scholarly journals The Association Between Nutritional Adequacy and Long-Term Outcomes in Critically Ill Patients Requiring Prolonged Mechanical Ventilation

2016 ◽  
Vol 60 (3) ◽  
pp. 100
Author(s):  
Xuejiao Wei ◽  
Andrew G. Day ◽  
Hélène Oullette-Kuntz ◽  
Daren K. Heyland
2019 ◽  
Vol 28 (6) ◽  
pp. 477-480 ◽  
Author(s):  
Perrine Bouvet ◽  
Martin Murgier ◽  
Bertrand Pons ◽  
Michael Darmon

Author(s):  
Jeremy M Kahn

Long-term ventilator facilities play an increasingly important role in the care of chronically critically ill patients in the recovery phase of their acute illness. These hospitals can take several forms, depending on the country and health system, including �step-down� units within acute care hospitals and dedicated centres that specialize in weaning patients from prolonged mechanical ventilation. These hospitals may improve outcomes through increased clinical experience at applying protocolized weaning approaches and specialized, multidisciplinary, rehabilitation-focused care; they may also worsen outcomes by fragmenting the episode of acute care across multiple hospitals, leading to communication delays and hardship for families. Long-term ventilator facilities may also have important �spillover effects�, in that they free ICU beds in acute care hospitals to be filled with greater numbers of acute critically ill patients. Current evidence suggests that mortality of chronically critically ill patients is equivalent between acute care hospitals and specialized weaning centres; however, mechanical ventilation may be longer and cost of care higher in patients who remain in acute care hospitals. Given the rising incidence of prolonged mechanical ventilation and capacity constraints on acute care ICUs, long-term ventilator hospitals are likely to serve a key function in critical illness recovery.


2017 ◽  
Vol 45 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Matthew R. Dettmer ◽  
Emily Damuth ◽  
Samson Zarbiv ◽  
Jessica A. Mitchell ◽  
Jason L. Bartock ◽  
...  

CHEST Journal ◽  
2006 ◽  
Vol 130 (4) ◽  
pp. 212S
Author(s):  
Andrew F. Shorr ◽  
Lee S. Stern ◽  
Monika K. Raut ◽  
Lisa R. Rosenblatt ◽  
Samir Mody ◽  
...  

Author(s):  
Saba Ghorab ◽  
David G. Lott

Tracheostomy is a procedure where a conduit is created between the skin and the trachea. Tracheostomy is one of the most frequent procedures undertaken in critically ill patients. Each year, approximately 10% of critical care patients in the United States require a tracheostomy, most often for prolonged mechanical ventilation.


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