keyword
https://read.qxmd.com/read/38788097/maternal-and-neonatal-outcomes-associated-with-illness-severity-of-maternal-covid-19
#1
JOURNAL ARTICLE
J Sisman, E H Adhikari, L F Black, A Weiss, L S Brown, L P Brion
BACKGROUND: Several reports demonstrated that perinatal SARS-CoV-2 has significant impact on maternal and neonatal health outcomes. However, the relationship between severity of maternal illness with outcomes remains less clear. METHODS: This is a single-center retrospective cohort study of mother/infant dyads with positive maternal test for SARS-CoV-2 between 14 days prior and 3 days after delivery from 3/30/2020 to 12/28/2021. RESULTS: Among 538 mothers, those with moderate/severe/critical illness were more likely to undergo induction, receive oxygen, mechanical ventilation or ECMO...
May 21, 2024: Journal of Neonatal-perinatal Medicine
https://read.qxmd.com/read/38788060/comparison-of-dexmedetomidine-versus-propofol-sedation-on-microcirculation-and-organ-injuries-in-critically-ill-surgical-patients-a-randomized-controlled-pilot-study
#2
JOURNAL ARTICLE
Po-Yu Chen, Hsing-Hao Huang, Wing-Sum Chan, Chih-Min Liu, Tsung-Ta Wu, Jyun-Han Chen, Anne Chao, Yu-Wen Tien, Ching-Tang Chiu, Yu-Chang Yeh
BACKGROUND: Recent studies have shown that dexmedetomidine may improve microcirculation and prevent organ failure. However, most evidence was obtained from experimental animals and patients receiving cardiac surgery with cardiopulmonary bypass. This study aimed to investigate the effect of dexmedetomidine on microcirculation and organ injuries in critically ill general surgical patients. METHODS: In this prospective randomized trial, patients admitted to the surgical intensive care unit after general surgery were enrolled and randomly allocated to the dexmedetomidine or propofol groups...
May 18, 2024: Clinical Hemorheology and Microcirculation
https://read.qxmd.com/read/38788049/stable-lateral-compression-pelvic-ring-injury-requiring-operative-treatment-due-to-bladder-impingement-a-case-report
#3
JOURNAL ARTICLE
Andrew P Collins, Waleed Abdelfattah, Suhas P Dasari, Florence Unno, Reza Firoozabadi, Conor P Kleweno, Sarah P Psutka, William D Lack
CASE: A 25-year-old man sustained a stable lateral compression Type I (LC I) pelvic ring injury upon missing the landing of a downhill ski jump. He presented with painful voiding from a displaced bony fragment, partially impaling the bladder wall. With operative fixation of the fracture and urologic co-management, the patient had excellent outcomes at 1-year follow-up. CONCLUSION: We describe a rare urologic injury in the setting of an LC I pelvic ring injury. In the setting of an otherwise stable pelvic ring injury, careful review of imaging, detailed clinical history, and physical examination remain critical to optimizing patient outcomes...
April 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38788038/association-of-admission-serum-triglyceride-levels-with-intensive-care-unit-hospitalization-rates-in-acute-pancreatitis-patients-a-retrospective-study
#4
JOURNAL ARTICLE
Shuaiyong Wen, Yu Zhang, Guijie Zhao, Zhengwei Tu, Kun Zhang, Yunfeng Cui
Acute pancreatitis (AP) is a complex and unpredictable condition, of which hypertriglyceridemia (HTG) is the third most prevalent cause. This study aimed to conduct a retrospective analysis of clinical data from hospitalized AP patients to uncover a potential correlation between triglyceride (TG) levels and the necessity for intensive care unit (ICU) admission. This retrospective cohort study utilized the Medical Information Mart for Intensive Care IV 2.2 (MIMIC-IV) critical care dataset, incorporating data from 698 patients with hypertriglyceridemic acute pancreatitis (HTG-AP)...
May 24, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38787973/factors-related-to-mortality-of-patients-with-covid-19-who-are-admitted-to-the-icu-prognostic-mortality-factors-of-covid-19-patients
#5
JOURNAL ARTICLE
Alejandro Álvarez-Macías, Alejandro Úbeda-Iglesias, Juana Macías-Seda, Juan Gómez-Salgado
During the severe acute respiratory syndrome coronavirus 2 pandemic, hospital resources, particularly critical care units, were overburdened and this had a significant impact on both the therapies and the prognosis of these patients. This study aimed to identify factors and therapies that may improve prognosis and other factors associated with increased mortality. A secondary objective was to evaluate the impact that obesity had on these patients. An observational study was conducted on 482 patients aged 18 years or older who were diagnosed with SARS-CoV-2 pneumonia and admitted to the Intensive Care Units of 3 national hospitals registered in the CIBERESUCICOVID database between September 2020 and March 2021...
May 24, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38787781/chatgpt-and-humanization-of-care-return-to-the-beauty-of-little-things
#6
EDITORIAL
Gian Domenico Giusti, Nicola Ramacciati
No abstract text is available yet for this article.
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787780/book-and-media-review
#7
EDITORIAL
Kathleen Ahern Gould
No abstract text is available yet for this article.
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787779/skin-tears-preventable-with-a-gentle-approach-a-case-series
#8
JOURNAL ARTICLE
Betül İlbey Koç, Dilay Hacıdursunoğlu Erbaş, Samet Yankın
Skin tears are a major problem for patients and the health care professionals who treat them. Although opinions on their prevalence differ, it is estimated that they are encountered more frequently than pressure sores but are overlooked. Recommendations based on strong evidence were presented for the prevention and treatment of skin tears as classified by the International Skin Tear Advisory Panel. This case series includes the clinical status of 3 patients who developed skin tears while receiving care in the hospital, and the corrective and preventive practices related to skin tears...
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787778/reducing-clostridioides-difficile-infections-in-a-medical-intensive-care-unit-a-multimodal-quality-improvement-initiative
#9
JOURNAL ARTICLE
Lisa Barker, Daniel Gilstrap, Christopher Sova, Becky A Smith, Staci S Reynolds
BACKGROUND: Clostridioides difficile (C. diff) infection causes significant morbidity for hospitalized patients. A large medical intensive care unit had an increase in C. diff infection rates. OBJECTIVES: The aim of this project was to reduce the C. diff polymerase chain reaction (PCR) test positivity rate and the rate of C. diff PCR tests ordered. Rates were compared between preintervention (July 2017 to December 2019) and postintervention (January 2021 to December 2022) timeframes...
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787776/care-of-the-patient-with-an-artificial-airway
#10
REVIEW
Julianne M Evers, Lori A Minton, Chris Webb, Rachel M Taylor, Nancy L York
BACKGROUND: Artificial airways are essential in various clinical settings to maintain a patient's airway and provide necessary support for ventilation and oxygenation. These devices are commonly temporary and come in several types, each serving specific purposes. Understanding the indications, types, and proper care of artificial airways is crucial for health care professionals to ensure patients receive optimal care and prevent complications. OBJECTIVE: This article aims to review the indications for using artificial airways and discuss the most commonly used types, including supraglottic airway devices, endotracheal tubes, tracheostomy tubes, and laryngectomy tubes...
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787774/clinician-prediction-of-survival-vs-calculated-prediction-scores-in-patients-requiring-extracorporeal-membrane-oxygenation
#11
JOURNAL ARTICLE
Laura Ann Martin, Genesis R Bojorquez, Cassia Yi, Alex Ignatyev, Travis Pollema, Judy E Davidson, Mazen Odish
BACKGROUND: Determining appropriate extracorporeal membrane oxygenation (ECMO) candidacy ensures appropriate utilization of this costly resource. The current ECMO survival prediction scores do not consider clinician assessment of patient viability. This study compared clinician prediction of survival to hospital discharge versus prediction scores. OBJECTIVES: The aim of this study was to compare clinician prediction of patients' survival to hospital discharge versus prognostic prediction scores (Respiratory ECMO Survival Prediction [RESP] or Survival After Veno-Arterial ECMO [SAVE] score) to actual survival...
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787773/changes-in-interprofessional-practice-during-the-covid-19-pandemic-and-the-effect-on-patient-outcomes-a-retrospective-observational-study
#12
JOURNAL ARTICLE
Marilyn Schallom, Heidi Tymkew, Beth Taylor, Donna Prentice, Kara Vyers, Erin Duensing, Nicole Brougham, Jennifer Licare, Cassandra Arroyo
BACKGROUND: Changes in healthcare delivery were required during the first year of the COVID-19 pandemic. OBJECTIVE: The purpose of this study was to determine the impact of the approach to care of the COVID-19 patient on nursing sensitive indicators and nutrition therapy and the utilization of rehabilitation services during the first year of the pandemic in the acute care setting. METHOD: A retrospective study of 894 patients admitted with a COVID-19 diagnosis was conducted between March 2020 and February 2021 in 3-month cohorts...
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787772/evaluating-the-accuracy-of-off-label-placement-of-pulse-oximetry-sensors-in-comparison-to-on-label-placement-in-the-adult-cardiac-intensive-care-unit-patient-population
#13
COMPARATIVE STUDY
Danielle Hlavin, Grace N Bosma, Matthew A Bolt, Mary D Sammel, Nicole Seyller, Maureen Varty
BACKGROUND: Continuous pulse oximetry (Spo2) is a commonly utilized tool to obtain an indirect, noninvasive measurement of hemoglobin oxygen saturation. Difficulty obtaining measurement with Spo2 sensors can lead nurses to try off-label sites until they find placement that provides a signal. Currently, there is limited evidence to support this application. PURPOSE: The purpose of this study was to evaluate the accuracy of off-label placement of pulse oximetry sensors in comparison to on-label placement in adult cardiac intensive care patients...
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787771/after-the-pandemic-retaining-the-lessons
#14
EDITORIAL
Kathleen Ahern Gould
No abstract text is available yet for this article.
July 2024: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/38787735/information-management-in-hospital-unit-daily-operations-a-descriptive-study-with-nurses-and-physicians
#15
JOURNAL ARTICLE
Hanna von Gerich, Laura-Maria Peltonen
Operations management of a hospital unit is a shared activity involving nursing and medical professionals, characterized by suddenly changing situations, constant interruptions, and ad hoc decision-making. Previous studies have explored the informational needs affecting decision-making, but only limited information has been collected regarding factors affecting information management related to the daily operations of hospital units. The aim of this study was to describe the experiences of nursing and medical professionals of information management in the daily operations of hospital units...
May 24, 2024: Computers, Informatics, Nursing: CIN
https://read.qxmd.com/read/38787701/timing-to-surgery-in-elderly-patients-with-small-bowel-obstruction-an-insight-on-frailty
#16
JOURNAL ARTICLE
Renxi Li, Megan T Quintana, Juliet Lee, Babak Sarani, Susan Kartiko
BACKGROUND: Small bowel obstruction (SBO) frequently necessitates emergency surgical intervention. The impact of frailty and age on operative outcomes is uncertain. This study evaluated postoperative outcomes of SBO surgery based on patient's age and frailty and explore the optimal timing to operation in elderly and/or frail patients. METHODS: Patients who underwent SBO surgery were identified in ACS-NSQIP database 2005-2021. Patients aged ≥65 years were defined as elderly...
May 24, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38787627/a-20-year-retrospective-analysis-of-deep-venous-thrombosis-and-pulmonary-embolism-among-combat-casualties-requiring-damage-control-laparotomy-at-us-military-role-2-surgical-units
#17
JOURNAL ARTICLE
Michael D Cobler-Lichter, Brianna L Collie, Jessica M Delamater, Larisa Shagabayeva, Nicole B Lyons, Luciana Tito Bustillos, Nicholas Namias, Jonathan D Stallings, Kirby R Gross, Mark D Buzzelli, Jennifer Gurney, Kenneth G Proctor, Paul J Wetstein
BACKGROUND: Combat casualties receiving damage control laparotomy at forward deployed, resource-constrained US Military Role 2 surgical units (R2) require multiple evacuations, but the added risk of venous thromboembolism (VTE) in this population has not been defined. To fill this gap, we retrospectively analyzed 20 years of Department of Defense Trauma Registry (DoDTR) data to define the VTE rate in this population. METHODS: DoDTR from 2002 to 2023 was queried for US Military combat casualties requiring damage control laparotomy at R2...
May 24, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38787610/developing-a-cost-effective-surgical-scheduling-system-applying-lean-thinking-and-toyota-s-methods-for-surgery-related-big-data-for-improved-data-use-in-hospitals-user-centered-design-approach
#18
JOURNAL ARTICLE
Chien-Chung Lin, Jian-Hong Shen, Shu-Fang Chen, Hung-Ming Chen, Hung-Meng Huang
BACKGROUND: Surgical scheduling is pivotal in managing daily surgical sequences, impacting patient experience and hospital resources significantly. With operating rooms costing approximately US $36 per minute, efficient scheduling is vital. However, global practices in surgical scheduling vary, largely due to challenges in predicting individual surgeon times for diverse patient conditions. Inspired by the Toyota Production System's efficiency in addressing similar logistical challenges, we applied its principles as detailed in the book "Lean Thinking" by Womack and Jones, which identifies processes that do not meet customer needs as wasteful...
May 24, 2024: JMIR Formative Research
https://read.qxmd.com/read/38787608/a-brief-workplace-training-program-to-support-help-seeking-for-mental-ill-health-protocol-for-the-helipad-cluster-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Philip J Batterham, Amelia Gulliver, Cassandra Heffernan, Alison L Calear, Aliza Werner-Seidler, Alyna Turner, Louise M Farrer, Mary Lou Chatterton, Cathrine Mihalopoulos, Michael Berk
BACKGROUND: Most people with mental health problems do not seek help, with delays of even decades in seeking professional help. Lack of engagement with professional mental health services can lead to poor outcomes and functional impairment. However, few effective interventions have been identified to improve help-seeking in adults, and those that exist are not widely implemented to deliver public health impact. Co-designing interventions with people with lived experience of mental ill-health and other relevant stakeholders is critical to increase the likelihood of uptake and engagement with these programs...
May 24, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38787415/current-perception-and-barriers-to-implementing-lung-ultrasound-in-canadian-neonatal-intensive-care-units-a-national-survey
#20
JOURNAL ARTICLE
Nada Mohsen, Telford Yeung, Nadya Ben Fadel, Muzafar Gani Abdul Wahab, Yasser Elsayed, Nehad Nasef, Adel Mohamed
Despite the growing body of literature supporting the use of point-of-care lung ultrasound (POC-LU) in neonates, its adoption in Canadian neonatal intensive care units (NICUs) remains limited. This study aimed to identify healthcare providers' perceptions and barriers to implementing POC-LU in Canadian NICUs. We conducted an electronic survey targeting neonatologists, neonatal fellows, neonatal nurse practitioners, and registered respiratory therapists in 20 Canadian NICUs. The survey comprised a 28-item questionnaire divided into four sections: (1) participants' demographics and availability of POC-LU equipment, (2) experience and interest in POC-LU learning, (3) perception of POC-LU as a diagnostic tool, and (4) barriers to POC-LU implementation in NICUs...
May 24, 2024: European Journal of Pediatrics
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