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The Australian and New Zealand Intensive Care Society Adult Patient Database prospectively records data on patients cared for in 90% of Australian and 50% of New Zealand ICUs.
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For decades, lactulose, a non-absorbable disaccharide, has been considered to be the standard-of-care, first-line therapy for acute (overt) hepatic encephalopathy. Hepatic encephalopathy (HE), a complication of decompensated liver cirrhosis, represents a spectrum of clinical manifestations ranging from mild neuropsychiatric changes to coma and is a common indication for hospital admission.
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Ever since the first Goldman index, severe aortic stenosis (AS) has been known to be a risk factor for perioperative morbidity and mortality for non-cardiac surgery.
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Patients with cystic fibrosis (CF) have a dysfunctional CF transmembrane conductance regulator (CFTR) epithelial chloride channel. As a result, the channel prevents their secretions from being adequately hydrated.
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Several factors have been reported to predict the outcome of acute stroke, including the modified Rankin scale, length of hospital stay, age and gender, severity of presenting deficit as measured by the initial NIH Stroke Scale, history of diabetes, and in-hospital infections.
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The Choosing Wisely Campaign was introduced in 2011 by the American Board of Internal Medicine to identify practices and procedures physicians and patients should question. The critical care top 5 list was developed through a collaborative effort of several critical care societies.
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Delirium, or acute brain dysfunction, is a syndrome that affects many patients in the intensive care unit (ICU). A number of modifiable and non-modifiable risk factors contribute to the development of delirium, such as illness severity, receipt of benzodiazepine medications, and metabolic alterations.
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Gershengorn and colleagues used prospectively collected data from the Project IMPACT database (a nationwide, voluntary, proprietary database for assessing performance of U.S. ICUs with respect to patient outcomes and numerous other variables) to examine the question of whether the use of arterial catheters (ACs) in critically ill, mechanically ventilated patients was associated with improved survival or other documentable benefits.
