Tag: economy

The earlier the better? Maybe, maybe not for renal replacement therapy.

In this recent re-look at patients from a previous seminal study, a ‘nested’ cohort from the RENAL study with RIFLE ‘I’ acute kidney injury (GFR<50%, creatinine rise to twice baseline, UOP <0.5ml/kg for 12hr).were selected. The APACHE III score for those supported late was significantly lower suggesting there may have been something different (a covariate, so not …

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Staffing the unit – more questions than answers?

A number of articles in the last few months have focused on staffing structure in the ICU. Previously we’ve seen that ‘high intensity staffing‘  (a dedicated ICU team, or at least the obligatory consultation by one) reduces mortality, in the USA. However night-time intensivists don’t seem to do the same unless there’s a ‘low intensity’ …

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