Publications by authors named "Richard J Beale"

Article Synopsis
  • The update aims to enhance the 2012 Surviving Sepsis Campaign Guidelines by involving a consensus committee of 55 global experts from 25 organizations to ensure a thorough review.
  • The committee utilized a structured approach to categorize and assess evidence across five key areas, using the GRADE system for rating the quality of recommendations.
  • The guidelines ultimately produced 93 statements regarding sepsis management, including 32 strong recommendations, which indicates a solid agreement among experts on the best practices for treating patients with sepsis.
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Objective: To provide an update to "Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012."

Design: A consensus committee of 55 international experts representing 25 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference).

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Article Synopsis
  • - The study aimed to explore the experiences and long-term effects of severe sepsis on both survivors and their informal caregivers through qualitative interviews conducted in the UK and US.
  • - Researchers conducted 39 interviews with 22 patients and 17 caregivers, focusing on themes such as awareness of severe sepsis, hospitalization experiences, ongoing impacts on patients, caregiver challenges, and post-sepsis support.
  • - Findings revealed that patients' prior health influenced their experiences, with many reporting significant and lasting effects on their daily lives due to severe sepsis.
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Objective: To provide an update to the "Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock," last published in 2008.

Design: A consensus committee of 68 international experts representing 30 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference).

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Objective: To provide an update to the "Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock," last published in 2008.

Design: A consensus committee of 68 international experts representing 30 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference).

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Objectives: Therapeutic hypothermia (32-34 degrees C) is recommended for comatose survivors of cardiac arrest; however, the optimal technique for cooling is unknown. We aimed to compare therapeutic hypothermia using either surface or endovascular techniques in terms of efficacy, complications and outcome.

Design: Retrospective cohort study.

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Objective: To assess the safety and efficacy of an early enteral pharmaconutrition supplement containing glutamine dipeptides, antioxidative vitamins and trace elements, and butyrate in critically ill, septic patients.

Design: A prospective, randomized, controlled, double-blind clinical trial.

Setting: Adult intensive care unit in a university hospital.

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Introduction: To compare the safety and efficacy of high frequency oscillatory ventilation (HFOV) with conventional mechanical ventilation (CV) for early intervention in adult respiratory distress syndrome (ARDS), a multi-centre randomized trial in four intensive care units was conducted.

Methods: Patients with ARDS were randomized to receive either HFOV or CV. In both treatment arms a priority was given to maintain lung volume while minimizing peak pressures.

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Objective: Acute pancreatitis represents a spectrum of disease ranging from a mild, self-limited course requiring only brief hospitalization to a rapidly progressive, fulminant illness resulting in the multiple organ dysfunction syndrome (MODS), with or without accompanying sepsis. The goal of this consensus statement is to provide recommendations regarding the management of the critically ill patient with severe acute pancreatitis (SAP).

Data Sources And Methods: An international consensus conference was held in April 2004 to develop recommendations for the management of the critically ill patient with SAP.

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Objective: In 2003, critical care and infectious disease experts representing 11 international organizations developed management guidelines for vasopressor and inotropic support in septic shock that would be of practical use for the bedside clinician, under the auspices of the Surviving Sepsis Campaign, an international effort to increase awareness and to improve outcome in severe sepsis.

Design: The process included a modified Delphi method, a consensus conference, several subsequent smaller meetings of subgroups and key individuals, teleconferences, and electronic-based discussion among subgroups and among the entire committee.

Methods: The modified Delphi methodology used for grading recommendations built on a 2001 publication sponsored by the International Sepsis Forum.

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Introduction: Inorganic mercury poisoning is uncommon, but when it occurs it can result in severe, life-threatening features and acute renal failure. Previous reports on the use of extracorporeal procedures such as haemodialysis and haemoperfusion have shown no significant removal of mercury. We report here the successful use of the chelating agent 2,3-dimercaptopropane-1-sulphonate (DMPS), together with continuous veno-venous haemodiafiltration (CVVHDF), in a patient with severe inorganic mercury poisoning.

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