Dimensions and Role-Specific Mediators of Surrogate Trust in the ICU.

Abstract:

OBJECTIVE:In the ICU, discussions between clinicians and surrogate decision makers are often accompanied by conflict about a patient's prognosis or care plan. Trust plays a role in limiting conflict, but little is known about the determinants of trust in the ICU. We sought to identify the dimensions of trust and clinician behaviors conducive to trust formation in the ICU. DESIGN:Prospective qualitative study. SETTING:Medical ICU of a major urban university hospital. SUBJECTS:Surrogate decision makers of intubated, mechanically ventilated patients in the medical ICU. MEASUREMENTS AND MAIN RESULTS:Semistructured interviews focused on surrogates' general experiences in the ICU and on their trust in the clinicians caring for the patient. Interviews were audio-recorded, transcribed verbatim, and coded by two reviewers. Constant comparison was used to identify themes pertaining to trust. Thirty surrogate interviews revealed five dimensions of trust in ICU clinicians: technical competence, communication, honesty, benevolence, and interpersonal skills. Most surrogates emphasized the role of nurses in trust formation, frequently citing their technical competence. Trust in physicians was most commonly related to honesty and the quality of their communication with surrogates. CONCLUSIONS:Interventions to improve trust in the ICU should be role-specific, since surrogate expectations are different for physicians and nurses with regard to behaviors relevant to trust. Further research is needed to confirm our findings and explore the impact of trust modification on clinician-family conflict.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Hutchison PJ,McLaughlin K,Corbridge T,Michelson KN,Emanuel L,Sporn PH,Crowley-Matoka M

doi

10.1097/CCM.0000000000001957

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

2208-2214

issue

12

eissn

0090-3493

issn

1530-0293

journal_volume

44

pub_type

杂志文章
  • Unilateral pulmonary hyperinflation from mucus check-valve mechanism.

    abstract::Mucus plugging of a large airway resulted in the formation of a check-valve mechanism and pulmonary hyperinflation, rather than atelectasis. Fiberoptic bronchoscopy was both diagnostic and curative. The physician should be aware that mucus plugging may have unusual presentations and may mimic other clinical entities. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198609000-00015

    authors: Rubin EM,Baier H

    更新日期:1986-09-01 00:00:00

  • The lectin-like domain of tumor necrosis factor improves lung function after rat lung transplantation--potential role for a reduction in reactive oxygen species generation.

    abstract:OBJECTIVE:To test the hypothesis that the lectin-like domain of tumor necrosis factor, mimicked by the TIP peptide, can improve lung function after unilateral orthotopic lung isotransplantation. Because of a lack of a specific treatment for ischemia reperfusion-mediated lung injury, accompanied by a disrupted barrier i...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181cdf725

    authors: Hamacher J,Stammberger U,Roux J,Kumar S,Yang G,Xiong C,Schmid RA,Fakin RM,Chakraborty T,Hossain HM,Pittet JF,Wendel A,Black SM,Lucas R

    更新日期:2010-03-01 00:00:00

  • Premedication for tracheal intubation: a prospective survey in 75 neonatal and pediatric intensive care units.

    abstract:OBJECTIVE:In children, like in adults, tracheal intubation is a painful procedure that may induce hypertension, tachycardia, and other undesirable hemodynamic disorders. Although premature neonates are very sensitive to pain and vulnerable to its long-term effects, the need for sedation before tracheal intubation is st...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000108883.58081.E3

    authors: Simon L,Trifa M,Mokhtari M,Hamza J,Treluyer JM

    更新日期:2004-02-01 00:00:00

  • Risk Stratification Using Oxygenation in the First 24 Hours of Pediatric Acute Respiratory Distress Syndrome.

    abstract:OBJECTIVE:Oxygenation measured 24 hours after acute respiratory distress syndrome onset more accurately stratifies risk, relative to oxygenation at onset, in both children and adults. However, waiting 24 hours is problematic, especially for interventions that are more efficacious early in the disease course. We aimed t...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000002958

    authors: Yehya N,Thomas NJ,Khemani RG

    更新日期:2018-04-01 00:00:00

  • Results of a survey of blood pressure monitoring by intensivists in critically ill patients: a preliminary study.

    abstract:OBJECTIVES:Maintenance of mean arterial pressure>65 mm Hg has been associated with improved clinical outcomes in many studies of critically ill patients. Current guidelines for the management of septic shock and guidelines for managing other critical illnesses suggest intra-arterial blood pressure measurement is prefer...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181fa057f

    authors: Chatterjee A,DePriest K,Blair R,Bowton D,Chin R

    更新日期:2010-12-01 00:00:00

  • National estimates of intensive care utilization and costs: Canada and the United States.

    abstract::Although ICUs generate attention as consumers of resources, no national data on utilization and costs were available in Canada. U.S. estimates are too old for current comparison. Based on national hospital survey data from Statistics Canada, we calculated the utilization of ICUs in all Canadian general hospitals from ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199011000-00020

    authors: Jacobs P,Noseworthy TW

    更新日期:1990-11-01 00:00:00

  • Passive leg raising is predictive of fluid responsiveness in spontaneously breathing patients with severe sepsis or acute pancreatitis.

    abstract:OBJECTIVE:Rapid fluid loading is standard treatment for hypovolemia. Because volume expansion does not always improve hemodynamic status, predictive parameters of fluid responsiveness are needed. Passive leg raising is a reversible maneuver that mimics rapid volume expansion. Passive leg raising-induced changes in stro...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181c8fe7a

    authors: Préau S,Saulnier F,Dewavrin F,Durocher A,Chagnon JL

    更新日期:2010-03-01 00:00:00

  • Principles of antibacterial dosing in continuous renal replacement therapy.

    abstract:OBJECTIVES:To outline the concepts involved in optimizing antibacterial dosing in critically ill patients with acute renal failure undergoing continuous renal replacement therapy (CRRT), provide a strategy for optimizing dosing, and summarize the data required to implement the strategy. DATA SOURCES:MEDLINE search fro...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e3181aab3d0

    authors: Choi G,Gomersall CD,Tian Q,Joynt GM,Freebairn R,Lipman J

    更新日期:2009-07-01 00:00:00

  • Trends and Outcomes in Sepsis Hospitalizations With and Without Atrial Fibrillation: A Nationwide Inpatient Analysis.

    abstract:OBJECTIVES:Atrial fibrillation is frequently seen in sepsis-related hospitalizations. However, large-scale contemporary data from the United States comparing outcomes among sepsis-related hospitalizations with versus without atrial fibrillation are limited. The aim of our study was to assess the frequency of atrial fib...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003806

    authors: Desai R,Hanna B,Singh S,Omar A,Deshmukh A,Kumar G,Foreman MG,Sachdeva R

    更新日期:2019-08-01 00:00:00

  • Treatment of multifocal atrial tachycardia with metoprolol.

    abstract::We used metoprolol orally or iv in 25 patients with multifocal atrial tachycardia that was complicating severe cardiopulmonary illness, and we observed its effect on heart rate and rhythm, BP, and arterial blood gases. All patients showed a dramatic slowing of heart rate, averaging 54.0 +/- 4.0 beat/min (p less than ....

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198701000-00004

    authors: Hazard PB,Burnett CR

    更新日期:1987-01-01 00:00:00

  • Time course and cellular localization of lipopolysaccharide-induced inducible nitric oxide synthase messenger RNA expression in the rat in vivo.

    abstract:OBJECTIVES:The role of nitric oxide in mediating the early phase of hypotension and cardiovascular hyporeactivity in sepsis, and the cellular sources of inducible nitric oxide synthase expression under in vivo conditions, remain unclear. The objective of this study was to elucidate the time course and cellular location...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199703000-00022

    authors: Liu SF,Barnes PJ,Evans TW

    更新日期:1997-03-01 00:00:00

  • Changes in conjunctival oxygen tension and temperature with advancing age.

    abstract::The conjunctival oxygen monitor reflects oxygen tension of the internal carotid artery without introducing the heating artifact characteristic of transcutaneous monitors. It is now being used in the ICU and the operating room to measure accurately and continuously Po2 and temperature of conjunctival tissue. We examine...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198508000-00016

    authors: Isenberg SJ,Green BF

    更新日期:1985-08-01 00:00:00

  • Salutary effects of ATP-MgCl2 on the depressed endothelium-dependent relaxation during hyperdynamic sepsis.

    abstract:OBJECTIVES:Studies have shown that endothelium-dependent relaxation (mediated by endothelium-derived nitric oxide) is depressed during the early, hyperdynamic stage of sepsis. Although it is known that ATP-MgCl2 produces beneficial effects following various adverse circulatory conditions, it remains unknown whether thi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199905000-00035

    authors: Wang P,Ba ZF,Cioffi WG,Bland KI,Chaudry IH

    更新日期:1999-05-01 00:00:00

  • Sources of variability on the estimate of treatment effect in the PROWESS trial: implications for the design and conduct of future studies in severe sepsis.

    abstract:OBJECTIVE:To elucidate sources of variability in the estimate of treatment effects in a successful phase 3 trial in severe sepsis and to assess their implications on the design of future clinical trials. DESIGN:Retrospective evaluation of prospectively defined subgroups from a large phase 3, placebo-controlled clinica...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.ccm.0000147440.71142.ac

    authors: Macias WL,Vallet B,Bernard GR,Vincent JL,Laterre PF,Nelson DR,Derchak PA,Dhainaut JF

    更新日期:2004-12-01 00:00:00

  • Corticosteroid Therapy Benefits Septic Mice With Adrenal Insufficiency But Harms Septic Mice Without Adrenal Insufficiency.

    abstract:OBJECTIVES:Corticosteroid therapy is frequently used in septic patients given the rationale that there is an increased demand for corticosteroid in sepsis, and up to 60% of severe septic patients experience adrenal insufficiency. However, the efficacy of corticosteroid therapy and whether the therapy should be based on...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001264

    authors: Ai J,Guo L,Zheng Z,Wang SX,Huang B,Li XA

    更新日期:2015-11-01 00:00:00

  • Positive end-expiratory pressure may decrease arterial oxygen tension in the presence of a collapsed lung region.

    abstract::The effect of positive end-expiratory pressure (PEEP) on PaO2 during collapse of a single pulmonary lobe was investigated in seven dogs. Increasing PEEP to the ventilated region of lung increased the proportion of cardiac output flowing to the collapsed lobe and decreased PaO2 and pH. PaCO2 increased at the onset of l...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198505000-00004

    authors: Sánchez De León R,Orchard C,Sykes K,Brajkovich I

    更新日期:1985-05-01 00:00:00

  • The Very Elderly Admitted to ICU: A Quality Finish?

    abstract:OBJECTIVE:Very elderly persons admitted to ICUs are at high risk of death. To document life-sustaining interventions (mechanical ventilation, vasopressors, renal replacement therapy) provided in the ICU and outcomes of care. DESIGN:Multicenter, prospective cohort study. SETTING:ICUs of 24 Canadian hospitals. PARTICI...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000001024

    authors: Heyland D,Cook D,Bagshaw SM,Garland A,Stelfox HT,Mehta S,Dodek P,Kutsogiannis J,Burns K,Muscedere J,Turgeon AF,Fowler R,Jiang X,Day AG,Canadian Critical Care Trials Group.,Canadian Researchers at the End of Life Network.

    更新日期:2015-07-01 00:00:00

  • A phase II randomized, controlled trial of continuous hemofiltration in sepsis.

    abstract:OBJECTIVE:To study the effect of early and continuous venovenous hemofiltration (CVVH) on the plasma concentrations of several humoral mediators of inflammation and subsequent organ dysfunction in septic patients. DESIGN:Randomized, controlled trial. SETTING:Intensive care unit of a tertiary hospital. PATIENTS:Twent...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00003246-200201000-00016

    authors: Cole L,Bellomo R,Hart G,Journois D,Davenport P,Tipping P,Ronco C

    更新日期:2002-01-01 00:00:00

  • Differences in complexity of glycemic profile in survivors and nonsurvivors in an intensive care unit: a pilot study.

    abstract:OBJECTIVE:To investigate glycemic dynamics and its relation with mortality in critically ill patients. We searched for differences in complexity of the glycemic profile between survivors and nonsurvivors in patients admitted to a multidisciplinary intensive care unit. DESIGN:Prospective, observational study, convenien...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181ce49cf

    authors: Lundelin K,Vigil L,Bua S,Gomez-Mestre I,Honrubia T,Varela M

    更新日期:2010-03-01 00:00:00

  • Foreign-body pneumonitis associated with tracheostomy.

    abstract::Foreign-body aspiration in adults is usually associated with asphyxiation after aspiration of food particles. The present report documents a case of foreign-body aspiration that resulted from poor tracheostomy care in an alcoholic patient, and caused fulminant pneumonitis. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198408000-00020

    authors: Brischetto MJ,Malouf J,Taylor RW

    更新日期:1984-08-01 00:00:00

  • Sublingual capnometry versus traditional markers of tissue oxygenation in critically ill patients.

    abstract:OBJECTIVE:The purpose of this study was to determine the prognostic value of sublingual PCO2 (P(SL)CO2), lactate concentration, and mixed venous oxygen saturation (S(MV)O2) in hemodynamically unstable intensive care patients and, additionally, to compare the temporal changes of these variables in response to treatment....

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000054862.74829.EA

    authors: Marik PE,Bankov A

    更新日期:2003-03-01 00:00:00

  • Tumor necrosis factor in the pathogenesis of infectious diseases.

    abstract:OBJECTIVES:To review the immunologic role of the cytokines and the specific role that tumor necrosis factor (TNF) plays in response to infection. The influence of bacterial lipopolysaccharide on TNF, the cytokine cascade, and resultant pathologies are also reviewed. DATA SOURCES:A MEDLINE search of the international E...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Beutler B,Grau GE

    更新日期:1993-10-01 00:00:00

  • Death in the ICU: does the patient predict his own demise?

    abstract::Critically ill patients who fear impending death may die suddenly. We studied prospectively the incidence of death in critically ill surgical patients who articulated the fear that they were about to die. Physiologic, environmental, and behavioral correlates which might influence perceptions of impending death were ex...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198607000-00005

    authors: Poulton TJ,Butdorf MB

    更新日期:1986-07-01 00:00:00

  • Tracheostomy does not improve the outcome of patients requiring prolonged mechanical ventilation: a propensity analysis.

    abstract:OBJECTIVE:To examine the association between the performance of a tracheostomy and intensive care unit and postintensive care unit mortality, controlling for treatment selection bias and confounding variables. DESIGN:Prospective, observational, cohort study. SETTING:Twelve French medical or surgical intensive care un...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000251134.96055.A6

    authors: Clec'h C,Alberti C,Vincent F,Garrouste-Orgeas M,de Lassence A,Toledano D,Azoulay E,Adrie C,Jamali S,Zaccaria I,Cohen Y,Timsit JF

    更新日期:2007-01-01 00:00:00

  • Protective effect of a novel, potent inhibitor of poly(adenosine 5'-diphosphate-ribose) synthetase in a porcine model of severe bacterial sepsis.

    abstract:OBJECTIVE:To determine whether activation of the nuclear enzyme poly(adenosine 5'-diphosphate [ADP]-ribose) synthetase (PARS) contributes to mortality rate, myocardial dysfunction, and cardiovascular collapse in a porcine model of sepsis induced by implantation of an infected clot. DESIGN:Prospective, random animal st...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200205000-00004

    authors: Goldfarb RD,Marton A,Szabó E,Virág L,Salzman AL,Glock D,Akhter I,McCarthy R,Parrillo JE,Szabó C

    更新日期:2002-05-01 00:00:00

  • Long-term survival in patients with severe acute respiratory distress syndrome and rescue therapies for refractory hypoxemia*.

    abstract:OBJECTIVES:To describe long-term survival in patients with severe acute respiratory distress syndrome and assess differences in patient characteristics and outcomes among those who receive rescue therapies (prone position ventilation, inhaled nitric oxide, or inhaled epoprostenol) versus conventional treatment. DESIGN...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000000322

    authors: Khandelwal N,Hough CL,Bansal A,Veenstra DL,Treggiari MM

    更新日期:2014-07-01 00:00:00

  • Endothelin-1 blockade corrects mesenteric hypoperfusion in a porcine low cardiac output model.

    abstract:OBJECTIVE:To study the importance of endothelin-1-induced vasoconstriction in a model of acute and maintained low cardiac output, by investigating regional changes within the mesenteric and particularly the intestinal mucosal circulation. DESIGN:Prospective, controlled animal study. SETTING:University-affiliated rese...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200108000-00019

    authors: Burgener D,Laesser M,Treggiari-Venzi M,Oi Y,Jolliet P,Strasser S,Hadengue A,Aneman A

    更新日期:2001-08-01 00:00:00

  • Cerebral hemodynamics and distribution of left ventricular output during inhalation of nitric oxide.

    abstract:OBJECTIVES:Inhaled nitric oxide is being utilized as a selective pulmonary vasodilator in the treatment of persistent pulmonary hypertension of the newborn. However, the effects of inhaled nitric oxide on cerebral hemodynamics and distribution of left ventricular output in newborn subjects have not been studied. This s...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199508000-00013

    authors: Rosenberg AA,Kinsella JP,Abman SH

    更新日期:1995-08-01 00:00:00

  • Extracorporeal membrane oxygenation and cerebral blood flow velocity in newborn infants.

    abstract::Doppler ultrasound was used to study cerebral hemodynamics in the pericallosal artery of 21 newborn infants undergoing extracorporeal membrane oxygenation (ECMO) for intractable respiratory failure. Cerebral blood flow velocity waveforms were obtained pre-ECMO, after every major change in cardiopulmonary bypass flow d...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199001000-00003

    authors: van de Bor M,Walther FJ,Gangitano ES,Snyder JR

    更新日期:1990-01-01 00:00:00

  • Practices in Triage and Transfer of Critically Ill Patients: A Qualitative Systematic Review of Selection Criteria.

    abstract:OBJECTIVES:To identify and appraise articles describing criteria used to prioritize or withhold a critical care admission. DATA SOURCES:PubMed, Embase, Medline, EBM Reviews, and CINAHL Complete databases. Gray literature searches and a manual review of references were also performed. Preferred Reporting Items for Syst...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004624

    authors: Dahine J,Hébert PC,Ziegler D,Chenail N,Ferrari N,Hébert R

    更新日期:2020-11-01 00:00:00