low. A known barrier to mobilisation is haemodynamic instability, frequently with patients requiring vasoactive therapy. Read More

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April 2018
4 Reads

Research nurses in New Zealand intensive care units: A qualitative descriptive study.

Aust Crit Care 2018 Apr 20. Epub 2018 Apr 20.

Graduate School of Nursing, Midwifery & Health, Victoria University of Wellington, New Zealand.

Background: This study explored the role of the research nurse in New Zealand (NZ) Level III intensive care units (ICU). Little was known about this role in NZ prior to this study.

Objectives: To describe the role and responsibilities of NZ ICU research nurses. Read More

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Clinical characteristics of patients with newly developed acute cholecystitis after admission to the intensive care unit.

Aust Crit Care 2018 Apr 18. Epub 2018 Apr 18.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, South Korea. Electronic address:

Introduction: Critical care patients have many risk factors for acute cholecystitis (AC). However, less data are available regarding newly developed AC in critically ill patients.

Objectives: To investigate the clinical features of AC occurring in critically ill patients after admission to an intensive care unit (ICU). Read More

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April 2018
2 Reads

Endotracheal suction in intensive care: A point prevalence study of current practice in New Zealand and Australia.

Aust Crit Care 2018 Apr 14. Epub 2018 Apr 14.

School of Nursing, University of Auckland, Faculty of Medical and Health Sciences, Grafton, Auckland 1023, New Zealand. Electronic address:

Background: Despite the evidence and available guidelines about endotracheal suction (ETS), a discrepancy between published guidelines and clinical practice persists. To date, ETS practice in the adult intensive care unit (ICU) population across New Zealand and Australia has not been described.

Objective: To describe ICU nurses' ETS practice in New Zealand and Australia including the triggers for performing endotracheal suction. Read More

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April 2018
1 Read

Impact of MaxZero™ needle-free connector on the incidence of central venous catheter-related infections in surgical intensive care unit.

Aust Crit Care 2018 Apr 10. Epub 2018 Apr 10.

Department of Anesthesiology and Critical Care, Rouen University Hospital, Rouen, France.

Background: Central venous catheter-related infections (CRIs) are a complication of central venous catheters in intensive care unit (ICU). Some needle-free connectors have been designed to decrease CRI, but there is a lack of data concerning their impact on infection.

Objectives: The objective was to explore the impact of MaxZero™ connectors (BD; Franklin Lakes, US) on CRI in ICU. Read More

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April 2018
1 Read

Understanding contextual barriers and enablers to pressure injury prevention practice in an Australian intensive care unit: An exploratory study.

Aust Crit Care 2018 Apr 4. Epub 2018 Apr 4.

Intensive Care Services, Royal Brisbane and Women's Hospital, Australia. Electronic address:

Background: Skin integrity management is often a low clinical priority in the intensive care environment, possibly resulting in high pressure injury (PI) prevalence. This article reports the results of the first phase of a multiphased project, "Translating evidence-based pressure injury prevention strategies to the intensive care environment (SUSTAIN study)". The SUSTAIN study used a research translation framework to guide the assessment of research uptake, development, and monitoring of translational strategies to reduce PIs. Read More

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April 2018
1 Read

Burnout and posttraumatic stress in paediatric critical care personnel: Prediction from resilience and coping styles.

Aust Crit Care 2018 Mar 28. Epub 2018 Mar 28.

Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain.

Introduction: Our aims were (1) to explore the prevalence of burnout syndrome (BOS) and posttraumatic stress disorder (PTSD) in a sample of Spanish staff working in the paediatric intensive care unit (PICU) and compare these rates with a sample of general paediatric staff and (2) to explore how resilience, coping strategies, and professional and demographic variables influence BOS and PTSD.

Materials And Methods: This is a multicentre, cross-sectional study. Data were collected in the PICU and in other paediatric wards of nine hospitals. Read More

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March 2018
1 Read

The relationship between elevated prehospital point-of-care lactate measurements, intensive care unit admission, and mortality: A retrospective review of adult patients.

Aust Crit Care 2018 Mar 27. Epub 2018 Mar 27.

Australian Capital Territory Ambulance Service, 9 Amberley Ave, Fairbairn Business Park, Majura, Australian Capital Territory, Australia. Electronic address:

Objective: To determine whether prehospital point-of-care lactate (pLA) is associated with mortality, admission, and duration of hospital stay.

Design: A retrospective clinical audit, where elevated lactate was defined as ≥2 mmol/L.

Setting: The ambulance service and primary referral hospital in the Australian Capital Territory from 1st July 2014 to 30th June 2015. Read More

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March 2018
1 Read

Hand hygiene compliance and behavioural determinants in a paediatric intensive care unit: An observational study.

Aust Crit Care 2018 Mar 23. Epub 2018 Mar 23.

Pediatric Nursing Department, Paulista Nursing School, Federal University of São Paulo, Napoleão de Barros Street, 754. Vila Clementino, São Paulo, 04024-002, Office 113, Brazil. Electronic address:

Background: Hand hygiene is considered the single most effective means of reducing healthcare-associated infections, but improving and sustaining hand hygiene compliance remains a great challenge.

Objectives: To compare hand hygiene compliance before and after interventions to promote adherence in a paediatric intensive care unit (PICU) and to identify predictors of intention to perform the behaviour "hand hygiene during patient care in the PICU".

Methods: A before and after study was conducted in three phases. Read More

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March 2018
1 Read

Designing a nurse-delivered delirium bundle: What intensive care unit staff, survivors, and their families think?

Aust Crit Care 2018 May 23;31(3):174-179. Epub 2018 Mar 23.

School of Medicine, Dentistry & Biomedical Sciences, Queen's University Belfast, Northern Ireland, UK.

Background: Implementation of quality improvement interventions can be enhanced by exploring the perspectives of those who will deliver and receive them. We designed a non-pharmacological bundle for delirium management for a feasibility trial, and we sought to obtain the views of intensive care unit (ICU) staff, survivors, and families on the barriers and facilitators to its implementation.

Objective: The objective of this study is to determine the barriers and facilitators to a multicomponent bundle for delirium management in critically ill patients comprising (1) education and family participation, (2) sedation minimisation and pain, agitation, and delirium protocol, (3) early mobilisation, and (4) environmental interventions for sleep, orientation, communication, and cognitive stimulation. Read More

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May 2018
4 Reads

Obstetric patients' health-related quality of life before and after intensive care.

Aust Crit Care 2018 Mar 23. Epub 2018 Mar 23.

University of Tampere, School of Health Sciences, Finland.

Background: Intensive care admissions during pregnancy, childbirth, and postpartum period are relatively well investigated. However, very little is known about these obstetric patients' health-related quality of life (HRQoL) before and after critical care.

Objective: The objective of this study was to assess obstetric patients' HRQoL before intensive care admission (baseline) and at 6 months after discharge (follow-up) DESIGN: This was a retrospective database study. Read More

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March 2018
2 Reads

A systematic review on risk factors associated with sepsis in patients admitted to intensive care units.

Aust Crit Care 2018 Mar 21. Epub 2018 Mar 21.

Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address:

Objective: We sought to systematically review data on the risk factors influencing the incidence of sepsis in patients admitted to intensive care units (ICUs).

Review Methods: An electronic search was undertaken in PubMed, MEDLINE, Scopus, and the Cochrane Library for studies reporting the risk factors of sepsis from the earliest available date up to December 30, 2016.

Results: Among the 2978 articles, 14 studies met the inclusion criteria with a total of 56 164 participants from nine countries. Read More

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March 2018
1 Read

A cross-sectional study of predictors of pain control during the transition from the surgical intensive care unit to surgical ward.

Aust Crit Care 2018 May 21;31(3):159-164. Epub 2018 Mar 21.

Department of Pharmacy Practice & Science, College of Pharmacy, The University of Arizona, 1295 N Martin Ave, PO Box 210202, Tucson, Arizona, 85721, USA. Electronic address:

Background: The transition of patients from the intensive care unit (ICU) to the ward is a complicated process and patients may be at risk of increased levels of pain.

Objectives: The primary objective was to identify predictors of pain during the transition from the surgical ICU to the surgical ward. The secondary objective was to describe the patient pain experience during this transition. Read More

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May 2018
1 Read

Bereaved parents' experiences of the police in the paediatric intensive care unit.

Aust Crit Care 2018 Mar 20. Epub 2018 Mar 20.

School of Nursing and Midwifery, Monash University, Victoria, Australia. Electronic address:

Background: A child's death in the intensive care unit is often sudden and unexpected, requiring the involvement of the state coroner to investigate both the cause and the circumstances surrounding the death. This process often involves the police, who arrive in intensive care to identify the body and collect statements from the parents. At present, very little is known about parents' experiences of this process. Read More

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March 2018
1 Read

"Sedation is tricky": A qualitative content analysis of nurses' perceptions of sedation administration in mechanically ventilated intensive care unit patients.

Aust Crit Care 2018 May 21;31(3):153-158. Epub 2018 Mar 21.

Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.

Introduction: Critical care nurses are responsible for administering sedative medications to mechanically ventilated patients. With significant advancements in the understanding of the impact of sedative exposure on physiological and psychological outcomes of ventilated patients, updated practice guidelines for assessment and management of pain, agitation, and delirium in the intensive care unit were released in 2013. The primary aim of this qualitative study was to identify and describe themes derived from critical care nurses' comments regarding sedation administration practices with mechanically ventilated patients. Read More

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May 2018
1 Read

Face and content validity of variables associated with the difficult-to-sedate child in the paediatric intensive care unit: A survey of paediatric critical care clinicians.

Aust Crit Care 2018 May 19;31(3):167-173. Epub 2018 Mar 19.

University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104, USA; Children's Hospital of Philadelphia Research Institute, 3615 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address:

Background: Clinicians recognise that some critically ill children are difficult-to-sedate. It may be possible to identify this clinical phenotype for sedation response using statistical modelling techniques adopted from machine learning. This requires identification of a finite number of variables to include in the statistical model. Read More

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May 2018
1 Read

Physical restraints in intensive care-An integrative review.

Aust Crit Care 2018 Mar 17. Epub 2018 Mar 17.

School of Nursing and Midwifery, Western Sydney University, Penrith, 2751, NSW, Australia. Electronic address:

Background: Physical restraints (PRs) are commonly used in intensive care units (ICUs) worldwide for the prevention of treatment interference. While PRs are fundamentally used to maintain patient safety, they can negatively impact the experiences of patients and their families and cause moral and ethical dilemmas for ICU nurses.

Objectives: The aim of this integrative review was to explore the current literature on the use of PR in intensive care. Read More

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March 2018
1 Read

Effect of organisational factors on the variation in incidence of delirium in intensive care unit patients: A systematic review and meta-regression analysis.

Aust Crit Care 2018 May 12;31(3):180-187. Epub 2018 Mar 12.

Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Delirium occurs frequently in intensive care unit (ICU) patients and is associated with numerous deleterious outcomes. There is a large variation in reported delirium occurrence rates, ranging from 4% to 89%. Apart from patient and treatment-related factors, organisational factors could influence delirium incidence, but this is currently unknown. Read More

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May 2018
1 Read

A retrospective explanatory case study of the implementation of a bleeding management quality initiative, in an Australian cardiac surgery unit.

Aust Crit Care 2018 Mar 9. Epub 2018 Mar 9.

Department of Cardiac Surgery, The Prince Charles Hospital, Brisbane, Australia; Adult Intensive Care Service, The Prince Charles Hospital, Brisbane, Australia; School of Health & Sports Sciences, University of Sunshine Coast, Australia; Alliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

Background: Bleeding management in cardiac surgery is challenging. Many guidelines exist to support bleeding management; however, literature demonstrates wide variation in practice. In 2012, a quality initiative was undertaken at The Prince Charles Hospital, Australia to improve bleeding management for cardiac surgery patients. Read More

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March 2018
1 Read

A comparison of compliance in the estimation of body fluid status using daily fluid balance charting and body weight changes during continuous renal replacement therapy.

Aust Crit Care 2018 Mar 1. Epub 2018 Mar 1.

Intensive Care Unit, Royal Perth Hospital, Wellington Street, Perth, Western Australia, 6000, Australia; School of Medicine and Pharmacology, The University of Western Australia, Australia.

Background: The risk of fluid overload and mortality is increased in patients with severe acute kidney injury. Charting of daily fluid balance is a key component of fluid assessment but not without problems affecting accuracy. The introduction of electronic bed scales has made routine patient-weighing easier and focused attention on monitoring fluid-related weight changes. Read More

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March 2018
1 Read

Quality Activity or Research: Does it matter?

Authors:

Aust Crit Care 2018 Mar;31(2):57-58

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March 2018
1 Read

Outcomes for haematological cancer patients admitted to an intensive care unit in a university hospital.

Aust Crit Care 2018 Feb 8. Epub 2018 Feb 8.

CIBERES, Vall d'Hebron Institut of Research, Barcelona, Spain.

Background: Haematological cancer (HC) patients are increasingly requiring intensive care (ICUs). The aim of this study was to investigate the outcome of HC patients in our ICU and evaluate 5 days-full support as a breakpoint for patients' re-assessment for support.

Methods: Retrospective study enrolling 112 consecutive HC adults, requiring ICU in January-December 2015. Read More

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February 2018
6 Reads

The impact on new-onset stress and PTSD in relatives of critically ill patients explored by diaries study (The "INSPIRED" study).

Aust Crit Care 2017 Dec 15. Epub 2017 Dec 15.

Intensive Care Unit, Royal Adelaide Hospital and the Discipline of Acute Care Medicine, University of Adelaide, Australia.

Background: There is rising prevalence of post-traumatic-stress-disorder (PTSD) in patients and their relatives after ICU discharge. The impact of ICU diaries on PTSD in relatives of critically ill patients in Australia has not been fully evaluated.

Objectives: To determine if relatives of an Australian critically ill population were interested in using ICU diaries. Read More

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December 2017
4 Reads

Healthcare-associated respiratory infections in intensive care unit can be reduced by a hand hygiene program: A multicenter study.

Aust Crit Care 2017 Dec 13. Epub 2017 Dec 13.

Department of Medical Sciences and Public Health, University of Cagliari, Italy. Electronic address:

Purpose: Healthcare-associated respiratory tract infections are common and markedly affecting the quality of life and mortality, as well as increasing costs for health systems due to prolonged hospitalisation. This study aimed to assess the change in both level and trend of respiratory tract infections after a specific hand hygiene program for intensive care unit (ICU) staff.

Materials And Methods: The infection data collection was carried out from January 2013 to August 2014. Read More

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December 2017
4 Reads

Stress prevalence and stressors among anaesthesiology and intensive care unit workers: A multicentre survey study.

Aust Crit Care 2017 Dec 13. Epub 2017 Dec 13.

1st Clinic of Anesthesiology and Intensive Therapy Medical University of Lublin, Ul. Jaczewskiego 8, 20-093, Lublin, Poland.

Background: High stress levels have been commonly reported among ICU workers. Currently, anaesthesiology is safer for the patient but more stressful for the staff working in this branch of medicine. ICU and anaesthesiology personnel are prone to stress because of the specific character of their work. Read More

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December 2017
3 Reads

ACCCN Workforce Standards for Intensive Care Nursing: Systematic and evidence review, development, and appraisal.

Aust Crit Care 2017 Dec 12. Epub 2017 Dec 12.

Australian Catholic University, Brisbane, Australia; Nursing Research & Practice Development Centre, The Prince Charles Hospital, Brisbane, Australia; Australian College of Critical Care Nurses.

Background: The intensive care nursing workforce plays an essential role in the achievement of positive healthcare outcomes. A growing body of evidence indicates that inadequate nurse staffing and poor skill mix are associated with negative outcomes for patients, and potentially compromises nurses' ability to maintain the safety of those in their care. In Australia, the Australian College of Critical Care Nurses (ACCCN) has previously published a position statement on intensive care staffing. Read More

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December 2017
4 Reads

Short National Early Warning Score - Developing a Modified Early Warning Score.

Aust Crit Care 2017 Dec 11. Epub 2017 Dec 11.

Centro de Investigação em Saúde Pública, Escola de Nacional de Saúde Pública - Universidade Nova de Lisboa, Avenida Padre Cruz, 1600 560 Lisboa, Portugal. Electronic address:

Introduction: Early Warning Score (EWS) systems have been developed for detecting hospital patients clinical deterioration. Many studies show that a National Early Warning Score (NEWS) performs well in discriminating survival from death in acute medical and surgical hospital wards. NEWS is validated for Portugal and is available for use. Read More

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December 2017
6 Reads

The concept of frailty in intensive care.

Aust Crit Care 2017 Dec 9. Epub 2017 Dec 9.

School of Nursing and Midwifery, University of Western Sydney, Building 7, Room 8, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address:

Our population is ageing and this is also reflected in the ageing of the hospital and intensive care population. Along with ageing, there is also an increase in age-related chronic health conditions or co-morbidities, which in turn affects the patient's functional state. There is an increasing need to describe a patient's clinical condition in terms of their functional capacity, such as frailty. Read More

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December 2017
17 Reads

Predictive ability of the EVARUCI scale and COMHON index for pressure injury risk in critically ill patients: A diagnostic accuracy study.

Aust Crit Care 2017 Dec 6. Epub 2017 Dec 6.

Research Unit, Hospital Universitario de Canarias, Carretera de Ofra s/n, CP: 38320 La Laguna, Santa Cruz de Tenerife, Spain. Electronic address:

Background: Hospital-acquired pressure injuries are a costly and largely preventable complication occurring in a variety of acute care settings. Patients admitted to the intensive care unit are at greater risk of developing pressure injuries.

Objective: To determine whether the efficiency of scales to measure pressure injury risk increase when a continuously updated 3-day moving average method is used. Read More

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December 2017
3 Reads

Mind the gap - Why is implementing research into practice so challenging?

Authors:
Andrea Marshall

Aust Crit Care 2017 Nov;30(6):287-288

Australian Critical Care, Australia.

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November 2017
4 Reads

Welcoming expertise: Bereaved parents' perceptions of the parent-healthcare provider relationship when a critically ill child is admitted to the paediatric intensive care unit.

Aust Crit Care 2017 Nov 15. Epub 2017 Nov 15.

School of Nursing and Midwifery, Monash University, Victoria, Australia. Electronic address:

Background: Entering the paediatric intensive care unit with a critically ill child is a stressful experience for parents. In addition to fearing for their child's well-being, parents must navigate both a challenging environment and numerous new relationships with healthcare staff. How parents form relationships with staff and how they perceive both their own and the healthcare providers' roles in this early stage of their paediatric intensive care journey is currently unknown. Read More

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November 2017
3 Reads

Barriers and facilitators to the implementation of an evidence-based electronic minimum dataset for nursing team leader handover: A descriptive survey.

Aust Crit Care 2017 Nov 15. Epub 2017 Nov 15.

NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.

Introduction: There is widespread use of clinical information systems in intensive care units however, the evidence to support electronic handover is limited.

Objectives: The study aim was to assess the barriers and facilitators to use of an electronic minimum dataset for nursing team leader shift-to-shift handover in the intensive care unit prior to its implementation.

Methods: The study was conducted in a 21-bed medical/surgical intensive care unit, specialising in cardiothoracic surgery at a tertiary referral hospital, in Queensland, Australia. Read More

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November 2017
7 Reads

After-hours respiratory physiotherapy for intubated and mechanically ventilated patients with community-acquired pneumonia: An Australian perspective.

Aust Crit Care 2017 Nov 15. Epub 2017 Nov 15.

The University of Notre Dame Australia, School of Physiotherapy, 19 Mouat Street, P.O. Box 1225, Fremantle, WA 6959, Australia.

Introduction: Community acquired pneumonia (CAP) is a common reason for admission to an intensive care unit for intubation and mechanical ventilation, and results in high morbidity and mortality. The primary aim of the study was to investigate availability and provision of respiratory physiotherapy, outside of normal business hours, for intubated and mechanically ventilated adults with CAP in Australian hospitals.

Materials And Methods: A cross-sectional, mixed methods online survey was conducted. Read More

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November 2017
2 Reads

Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses.

Aust Crit Care 2017 Nov 16. Epub 2017 Nov 16.

Faculty of Health, University of Technology Sydney, Australia.

Background: Compassion satisfaction and compassion fatigue influence nurses' intention to stay or leave nursing. Identification of compassion satisfaction or fatigue in critical care nurses is important in this high turnover workforce.

Objectives: The aim of this study was to examine factors predicting and contributing to compassion satisfaction and compassion fatigue experienced by critical care nurses in Australian intensive care units. Read More

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November 2017
3 Reads

Performance evaluation of phase angle and handgrip strength in patients undergoing cardiac surgery: Prospective cohort study.

Aust Crit Care 2017 Nov 16. Epub 2017 Nov 16.

Surgical Cardiac Service, Hospital de Clínicas de Porto Alegre, Brazil; Intensive Medicine Department, Faculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

Background And Aims: The phase angle (PA), derived from bioelectrical impedance analysis (BIA), has been interpreted as a cell membrane integrity indicator, while handgrip strength (HGS) has been used as a prognostic indicator in certain clinical situations, such as in cardiac, oncologic patients with renal disease, hemodialysis patients, HIV-positive patients, and liver disease patients. In addition to prognostic scores, body changes due to surgical procedures indicate the importance of measuring muscle function and cell integrity. This study aimed to evaluate the behaviour of PA and HGS in patients undergoing cardiac surgery and associate these factors with clinical outcomes and prognosis. Read More

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November 2017
3 Reads

Clinician and manager perceptions of factors leading to ward patient clinical deterioration.

Aust Crit Care 2017 Nov 16. Epub 2017 Nov 16.

Deakin University, Geelong, Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Faculty of Health, Victoria 3125, Australia. Electronic address:

Background: Improving the timely recognition and response to clinical deterioration is a critical challenge for clinicians, educators, administrators and researchers. Clinical deterioration leading to Rapid Response Team review is associated with poor patient outcomes. A range of factors associated with clinical deterioration and its outcomes have been identified, and may help with early identification of deteriorating patients. Read More

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November 2017
3 Reads

Content validation of behaviours and autonomic responses for the assessment of pain in critically ill adults with a brain injury.

Aust Crit Care 2018 May 13;31(3):145-151. Epub 2017 Nov 13.

Department of Psychiatry and Behavioural Neurosciences, McMaster University, West 5th Campus, 100 West 5th Street, Hamilton, Ontario L8N 3K7, Canada.

Background: The evidence shows that brain-injured patients express behaviours that are related to their level of consciousness (LOC), and different from other patients in the intensive care unit (ICU). Therefore, existing behavioural scales should be revised to enhance their content and validity for use in these patients.

Objectives: The aim was to evaluate the content relevance of behaviours and autonomic responses for pain assessment of brain-injured ICU patients from the perspective of critical care clinicians. Read More

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May 2018
5 Reads

An exploration of participants' experience of an intensive care nursing transition to specialty practice program.

Aust Crit Care 2017 Sep 26. Epub 2017 Sep 26.

School of Nursing and Midwifery, Monash University, McMahons Road, Frankston, Victoria, Australia; Monash Health, Dandenong Hospital, 135 David Street, Dandenong, Victoria, Australia.

Background: Transition to specialty practice programs were developed to support, educate and facilitate recruitment and retention of nurses in specialised areas of practice. The intensive care nursing transition to specialty practice program in this study was implemented in 2000. To date, in Australia there are no published studies which focus on intensive care nursing transition to specialty practice programs. Read More

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September 2017
5 Reads

The evolution of Australian intensive care and its related costs: A narrative review.

Aust Crit Care 2017 Sep 26. Epub 2017 Sep 26.

Critical Care & Trauma Division, The George Institute for Global Health, Sydney, Australia; Sydney Medical School, University of Sydney, Sydney, Australia; Malcolm Fisher Department of Intensive Care Medicine, Royal North Shore Hospital, Sydney, Australia; St. George Clinical School, University of New South Wales, Sydney, Australia.

Objective: To conduct a narrative review on the evolution of intensive care and the cost of intensive care services in Australia.

Review Method: A narrative review using a search of online medical databases and grey literature with keyword verification via Delphi-technique.

Data Sources: Using Medical Subject Headings and keywords (intensive care, critical care, mechanical ventilation, renal replacement therapy, extracorporeal membrane oxygenation, monitoring, staffing, cost, cost analysis) we searched MEDLINE, PubMed, CINAHL, Embase, Google and Google Scholar. Read More

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September 2017
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