Patients' recollection of intensive care unit experience.


:This study evaluates the recall of 100 patients after ICU admission. There was a wide spectrum of race, religion, occupation, and educational levels. The more common diagnoses included asthma, pneumonia, trauma, and adult respiratory distress syndrome. The average Acute Physiology and Chronic Health Evaluation (APACHE II) score was 12.3, and 68% of the patients were mechanically ventilated. The ICU atmosphere was described as friendly or relaxed by 94% of patients. Confidence in doctors and nurses was good. The most frequently reported unpleasant experiences were arterial blood gas sampling (48% of patients) and tracheal suctioning (30 of 68 ventilated patients). Only 6% of patients disliked ward rounds and discussion around the bedside. This study suggests that arterial lines or pulse oximetry could be used to avoid frequent arterial blood gas analyses and that tracheal suctioning should be performed with greater care. The need for better communication with patients is emphasized.


Crit Care Med


Critical care medicine


Turner JS,Briggs SJ,Springhorn HE,Potgieter PD




Has Abstract


1990-09-01 00:00:00












  • Heparin treatment in thrombin-induced disseminated intravascular coagulation in the baboon.

    abstract:BACKGROUND AND METHODS:We postulated that low-dose heparin (10 IU/ administered as a continuous iv infusion may prevent or ameliorate the induction of thrombin-induced disseminated intravascular coagulation in baboons under general anesthesia. In a nonrandomized experiment lasting 8 hrs, animals were divided into...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: du Toit HJ,Coetzee AR,Chalton DO

    更新日期:1991-09-01 00:00:00

  • The future of hospital economic health.

    abstract:OBJECTIVE:To evaluate factors which may influence the economic future of academic medical centers (AMCs). DATA SOURCE AND SELECTION:A literature search was performed to identify publications which reviewed the areas of revenue sources for AMCs, costs and expenses incurred by these institutions, and mechanisms for opti...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Gerber DR,Bekes CE,Parrillo JE

    更新日期:2006-03-01 00:00:00

  • Atrial fibrillation with high degree atrioventricular block masquerading as ventricular fibrillation masquerading as asystole during cardiac arrest.

    abstract::Ventricular fibrillation (VF) can masquerade as asystole. We report a 54-yr-old male in cardiac arrest who, on surface ECG, appeared to be in VF or asystole. A bedside intracardiac recording using a transmyocardial pacing wire showed the true rhythm to be atrial fibrillation (AF) with high grade atrioventricular block...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Ornato JP,Gonzales ER,Garnett R

    更新日期:1987-04-01 00:00:00

  • Severe acute respiratory syndrome and critical care medicine: the Toronto experience.

    abstract:BACKGROUND:The 2003 global outbreak of severe acute respiratory syndrome (SARS) provided numerous challenges to the delivery of critical care. The Toronto critical care community has learned important lessons from SARS, which will help in preparation for future disease outbreaks. OBJECTIVES:The objectives of this stud...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Booth CM,Stewart TE

    更新日期:2005-01-01 00:00:00

  • Association between nurse-physician collaboration and patient outcomes in three intensive care units.

    abstract:OBJECTIVE:To investigate the association of collaboration between intensive care unit (ICU) physicians and nurses and patient outcome. DESIGN:Prospective, descriptive, correlational study using self-report instruments. SETTINGS:A community teaching hospital medical ICU, a university teaching hospital surgical ICU, an...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: Baggs JG,Schmitt MH,Mushlin AI,Mitchell PH,Eldredge DH,Oakes D,Hutson AD

    更新日期:1999-09-01 00:00:00

  • A Multicenter Study of the Causes and Consequences of Optimistic Expectations About Prognosis by Surrogate Decision-Makers in ICUs.

    abstract:OBJECTIVES:Optimistic expectations about prognosis by surrogate decision-makers in ICUs are common, but there are few data about the causes and clinical consequences. Our objective was to determine the causes of optimistic expectations about prognosis among surrogates and whether it is associated with more use of life ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: White DB,Carson S,Anderson W,Steingrub J,Bird G,Curtis JR,Matthay M,Peterson M,Buddadhumaruk P,Shields AM,Ernecoff N,Shotsberger K,Weissfeld L,Chang CH,Pike F,Lo B,Hough CL

    更新日期:2019-09-01 00:00:00

  • Composition of fresh frozen plasma.

    abstract::We analyzed 35 samples of fresh frozen plasma (FFP), finding mean concentrations of 535 mg/dl glucose, 172 mEq/L sodium, 73 mEq/L chloride, 3.5 mEq/L potassium, 15 mEq/L bicarbonate, and 5.5 g/dl protein with 60% albumin. Thus, FFP is a hyperosmolal, hyperglycemic, hypernatremic, and hypochloremic solution which may b...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Ewalenko P,Deloof T,Peeters J

    更新日期:1986-02-01 00:00:00

  • Effect of carboxyhemoglobin on the accuracy of mixed venous oximetry monitors in dogs.

    abstract:OBJECTIVE:To assess the accuracy of mixed venous hemoglobin oxygen saturation estimated, using in vivo pulmonary artery reflectance oximetry with ranging concentrations of carboxyhemoglobin. DESIGN:Criterion standard, a comparison of an alternative test to the "gold standard." SETTING:Laboratory animal facility of a ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Haney M,Tait AR,Tremper KK

    更新日期:1994-07-01 00:00:00

  • Multicenter, randomized, placebo-controlled phase III study of pyridoxalated hemoglobin polyoxyethylene in distributive shock (PHOENIX).

    abstract:OBJECTIVE:To compare the effectiveness and safety of the hemoglobin-based nitric oxide scavenger, pyridoxalated hemoglobin polyoxyethylene, against placebo in patients with vasopressor-dependent distributive shock. DESIGN:Multicenter, randomized, placebo-controlled, open-label study. SETTING:Sixty-one participating I...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Vincent JL,Privalle CT,Singer M,Lorente JA,Boehm E,Meier-Hellmann A,Darius H,Ferrer R,Sirvent JM,Marx G,DeAngelo J

    更新日期:2015-01-01 00:00:00

  • Variability of response to atrial natriuretic peptide and sodium nitroprusside in cultured vascular smooth muscle cells from three blood vessels.

    abstract:OBJECTIVES:Vascular beds vary in their responses to atrial natriuretic peptide and sodium nitroprusside. Both of these agents dilate blood vessels by increasing intracellular guanosine 3',5'-cyclic monophosphate (cyclic-GMP) but activate different enzymes in the vascular smooth muscle cell. We aimed to determine if the...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Zhang LM,Castresana M,Newman WH

    更新日期:1994-09-01 00:00:00

  • Survival in patients with severe adult respiratory distress syndrome treated with high-level positive end-expiratory pressure.

    abstract:OBJECTIVE:To assess the mortality rate and complications in a population of surgical patients with severe adult respiratory distress syndrome (ARDS) treated with positive end-expiratory pressure (PEEP) of > 15 cm H2O in an attempt to reduce intrapulmonary shunt to approximately 0.20 and reduce FIO2 to < 0.50. DESIGN:R...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: DiRusso SM,Nelson LD,Safcsak K,Miller RS

    更新日期:1995-09-01 00:00:00

  • Full Finger Reperfusion Time Measured by Pulse Oximeter Waveform Analysis in Children.

    abstract:OBJECTIVES:Capillary refill time is a noninvasive method to assess tissue perfusion to determine shock status. Capillary refill time is defined as the time required to regain skin color after blanching pressure is applied. Although common methods to measure capillary refill time depend on clinicians' visual assessment,...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Nickel AJ,Jiang S,Napolitano N,Yehya N,Fitzgerald JC,Bruins BB,Lockman JL,Nadkarni VM,Nishisaki A

    更新日期:2020-10-01 00:00:00

  • Procalcitonin for reduced antibiotic exposure in the critical care setting: a systematic review and an economic evaluation.

    abstract:OBJECTIVE:Procalcitonin may be associated with reduced antibiotic usage compared to usual care. However, individual randomized controlled trials testing this hypothesis were too small to rule out harm, and the full cost-benefit of this strategy has not been evaluated. The purpose of this analysis was to evaluate the ef...

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析,评审


    authors: Heyland DK,Johnson AP,Reynolds SC,Muscedere J

    更新日期:2011-07-01 00:00:00

  • Taking values seriously: Ethical challenges in organ donation and transplantation for critical care professionals.

    abstract::Last year, >28,000 people received organ transplants from >14,000 donors in the United States. Unfortunately, the wait list now tops 91,000, with the gap between recipient needs and available donor organs at around 60,000. This has motivated a host of efforts to increase organ supply, including driver's license and do...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Aulisio MP,Devita M,Luebke D

    更新日期:2007-02-01 00:00:00

  • Cardiac Arrests Associated With Tracheal Intubations in PICUs: A Multicenter Cohort Study.

    abstract:OBJECTIVES:To determine the incidence and epidemiologic characteristics of cardiac arrests among tracheal intubations in PICUs. DESIGN:Retrospective cohort study of prospectively collected data. SETTING:Twenty-five diverse PICUs. PATIENTS:Critically ill children requiring tracheal intubation in PICUs. INTERVENTIONS...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: Shiima Y,Berg RA,Bogner HR,Morales KH,Nadkarni VM,Nishisaki A,National Emergency Airway Registry for Children Investigators.

    更新日期:2016-09-01 00:00:00

  • A lipid A analog, E5531, blocks the endotoxin response in human volunteers with experimental endotoxemia.

    abstract:BACKGROUND:Endotoxin (lipopolysaccharide [LPS]) has been associated with sepsis and the high mortality rate seen in septic shock. The administration of a small amount of LPS to healthy subjects produces a mild syndrome qualitatively similar to that seen in clinical sepsis. We used this model to test the efficacy of an ...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Bunnell E,Lynn M,Habet K,Neumann A,Perdomo CA,Friedhoff LT,Rogers SL,Parrillo JE

    更新日期:2000-08-01 00:00:00

  • Effects of dobutamine and norepinephrine on oxygen availability in tamponade-induced stagnant hypoxia: a prospective, randomized, controlled study.

    abstract:OBJECTIVES:To explore the effects of dobutamine and norepinephrine on the global cardiovascular response and on the relationship between oxygen uptake (VO2) and oxygen delivery (DO2) during an acute reduction in blood flow associated with tamponade. DESIGN:Prospective, randomized, controlled acute intervention study. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Zhang H,Spapen H,Vincent JL

    更新日期:1994-02-01 00:00:00

  • Effectiveness Analysis of a Part-Time Rapid Response System During Operation Versus Nonoperation.

    abstract:OBJECTIVES:To evaluate the effect of a part-time rapid response system on the occurrence rate of cardiopulmonary arrest by comparing the times of rapid response system operation versus nonoperation. DESIGN:Retrospective cohort study. SETTING:A 1,360-bed tertiary care hospital. PATIENTS:Adult patients admitted to the...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Kim Y,Lee DS,Min H,Choi YY,Lee EY,Song I,Park JS,Cho YJ,Jo YH,Yoon HI,Lee JH,Lee CT,Do SH,Lee YJ

    更新日期:2017-06-01 00:00:00

  • Effect of a Perioperative Intra-Aortic Balloon Pump in High-Risk Cardiac Surgery Patients: A Randomized Clinical Trial.

    abstract:OBJECTIVES:The aim of this study was to evaluate the efficacy of perioperative intra-aortic balloon pump use in high-risk cardiac surgery patients. DESIGN:A single-center randomized controlled trial and a meta-analysis of randomized controlled trials. SETTING:Heart Institute of São Paulo University. PATIENTS:High-ri...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验


    authors: Rocha Ferreira GS,de Almeida JP,Landoni G,Vincent JL,Fominskiy E,Gomes Galas FRB,Gaiotto FA,Dallan LO,Franco RA,Lisboa LA,Palma Dallan LR,Fukushima JT,Rizk SI,Park CL,Strabelli TM,Gelas Lage SH,Camara L,Zeferino S,Jar

    更新日期:2018-08-01 00:00:00

  • Optimal release time during airway pressure release ventilation in neonatal sheep.

    abstract:OBJECTIVE:To systematically investigate the effect of altering release time during airway pressure release ventilation in a neonatal animal model before and after oleic acid-induced acute lung injury. DESIGN:Prospective, nonrandomized, controlled study with repeated measures. SETTING:University research laboratory. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Martin LD,Wetzel RC

    更新日期:1994-03-01 00:00:00

  • Procalcitonin and cytokine levels: relationship to organ failure and mortality in pediatric septic shock.

    abstract:BACKGROUND:Procalcitonin (PCT), a marker of bacterial sepsis, may also act as a mediator of the inflammatory response to infection, and thus influence outcome. OBJECTIVE:To investigate the relationship between PCT, interleukin (IL)-10, tumor necrosis factor (TNF), organ failure, and mortality in pediatric septic shock...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Hatherill M,Tibby SM,Turner C,Ratnavel N,Murdoch IA

    更新日期:2000-07-01 00:00:00

  • Cardiovascular function during the postresuscitation phase after cardiac arrest in pigs: a comparison of epinephrine versus vasopressin.

    abstract:OBJECTIVE:The administration of vasopressin during cardiopulmonary resuscitation (CPR) provides significantly more vital organ blood flow when compared with epinephrine during cardiac arrest in pigs. The effects of this potent vasoconstrictor on postresuscitation cardiovascular function remain unknown. The purpose of t...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Prengel AW,Lindner KH,Keller A,Lurie KG

    更新日期:1996-12-01 00:00:00

  • Esophageal Doppler Can Predict Fluid Responsiveness Through End-Expiratory and End-Inspiratory Occlusion Tests.

    abstract:OBJECTIVES:To assess whether, in patients under mechanical ventilation, fluid responsiveness is predicted by the effects of short respiratory holds on cardiac index estimated by esophageal Doppler. DESIGN:Prospective, monocentric study. SETTING:Medical ICU. PATIENTS:Twenty-eight adult patients with acute circulatory...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Dépret F,Jozwiak M,Teboul JL,Alphonsine JE,Richard C,Monnet X

    更新日期:2019-02-01 00:00:00

  • Effect of dopamine on intrapulmonary shunt fraction and oxygen transport in severe sepsis with circulatory and respiratory failure.

    abstract::The hemodynamic response to a dopamine HCl infusion (10 microgram/kg per min) was measured in 25 adult patients with severe sepsis: there were 6 patients with circulatory hyperdynamic states, 9 patients with myocardial failure, and 10 with hypovolemia. Each patient also had acute respiratory failure. Changes of intrap...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Jardin F,Gurdjian F,Desfonds P,Margairaz A

    更新日期:1979-06-01 00:00:00

  • Bradyarrhythmias, temporary and permanent pacing.

    abstract::Bradycardia is common in critical care units. It may be transient, asymptomatic and of little consequence, or life-threatening. Bradycardia may result from abnormalities of the sinus node, atrioventricular node, or the His-Purkinje system. It may also be precipitated by drug effects or enhanced vagal tone. Proper diag...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Kaushik V,Leon AR,Forrester JS Jr,Trohman RG

    更新日期:2000-10-01 00:00:00

  • Influenza epidemiology--past, present, and future.

    abstract::In April 2009, Mexican, American, and Canadian authorities announced that a novel influenza virus with pandemic potential had been identified in large segments of the population. Within weeks, it became apparent that the world was dealing with the first influenza pandemic in >40 yrs. Despite the unpredictable nature o...

    journal_title:Critical care medicine

    pub_type: 历史文章,杂志文章,评审


    authors: Lagacé-Wiens PR,Rubinstein E,Gumel A

    更新日期:2010-04-01 00:00:00

  • Adrenal insufficiency during the late stage of polymicrobial sepsis.

    abstract:OBJECTIVES:Although studies have indicated that adrenal insufficiency occurs after severe trauma and hemorrhagic shock, it remains controversial whether adrenal function is depressed during the late stage of polymicrobial sepsis. DESIGN:Prospective, controlled animal study. SETTING:A university research laboratory. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Koo DJ,Jackman D,Chaudry IH,Wang P

    更新日期:2001-03-01 00:00:00

  • Levosimendan is superior to milrinone and dobutamine in selectively increasing microvascular gastric mucosal oxygenation in dogs.

    abstract:OBJECTIVE:The effect of levosimendan, a novel inotropic vasodilator (inodilator), on the microvascular gastric mucosal hemoglobin oxygenation (muHbo(2)) is unknown. A possible effect could thereby be selective for the splanchnic region or could primarily reflect changes in systemic oxygen transport (Do(2)) and/or oxyge...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Schwarte LA,Picker O,Bornstein SR,Fournell A,Scheeren TW

    更新日期:2005-01-01 00:00:00

  • Pathophysiology of the upper gastrointestinal tract in the critically ill patient: rationale for the therapeutic benefits of acid suppression.

    abstract::Gastric mucosal damage occurs in critically ill patients in intensive care units and develops in the setting of severe physiologic stress. Within 24 hrs of admission to the intensive care unit, 75% to 100% of critically ill patients demonstrate evidence of stress-related mucosal disease. Stress ulcers present a risk o...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Fennerty MB

    更新日期:2002-06-01 00:00:00

  • Clinical validation of a new metabolic monitor suitable for use in critically ill patients.

    abstract::This report documents the validity of clinical measurements of oxygen consumption (VO2) and carbon dioxide production (VCO2) made with a new metabolic gas monitor (MGM) suitable for use in critically ill patients receiving mechanical ventilatory support. Paired samples of inspired and expired gases were obtained, and ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Nelson LD,Anderson HB,Garcia H

    更新日期:1987-10-01 00:00:00