Jonathon D. Truwit
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View article: Promoting kindness through media increases patient satisfaction in an emergency department: a simple intervention to uplift patients and lower stress
Promoting kindness through media increases patient satisfaction in an emergency department: a simple intervention to uplift patients and lower stress Open
Introduction One of the compelling reasons for healthcare leaders to nurture a kinder organisational culture is that kindness buffers stress by creating connection. As stress affects both patients and staff and increases negativity, burnou…
View article: Characteristics of Young Adults Admitted to Intensive Care Units at an Academic Health System
Characteristics of Young Adults Admitted to Intensive Care Units at an Academic Health System Open
Background Young adults in intensive care units (ICUs) are a subgroup of patients who have not been adequately studied. Their health and developmental issues differ from those of children and older adults, but little is known about their s…
View article: Empowering Respiratory Therapists to Restrict Nebulized 3% Saline and N-Acetylcysteine During Mechanical Ventilation
Empowering Respiratory Therapists to Restrict Nebulized 3% Saline and N-Acetylcysteine During Mechanical Ventilation Open
Background: We previously implemented a policy that enabled respiratory therapists to reject orders for nebulized 3% hypertonic saline and/or N-acetylcysteine (HTS/NAC) that did not conform to the American Association for Respiratory Care …
View article: Quality improvement initiative: use of the STOP-BANG score and monitoring to reduce adverse events in hospitalised patients at risk of obstructive sleep apnoea
Quality improvement initiative: use of the STOP-BANG score and monitoring to reduce adverse events in hospitalised patients at risk of obstructive sleep apnoea Open
Background Obstructive sleep apnoea increases risk of respiratory depression with administration of sedatives, narcotics or anxiolytics. To reduce adverse events during hospital admission, we implemented STOP-BANG screening to prompt respi…
View article: Optimizing Respiratory Therapy Resources by De-Implementing Low-Value Care
Optimizing Respiratory Therapy Resources by De-Implementing Low-Value Care Open
Implementing a policy that empowers respiratory therapists to promote adherence to AARC Clinical Guidelines reduced low-value therapies, costs, and staffing needs.
View article: Biological Effects of Intravenous Vitamin C on Neutrophil Extracellular Traps and the Endothelial Glycocalyx in Patients with Sepsis-Induced ARDS
Biological Effects of Intravenous Vitamin C on Neutrophil Extracellular Traps and the Endothelial Glycocalyx in Patients with Sepsis-Induced ARDS Open
(1) Background: The disease-modifying mechanisms of high-dose intravenous vitamin C (HDIVC) in sepsis induced acute respiratory distress syndrome (ARDS) is unclear. (2) Methods: We performed a post hoc study of plasma biomarkers from subje…
View article: Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy
Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy Open
How to deliver best care in various clinical settings remains a vexing problem. All pertinent healthcare-related questions have not, cannot, and will not be addressable with costly time- and resource-consuming controlled clinical trials. A…
View article: The cuff leak test in critically ill patients: An international survey of intensivists
The cuff leak test in critically ill patients: An international survey of intensivists Open
Background The cuff leak test (CLT) is used to assess laryngeal edema prior to extubation. There is limited evidence for its diagnostic accuracy and conflicting guidelines surrounding its use in critically ill patients who do not have risk…
View article: Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions Open
Clinical decision-making is based on knowledge, expertise, and authority, with clinicians approving almost every intervention—the starting point for delivery of “All the right care, but only the right care,” an unachieved healthcare qualit…
View article: Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory Failure
Effect of Vitamin C Infusion on Organ Failure and Biomarkers of Inflammation and Vascular Injury in Patients With Sepsis and Severe Acute Respiratory Failure Open
ClinicalTrials.gov Identifier: NCT02106975.
View article: Recent advances in understanding and treating acute respiratory distress syndrome
Recent advances in understanding and treating acute respiratory distress syndrome Open
Acute respiratory distress syndrome (ARDS) is a clinically and biologically heterogeneous disorder associated with many disease processes that injure the lung, culminating in increased non-hydrostatic extravascular lung water, reduced comp…
View article: Advancing Weaning Science: Shorter or Longer Duration of SBT? Illuminating the Road Ahead
Advancing Weaning Science: Shorter or Longer Duration of SBT? Illuminating the Road Ahead Open
Liberation of a patient from mechanical ventilation requires that the patient is capable of overcoming and sustaining the imposed work load.[1][1] A spontaneous breathing trial (SBT) tests the ability of an individual patient to overcome t…
View article: Effect of Rosuvastatin on Acute Kidney Injury in Sepsis-Associated Acute Respiratory Distress Syndrome
Effect of Rosuvastatin on Acute Kidney Injury in Sepsis-Associated Acute Respiratory Distress Syndrome Open
Background: Acute kidney injury (AKI) commonly occurs in patients with sepsis and acute respiratory distress syndrome (ARDS). Objective: To investigate whether statin treatment is protective against AKI in sepsis-associated ARDS. Design: S…
View article: Joblessness and Lost Earnings after Acute Respiratory Distress Syndrome in a 1-Year National Multicenter Study
Joblessness and Lost Earnings after Acute Respiratory Distress Syndrome in a 1-Year National Multicenter Study Open
At 12 months after ARDS, nearly one-half of previously employed survivors were jobless. Post-ARDS joblessness is associated with readily identifiable patient and hospital variables and accompanied by substantial lost earnings and a shift t…