Journal of Translational Critical Care Medicine最新文献_第10页

Editorial - Focus on the Study of Coronavirus Disease 2019 社论-重点研究2019冠状病毒病

Journal of Translational Critical Care Medicine Pub Date : 2019-07-01 DOI: 10.4103/jtccm.jtccm_17_20

Yuanfang Zhu, Z. Peng

引用次数: 1

An Approach to Addressing Trainee Burnout: Revising Fellow Shift Scheduling in the Intensive Care Unit 解决实习生倦怠的方法:修改重症监护病房的同事轮班安排

Journal of Translational Critical Care Medicine Pub Date : 2019-07-01 DOI: 10.4103/jtccm.jtccm_14_19

N. Jayaprakash, C. Daniels, C. Bennett, K. Kashani

{"title":"An Approach to Addressing Trainee Burnout: Revising Fellow Shift Scheduling in the Intensive Care Unit","authors":"N. Jayaprakash, C. Daniels, C. Bennett, K. Kashani","doi":"10.4103/jtccm.jtccm_14_19","DOIUrl":"https://doi.org/10.4103/jtccm.jtccm_14_19","url":null,"abstract":"Introduction: Rotating shift patterns and night shifts are associated with fatigue and sleep deprivation, which in turn contribute to burnout. The aim of this quality improvement initiative at Mayo Clinic Rochester critical care fellowship programs was to implement a new critical care fellow shift schedule in the medical intensive care unit while evaluating the impact on self-reported burnout scores. Materials and Methods: Focus groups of fellows weighed pros and cons of the existing schedule and selected a revision of the schedule in which night shifts were grouped into blocks with limited frequency and incorporated a recovery period. Baseline self-reported burnout amongst critical care fellows was assessed using an abbreviated Maslach burnout inventory (MBI) screening questionnaire and re-evaluated at the end of the implementation period. Results: At baseline, 33 of 45 (73%) fellows responded to a survey with the abbreviated Maslach Burnout Index questionnaire. Median (IQR) scores for each of the domains were 10 (6-12) emotional exhaustion, 3 (1-9) depersonalization, and 15 (13-17) personal accomplishment. For the post-intervention survey, 17 out of 24 (71%) responded. The median (IQR) score for critical care internal medicine and pulmonary and critical care fellows was 7 (4-11), P=.06 and 9 (7-11), P=0.5 for emotional exhaustion; 3 (0-6), P=.07 and 5 (0-11), P=1.0 for depersonalization score; and 16 (11-17), P=.31 and 15 (12-17), P=.75 for personal accomplishment score. Discussion: Reducing the number of day-night rotations, incorporating a scheduled recovery period, and limiting the number of recurrent consecutive nights resulted in a trend towards improvement of self-reported burnout amongst critical care fellows.","PeriodicalId":93326,"journal":{"name":"Journal of Translational Critical Care Medicine","volume":"79 1","pages":"103 - 108"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78570603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-Knotting of a Nasogastric Tube 鼻胃管的自结

Journal of Translational Critical Care Medicine Pub Date : 2019-07-01 DOI: 10.4103/jtccm.jtccm_4_19

L. Moscote-Salazar, Eduardo Barciela, Y. Ramos, L. Quintana-Pájaro, A. Agrawal

引用次数: 2

Pragmatic Studies for Acute Kidney Injury: Fluid Resuscitation in the Peri-Acute Kidney Injury Period 急性肾损伤的实用研究:急性肾损伤期的液体复苏

Journal of Translational Critical Care Medicine Pub Date : 2019-04-01 DOI: 10.4103/jtccm.jtccm_10_18

R. Murugan, H. Qiu, T. Rimmele, Jianguo Li, Z. Peng, Kaijiang Yu, J. Kellum, C. Ronco

引用次数: 0

The Intensity of Renal Replacement Treatment for Acute Kidney Injury: A Systematic Review and Network Meta-Analysis 急性肾损伤肾替代治疗的强度:系统回顾和网络荟萃分析

Journal of Translational Critical Care Medicine Pub Date : 2019-04-01 DOI: 10.4103/jtccm.jtccm_11_19

Hongliang Wang, Haitao Liu, Yue Wang, Hongshuang Tong, Pulin Yu, Shuangshuang Chen, Guiyue Wang, Miao Liu, Yuhang Li, Nana Guo, Changsong Wang, Kaijiang Yu

{"title":"The Intensity of Renal Replacement Treatment for Acute Kidney Injury: A Systematic Review and Network Meta-Analysis","authors":"Hongliang Wang, Haitao Liu, Yue Wang, Hongshuang Tong, Pulin Yu, Shuangshuang Chen, Guiyue Wang, Miao Liu, Yuhang Li, Nana Guo, Changsong Wang, Kaijiang Yu","doi":"10.4103/jtccm.jtccm_11_19","DOIUrl":"https://doi.org/10.4103/jtccm.jtccm_11_19","url":null,"abstract":"Background: Acute kidney injury (AKI) is a common and serious complication in critically ill patients. Patients who require renal replacement therapy (RRT) face a high mortality rate. Questions concerning the intensity of RRT in AKI patients led us to integrate direct and indirect evidence using a network meta-analysis to determine the optimal intensity and mode. Materials and Methods: We searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, and Web of Science databases from 1990 to 2017 that included randomized controlled trials (RCTs) comparing different intensities of RRT to treat AKI in adults (18 years or older). Data regarding study characteristics, methods, and outcomes were extracted. We assessed the studies for eligibility, extracted the data, pooled the data, and used the GeMTC package in R to combine direct comparisons with indirect evidence. Results: Ten RCTs including 3354 participants were included in the network meta-analysis. The higher intensity continuous renal replacement treatment (CRRT) (to exceed 35 mL/kg/h) and the higher intensity IRRT (to exceed six times per week) both showed no statistical significance. Further analysis for higher intensity CRRT, lower intensity CRRT, higher intensity IRRT, and lower intensity IRRT also revealed no significance. Conclusions: This meta-analysis showed that increasing the intensity of CRRT to exceed 35 mL/kg/h and six times per week for intermittent RRT (IRRT) did not reduce mortality or the rate of dependence on dialysis among AKI patients.","PeriodicalId":93326,"journal":{"name":"Journal of Translational Critical Care Medicine","volume":"9 4 1","pages":"61 - 68"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82196860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethics and End-of-Life Care 伦理与临终关怀

Journal of Translational Critical Care Medicine Pub Date : 2019-04-01 DOI: 10.4103/jtccm.jtccm_15_18

J. Kesecioglu

引用次数: 0

Is there a Role for Systematic Tools to Improve the Clinical Management of Patients with Acute Kidney Injury? Consensus Report of Acute Disease Quality Initiative XIX 系统工具在改善急性肾损伤患者的临床管理中是否有作用?急性疾病质量倡议第19届共识报告

Journal of Translational Critical Care Medicine Pub Date : 2019-04-01 DOI: 10.4103/jtccm.jtccm_9_18

M. Ostermann, X. Xi, J. Vincent, Raymond K. Hsu

{"title":"Is there a Role for Systematic Tools to Improve the Clinical Management of Patients with Acute Kidney Injury? Consensus Report of Acute Disease Quality Initiative XIX","authors":"M. Ostermann, X. Xi, J. Vincent, Raymond K. Hsu","doi":"10.4103/jtccm.jtccm_9_18","DOIUrl":"https://doi.org/10.4103/jtccm.jtccm_9_18","url":null,"abstract":"Acute kidney injury (AKI) occurs in approximately 20% of hospitalized patients and is associated with increased morbidity and mortality. The care of hospitalized patients with AKI has been shown to be variable in clinical practices. Systematic tools including checklists, care bundles and medical algorithms have been developed and implemented to improve the care and outcomes of AKI patients. However, whether these systematic tools can improve the quality of care and outcomes of AKI patients is still unknown. The committee of the 19th Acute Disease Quality Initiative (ADQI) conference dedicated a workgroup with the task of developing a study protocol to investigate this question. A comprehensive literature search was performed using PubMed and Embase. Key questions and feasibility of potential study proposals were discussed during the conference. Then a two-step Delphi process was used to reach consensus regarding several aspects of the study protocol. The group suggested that patient risk assessment be included in the study protocol and the choice of systematic tool be depending on different clinical contexts. The group also proposed a two-phase study with the use of oliguria and systematic tool to investigate the quality of care and outcomes of AKI patients. Consensus was reached on a study protocol regarding the efficacy of using systematic tools to improve clinical management and outcomes of AKI patients.","PeriodicalId":93326,"journal":{"name":"Journal of Translational Critical Care Medicine","volume":"1 1","pages":"57 - 60"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88909071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pragmatic Studies for Acute Kidney Injury in China: Renal Replacement Therapy for Acute Kidney Injury and Sepsis Consensus Report of Acute Disease Quality Initiative XIX 中国急性肾损伤的实用研究:急性肾损伤和败血症的肾脏替代治疗急性疾病质量倡议XIX共识报告

Journal of Translational Critical Care Medicine Pub Date : 2019-04-01 DOI: 10.4103/jtccm.jtccm_12_18

J. Prowle, B. Du, Changsong Wang, M. Gallagher

引用次数: 0

Angiotensin in Clinical Practice 血管紧张素在临床中的应用

Journal of Translational Critical Care Medicine Pub Date : 2019-01-01 DOI: 10.4103/JTCCM.JTCCM_1_18

E. Ahmadnia, Anna Hall, M. Ostermann

引用次数: 1

Translational Critical Care Medicine: Integrating State-of-the-Art Knowledge between Bench and Bedside. 转化重症医学:整合最先进的知识之间的实验室和床边。

Journal of Translational Critical Care Medicine Pub Date : 2019-01-01 Epub Date: 2019-01-04 DOI: 10.4103/jtccm.jtccm_18_18

Xiaofeng Jia, Zhiyong Peng

{"title":"Translational Critical Care Medicine: Integrating State-of-the-Art Knowledge between Bench and Bedside.","authors":"Xiaofeng Jia, Zhiyong Peng","doi":"10.4103/jtccm.jtccm_18_18","DOIUrl":"https://doi.org/10.4103/jtccm.jtccm_18_18","url":null,"abstract":"With rapid development in the past few decades, critical care medicine and the intensive care unit (ICU) have become irreplaceable parts of the healthcare system. It is a multidisciplinary system that provides specialized and intensive medical care, advanced monitoring, organ function maintenance, and life support for critically ill patients. During the Crimean War in 1854, Florence Nightingale and a team of nurses provided intensive nursing care for critically injured soldiers, and her model of care was considered the precursor of contemporary ICUs. The first ICU was established in Denmark in 1953 when polio became epidemic and patients were centralized in a discrete department and mechanical ventilation was used to support the victims. Since then, critical care medicine continued embracing fast-developing technologies for organ maintenance and life support such as electrocardiogram monitoring, invasive mechanical ventilation, hemodialysis, bedside ultrasound, and extracorporeal membrane oxygenation. Nowadays, critical care medicine has become an integral element of the healthcare systems worldwide and has been evolved into a distinct medical subspecialty. To continue the advancement of critical care medicine, physicians and scientists must not only focus on developing novel medical technologies but also integrate knowledge from clinical and basic science research to further our treatment of critically ill patients.","PeriodicalId":93326,"journal":{"name":"Journal of Translational Critical Care Medicine","volume":"1 1","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/20/nihms-1705535.PMC8409177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39380929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0