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This page shows you the most recent publications within this specialty of the MedWorm directory.

Automatic lung segmentation method for MRI-based lung perfusion studies of patients with chronic obstructive pulmonary disease
Conclusion The evaluation of the developed methods indicates good accuracy and shows that automatically generated lung masks differ from expert segmentations about as much as segmentations from different experts. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 30, 2015 Category: Intensive Care Source Type: research

3D kinematics of mobile-bearing total knee arthroplasty using X-ray fluoroscopy
Conclusions A 3D kinematic analysis technique was developed that enables accurate quantitative evaluation of mobile-bearing TKA kinematics. This method may be useful for improving implant design and optimizing TKA surgical techniques. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 30, 2015 Category: Intensive Care Source Type: research

3D femur model reconstruction from biplane X-ray images: a novel method based on Laplacian surface deformation
Conclusion     The new template reconfiguration algorithm based on Laplacian surface deformation provided acceptable reconstruction accuracy and high computation efficiency for 3D modeling of the distal femur using biplane radiographs. This algorithm may provide a useful option for orthopedic modeling applications. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 30, 2015 Category: Intensive Care Source Type: research

Automatic patient-customised 3D reconstruction of human costal cartilage from lung MDCT dataset
Conclusion Costal cartilage 3D morphology can be extracted from MDCT scans with an automated method, using a circular cross-section with area equal to twice \(\mathbb {M}\) . (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 30, 2015 Category: Intensive Care Source Type: research

A 3D computer-assisted treatment planning system for breast cancer brachytherapy treatment
Conclusion A virtual 3D environment was developed to perform volume measurements, seed placements, and dose distribution planning and analysis based on 2D contours on patient CT images. This system was demonstrated to be feasible and accurate in a clinical setting. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 30, 2015 Category: Intensive Care Source Type: research

Controlling motion prediction errors in radiotherapy with relevance vector machines
Conclusions The predicted variance was shown to be an efficient metric to control prediction errors, resulting in a more robust radiotherapy treatment. The hybrid algorithm \(\hbox {HYB}_{\textit{RVM}}\) could be translated to clinical practice. It does not require further parameters, can be completely parallelised and easily further extended. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 30, 2015 Category: Intensive Care Source Type: research

Comparison of 3D ultrasound and magnetic resonance imaging for microwave ablation in the canine splenomegaly model
Conclusion 3D US may be useful for quantifying the volume of microwave ablation zones in the spleens of experimental animals and appears promising as an alterative modality to MRI for clinical examinations. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 30, 2015 Category: Intensive Care Source Type: research

Albumin infusion for the critically ill – is it beneficial and, if so, why and how?
No description available (Source: Critical Care)
Source: Critical Care - March 30, 2015 Category: Intensive Care Authors: Undurti Das Source Type: research

A physiological sign that mimics lung point in critical care ultrasonography
No description available (Source: Critical Care)
Source: Critical Care - March 30, 2015 Category: Intensive Care Authors: Zhongheng ZhangLin Chen Source Type: research

A high mean arterial pressure target is associated with improved microcirculation in septic shock patients with previous hypertension: a prospective open label study
Conclusions: Increasing MAP from 65 mm Hg to patients’ usual level is associated with improved microcirculation in hypertensive septic shock patients.Trial registrationClinicaltrials.gov NCT01443494. Registered 28 November 2011. (Source: Critical Care)
Source: Critical Care - March 30, 2015 Category: Intensive Care Authors: Jing-Yuan XuSi-Qing MaChun PanHong-Li HeShi-Xia CaiShu-Ling HuAi-Ran LiuLing LiuYing-Zi HuangFeng-Mei GuoYi YangHai-Bo Qiu Source Type: research

Gender differences in outcome and use of resources do exist in Swedish intensive care, but to no advantage for women of premenopausal age
Conclusions: Using information from a large multiple ICU register database we found that premenopausal female gender was not associated with a survival advantage following intensive care in Sweden. When adjusted for age and severity of illness, male patients use more ICU-resources per admission than female patients. (Source: Critical Care)
Source: Critical Care - March 30, 2015 Category: Intensive Care Authors: Carolina SamuelssonFolke SjöbergGöran KarlströmThomas NolinSten Walther Source Type: research

Innovation and new trends in critical trauma disease
Publication date: Available online 29 March 2015 Source:Medicina Intensiva (English Edition) Author(s): M. Chico-Fernández , L.L. Terceros-Almanza , C.C. Mudarra-Reche The management of critical trauma disease (CTD) has always trends the trends in military war experiences. These conflicts have historically revolutionized clinical concepts, clinical practice guidelines and medical devices, and have marked future lines of research and aspects of training and learning in severe trauma care. Moreover, in the civil setting, the development of intensive care, technological advances and the testing of our healthcare systems in...
Source: Medicina Intensiva - March 30, 2015 Category: Intensive Care Source Type: research

Importance of ventricular function in the election of electro heart mode
Publication date: Available online 29 March 2015 Source:Medicina Intensiva (English Edition) Author(s): S. Nicolás-Franco , F.J. Rodríguez-González , A. Nicolás-Boluda , A. Sánchez-Martos The integration of the ventricular function is essential when making decisions over a patient subjected to cardiac electrostimulation in order to understand the structure followed in the new cardiac stimulation and resynchronizing therapy guides. To support the importance of ventricular function in cardiac electrostimulation it is important to know: (a) the deleterious effect of stimulation on the right ventricle apex; (b) the effe...
Source: Medicina Intensiva - March 30, 2015 Category: Intensive Care Source Type: research

Surgical management of Syria’s war casualties: experience from a French surgical team deployed in the Zaatari refugee camp (Jordan)
Conclusions The presence at the Zaatari camp of a surgical facility, which is experienced and specialized in war surgery, is essential, as long as battles are ongoing. Many victims will later require long-term surgical care for the management of the sequelae associated with these traumas. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - March 29, 2015 Category: Emergency Medicine Source Type: research

Transfemoral and Perventricular Device Occlusions and Surgical Repair for Doubly Committed Subarterial Ventricular Septal Defects
Conclusions Device occlusion may be an alternative to surgical repair in selected patients with dcVSD. Perventricular occlusion was the preferred approach because it showed a higher success rate than transfemoral occlusion. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 29, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Role of fiberoptic bronchoscopy in management of smoke inhalation lung injury
Conclusion FOB may have a great value in evaluation, predicting prognosis and management of smoke inhalation lung injury. FOB obtained within few hours of admission was predictive of the total number of ventilator days and ICU-stay days and the development of pneumonia in patients with SII. (Source: Egyptian Journal of Chest Diseases and Tuberculosis)
Source: Egyptian Journal of Chest Diseases and Tuberculosis - March 29, 2015 Category: Respiratory Medicine Source Type: research

Resting energy expenditure and substrate oxidation rates correlate to temperature and outcome after cardiac arrest- a prospective observational cohort study
IntroductionTargeted temperature management improves outcome after cardiopulmonary resuscitation. Reduction of resting energy expenditure might be one mode of action. Aim of this study was to correlate resting energy expenditure and substrate oxidation rates with targeted temperature management at 33°C and outcome in patients after cardiac arrest. Methods: This prospective, observational cohort study was performed at the department of emergency medicine and a medical intensive care unit of a university hospital. Patients after successful cardiopulmonary resuscitation undergoing targeted temperature management at 33°C for...
Source: Critical Care - March 29, 2015 Category: Intensive Care Authors: Ulrike HolzingerRichard BrunnerHeidrun LosertValentin FuhrmannHarald HerknerChristian MadlFritz SterzBruno Schneeweiß Source Type: research

Functional outcomes in ICU – what should we be using? - an observational study
IntroductionWith growing awareness of the importance of rehabilitation new measures are being developed specifically for use in the intensive care unit (ICU). There are currently 26 measures reported to assess function in ICU survivors. The Physical Function in Intensive care Test scored (PFIT-s) has established clinimetric properties. It is unknown how other functional measures perform in comparison to the PFIT-s or which functional measure may be the most clinically applicable for use within the ICU. The aims of this study were to determine (1) the criterion validity of the Functional Status Score for the ICU (FSS-ICU), ...
Source: Critical Care - March 29, 2015 Category: Intensive Care Authors: Selina ParryLinda DenehyLisa BeachSue BerneyHannah WilliamsonCatherine Granger Source Type: research

[Analysis of the stay and morbidity and mortality rates in a unit for neurocritical patients following surgery for a brain tumour].
CONCLUSIONS: An important fraction of patients remain in an NCU for more than one day. The need for both tracheal intubation and respiratory assistance, together with the appearance of systemic and regional complications, can require stays in an NCU for more than one day. PMID: 25806478 [PubMed - in process] (Source: Revista de Neurologia)
Source: Revista de Neurologia - March 28, 2015 Category: Neurology Authors: Benatar-Haserfaty J, Ly-Liu D, Gonzalez-Moreno V, Tiscar-Garcia C Tags: Rev Neurol Source Type: research

Abdominal Aortic Injury During Vertebroplasty
Conclusion. Conservative treatment is optional for accidental aortic penetration during a vertebroplasty when a tamponade effect is expected. In cases with circulatory collapse, when the tamponade effect seems insufficient or a free wall rupture is suspected, prompt removal of the needle and surgical repair should be considered. Level of Evidence: 5 (Source: Spine)
Source: Spine - March 28, 2015 Category: Orthopaedics Tags: Case Report Source Type: research

Corpectomy in Destructive Thoracolumbar Spine Disease: Cost-effectiveness of 3 Different Techniques and Implications for Cost Reduction of Delivered Care
Conclusion. Using the posterior approach only was the most cost-effective technique, but the mini open was comparable with the conventional open transpedicular approach. Level of Evidence: 3 (Source: Spine)
Source: Spine - March 28, 2015 Category: Orthopaedics Tags: Health Services Research Source Type: research

Calculus Formation: Nurses’ Decision‐Making in Abortion‐Related Care
Abstract Nurses routinely provide care to patients in ethically challenging situations. To explore the continuum between conscientious objectors and designated staff in the provision of care to women seeking abortions, the aim of this study was to thickly describe decision‐making, using abortion as the clinical context to elucidate how nurses approach ethically challenging work. A purposive sample of 25 nurses who worked in abortion clinics, emergency departments, intensive care units, labor, and delivery, operating rooms, and post anesthesia care units were interviewed. Qualitative description and thematic analysis were...
Source: Research in Nursing and Health - March 28, 2015 Category: Nursing Authors: Monica R. McLemore, Susan Kools, Amy J. Levi Tags: Research Article Source Type: research

Pressure Ulcers in the ICU Patient: an Update on Prevention and Treatment
Abstract The occurrence of hospital-acquired pressure ulcers (HAPU) is a recognized metric of quality of care by the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Research and Quality. Pressure ulcer (PU) prevention and treatment have become a priority for many facilities as the reimbursement for hospital-acquired PUs has been significantly restricted by regulations implemented by CMS in 2008. Intensive care unit (ICU) patients are at higher risk for PU development due to comorbidities and life-saving treatment modalities in this environment. PU occurrence in ICUs ranges from 8.8 ...
Source: Current Infectious Disease Reports - March 28, 2015 Category: Infectious Diseases Source Type: research

Effects of anticoagulant therapy on pregnancy outcomes in patients with thrombophilia and previous poor obstetric history
In conclusion, anticoagulant therapy with both LMWH and ASA seems to provide better obstetric outcomes in pregnant women with thrombophilia and previous poor obstetric outcomes. (Source: Blood Coagulation and Fibrinolysis)
Source: Blood Coagulation and Fibrinolysis - March 28, 2015 Category: Hematology Tags: Original Articles Source Type: research

Early and Late Unplanned Rehospitalizations for Survivors of Critical Illness
This was a retrospective cohort study to determine the frequency of early and late rehospitalizations of intensive care unit (ICU) survivors using the New York Statewide Planning and Research Cooperative System database. The primary objective was to determine the cumulative incidence of early rehospitalizations, within 30 days of hospital discharge among ICU survivors. (Source: The Journal of Emergency Medicine)
Source: The Journal of Emergency Medicine - March 28, 2015 Category: Emergency Medicine Authors: Stephanie Oberfoell Tags: Abstract Source Type: research

Circulating MicroRNA-223 Serum Levels Do Not Predict Sepsis or Survival in Patients with Critical Illness.
Conclusion. Recent reports on alterations in miR-223 serum levels during sepsis revealed contradictory results, preventing a potential use of this miRNA in clinical routine. We clearly show that miR-223 serum levels do not reflect the presence of sepsis neither in mouse models nor in a large cohort of ICU patients and do not indicate clinical outcome of critically ill patients. Thus miR-223 serum levels should not be used as a biomarker in this setting. PMID: 25810564 [PubMed - in process] (Source: Disease Markers)
Source: Disease Markers - March 28, 2015 Category: Laboratory Medicine Tags: Dis Markers Source Type: research

Incidence of depression, anxiety and stress following traumatic injury: a longitudinal study
Conclusion: Depression, anxiety and stress in patients hospitalised following injury is common and should be anticipated in patients who have had an intensive care admission. Screening at 3 months following injury identifies patients at risk of long-term symptoms of depression, anxiety and stress. (Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine)
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - March 28, 2015 Category: Emergency Medicine Authors: Taneal WisemanKate CurtisMary LamKim Foster Source Type: research

Influence of sustained low-efficiency diafiltration (SLED- on interstitial fluid concentrations of fluconazole in a critically ill patient: use of microdialysis
Acute kidney injury (AKI) is a common complication in critically ill patients, with an incidence as high as 42% being reported in patients with severe sepsis or septic shock [1]. Although continuous renal replacement therapy (CRRT) is commonly used in the intensive care unit (ICU), hybrid techniques including sustained low-efficiency dialysis/diafiltration (SLED/SLED-f), also known as slow low-efficiency dialysis and extended daily dialysis/diafiltration, are being increasingly utilised as a convenient alternative to CRRT [2]. (Source: International Journal of Antimicrobial Agents)
Source: International Journal of Antimicrobial Agents - March 28, 2015 Category: Drugs & Pharmacology Authors: Mahipal G. Sinnollareddy, Michael S. Roberts, Jeffrey Lipman, Sandra L. Peake, Jason A. Roberts Tags: Short Communication Source Type: research

Central venous-to-arterial carbon dioxide difference combined with arterial-to-venous oxygen content difference is associated with lactate evolution in the hemodynamic resuscitation process in early septic shock
IntroductionSince normal or high central venous oxygen saturation (ScvO2) values cannot discriminate if tissue perfusion is adequate, integrating other markers of tissue hypoxia, such as central venous-to-arterial carbon dioxide difference (PcvaCO2 gap) has been proposed. In the present study, we aimed to evaluate the ability of the PcvaCO2 gap and the PcvaCO2/arterial-venous oxygen content difference ratio (PcvaCO2/CavO2) to predict lactate evolution in septic shock. Methods: Observational study. Septic shock patients within the first 24 hours of ICU admission. After restoration of mean arterial pressure, and central ven...
Source: Critical Care - March 28, 2015 Category: Intensive Care Authors: Jaume MesquidaPaula SaludesGuillem GruartmonerCristina EspinalEva TorrentsFrancisco BaigorriAntonio Artigas Source Type: research

Erratum to: Risk factors for target non-attainment during empirical treatment with β-lactam antibiotics in critically ill patients
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - March 27, 2015 Category: Intensive Care Source Type: research

'Who Will Talk for Me?' Next of Kin is not necessarily the preferred substitute decision maker: Findings from an Australian intensive care unit.
PMID: 25800273 [PubMed - in process] (Source: Palliative Medicine)
Source: Palliative Medicine - March 27, 2015 Category: Palliative Care Authors: Mendoza JL, Burns CM Tags: Palliat Med Source Type: research

The transverse diameter of the chest on routine radiographs reliably estimates gestational age and weight in premature infants
Conclusion An infant’s gestational age and birth weight can be reliably estimated by comparing a simple measurement of the transverse chest diameter on digital chest radiograph with the tables and graphs in our study. (Source: Pediatric Radiology)
Source: Pediatric Radiology - March 27, 2015 Category: Radiology Source Type: research

Association between early peak temperature and mortality in neutropenic sepsis
Abstract Fever is often the first sign of neutropenic infection, but its prognostic impact has not been established. We aimed to determine whether early peak temperature is associated with mortality in patients with neutropenic sepsis admitted to intensive care units (ICUs). We used a database of admissions to 157 ICUs in Australia and New Zealand between 2005 and 2013 to seek an association between peak temperature within the first 24 h in ICU and in-hospital mortality in neutropenic and non-neutropenic sepsis. Odds ratios for in-hospital death were calculated for four temperature bands, adjusting for illness s...
Source: Annals of Hematology - March 27, 2015 Category: Hematology Source Type: research

(112) Revision and validation of the critical-care pain observation tool in critically ill adults with brain injury: a pilot trial
Critically ill patients frequently experience intense levels of pain. Inadequate treatment is associated with multiple adverse outcomes. The Critical-Care Pain Observation Tool (CPOT) is a validated and widely used assessment of pain in critically ill adults, but validation with neurologically injured patients is lacking. The primary aim of this pilot project is to validate the CPOT for assessment of pain in critically ill and neurologically injured adults. Adults admitted to the Neuroscience intensive care unit (ICU) at Harborview Medical Center (Seattle, WA) were observed by a trained bedside nurse and medical student du...
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: B. McNulty, A. Joffe, C. Gélinas Source Type: research

(113) Validation of the Brazilian version of Behavioral Pain Scale in sedated and mechanical ventilated patients
This study aimed to validate the Brazilian version of BPS as well as to correlate the scores of this scale with records of physiological parameters, sedation level and disease characteristics of this sample. (Source: The Journal of Pain)
Source: The Journal of Pain - March 27, 2015 Category: Materials Science Authors: I. Santos, I. Nogueira Alves, D. Passos-Júnior, M. Cerqueira Neto, V. Santana-Filho, J. DeSantana Source Type: research

Predicting one-year mortality of critically ill patients with early acute kidney injury: data from the prospective multicenter FINNAKI study
Conclusions: The prognostic performance of the admission data-based model was acceptable, but not good. The D3 model for one-year mortality performed fairly well in patients with early AKI. (Source: BioMed Central)
Source: BioMed Central - March 27, 2015 Category: Journals (General) Authors: Meri PoukkanenSuvi T VaaraMatti ReinikainenTuomas SelanderSara NisulaSari KarlssonIlkka ParviainenJuha KoskenkariVille Pettiläthe FINNAKI Study Group Source Type: research

Comparing type 1 and type 2 diabetes in pregnancy- similar conditions or is a separate approach required?
Conclusions: Pregnancy outcomes in T1DM and T2DM are different and occur at different levels of glycemia. This should be considered when planning and managing pregnancy and when counseling women. (Source: BMC Pregnancy and Childbirth)
Source: BMC Pregnancy and Childbirth - March 27, 2015 Category: OBGYN Authors: Lisa OwensJon SedarLouise CarmodyFidelma Dunne Source Type: research

The shock index for pre-hospital identification of trauma patients with early acute coagulopathy and massive bleeding
No description available (Source: Critical Care)
Source: Critical Care - March 27, 2015 Category: Intensive Care Authors: Pierre PasquierClément DubostBrice MalgrasKevin KearnsStéphane Mérat Source Type: research

Tracheal extubation and reintubation of the critically ill - challenges coming and going
Tracheal reintubation is a common event in critical care. Elmer and colleagues provide the first comparison of complication rates of initial and subsequent reintubation(s) during the same hospitalization. Their work shows an increased risk of complications associated with reintubation, in particular hypoxemia and hypotension, reminding us to be cautious with patients having minimal reserve and potentially altered airway anatomy.See related research by Elmer et al., http://ccforum.com/content/19/1/12 (Source: Critical Care)
Source: Critical Care - March 27, 2015 Category: Intensive Care Authors: Matteo ParottoRichard Cooper Source Type: research

Effects of earplugs and eye masks combined with relaxing music on sleep, melatonin and cortisol levels in ICU patients: a randomized control trial
Conclusion: This combination of non-pharmacological interventions is useful for promoting sleep in ICU adult patients; however, any influence on nocturnal melatonin levels and cortisol level may have been masked by several factors such as the timing of surgery, medication use and individual differences. Larger scale studies would be needed to examine the potential influences of these factors on biological markers and intervention efficacy on sleep.Trial registrationChinese Clinical Trial Registry: ChiCTR-IOR-14005511. Registered 21 November 2014. (Source: Critical Care)
Source: Critical Care - March 27, 2015 Category: Intensive Care Authors: Rong-Fang HuXiao-Ying JiangKathleen HegadorenYou-Hua Zhang Source Type: research

Guiding fluid resuscitation in critically ill patients: how to evaluate the available tools?
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - March 27, 2015 Category: Intensive Care Source Type: research

Intra-operative augmented reality in distal locking
Conclusions We confirmed that intra-operative navigation using augmented reality provides an alternative way to perform distal locking in a safe and timely manner. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - March 27, 2015 Category: Intensive Care Source Type: research

Assessment of PaO2/FiO2 for stratification of patients with moderate and severe acute respiratory distress syndrome
Conclusions Our findings support the need for patient assessment under SVS at 24 h after ARDS onset to assess disease severity, and have implications for the diagnosis and management of ARDS patients. Trial registration numbers NCT00435110 and NCT00736892. (Source: BMJ Open)
Source: BMJ Open - March 27, 2015 Category: Journals (General) Authors: Villar, J., Blanco, J., del Campo, R., Andaluz-Ojeda, D., Diaz-Dominguez, F. J., Muriel, A., Corcoles, V., Suarez-Sipmann, F., Tarancon, C., Gonzalez-Higueras, E., Lopez, J., Blanch, L., Perez-Mendez, L., Fernandez, R. L., Kacmarek, R. M., for the Spanish Tags: Open access, Intensive care, Respiratory medicine Research Source Type: research

Complex clinical reasoning in the critical care unit – difficulties, pitfalls and adaptive strategies
This article illustrates many of these with reference to a case encountered on our intensive care unit. Strategies to improve completeness of data gathering, processing and synthesis in the acute care environment are critically appraised in the context of early detection and amelioration of cognitive bias. These include reflection, targeted simulation training and the integration of social media and IT based aids in complex diagnostic processes. A framework which can be quickly and easily employed in a variety of clinical environments is then presented. (Source: International Journal of Clinical Practice)
Source: International Journal of Clinical Practice - March 27, 2015 Category: Internal Medicine Authors: M. Shaw, S. Singh Tags: Perspective Source Type: research