Protected code blue: using in situ simulation to develop a protected code blue and modify staff training protocol-experience in a large community teaching hospital during the COVID-19 pandemic.

The surge in clinical demand, shortage in personal protective equipment and high-exposure risk for healthcare workers during the COVID-19 pandemic has challenged hospital common practices and forced a reassessment of care delivery models. Code blue teams are highly specialised units that partake in life-saving situations that can jeopardise the safety of team members. There is a paucity of guidance in regards to proper infection control measures to protect the responders.

Analgesia-first sedation in critically ill adults: A U.S. pilot, randomized controlled trial.

Purpose: To determine the feasibility of conducting a multicenter ICU RCT of AFS compared to either protocol-directed sedation (PDS) or both PDS and daily sedation interruption (DSI) in North America.

Materials And Methods: This single-center RCT compared AFS [fentanyl (bolus ± infusions) to reach CPOT ≤2; if RASS ≥1, CPOT ≤2 and additional fentanyl failed to reach RASS goal (-2 to 0), low-dose propofol (up to 6 h) was given] with either PDS or both PDS and DSI daily in adults mechanically ventilated (MV) ≥48 h. Relevant feasibility, safety, and clinical outcomes were defined and evaluated.

The Impact of Implementing an Intensivist Model With Nighttime In-Hospital Nocturnist and Effect on ICU Outcomes.

Background: Various intensivist staffing models have been suggested, but the long-term sustainability and outcomes vary and may not be sustained. We examined the impact of implementing a high-intensity intensivist coverage model with a nighttime in-house nocturnist (non-intensivist) and its effect on intensive care unit (ICU) outcomes.

Methods: We obtained historical control baseline data from 2007 to 2011 and compared the same data from 2011 to 2015.

Multiple-Case Studies of Hand-on Breast Massage Techniques used by Breastfeeding Experts.

Purpose: The aim of this study was to understand the hand-on breast massage techniques used by well-known experts in breastfeeding clinics.

Methods: A qualitative multiple-case design was applied that involved a feasibility test. Four experts sampling qualitative data collected by observing participants and in individual interviews were analyzed by content analysis, linking data to the propositions, and cross-case pattern matching.

Influence of sedation strategies on unplanned extubation in a mixed intensive care unit.

Background: Identifying risk factors for unplanned extubation in patients receiving mechanical ventilation can help guide prevention strategies.

Objective: To assess the risk of unplanned extubation with different sedation strategies.

Methods: A 36-month quality improvement study in a 33-bed intensive care unit at a tertiary-care center.

Peripheral blood hematopoietic stem cell mobilization and collection efficacy is not an independent prognostic factor for autologous stem cell transplantation.

Background: The successful mobilization and collection of hematopoietic stem cells are dependent on a number of clinical factors such as previous chemotherapy and disease stage. The aim of this retrospective study was to determine whether the effectiveness of mobilization and collection is an independent prognostic factor for autologous stem cell transplantation outcome.

Study Design And Methods: A total of 358 patients who received transplants from January 2003 to December 2004 (201 male and 157 female patients, ages from 2.