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15,164 results
  • [The role of end-of-life palliative sedation: medical and ethical aspects - Review]. [Review]
  • RBRev Bras Anestesiol 2018 May 15
  • Menezes MS, Figueiredo MDGMDCA
  • CONCLUSIONS: Palliative sedation is an alternative to alleviate end-of-life patient suffering due to refractory symptoms, particularly dyspnea and delirium, after all other treatment options have been exhausted. Decision making involves prior explanations, discussions and agreement of the team, patient, and/or family members. It can be performed in general hospital units, hostels and even at home. Midazolam is the most indicated drug, and neuroleptics may also be required in the presence of delirium. These patients' monitoring is limited to comfort observation, relief of symptoms, and presence of adverse effects. There is no consensus on whether or not to suspend fluid and nutritional support, and the decision must be made with family members. From the bioethical standpoint, the great majority of authors are based on intention and proportionality to distinguish between palliative sedation, euthanasia, or assisted suicide.
  • Educational Intervention on Delirium Assessment Using Confusion Assessment Method-ICU (CAM-ICU) in a General Intensive Care Unit. [Journal Article]
  • JCJ Clin Nurs 2018 May 18
  • Ramoo V, Abu H, … Thinagaran RRR
  • CONCLUSIONS: Educational intervention and hands-on practices increased nurses' knowledge of delirium assessment. Teaching and inter-professional involvements are essential for a successful implementation of intensive care unit delirium assessment practice.This study supports existing evidences, indicating that education and training could increase nurses' knowledge of delirium and delirium assessment. Improving nurses' knowledge could potentially lead to better delirium management practice and improve ICU patient care. Thus, continuous efforts to improve and sustain nurses' knowledge become relevant in ICU settings. This article is protected by copyright. All rights reserved.
  • Perioperative predictors of delirium and incidence factors in adult patients post cardiac surgery. [Journal Article]
  • POPragmat Obs Res 2018; 9:11-19
  • Theologou S, Giakoumidakis K, Charitos C
  • CONCLUSIONS: Patients with extended LOS with endotracheal tube and prolonged stay in ICU in accordance with peaked urea, neutrophil-to-lymphocyte ratio, creatinine, and sodium levels seem to have a significantly greater probability of developing delirium in the ICU. Further research is needed in the field of postoperative cardiac patients in order to determine the causality and etiology of certain risk factors for delirium.
  • n-Ethyl Pentylone-Related Deaths in Alabama. [Case Reports]
  • JFJ Forensic Sci 2018 May 16
  • Atherton D, Dye D, … Beck R
  • n-Ethyl pentylone (NEP) is a chemical substance derived from cathinone. Synthetic cathinones are an evolving group of drugs with stimulating, mind-altering effects sometimes referred to as novel or n...
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