Dominic W. K. Spray

Management and outcomes in critically ill nonagenarian versus octogenarian patients

Bernhard Wernly, Malte Kelm, Ariane Boumendil, Alessandro Morandi et autres

BACKGROUND: Intensive care unit (ICU) patients age 90 years or older represent a growing subgroup and place a huge financial burden on health care resources despite the benefit being unclear. This leads to ethical problems. The present investigation assessed the differences in …

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Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU: a prospective cohort study

Jakub Fronczek, Kamil Polok, Dylan W. de Lange, Christian Jung et autres

BACKGROUND: The Clinical Frailty Scale (CFS) is frequently used to measure frailty in critically ill adults. There is wide variation in the approach to analysing the relationship between the CFS score and mortality after admission to the ICU. This study aimed to …

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Perioperative care in cardiac surgery

Ciana McCarthy, Dominic W. K. Spray, Gabor ZILHANI, Nick Fletcher

As mortality is now low for many cardiac surgical procedures, there has been an increasing focus on patient centered outcomes such as recovery and quality of life. The Enhanced Recovery After Surgery (ERAS) cardiac society recently published the first set of guidelines …

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Frailty is associated with long-term outcome in patients with sepsis who are over 80 years old: results from an observational study in 241 European ICUs

Lenneke Haas, Ariane Boumendil, Hans Flaatten, Bertrand Guidet et autres

BACKGROUND: Sepsis is one of the most frequent reasons for acute intensive care unit (ICU) admission of very old patients and mortality rates are high. However, the impact of pre-existing physical and cognitive function on long-term outcome of ICU patients ≥ 80 …

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Simulator Teaching of Cardiopulmonary Bypass Complications: A Prospective, Randomized Study

Jeremy Smelt, Simon Phillips, Colin Hamilton, Paul Fricker et autres

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Preprocedural fasting for coronary interventions: is it time to change practice?

Yanushi D. Wijeyeratne, Renate Wendler, Dominic W. K. Spray, Nick Bunce

Dear Editor, Patients undergoing invasive cardiac procedures are routinely fasted for varying periods of time even though there is no clearly applicable evidence base to support current practices. We read with great interest the study by Hamid et al 1 exploring the …

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Echocardiography-Based Hemodynamic Management in the Cardiac Surgical Intensive Care Unit

Martin Geisen, Dominic W. K. Spray, Nick Fletcher

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Cardiac Output, Measurements

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira et autres

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Continuous Renal Replacement Therapy (CRRT)

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira et autres

Peritoneal Lavage, Diagnostic

Cedric W. Lefebvre, Jay P. Babich, James H. Grendell, John E. Heffner et autres

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Cardiac Steroids and Glycoside Toxicity

Adeel Abbasi, Francis DeRoos, José Artur Paiva, Jonathan Pereira et autres

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Choice of Catheter Lumen

Adeel Abbasi, Francis DeRoos, José Artur Paiva, J.M. Pereira et autres