intensive care

qSOFA as a new community-acquired pneumonia severity score in the emergency setting

Quick Sequential Organ Failure Assessment (qSOFA) score is a bedside prognostic tool for patients with suspected infection outside the intensive care unit (ICU), which is particularly useful when laboratory analyses are not readily available. However, its performance in potentially septic patients with community-acquired pneumonia (CAP) needs to be examined further, especially in relation to early outcomes affecting acute management.

ENTERAL FEEDING IN POST SURGICAL INTENSIVE CARE UNIT: FOLLOW CIRCADIAN RHYTMS

Introduction
The environment and the treatments during hospitalization change circadian rhythms. The administration of continuous enteral nutrition disables the physiological alternation of hunger-thirst stimuli and their satisfaction. At nighttime, our body takes a series of modifications to facilitate rest. The purpose of the study was to improve the synchronism between nutrition administration and circadian response.
Materials and methods

Narrative Medicine in Intensive Care

Narrative Medicine fortifies clinical practice with the narrative competence to interpret the stories of illness. The histories of illness pass through a process of listening and empathic understanding aimed at the therapeutic objective. Storytelling is an inherent behavior in humans. This becomes more important in intensive care where technology often is master of the field. Narrative skills are applied both in the relationship with patients and with family members and colleagues. Narrative Medicine has older origins.

Evaluation of Consciousness State in Subjects with Brain Injuries in Intensive Care. Use of the Potential Related Event P300 - Pilot Study

Introduction: Severe brain injuries are always associated with alterations of vital functions and neurological deficits. Length of time period between the damaging event and the start of the rehabilitation treatment is prognostically important. It is useful, therefore, to identify an evaluation method that leaves aside the subjectivity to predict the timing of a possible cognitive recovery. From this perspective, potential related events (ERPs) seem to provide good results.

Narrative medicine, intensive care and burn out

Introduction Narrative Medicine puts the individual at the centre of the therapeutic relationship. It is a powerful tool to improve the collaboration between the patient and those who care for them. In addition narrative medicine, which is based on specific communication skills, allows healthcare professionals to reflect on the meaning of their profession. Intensive care unit is a department with strong relational pressures. This pression influences the actions of the professionals involved. The source of stress affects the way it is managed.

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