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Heart & Lung: the Journal of Critical Care

Jay Menaker, Samuel Galvagno, Ronald Rabinowitz, Vesselin Penchev, Allison Hollis, Zachary Kon, Kristopher Deatrick, Anthony Amoroso, Daniel Herr, Michael Mazzeffi
PURPOSE: The purpose of our study was to characterize the epidemiology of blood stream infection (BSI) in adult extracorporeal membrane oxygenation (ECMO) patients at a single tertiary care academic medical center with standardized post-cannulation antibiotic prophylaxis practices. METHODS: A single-center retrospective cohort study was performed over a five-year period. BSI incidence was characterized and patients who developed BSI during ECMO were compared with those who did not...
January 24, 2019: Heart & Lung: the Journal of Critical Care
Larry W Figgs
BACKGROUND: Global climate change concerns are forcing local public health agencies to assess potential disease risk. OBJECTIVE: Determine if risk of an emergency department asthma diagnosis in Douglas County, NE, was higher during the 2012 heatwave compared to 2011. METHODS: Retrospective, observational, case-control design selecting subjects from 2011 and 2012 emergency department (ED) admissions. Risk was estimated by conditional logistic regression...
January 24, 2019: Heart & Lung: the Journal of Critical Care
Norma A Metheny, Mary M Krieger, Frances Healey, Kathleen L Meert
The purpose of this review was to (1) identify areas of agreement and disagreement in guidelines/recommendations to distinguish between gastric and pulmonary placement of nasogastric tube and (2) summarize factors that affect choices made by clinicians regarding which method(s) to use in specific situations. Systematic searches were conducted in the PubMed, Scopus, and CINAHL Plus databases using a combination of keywords and data-specific subject headings. Searches were limited to guidelines/recommendations from national level specialty groups and governmental sources published in the English language between January 1, 2015 and September 20, 2018...
January 18, 2019: Heart & Lung: the Journal of Critical Care
James Badger
PURPOSE: Long peripheral catheters (LPCs) offer a quick, simple and cost-effective alternative for venous access in intensive care patients with difficult venous access, but the decision to use them must be balanced against an assessment of harm. The aim of this systematic review was to synthesise reports of complications associated with LPCs. METHODS: The electronic databases MEDLINE, EMBASE and CINAHL were searched systematically for randomised controlled trials, cohort studies and case control studies published in the period 1966 to 24th July 2018 reporting LPC associated occlusion, catheter related blood stream infections, phlebitis and infiltration...
January 17, 2019: Heart & Lung: the Journal of Critical Care
Carolyn Miller Reilly
No abstract text is available yet for this article.
January 15, 2019: Heart & Lung: the Journal of Critical Care
Heather Dunn, Laurie Quinn, Susan Corbridge, Mary Kapella, Kamal Eldeirawi, Alana Steffen, Eileen Collins
RATIONALE: Patients on prolonged mechanical ventilation (PMV) at Long-Term Acute Care Hospital's (LTACHs) are clinically heterogeneous making it difficult to manage care and predict clinical outcomes. OBJECTIVES: Identify and describe subgroups of patients on PMV at LTACHs and examine for group differences. METHODS: Latent class analysis was completed on data obtained during medical record review at Midwestern LTACH. MAIN RESULTS: A three-class solution was identified...
January 14, 2019: Heart & Lung: the Journal of Critical Care
Naciye Vardar-Yagli, Melda Saglam, Ebru Calik-Kutukcu, Deniz Inal-Ince, Hulya Arikan, Lutfi Coplu
BACKGROUND: Recent reports have identified pain as a comorbidity in obstructive lung diseases, but data regarding pain in certain obstructive lung diseases such as COPD and bronchiectasis vs. healthy controls and differences in pain between these chronic lung diseases are limited. OBJECTIVES: The primary aim of this study was to compare pain sensitivity, postural abnormalities, and functional balance in patients with COPD/bronchiectasis vs. healthy controls. The secondary aim was to evaluate differences in these parameters between two different lung diseases (COPD and bronchiectasis)...
January 14, 2019: Heart & Lung: the Journal of Critical Care
Barbara Riegel, Solim Lee, Julia Hill, Marguerite Daus, Foster Osei Baah, Joyce W Wald, George J Knafl
BACKGROUND: Three behaviors advocated to minimize fluid-related hospitalizations in patients with heart failure (HF) are restricted sodium and fluid intake and consistent oral diuretic use. Adherence to behaviors intended to decrease risk of hospitalization is believed to vary over time, but surprisingly little research has addressed patterns of adherence in HF patients. OBJECTIVE: To describe patterns over time of 3 recommended self-care behaviors (i.e., diet, fluid intake, and diuretic dosing) in adults with HF and to determine how time and behavior influenced adherence rates...
January 9, 2019: Heart & Lung: the Journal of Critical Care
Aurora Magliocca, Martina Manfredi, Davide Olivari, Daria De Giorgio, Alberto Cucino, Davide Danilo Zani, Giuseppe Ristagno
No abstract text is available yet for this article.
January 9, 2019: Heart & Lung: the Journal of Critical Care
Jonathan P Auld, James O Mudd, Jill M Gelow, Karen S Lyons, Shirin O Hiatt, Christopher S Lee
BACKGROUND: Congestion is a common cause of symptoms in heart failure (HF). Yet, intrathoracic impedance, an objective marker of cardiopulmonary congestion, has not been examined in relation to HF symptoms. OBJECTIVE: To determine whether device-detected cardiopulmonary congestion is a predictor of physical and psychological symptoms and health-related quality of life (HRQOL) in adults with HF over 3 months. METHODS: Multivariate generalized linear modeling was used to quantify the association of cardiopulmonary congestion (Optivol® Index exceeding 60 Ω threshold) with HRQOL (12-item Kansas City Cardiomyopathy Questionnaire) and both physical symptoms (Functional Assessment of Chronic Illness Therapy-Fatigue Scale; HF Somatic Perception Scale Dyspnea and Early & Subtle Symptoms subscales) and affective symptoms (9-item Patient Health Questionnaire; 6-item Patient-Reported Outcomes Measurement Information System Anxiety Scale)...
January 2, 2019: Heart & Lung: the Journal of Critical Care
K O Lindell, E G Collins, L Catanzarite, C M Garvey, C Hernandez, S Mclaughlin, A M Schneidman, P M Meek, S S Jacobs
No abstract text is available yet for this article.
December 28, 2018: Heart & Lung: the Journal of Critical Care
Adem Adar, Orhan Onalan, Fahri Cakan, Ertan Akbay, Tugce Colluoglu, Uygar Dasar Md, Tansel Mutlu Md
BACKGROUND: Cardiovascular events after orthopedic surgery may result in mortality. Therefore, predictors of early cardiovascular events after elective orthopedic surgery are required. AIM: The aim of this study is to investigate the relationship between aortic arch calcification and 30-day major adverse cardiac events following elective orthopedic surgery. METHODS: Patients who had undergone orthopedic surgery were screened. Preoperative detailed anamnesis was taken...
December 27, 2018: Heart & Lung: the Journal of Critical Care
Caitlin Biddle, James A Fallavollita, Gregory G Homish, Heather Orom
BACKGROUND: Delayed treatment may contribute to women's relatively higher morbidity and mortality from coronary heart disease (CHD). We tested whether disparities in treatment may be due to bias in diagnosis and treatment recommendations for women with psychological symptoms. METHODS: Fourth year medical students (N = 225) from 13 U.S. medical schools were randomly assigned to make clinical decisions (CHD risk judgments, diagnosis, treatment recommendations) about one of four experimental vignette patients (male or female; with symptoms of depression and anxiety or without)...
December 27, 2018: Heart & Lung: the Journal of Critical Care
Noelle V Pavlovic, Tania Randell, Tim Madeira, Steven Hsu, Radoslav Zinoviev, Martha Abshire
BACKGROUND: Left ventricular assist devices (LVADs) improve quality of life in end-stage heart failure but can cause serious complications such as infections with driveline infection causing significant morbidity and mortality. OBJECTIVES: The purpose of this systematic literature review is to synthesize the literature to determine variables associated with driveline infection and seek opportunities to improve nursing management of LVAD drivelines. METHODS: A systematic literature review was performed...
December 17, 2018: Heart & Lung: the Journal of Critical Care
Lauren Rachel O'Connor, Norman R Morris, Jennifer Paratz
BACKGROUND: The one way speaking valve was first engineered in 1985 to allow patients with tracheostomies to communicate. The research has indicated alternative physiological benefits of using a speaking valve, however this literature has not yet been evaluated. The purpose of this systematic review was to evaluate the evidence for one-way speaking valve in a range of physiological domains, including vital signs, aspiration, olfaction, ventilation and tracheostomy weaning, length of stay, and quality of life...
December 17, 2018: Heart & Lung: the Journal of Critical Care
Martin Kleissner, Marek Sramko, Josef Kautzner, Jiri Kettner
BACKGROUND: Targeted temperature management (TTM) in comatose survivors of out-of-hospital cardiac arrest has been associated with improved neurological outcomes. However, the optimal temperature target for TTM remains unclear. OBJECTIVES: To compare a TTM protocol targeted at 34-36 °C with a protocol targeted at 32-34 °C with reference to both clinical outcomes and acute complications. METHODS: We analyzed a prospective registry of consecutive out-of-hospital cardiac arrest survivors who underwent TTM...
December 12, 2018: Heart & Lung: the Journal of Critical Care
Hassan Alkhawam, Rahil Rafeedheen, Elsayed Abo-Salem
Right ventricular (RV) dysfunction following surgical implantation of a left ventricular assist device (LVAD) is a well-documented phenomenon, and it is associated with poor outcomes. We are reporting a 25-year-old male patient who presented to the hospital with flu-like symptoms, hypotension and acute hypoxic respiratory failure. The patient's Laboratory data was significant for elevated troponin, and his Chest X-ray showed acute pulmonary edema. Echocardiogram revealed reduced left ventricular (LV) ejection fraction and normal RV function...
December 11, 2018: Heart & Lung: the Journal of Critical Care
Julie A Adsett, Norman R Morris, Suzanne S Kuys, Jennifer D Paratz, Alison M Mudge
BACKGROUND: Aquatic exercise training may be suitable for people with stable heart failure (HF) to engage in physical activity. OBJECTIVES: Acceptability, experiences and preferences regarding aquatic and traditional land-based exercise training, were explored in people with HF. METHODS: As part of a comparative intervention study, participants completed a questionnaire assessing acceptability, benefits and challenges of aquatic compared to land-based programs...
December 4, 2018: Heart & Lung: the Journal of Critical Care
Chunyu Li, Fuqiong Chen, Xuefeng Yu, Shuhong Hu, Shiying Shao
Acute myocardial infarction (AMI) is a scarce but fatal complication in Graves' disease (GD). Silent myocardial infarction (MI) associated with GD has never been reported. A 37-year-old male patient was admitted due to poorly controlled hyperthyroidism and persistent fever. But the patient did not complain of chest pain on admission. The electrocardiogram (ECG) showed Q waves and ST-segment elevations. Cardiac troponin I (cTnI) was sharply increased. He was qualified to an emergency coronary angiography which showed normal coronary arteries without any stenosis...
November 28, 2018: Heart & Lung: the Journal of Critical Care
Jiang Xie, Fei Li, Xiaofan Wu, Weiwei Hou
OBJECTIVE: Growing evidence indicates that both obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD) may be closely associated with the prevalence of pulmonary embolism (PE). However, the relationship of overlap syndrome (OS) (coexistence of OSA and COPD) with PE is unclear. The purpose of this study was to investigate whether OS were associated with increased PE prevalence. METHODS: We performed a retrospective chart review of patients who underwent sleep study at Beijing An Zhen Hospital from 2011 to 2014...
November 26, 2018: Heart & Lung: the Journal of Critical Care
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