https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Being in limbo: the experience of critical illness in intensive care and beyond https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:15298 Wed 11 Apr 2018 15:43:38 AEST ]]> Critical illness as a biographical disruption https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:34602 Tue 03 Sep 2019 18:30:54 AEST ]]> Validity of a protocol to estimate patients' pre-morbid basal blood pressure* https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:36190 measured during nighttime ambulatory BP monitoring (ABPM) and basal MAP estimated using a standardized protocol. Materials and methods: For a cohort of 137 consecutive patients, aged ≥40 years, who recently underwent ABPM, a blinded investigator estimated basal MAP from up to five most recent clinic BP measurements. Both basal MAP values, measured and estimated, were compared pairwise for each participant. Results: We traced a median of 4 [interquartile range 3-5] previous BP measurements per patient over a median period of 132 [interquartile range 55-277] days up until the ABPM test. The estimated basal MAP (mean 88 ± 8 mmHg) was linearly related (Pearson's r = 0.41, p = 0.0001) to the measured basal MAP (mean 88 ± 12 mmHg). Bland-Altman plot revealed a mean bias of 0.3 mmHg with agreement limits of ±22 mmHg. Conclusions: The mean bias between estimated and measured values for basal MAP was insignificant and modest. When a recent nighttime ABPM is unavailable, a protocol based on recent clinic BP readings can be used to estimate patient's basal MAP. Study registration: Australian New Zealand Clinical Trials Registry ACTRN12613001382763.]]> Thu 27 Feb 2020 09:35:33 AEDT ]]> Abnormal exercise responses in survivors of acute lung injury during cardiopulmonary exercise testing: an obervational study https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:38730 Thu 20 Jan 2022 14:18:02 AEDT ]]> Being in limbo: the experience of critical illness in intensive care and beyond https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:12231 Thu 11 Jul 2019 14:52:21 AEST ]]> Factors that impact on sleep in intensive care patients https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:7235 Sat 24 Mar 2018 08:33:45 AEDT ]]> The experience of sleep deprivation in intensive care patients: Findings from a larger hermeneutic phenomenological study https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:18542 Sat 24 Mar 2018 07:50:17 AEDT ]]> Discordance between distance ambulated as part of usual care and functional exercise capacity in survivors of critical illness upon intensive care discharge: observational study https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:28259 Sat 24 Mar 2018 07:28:34 AEDT ]]> The experience of communication difficulties in critically ill patients in and beyond intensive care: findings from a larger phenomenological study https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:27060 Sat 24 Mar 2018 07:25:21 AEDT ]]> Association Between Neurological Outcomes Related to Aneurysmal Subarachnoid Hemorrhage and Onsite Access to Neurointerventional Radiology https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:47511 Mon 23 Jan 2023 12:08:26 AEDT ]]> Surviving a critical illness through being-there-with each other https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:723 Fri 23 Mar 2018 17:52:51 AEDT ]]> Survivors of Acute Lung Injury Have Greater Impairments in Strength and Exercise Capacity Than Survivors of Other Critical Illnesses as Measured Shortly After ICU Discharge https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:44494 Fri 14 Oct 2022 09:04:40 AEDT ]]> Current fluconazole treatment regimens result in under-dosing of critically ill adults during early therapy https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:49423 100) was determined from simulations for four previously proposed treatment regimens: (i) 400 mg once daily, (ii) an 800 mg loading dose followed by 400 mg once daily, (iii) 400 mg twice daily, and (iv) a 12 mg/kg loading dose followed by 6 mg/kg once daily. The effect of body weight (40, 70, 120 kg) and renal function (continuous renal replacement therapy (CRRT); 20, 60, 120, 180 mL/min creatinine clearance) on PTA was assessed. Results: Early (0–48 h) fluconazole target attainment for infections with a minimum inhibitory concentration (MIC) of 2 mg/L was highly variable. PTA was highest with an 800 mg loading dose for underweight (40 kg) patients and with a 12 mg/kg loading dose for the remainder. End-of-treatment PTA was highest with the 400 mg twice daily maintenance dosing for patients who were under- or normal weight and 6 mg/kg maintenance dosing for overweight (120 kg) patients. None of the fluconazole regimens reliably attained early targets for MICs of ≥4 mg/L. Conclusion: Current fluconazole dosing regimens do not achieve adequate early target attainment in critically ill adults, particularly in those who are overweight, have higher creatinine clearance, or are undergoing CRRT. Current fluconazole dosing strategies are generally inadequate to treat organisms with an MIC of ≥4 mg/L.]]> Fri 12 May 2023 15:09:13 AEST ]]>