1.Critical Care Medicine.
Tuberculosis and Respiratory Diseases 2008;65(3):169-176
No abstract available.
Critical Care
2.Review 2006: Critical Care Medicine.
Tuberculosis and Respiratory Diseases 2006;61(4):327-329
No abstract available.
Critical Care*
3.Stressed vs. unstressed volume and its relevance to critical care practitioners.
Clinical and Experimental Emergency Medicine 2016;3(1):52-54
No abstract available.
Critical Care*
4.Role of Critical Care Physician.
The Korean Journal of Critical Care Medicine 1999;14(2):97-100
No abstract available.
Critical Care*
5.Ethical Aspects in the Critical Care Medicine.
The Korean Journal of Critical Care Medicine 1999;14(2):92-96
No abstract available.
Critical Care*
6.The Needs of Malaysian Family Members of Critically Ill Patients Treated in Intensive Care Unit, Hospital Universiti Sains Malaysia
T. Kumaravadivel Dharmalingam ; Mohammad Rahim Kamaluddin ; Shamsul Kamalrujan Hassan ; Rhendra Hardy Mohammad Zaini
Malaysian Journal of Medicine and Health Sciences 2016;12(2):9-17
Background: The needs of intensive care patient’s family
members are often neglected. Many healthcare practitioners do
not realize that meeting the family needs in the intensive care
settings actually may improve outcome for their patients and
enable the family members to cope and deal with the patient’s
hospitalization period effectively. With this in mind, the present
study aimed to address the needs of Malaysian family members
of intensive care unit patients. Methods: This cross-sectional
survey was conducted among family members of Intensive Care
Unit of Hospital Universiti Sains Malaysia, Malaysia. A total of
60 family members were recruited using a convenience sampling
manner. A Malay validated Critical Care Family Needs
Inventory was used to identify the family needs among the
respondents. Descriptive statistics as well as mean comparison
analyses were employed to achieve the study. Results: The
findings showed that family members ranked Assurance items as
the most important needs. In terms of subscales scores,
Assurance and Information evidenced higher mean scores
compared to other dimensions. All the family need dimensions
had positive and significant associations with one another. The
highest correlation was noted among Comfort – Support pair,
r(58) = 0.73, p < 0.001. No significant differences in the mean
values found across gender, history of admission and types of
relationships. In contrast, significant mean difference was
observed across level of education. Conclusion: Identifying the
needs of family members in the intensive care unit is imperative
as it raises awareness and contributes knowledge in terms of
family needs to healthcare providers, policy makers, medical
social workers and general public.
Critical Care
7.Reliability of Surgical Apgar Score (SAS) in predicting immediate post-operative extubation and intensive care unit admission after major abdominal surgeries: A single center three-year retrospective study
Journal of the Philippine Medical Association 2023;102(1):111-124
Background:
Surgical Apgar Score (SAS) is a simple, inexpensive, and readily available ten-point scoring system using patient's parameters which include surgical blood loss, lowest recorded mean arterial pressure (MAP) and lowest intraoperative heart rate in predicting 30-day post-operative morbidities. This study determined the reliability of SAS in predicting immediate post-operative extubation and immediate intensive care unit (ICU) admission among patients who underwent major abdominal surgeries in a tertiary hospital in Iloilo City.
Methods:
A descriptive retrospective cross- sectional study conducted in a tertiary hospital in Iloilo City included patients aged 19 and above who underwent major abdominal surgery from January 1, 2017 to December 31, 2019, and met the study's inclusion criteria. Purposive sampling was utilized. Demographics, clinical data, intraoperative data, management as well as treatment course, post- operative course and patient outcome were extracted, and data collected were utilized for data processing and analysis. Frequency count, mean and standard deviation were utilized for descriptive statistics; T-test and One-way Analysis of Variance (ANOVA) were utilized to determine statistical difference among groups. Logistic regression analysis was employed to assess association between SAS and immediate extubation and post- op ICU admission. Statistical Package of the Social Sciences (SPSS) software version 23.0 was utilized for statistical computations. A probability level of p<0.05 was utilized to determine statistical significance.
Results:
The study consisted of 221 patients predominantly female 64.3 % (n=142) with the mean age of 55.80 17.53. Mean SAS was 6.79 $ 1.3 with a total of 13 (5.9%) patients who were classified as high risk (SAS 0-4), 152 (68.8%) patients as medium risk (SAS 5-7) and 56 (25.3%) patients as low risk with SAS 8-10. On logistic regression analysis, mean arterial pressure (MAP), lowest heart rate and estimated blood loss were significantly associated with decision to do immediate post-operative extubation and immediate ICU admission (p<0.001). Those with higher MAP were 1.19 times more likely to be extubated (OR 1.199, CI: 1.078-1.334, p<0.001) and higher estimated blood loss more likely to be admitted in the ICU (OR 1.006, CI: 1.004-1.009, p<0.001). Lastly, those with higher heart rates were 1.2 times more likely to be admitted in the ICU post-operatively. Low-Risk SAS (Score of 8-10) is predictive of immediate post-operative extubation with 97.7% sensitivity and 75.6% specificity. High Risk SAS (score of 0-4) is predictive of immediate post-operative ICU admission with a sensitivity of 76.1% and 98.3% specificity.
Conclusion
SAS is a reliable and valid predictive tool in determining immediate post- operative extubation and ICU admission among patients undergoing major abdominal surgeries. Multicentric, longitudinal and prospective studies are further required to confirm results.Keywords: Surgical Apgar Score (SAS), extubation, intensive care, critical care, abdominal surgery
Critical Care
8.Changes in 2015 Canadian Clinical Practice Guidelines.
Journal of Clinical Nutrition 2015;7(3):70-74
Careful nutritional strategy is an essential component in the management of critically ill patients. Evidence-based clinical practice guidelines can be an effective solution to improving the process and structure of nutritional strategy for critically ill patients. The 2015 Canadian clinical practice guidelines (CPGs) summarized the evidence from approximately 354 randomized controlled trials in the area of critical care nutrition since 1980. The Canadian CPGs were first developed in 2003 and have been updated every 2 years. It is important for the acquisition of new evidence-based knowledge. This paper includes a brief summary on changes in 2015 CPGs compared with 2013 CPGs.
Critical Care
;
Critical Illness
;
Humans
9.Maternal Mortality and Obstetric Intensive Care.
Korean Journal of Perinatology 2000;11(3):277-282
No abstract available.
Critical Care*
;
Maternal Mortality*