Abstract

Acute kidney injury (AKI) remains a common complication after cardiopulmonary bypass (CPB) and can be diagnosed by serum creatinine [1]. However, serum creatinine is an insensitive and nonspecific biomarker [2]. This study was designed to investigate whether a correlation exists between urinary oxygen tension (UOT) and early markers of AKI. The aim was to evaluate whether UOT could provide warning signs of an insufficient renal oxygen supply, which can lead to postoperative AKI.

Highlights

  • We aimed to audit the prescribing practice on a busy14-bedd general ICU, and develop standardised practices and tools to improve safety

  • We reduced the number of infusions running without prescription, 7 (6%) versus 24 (19%)

  • There are numerous reports of critical care staff stealing controlled drugs (CDs) for personal use or financial gain and notably there have been some cases where CDs have been substituted for other medications in order to delay detection of the theft

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Summary

Introduction

We aimed to audit the prescribing practice on a busy14-bedd general ICU, and develop standardised practices and tools to improve safety. The aim of this systematic review was to evaluate performance of frailty measures in predicting ICU, hospital and long-term outcomes following intensive care admission. The aim of the present study was to describe characteristics, outcomes and predictive factors of mortality in very old patients admitted to the ICU. We performed a retrospective analysis hypothesizing that red blood cell (RBC) transfusion practice remains variable and is influenced by patient characteristics and institutional transfusion culture Owing to their high risk in cardiac surgery, it is essential to define which transfusion strategy results in a lower rate of cardiovascular complications in older patients [1]. Perioperative red blood cell transfusion is commonly used to address anemia, an independent risk factor for morbidity and mortality in critically ill patients [1]; evidence regarding optimal blood transfusion practice in septic shock is lacking. We set out to review the data surrounding the anti-shivering component of a normothermia protocol in the surgical ICU (SICU) of one Minnesota hospital

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