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"Critical Care" OR "Intensive Care" OR "ICU"

Yeşim Yaman Aktaş, Neziha Karabulut
BACKGROUND: This study aimed to determine the effectiveness of music listening for procedural pain relief using two different observational pain tools during endotracheal suctioning. MATERIALS AND METHODS: This study was a randomized controlled trial. The sample of the study included 98 patients with mechanical ventilation support who met the selection criteria. The patients were randomly assigned to control and music therapy groups. Patients in the control group were routinely suctioned as usual...
March 20, 2019: Complementary Medicine Research
Hilda O Hounkpatin, Simon D S Fraser, Liz Glidewell, Thomas Blakeman, Andrew Lewington, Paul J Roderick
BACKGROUND: Although the epidemiology of acute kidney injury (AKI) has been well described, less is known about recurrent AKI (r-AKI). We undertook a systematic review to identify incidence, risk factors, and outcomes of r-AKI. METHODS: MEDLINE, EMBASE, CINAHL, Cochrane, Web of Science were searched, from inception to December 2017, for quantitative studies on adults with AKI, where follow-up included -reporting of r-AKI. Two reviewers independently identified studies and assessed study quality...
March 21, 2019: Nephron
P Y Hardy, F Depierreux, C Ferretti
We report the case of a pregnant woman, treated by nifedipine and next by atosiban for premature labour, who develop an acute pulmonary edema. The severity of symptoms and hypoxemia lead the patient to a cesarean and next to the intensive care hospitalization. This clinical case allow us to make a review of literature and reminds us the differential diagnosis to look for during an acute dyspnea in a pregnant woman and the treatment of acute pulmonary edema in these circumstances. The pathophysiological mechanisms which are at the origins of this condition and the implication of the tocolytic treatment will also be discussed...
March 2019: Revue Médicale de Liège
Joerg Boecker, Zoltan Czigany, Jan Bednarsch, Iakovos Amygdalos, Franziska Meister, Daniel Antonio Morales Santana, Wen-Jia Liu, Pavel Strnad, Ulf Peter Neumann, Georg Lurje
BACKGROUND: In an attempt to further improve liver allograft utilization and outcome in orthotopic liver transplantation (OLT), a variety of clinical scoring systems have been developed. Here we aimed to comparatively investigate the association of the Balance-of-Risk (BAR), Survival-Outcomes-Following-Liver-Transplant (SOFT), Preallocation-Survival-Outcomes-Following-Liver-Transplant (pSOFT), Donor-Risk-Index (DRI), and the Eurotransplant-Donor-Risk-Index (ET-DRI) scores with short- and long-term outcome following OLT...
2019: PloS One
Hua-Ping Wei, Kelu Yang
BACKGROUND: Ventilator-associated pneumonia (VAP) is defined as pneumonia develops in intensive care unit (ICU) patients who have been mechanically ventilated for at least 48 hours. Implementing effective oral car could reduce the incidence of VAP. However, previous studies on scrubs in oral care have failed to suggest which the best choice. Therefore, this protocol proposes to perform a network meta-analysis to evaluate the effectiveness of different oral care scrubs in preventing VAP...
March 2019: Medicine (Baltimore)
Xiaoxia Li, Xiangyu Ding, Peng Shi, Yiqing Zhu, Yidie Huang, Qin Li, Jinmiao Lu, Zhiping Li, Lin Zhu
Neonatal sepsis (NS) remains a major cause of morbidity and mortality in neonates, but data on the etiology and antibiotic susceptibility patterns of pathogens are limited. The aim of this study was to analyze the clinical characteristics, risk factors, and the antibiotic susceptibility patterns of pathogenic microbes associated with NS at a tertiary children's hospital in Shanghai, China.Episodes of blood culture-proven sepsis in the neonatal intensive care unit (NICU) of Children's Hospital of Fudan University from January 2013 to August 2017 were retrospectively reviewed...
March 2019: Medicine (Baltimore)
Kimberly Howard-Quijano, Emily Methangkool, Jennifer C Scovotti, Einat Mazor, Tristan R Grogan, Wolf B Kratzert, Aman Mahajan
BACKGROUND: Three-dimensional (3D) strain is an echocardiographic modality that can characterize left ventricular (LV) function with greater accuracy than ejection fraction. While decreases in global strain have been used to predict outcomes after cardiac surgery, changes in regional 3D longitudinal, circumferential, radial, and area strain have not been well described. The primary aim of this study was to define differential patterns in regional LV dysfunction after cardiac surgery using 3D speckle tracking strain imaging...
March 20, 2019: Anesthesia and Analgesia
So-Yeon Kang, Michael J DiStefano, Farah Yehia, Maria V Koszalka, William V Padula
OBJECTIVES: Mechanical ventilation increases the risk of hospital-acquired conditions (HACs) such as ventilator-associated pneumonia (VAP) and pressure injury (PrI). Beds with continuous lateral rotation therapy (CLRT) are shown to reduce HAC incidence, but the value of switching to CLRT beds is presently unknown. We compared the cost-effectiveness of CLRT beds with standard care in intensive care units. METHODS: A cost-effectiveness analysis from the healthcare sector and societal perspectives was conducted...
March 20, 2019: Journal of Patient Safety
Kensuke Nakamura, Ryota Inokuchi, Kazutaka Fukushima, Hiromu Naraba, Yuji Takahashi, Tomohiro Sonoo, Hideki Hashimoto, Kent Doi, Naoto Morimura
BACKGROUND AND OBJECTIVES: Pectin-containing liquid enteral nutrition (PCLEN) contains pectin, which becomes solid in the stomach and therefore mitigates vomiting and diarrhea. Its efficacy for use in critical care medicine was evaluated. METHODS AND STUDY DESIGN: We used liquid enteral nutrition (LEN) (traditional LEN (TLEN)) as the primary LEN at the emergency and critical care center. We adopted PCLEN as the primary LEN from 2014. During 2012-2016, 954 patients admitted to intensive care units and emergency wards were given PCLEN or TLEN...
2019: Asia Pacific Journal of Clinical Nutrition
Hye Jung Bae, Seung Han Shin, Ee-Kyung Kim, Han-Suk Kim, Yoon Sook Cho, Hye Sun Gwak
BACKGROUND AND OBJECTIVES: Parenteral nutrition (PN) is one of the main nutritional methods used in newborns; however, long-term PN may induce PN-associated cholestasis (PNAC). This study aims to evaluate the effect of cyclic PN in the prevention and improvement of PNAC in newborns requiring long-term PN. METHODS AND STUDY DESIGN: A retrospective cohort study was conducted on patients admitted at the Seoul National University Children's Hospital neonatal intensive care unit between October 2010 and September 2015 and referred to the nutrition support team with total parenteral nutrition for more than 14 days...
2019: Asia Pacific Journal of Clinical Nutrition
R Manso Ruiz de la Cuesta, P Del Villar Guerra, C Molinos Norniella, F Barbadillo Izquierdo, J González García, A Medina Villanueva, V Modesto Alaport
BACKGROUND: The present study aims to evaluate the safety and effectiveness of the Boussignac continuous positive airway pressure device (CPAPB) when used during the transportation of infants under three months of age with bronchiolitis. METHODS: Transversal analytical observational study of four years duration. Data was collected on 25 infants who needed inter-hospital transportation to the reference Paediatric Intensive Care Unit (PICU), with CPAPB and Helmet interface...
March 21, 2019: Anales del Sistema Sanitario de Navarra
Jatinder Grewal, Anna-Liisa Sutt, George Cornmell, Kiran Shekar, John Fraser
PURPOSE: Patients supported with extracorporeal membrane oxygenation (ECMO) have been reported to have increased sedation requirements. Tracheostomies are performed in intensive care to facilitate longer term mechanical ventilation, reduce sedation, improve patient comfort, secretion clearance, and ability to speak and swallow. We aimed to investigate the safety of tracheostomy (TT) placement on ECMO, its impact on fluid intake, and the use of sedative, analgesic, and vasoactive drugs...
March 21, 2019: Journal of Intensive Care Medicine
Simon J W Oczkowski, Pamela Durepos, John Centofanti, Erika Arsenau, Sonny Dhanani, Deborah J Cook, Maureen O Meade
INTRODUCTION: Rates of successful organ donation vary between otherwise comparable intensive care units (ICUs). The ICU staff have a unique perspective into the facilitators and barriers underlying this variation in successful deceased organ donation. RESEARCH QUESTION: What do ICU staff perceive to be the most meaningful facilitators and barriers to deceased organ donation? DESIGN: We designed and conducted a survey of all disciplines working in the ICU to ascertain the perceived facilitators and barriers to donation in an academic tertiary care hospital...
March 21, 2019: Progress in Transplantation
Chinh Tran, Mihoko V Bennett, Jeffrey B Gould, Henry C Lee, Tatiana M Lanzieri
AIM:  The main purpose of this article is to assess trends in cytomegalovirus (CMV) infection reported among infants in California neonatal intensive care units (NICUs) during 2005 to 2016. STUDY DESIGN:  The California Perinatal Quality Care Collaborative collects data on all very low birth weight (VLBW, birth weight ≤ 1,500 g) and acutely ill infants > 1,500 g, representing 92% of NICUs in California. We compared clinical characteristics and length of hospital stay among infants with and without reported CMV infection (CMV-positive viral culture or polymerase chain reaction)...
March 20, 2019: American Journal of Perinatology
Yuri Ozawa, Shigehiro Takahashi, Humiko Miyahara, Kenichiro Hosoi, Mazumi Miura, Naho Morisaki, Yushi Ito, Tetsuya Isayama
OBJECTIVE:  The use of video laryngoscopy for intubating neonates in ergonomically challenging settings has not been studied well. We aimed to assess the usefulness of video laryngoscopy for experienced neonatologists to intubate neonatal manikins in incubators via side hand ports or head window. STUDY DESIGN:  In this randomized crossover trial at three neonatal intensive care units in Japan, 27 neonatologists were randomized into two groups, namely, those intubating neonatal simulators using video laryngoscopy and then using direct laryngoscopy, or vice versa...
March 20, 2019: American Journal of Perinatology
Bahaettin Öncü, Nurşen Belet, Ahmet Naci Emecen, Asuman Birinci
The aims of the study were to examine the distribution of Candida spp. isolated from sterile body sites, the antifungal susceptibility of the isolates to amphotericin B, and fluconazole, risk factors and clinical outcomes associated with invasive health care-associated Candida infections in neonates and children. Between January 2007 and January 2012, the patients with invasive candidiasis were detected from microbiology laboratary records and medical records were examined retrospectively. Candida spp. were isolated from sterile body sites in 94 patients...
March 20, 2019: Medical Mycology: Official Publication of the International Society for Human and Animal Mycology
Koen Ameloot, Cathy De Deyne, Ward Eertmans, Bert Ferdinande, Matthias Dupont, Pieter-Jan Palmers, Tibaut Petit, Philippe Nuyens, Joren Maeremans, Joris Vundelinckx, Maarten Vanhaverbeke, Ann Belmans, Ronald Peeters, Philippe Demaerel, Robin Lemmens, Jo Dens, Stefan Janssens
AIMS: During the first 6-12 h of intensive care unit (ICU) stay, post-cardiac arrest (CA) patients treated with a mean arterial pressure (MAP) 65 mmHg target experience a drop of the cerebral oxygenation that may cause additional cerebral damage. Therefore, we investigated whether an early goal directed haemodynamic optimization strategy (EGDHO) (MAP 85-100 mmHg, SVO2 65-75%) is safe and could improve cerebral oxygenation, reduce anoxic brain damage, and improve outcome when compared with a MAP 65 mmHg strategy...
March 20, 2019: European Heart Journal
Somayeh Riahi, Fateme Goudarzi, Shirin Hasanvand, Hasan Abdollahzadeh, Farzad Ebrahimzadeh, Zahra Dadvari
Aim & Objective : Due to the importance of spiritual care as a part of holistic care, this study aimed to investigate the effect of spiritual intelligence training on the nurses' competence in spiritual care in critical care units. Methods: The study was performed on 82 nurses (40 in the experimental group and 42 in the control group). Participants were selected from critical care units of teaching hospitals affiliated to Lorestan University of Medical Sciences. The experimental group took part in eight sessions of spiritual intelligence training, held in the form of workshops...
October 2018: Journal of Medicine and Life
Simin Jahani, Ziba Hajivand Soleymani, Marziyeh Asadizaker, Farhad Soltani, Bahman Cheraghian
Introduction: Patients under mechanical ventilation are usually in the supine position due to various arterial/venous tubes attached to them. Although many studies emphasize the advantages of prone position for oxygenation, some studies enumerate its disadvantages. Objective: The aim of the present research was to determine the effect of prone position on oxygenation of patients with Acute Respiratory Failure (ARF) under mechanical ventilation in the Intensive Care Unit (ICU). Methods: The present study is a single-group clinical trial (pretest-posttest), which was performed in 2017 in Ahvaz, Iran...
October 2018: Journal of Medicine and Life
Irene A Stafford, Alexandra Berra, Charles G Minard, Virginia Fontenot, Rachel H Kopkin, Eliza Rodrigue, Charles M Roitsch, Martha W Rac, James B Hill
Objective: The aim of this retrospective review is to evaluate trends in the management of maternal and congenital syphilis (CS) in a tertiary care center in New Orleans, LA. Study Design: All cases of maternal and neonatal syphilis over a five year period at Touro Infirmary, New Orleans, LA, were identified using ICD-9/10 codes. Charts were reviewed for demographic and obstetrical variables, stage of syphilis at diagnosis, lab values, and treatment regimen. Newborn treatment and other outcomes were recorded...
2019: Infectious Diseases in Obstetrics and Gynecology
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