Transfusion requirements in critical care: a pilot study

Article Abstract:

Red blood cell (RBC) transfusions can be restricted safely among intensive care patients. Anemia often results from repeated RBC transfusions in critically ill patients. A total of 69 patients participated in the study; 33 in the restrictive and 36 in the liberal group. Thirty-day mortality was 24% for patients in the restrictive group whose hemoglobin levels averaged 90 g/L, and 25% for patients averaging 109 g/L in the liberal group. However, because of the small sample size, the percentages could be significantly greater or less with an additional death. Diagnosis and age did not differ much between the two study groups; length of time until death were also comparable.

Measurement, Blood transfusion

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Improving the process of informed consent in the critically ill

Article Abstract:

Using a universal consent form and posting handouts describing certain procedures in the waiting rooms of intensive care units (ICUs) can increase the number of family members and friends who can consent to invasive procedures when the patient cannot. This often occurs in ICUs because the patient is too sick to consent. Health care workers who work in the ICU should also be encouraged to find a friend or relative who can give consent.

Management dynamics, Methods, Management, Company business management, Informed consent (Medical law), Informed consent, Intensive care units

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Complications of Femoral and Subclavian Venous Catheterization in Critically Ill Patients: A Randomized Controlled Trial

Article Abstract:

Putting an intravenous catheter in the femoral vein of critically ill patients is more risky than putting it in the subclavian vein. In a study of 289 critically ill patients, femoral catheterization was more likely than subclavian catheterization to cause infection and blood clots.

Intravenous catheterization, Complications

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