Maria Luiza Rodrigues Dos Santos, Victória Brioso Tavares, Natália Silva da Costa, Marcos Valério Santos da Silva, João Simão de Melo-Neto
BACKGROUND: The COVID-19 pandemic highlighted the need for a new dynamic in the organization and practices of health services, as it required rapid restructuring to promote safe and harm-free assistance. OBJECTIVE: To assess the dimensions of the patient safety culture (PSC) from the perspective of the health team professionals in clinical-surgical ICU (G1) compared to a COVID-19 ICU (G2). METHODS: Cross-sectional, analytical, descriptive and inferential study, using the "Hospital Survey on Patient Safety Culture" questionnaire...
November 15, 2022: International Journal of Risk & Safety in Medicine
Hongbing Chen, Tong Su, Qi Wang, Zhe Zheng, Hongwei Li, Jianbo Li
BACKGROUND: Aneurysms are associated with a mortality rate of 81% or more in cases of rupture. OBJECTIVE: To analyse the haemodynamic indices and compare the thrombosis risk in a double false lumen abdominal aortic dissection aneurysm using computational fluid dynamics (CFD). METHODS: Computer tomography angiography (CTA) imaging data were collected from a patient with a double false lumen abdominal aortic dissection aneurysm, and three different lesion morphology aneurysm models were established, double false lumen abdominal aortic dissection aneurysm, single false lumen abdominal aortic dissection aneurysm and saccular abdominal aortic aneurysm, in order to analyse the flow velocity, time-averaged shear stress (TAWSS), oscillatory shear index (OSI), relative residence time (RRT) of blood flow, and endothelial cell activation potential (ECAP)...
November 15, 2022: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
Taro Tamakawa, Hiroshi Endoh, Natuo Kamimura, Kazuki Deuchi, Kei Nishiyama
BACKGROUND: Elevated blood lactate levels were reported as effective predictors of clinical outcome and mortality in ICU. However, there have been no studies simply comparing the timing of measuring lactates before vs. after ICU admission. METHODS: A total of 19,226 patients with transfer time ≤ 24 hr were extracted from the Medical Information Mart for Intensive Care IV database (MIMIC-IV). After 1:1 propensity score matching, the patients were divided into two groups: measuring lactates within 3 hr before (BICU group, n = 4,755) and measuring lactate within 3 hr after ICU admission(AICU group, n = 4,755)...
2022: PloS One
Stefan Neuwersch-Sommeregger, Markus Köstenberger, Wolfgang Pipam, Susanne Demschar, Brigitte Trummer, Christian Breschan, Rudolf Likar
BACKGROUND: Despite the existence of internationally consistent guidelines for the management of pain, efficient regional anesthesia techniques, safe pain medications, and organizational structures, e.g., acute pain services, various studies have shown that pain is still common among both surgical and non-surgical in-patients. OBJECTIVE: The primary objective of this study was to evaluate, on a multi-center basis, the point pain prevalence of surgical and non-surgical in-patients...
November 28, 2022: Wiener Medizinische Wochenschrift
Rodrigo A Cornejo, Jorge Montoya, Abraham I J Gajardo, Jerónimo Graf, Leyla Alegría, Romyna Baghetti, Anita Irarrázaval, César Santis, Nicolás Pavez, Sofía Leighton, Vinko Tomicic, Daniel Morales, Carolina Ruiz, Pablo Navarrete, Patricio Vargas, Roberto Gálvez, Victoria Espinosa, Marioli Lazo, Rodrigo A Pérez-Araos, Osvaldo Garay, Patrick Sepúlveda, Edgardo Martinez, Alejandro Bruhn
BACKGROUND: Prone positioning is currently applied in time-limited daily sessions up to 24 h which determines that most patients require several sessions. Although longer prone sessions have been reported, there is scarce evidence about the feasibility and safety of such approach. We analyzed feasibility and safety of a continuous prolonged prone positioning strategy implemented nationwide, in a large cohort of COVID-19 patients in Chile. METHODS: Retrospective cohort study of mechanically ventilated COVID-19 patients with moderate-to-severe acute respiratory distress syndrome (ARDS), conducted in 15 Intensive Care Units, which adhered to a national protocol of continuous prone sessions  ≥ 48 h and until PaO2 :FiO2 increased above 200 mm Hg...
November 28, 2022: Annals of Intensive Care
Yannic-Tomas Abulesz, Moritz Haugk
BACKGROUND: In 2015, the emergency department of a municipal hospital in Vienna began to perform noninvasive ventilation (NIV) on patients admitted for acute respiratory failure, given no intubation criteria were met. The intention of this study was to show to which type of hospital unit patients were transferred after undergoing NIV in the emergency department. Additionally, the impact of the underlying disease, a patient's sex and age and the year of intervention were analyzed...
November 28, 2022: Wiener Klinische Wochenschrift
Henrik Andersson, Ashkan Tamaddon, Mazdak Malekian, Kristina Ydström, Roger Siemund, Teresa Ullberg, Johan Wasselius
PURPOSE: Point-of-care imaging with mobile CT scanners offers several advantages, provided that the image quality is satisfactory. Our aim was to compare image quality of a novel mobile CT to stationary scanners for patients in a neurosurgical intensive care unit (ICU). METHODS: From November 2020 to April 2021, all patients above 18 years of age examined by a mobile CT scanner at a neurosurgical ICU were included if they also had a stationary head CT examination during the same hospitalization...
November 28, 2022: Neuroradiology
Onnen Moerer
No abstract text is available yet for this article.
November 28, 2022: Anaesthesiologie
Lars Michel, Matthias Totzeck, Tienush Rassaf
The continuous improvement in cancer treatment leads to a growing number of long-term survivors. Arguably, the treatment of cardiovascular side effects from cancer therapy is therefore of major importance for the morbidity and mortality affected patients. The 2022 ESC guidelines on cardio-oncology of the European Society of Cardiology (ESC) aim to improve the treatment of affected patients across the entire continuum of therapy and in the long term by establishing standardized procedures for prevention, diagnostics, and treatment of cardiovascular side effects...
November 28, 2022: Herz
Karen E Lee, Jake A Sussberg, Leonard B Nelson, Tobin Thuma
PURPOSE: To create a survey that assesses potential solutions for an economic turnaround in pediatric ophthalmology and the frequency of their use. METHODS: A 12-question survey was distributed to United States-based pediatric ophthalmologists on the American Association for Pediatric Ophthalmology and Strabismus discussion board and various social media fora. Demographic, economic, and workforce pattern data were collected and analyzed. RESULTS: Three hundred one pediatric ophthalmologists completed the survey...
November 28, 2022: Journal of Pediatric Ophthalmology and Strabismus
Ahmet Yuksel, Yusuf Velioglu, Ufuk Turan Kursat Korkmaz, Serkan Burc Deser, Dursun Topal, Serdar Badem, Temmuz Taner, Erhan Renan Ucaroglu, Nail Kahraman, Deniz Demir
OBJECTIVE: To investigate the predictive role of systemic immune-inflammation index (SII) on postoperative poor outcome in patients undergoing carotid endarterectomy (CEA). METHODS: A total of 347 patients undergoing elective isolated CEA between March 2010 and April 2022 were included in this multicenter retrospective observational cohort and risk-prediction study and were divided into two groups as poor outcome group ( n = 23) and favorable outcome group ( n = 324)...
November 28, 2022: Vascular
Alain Lepape, Anaïs Machut, Cedric Bretonnière, Arnaud Friggeri, Charles-Hervé Vacheron, Anne Savey
OBJECTIVES: To compare the occurrence of healthcare-associated infections acquired in intensive care units (HAI-ICUs) in France among patients with COVID-19 and those without it in 2020 and the latter with that in patients before the COVID-19 pandemic. METHODS: Multicentre HAI-ICU surveillance network (REA-REZO) data were used to identify 3 groups: 2019 patients (2019Control), a COVID-19 group (2020Cov), and a non-COVID-19 group (2020NonCov). The primary outcome was the occurrence of HAI-ICU (ventilator-associated pneumonia [VAP], bloodstream infections [BSIs], catheter-related bacteraemia)...
October 28, 2022: Clinical Microbiology and Infection
Nancy Elmer, Anett REIßHAUER, Katharina Brehm, Clarissa Vockeroth, Max E Liebl
INTRODUCTION: Prone positioning ventilation (PPV) is an effective treatment for patients with moderate to severe acute respiratory distress syndrome (ARDS). Despite the benefits of PPV, different kinds of short and long-term consequences have been noted. This review summarizes long-term complications of PPV that impact treatment strategies and outcomes in acute and postacute rehabilitation. EVIDENCE ACQUISITION: PubMed/Medline, Cochrane Library, Cochrane COVID-19 Study Register databases and the Google Scholar search engine were systematically searched for studies investigating long-term complications of PPV...
November 28, 2022: European Journal of Physical and Rehabilitation Medicine
Moon O Lee, Jessica Wall, Olga Saynina, Carlos A Camargo, N Ewen Wang
OBJECTIVE: Each year, approximately 300,000 pediatric patients are transferred out of emergency departments (EDs). Emergency department transfers may not only provide a higher level of care but also incur increased resource use and cost. Our objective was to identify hospital characteristics and patient demographics and conditions associated with ED transfer as well as the trend of transfers over time. METHODS: This was a retrospective cohort study of pediatric visits to EDs in California using the California Office of Statewide Health Planning and Development ED data set (2005-2018)...
November 28, 2022: Pediatric Emergency Care
Selma C W Musters, Sani Kreca, Susan van Dieren, Hanneke van der Wal-Huisman, Johannes A Romijn, Wendy Chaboyer, Els J M Nieveen van Dijkum, Anne M Eskes
BACKGROUND: Postoperative complications and readmissions to hospital are factors known to negatively influence short- and long-term quality of life (QoL) of oncological gastrointestinal patients. Active family involvement in activities, such as fundamental care activities, has the potential to improve quality of healthcare. However, there is a lack of evidence on the relationship between active family involvement and outcomes in oncological gastrointestinal patients after surgery. OBJECTIVE: This protocol describes a study that aims to evaluate the effect of a family involvement program (FIP) for adult patients undergoing surgery for malignant gastrointestinal tumors on unplanned readmissions...
November 2, 2022: JMIR Research Protocols
Amy Gates, Heather V Evans, Alayne M Gatto, Jodee Le Vin, Jessica L Thornton, Katina Langley, Bethany S Hodges, Christina Valentine
BACKGROUND: In 2020, a multidose human-milk fortifier (MDHMF) was designed to improve the process of human-milk (HM) fortification. The bottle of MDHMF (5.5 oz, 163 ml) allows aseptic removal of HMF in a precise measure. This survey aimed to examine the experience of nutrition care team (NCT) members who used the MDHMF in a hospital setting. METHODS: A survey link (Qualtrics XM) was sent to NCT leaders (N = 108) at hospitals who participated in an evaluation of the MDHMF from June 1, 2020, through April 30, 2021...
November 28, 2022: Nutrition in Clinical Practice
Amanda Feldt, Anita Kärner Köhler, Sara Bergstrand
BACKGROUND: Continuous positive airway pressure is a non-invasive therapy beneficial for patients with acute respiratory failure. The need for this therapy outside intensive care units is growing, but nurses face many challenges to enable this therapy in general medical wards. AIMS AND OBJECTIVES: The aim of the study was to explore nurses' strategies for enabling continuous positive airway pressure therapy in a general medical ward context. METHOD: An explorative qualitative design was used including semi-structured interviews with 15 Swedish nurses...
November 28, 2022: Scandinavian Journal of Caring Sciences
Kara S Motonaga, Loren Sacks, Inger Olson, Sowmya Balasubramanian, Sharon Chen, Lynn Peng, Jeffrey A Feinstein, Norman H Silverman, Frank L Hanley, David M Axelrod, Catherine D Krawczeski, Alisa Arunamata, David M Kwiatkowski, Scott R Ceresnak
BACKGROUND: The transition from residency to paediatric cardiology fellowship is challenging due to the new knowledge and technical skills required. Online learning can be an effective didactic modality that can be widely accessed by trainees. We sought to evaluate the effectiveness of a paediatric cardiology Fellowship Online Preparatory Course prior to the start of fellowship. METHODS: The Online Preparatory Course contained 18 online learning modules covering basic concepts in anatomy, auscultation, echocardiography, catheterisation, cardiovascular intensive care, electrophysiology, pulmonary hypertension, heart failure, and cardiac surgery...
November 28, 2022: Cardiology in the Young
Laura A Ortmann, Aleisha Nabower, Melissa L Cullimore, Ellen Kerns
INTRODUCTION: Antibiotic use may shorten mechanical ventilation duration and length of stay for patients with bronchiolitis that require intubation. The goals of this study were to describe antibiotic use in previously healthy children with bronchiolitis admitted to the intensive care unit (ICU) for non-invasive respiratory support and to describe associations of early antibiotic use with clinical outcomes. METHODS: The Pediatric Health Information Systems database was queried for children <2 years of age without significant comorbidities admitted to the ICU for bronchiolitis...
November 28, 2022: Pediatric Pulmonology
Sulafa Ali, Mohamed Eamin A M E Medani
Pediatric cardiology (PC) is a rapidly advancing specialty addressing a large population of children as well as adults with congenital heart disease. It requires huge technical and financial resources; therefore, establishing, maintaining, and developing such services in limited resource settings are challenging. A PC program that includes clinical aspects, echocardiography, diagnostic and interventional cardiac catheterization and cardiac surgery, and rheumatic heart disease control was established in Sudan in 2004...
2022: Frontiers in Pediatrics
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