Abstract

The aims of the study are to assess the usefulness of pulse pressure variation (PPV) as a predictive marker of fluid responsiveness and to estimate the value of central venous-arterial difference of carbon dioxide (PCO2cv-a) to predict the outcome of critically ill septic patients. The question of whether a septic patient needs fluids or not is crucial. Although PPV is a very reliable predictor of volume responsiveness, there are many limitations for its application. Cardiac arrhythmia, spontaneous breathing and low tidal volume ventilation prevent the extended use of this index.

Highlights

  • We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety

  • 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

  • Pediatric pharmacists have been an integral part of the PICU rounds since 2002, their role has evolved over the course of years

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Summary

Introduction

We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety. The objective of our study was to implement a Post Arrest Consult Team (PACT) and improve the quality of care for admitted OHCA patients This retrospective audit evaluated adult patients who suffered in-hospital cardiac arrest (IHCA) against the recent National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report [1]. It looked at the recognition of the acutely unwell, the interventions made, the decisions taken from admission through to the post-arrest period and the outcomes following cardiopulmonary resuscitation (CPR). Methods We conducted a chart review of all patients admitted to the Department of Critical Care (DCC) at our hospital following cardiac arrest over 2 years in 2010 to 2012 (Group 1). Methods A retrospective review was conducted looking at SICU patients managed with a normothermia protocol, with particular

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