Abstract

Clinical and experimental investigations have demonstrated improved outcome following therapeutic mild hypothermia after successful resuscitation. In septic shock, implementation of 'standard operating procedures' improves outcome. To advance treatment and outcome in patients after successful prehospital resuscitation, we established in August 2005, at our medical ICU at the Heart Centre Freiburg, an evidence-based standard operating procedures in postresuscitation care. To evaluate enforcement and quality of postresuscitation care in daily practice we compared achievement and realisation of our standard operating procedure before and after introduction.

Highlights

  • The aim of this study was to elucidate the impact of ICU-acquired infection on ICU and hospital mortality

  • The goal from this study is to evaluate weaning predictor indexes in patients during weaning from mechanical ventilation (MV)

  • Asystole significantly decreased the chance of return of spontaneous circulation (ROSC) (OR = 0.21, 95% cardiac index (CI) = 0.05–0.96)

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Summary

Introduction

The aim of this study was to elucidate the impact of ICU-acquired infection on ICU and hospital mortality. Methods A total of 48 community patients (36 men, 11 women, age 50.17 ± 17.974 years, APACHE II score 13.51 ± 6.153) who were expected to stay in the ICU for >5 days were included in this study. Specific examples of feedback are as follows: ‘good update of management plan reinforces need for taking into account concurrent medication when resuscitating patients’, ‘nice simple messages with good starting points for trying to deal with these complicated patients’, ‘useful data on risk of recurrence as this is a question often asked by patients’ This feedback was encouraging as it showed how the primary care professionals planned to change their practice to improve patient outcomes as a result of the learning. The course was considered excellent by 63% of the participants and good by 36%

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