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

Pregame Sore Throat, Postgame Intensive Care Unit
Abstract: A collegiate football athlete presented, on game day, with an acute onset of sore throat. He was afebrile, speaking in full sentences, without signs of respiratory distress. His examination was negative for lymphadenopathy or tonsillar enlargement or exudate. Twelve hours after initial presentation, he developed acute epiglottitis. He underwent urgent fiberoptic intubation and was empirically treated with broad-spectrum antibiotics and corticosteroids. Currently, there are no published reports of acute epiglottitis in athletes. Consequently, there is no evidence to guide return to play decisions. Return to play, ...
Source: Clinical Journal of Sport Medicine - May 1, 2016 Category: Sports Medicine Tags: Case Report Source Type: research

Clinical ultrasound in the ICU: Changing a medical paradigm
Publication date: Available online 30 April 2016 Source:Medicina Intensiva (English Edition) Author(s): J.A. Álvarez-Fernández, A. Núñez-Reiz In recent decades there has been an evolution from the traditional paradigm of sporadic ultrasound performed by radiologists and cardiologists in the ICU to clinical ultrasound performed by intensivists as an extension of patient evaluation rather than as a complementary test. Such clinical ultrasound aims to diagnose and treat the patient directly. All ultrasound modalities could be interesting in the ICU, either helping in decision making or guiding procedures. Clinical ult...
Source: Medicina Intensiva - May 1, 2016 Category: Intensive Care Source Type: research

Influence of meteorological conditions on hospital admission in patients with acute coronary syndrome with and without ST-segment elevation: Results of the AIRACOS study
Conclusions In the patients who suffer ACS, the presence of higher number of atmospheric pressure during the week before the event increase the risk that the ST-segment elevation ACS. (Source: Medicina Intensiva)
Source: Medicina Intensiva - May 1, 2016 Category: Intensive Care Source Type: research

Minimally invasive repair of Morgagni hernia – A multicenter case series
Publication date: Available online 30 April 2016 Source:Revista Portuguesa de Pneumologia (English Edition) Author(s): R. Lamas-Pinheiro, J. Pereira, F. Carvalho, P. Horta, A. Ochoa, M. Knoblich, J. Henriques, T. Henriques-Coelho, J. Correia-Pinto, P. Casella, J. Estevão-Costa Children may benefit from minimally invasive surgery (MIS) in the correction of Morgagni hernia (MH). The present study aims to evaluate the outcome of MIS through a multicenter study. National institutions that use MIS in the treatment of MH were included. Demographic, clinical and operative data were analyzed. Thirteen patients with M...
Source: Revista Portuguesa de Pneumologia - May 1, 2016 Category: Respiratory Medicine Source Type: research

Systemic Thrombolysis Versus Device Exchange for Pump Thrombosis Management: A Single-Center Experience
In patients with left ventricular assist device (LVAD) implants, pump thrombosis is a potential life-threatening complication. In a retrospective data analysis, we compared clinical outcomes in 50 patients with HeartWare (HW) or HeartMate II implants undergoing device exchange (DEx; n = 21) or systemic thrombolysis (STL; n = 29) for pump thrombosis. Primary end-point was survival up to 90 days postintervention. Secondary end-points were the need for blood products postintervention, duration of intensive care unit stay, in-hospital stay, 90 day and 2 year therapy failure (the need for additional surgical or nonsurgical inte...
Source: ASAIO Journal - April 30, 2016 Category: Medical Equipment Tags: Adult Circulatory Support Source Type: research

Rapid Development and Implementation of an ECMO Program
In this report, we describe the rapid development and implementation of an organized ECMO program at a facility that previously provided ad hoc support. The program provides care for patients within the Emory Healthcare system and throughout the Southeastern United States. From September 2014 to February 2015, 16 patients were treated with either venovenous or venoarterial ECMO with a survival to decannulation of 53.3% and survival to intensive care unit discharge of 40%. Of the 16 patients, 10 were transfers from outside facilities of which 2 were remotely cannulated and initiated on ECMO support by our ECMO transport tea...
Source: ASAIO Journal - April 30, 2016 Category: Medical Equipment Tags: How to Do It Article Source Type: research

Comparison Between Intraventricular and Intraparenchymal Intracranial Pressure Monitoring in Asian Patients With Severe Traumatic Brain Injury
Objective: Traumatic brain injury (TBI) is a significant cause of mortality and morbidity. Intraventricular and intraparenchymal intracranial pressure (ICP) monitors are most widely used in clinical practice. There has been little investigation into the comparison between these 2 ICP monitoring sites. Methods: Patients with severe TBI were admitted in this prospective study. Data on demographics and injury characteristics were registered. Glasgow Outcome Scale Extended 6 months after injury, intensive care unit (ICU) length of stay, and monitoring-related complications were registered. Results: Intraparenchymal ICP monit...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research

Applicability of Pulse Pressure Variation during Unstable Hemodynamic Events in the Intensive Care Unit: A Five-Day Prospective Multicenter Study.
Authors: Delannoy B, Wallet F, Maucort-Boulch D, Page M, Kaaki M, Schoeffler M, Alexander B, Desebbe O Abstract Pulse pressure variation can predict fluid responsiveness in strict applicability conditions. The purpose of this study was to describe the clinical applicability of pulse pressure variation during episodes of patient hemodynamic instability in the intensive care unit. We conducted a five-day, seven-center prospective study that included patients presenting with an unstable hemodynamic event. The six predefined inclusion criteria for pulse pressure variation applicability were as follows: mechanical venti...
Source: Critical Care Research and Practice - April 30, 2016 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

A Pilot Study to Validate the Burn Center Pediatric Early Warning Score Tool in Clinical Practice
This study investigated the external validity of the PEWS process in clinical practice. Fifty cases of patients aged 0 to 15.9 years admitted between January 2012 and June 2013, whose length of stay (LOS) more than 3 days were selected for review from this cohort of n equal to 187. Demographics, total PEWS and score changes, and compliance with PEWS documentation and with resultant interventions were reviewed. Continuous variables are presented as mean ± SD, P less than 0.05. Mean age, burn size, and LOS were 3.2 ± 3.3 years, 4.8 ± 5.7%, and 9.8 ± 7.0 days; 26% required grafting, and 50% were male. No mortalities occur...
Source: Journal of Burn Care and Research - April 30, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research

Methylene Blue for Acute Septic Cardiomyopathy in a Burned Patient
The objective of this case summary was to describe the use of methylene blue (MB) in a burned patient with acute septic cardiomyopathy. A 60-year-old Caucasian man was admitted to the Burn Intensive Care Unit with 45% TBSA burns after a house explosion. During the course of his care, he experienced hypotension that was refractory to fluid therapy and vasoactive medications. Echocardiography and right heart catheterization showed new acute systolic dysfunction with concurrent elevated systemic vascular resistance (SVR). High-dose inotropic agents did not improve cardiac function, and septic shock rendered him a poor candida...
Source: Journal of Burn Care and Research - April 30, 2016 Category: Rehabilitation Tags: Case Reports Source Type: research

Ventilator-Associated Pneumonia Prevention Bundle Significantly Reduces the Risk of Ventilator-Associated Pneumonia in Critically Ill Burn Patients
Ventilator-associated pneumonia (VAP) is a common cause of morbidity and mortality for critically ill burn patients. Prevention of VAP through bundled preventative measures may reduce the risk and incidence of VAP in burn patients. A retrospective chart review was performed of all mechanically ventilated adult (age ≥ 18 years) burn patients before and after VAP prevention bundle implementation. Data collected included age, TBSA, gender, diagnosis of inhalation injury, mechanism of injury, comorbid illnesses, length of mechanical ventilation, length of hospital stay, development of VAP, discharge disposition, and mortalit...
Source: Journal of Burn Care and Research - April 30, 2016 Category: Rehabilitation Tags: Original Articles Source Type: research

SAPS 3 score as a predictive factor for postoperative referral to intensive care unit
Patients undergoing intermediate-risk surgery are typically taken to the ward postoperatively. However, some may develop complications requiring intensive care later. We aimed to evaluate the characteristics o... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - April 30, 2016 Category: Intensive Care Authors: João M. Silva, Helder Marcus Costa Rocha, Henrique Tadashi Katayama, Leandro Ferreira Dias, Mateus Barros de Paula, Leusi Magda Romano Andraus, Jose Maria Correa Silva and Luiz Marcelo Sá Malbouisson Source Type: research

Influence of temperature on thromboelastometry and platelet aggregation in cardiac arrest patients undergoing targeted temperature management
Coagulation can be visualised using whole blood coagulation analyses such as thromboelastometry and platelet aggregation tests; however, the role of temperature in the analyses is ambiguous. The aim was to exa... (Source: Critical Care)
Source: Critical Care - April 30, 2016 Category: Intensive Care Authors: Anni Nørgaard Jeppesen, Hans Kirkegaard, Susanne Ilkjær and Anne Mette Hvas Source Type: research

SAPS 3 score as a predictive factor for postoperative referral to intensive care unit
Patients undergoing intermediate-risk surgery are typically taken to the ward postoperatively. However, some may develop complications requiring intensive care later. We aimed to evaluate the characteristics o... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - April 30, 2016 Category: Intensive Care Authors: João M. Silva, Helder Marcus Costa Rocha, Henrique Tadashi Katayama, Leandro Ferreira Dias, Mateus Barros de Paula, Leusi Magda Romano Andraus, Jose Maria Correa Silva and Luiz Marcelo Sá Malbouisson Source Type: research

Assessment of the National French recommendations regarding the dosing regimen of 8mg/kg of gentamicin in patients hospitalized in intensive care unit
Conclusions These results suggest that a Cmax > 30mg/L (which corresponds to approximately 8 times the minimal inhibiting concentrations (MIC) breakpoints for Pseudomonas aeruginosa and Enterobacteriaceae with intermediate sensitivity) of gentamicin as recommended by ANSM guidelines seems impossible to obtain with a loading dose of 8mg/kg in the ICU. A loading dose of 8mg/kg should probably not be used in the empiric antibiotic treatment of infection due to non-fermenting Gram-negative bacilli and Enterobacteriaceae with intermediate sensitivity whose MIC breakpoint is 4mg/L. A Cmax > 16mg/L was not reached i...
Source: Anaesthesia, Critical Care and Pain Medicine - April 30, 2016 Category: Anesthesiology Source Type: research

Recombinant human erythropoietin improves neurological outcomes in very preterm infants
This article is protected by copyright. All rights reserved. (Source: Annals of Neurology)
Source: Annals of Neurology - April 30, 2016 Category: Neurology Authors: Juan Song, Huiqing Sun, Falin Xu, Wenqing Kang, Liang Gao, Jiajia Guo, Yanhua Zhang, Lei Xia, Xiaoyang Wang, Changlian Zhu Tags: Research Article Source Type: research

Communication with patient's families in the intensive care unit: do we really meet their needs?
Publication date: Available online 23 April 2016 Source:Anaesthesia Critical Care & Pain Medicine Author(s): Claire Roger, Sadek Beloucif (Source: Anaesthesia, Critical Care and Pain Medicine)
Source: Anaesthesia, Critical Care and Pain Medicine - April 30, 2016 Category: Anesthesiology Source Type: research

Assessment of changes in cardiac index with calibrated pulse contour analysis in cardiac surgery: A prospective observational study
Conclusion Although ΔCIPC after fluid loading could track the direction of changes of CITD and was interchangeable with bolus transpulmonary thermodilution, PLR could not predict fluid responsiveness in cardiac surgery patients. (Source: Anaesthesia, Critical Care and Pain Medicine)
Source: Anaesthesia, Critical Care and Pain Medicine - April 30, 2016 Category: Anesthesiology Source Type: research

Diastolic Hypotension, Troponin Elevation and Electrocardiographic Changes Associated with the Management of Moderate to Severe Asthma in Children
ConclusionsIn a subset of children with moderate to severe asthma, diastolic hypotension, troponin elevation, and ECG S‐T segment change occur during administration of continuous albuterol. Future studies are necessary to determine the clinical significance of these findings.This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - April 30, 2016 Category: Emergency Medicine Authors: Daniel B. Fagbuyi, Shekhar Venkataraman, J Carter Ralphe, Noel S. Zuckerbraun, Raymond D. Pitteti, Yan Lin, Kwonho Jeong, Richard A. Saladino, Mioara D. Manole Tags: Original Contribution Source Type: research

Placement of self-expandable bifurcated metallic stents without use of fluoroscopic and guidewire guidance to palliate central airway lesions
Conclusion Endobronchial placement of covered self-expandable metallic stents was safe and readily performed in patients with airway obstructions. Neither fluoroscopic nor guidewire guidance was required. Neither patients nor staff were exposed to radiation, and costly guidewire guidance was not necessary. The procedure is cost-effective. (Source: Multidisciplinary Respiratory Medicine)
Source: Multidisciplinary Respiratory Medicine - April 30, 2016 Category: Respiratory Medicine Source Type: research

Blood lactate concentration after cardiac arrest resulting from myocardial infarction and outcome
Survival after out-of-hospital cardiac arrest (OSCA) resulting from cardiac causes is conditioned by several factors including the age, gender, place of arrest, bystander resuscitation, the first recorded rhythm, the degree of myocardial infarction (MI), the damage to the central nervous system, as well as respiratory and other complications in the post-cardiac arrest period [1,2,3,4]. Most studies examining the prognostic factors after OSCA refer to the prehospital period [2,3]. However, in view of the increasing proportion of OSCA patients under resuscitation admitted to an intensive care unit (ICU), it is becoming incre...
Source: The American Journal of Emergency Medicine - April 30, 2016 Category: Emergency Medicine Authors: Andrzej Kurowski, Lukasz Czyzewski, Jacek Smereka, Lukasz Szarpak Tags: Correspondence Source Type: research

Testing brains with burst suppressions
Distinguishing burst suppression (BS) pattern from a “continuous EEG” pattern is perhaps the first and easiest to learn by junior fellows as they start working in units with neurological intensive care (Westhall et al., 2015). Detection of BS is considered the hallmark of severe compromise in brain function, and in the context of brain damage, it is traditionally considered to signify a poor prognosis (Westhall et al., 2016; Hofmeijer et al., 2015). Recognition of BS is important for neurologists when treating status epilepticus using anesthesia that is titrated to keep the EEG at the “BS level”, between the levels...
Source: Clinical Neurophysiology - April 30, 2016 Category: Neuroscience Authors: Sampsa Vanhatalo Tags: Editorial Source Type: research

Opioid overdose leading to ICU admission: epidemiology and outcomes
There is a scarcity of studies assessing the patient population admitted to the ICU with opioid overdose. We sought to characterize the epidemiologic features and outcomes of this patient population. (Source: Journal of Critical Care)
Source: Journal of Critical Care - April 30, 2016 Category: Intensive Care Authors: Gregory J. Pfister, Robert M. Burkes, Brian Guinn, Jacquelene Steele, Robert R. Kelley, Timothy L. Wiemken, Mohamed Saad, Julio Ramirez, Rodrigo Cavallazzi Source Type: research

Author Response to Commentary on Article—ICU-Acquired Infections: It Is Not Only About the Number of Patients per Room
To the Editor, (Source: Journal of Critical Care)
Source: Journal of Critical Care - April 30, 2016 Category: Intensive Care Authors: Hessam Sadatsafavi, Mohsen Sadatsafavi Source Type: research

High-flow oxygen therapy and other inhaled therapies in intensive care units
Publication date: 30 April–6 May 2016 Source:The Lancet, Volume 387, Issue 10030 Author(s): Sean D Levy, Jehan W Alladina, Kathryn A Hibbert, R Scott Harris, Ednan K Bajwa, Dean R Hess In this Series paper, we review the current evidence for the use of high-flow oxygen therapy, inhaled gases, and aerosols in the care of critically ill patients. The available evidence supports the use of high-flow nasal cannulae for selected patients with acute hypoxaemic respiratory failure. Heliox might prevent intubation or improve gas flow in mechanically ventilated patients with severe asthma. Additionally, it might improve t...
Source: The Lancet - April 30, 2016 Category: Journals (General) Source Type: research

More data are needed to understand the effects of race and troponin elevation after thrombolysis – author response
We thank Dr. Nathanson for his thoughtful letter in response to our recent article entitled “troponin elevation predicts critical care needs and in-hospital mortality after thrombolysis in white but not black stroke patients” [1]. As he correctly points out, the interaction effect with race and troponin elevation for the primary outcome reported in our study was driven not only by an increased rate of critical care interventions in whites compared to blacks among patient with elevated troponin, but also by a decreased rate of critical care needs in whites compared to blacks among patients without troponin elevation; hi...
Source: Journal of Critical Care - April 30, 2016 Category: Intensive Care Authors: Roland Faigle, Rebecca F. Gottesman Source Type: research

What's Next After ARDS: Long-Term Outcomes.
Abstract ARDS is a life-threatening organ failure due to several pulmonary and extrapulmonary injuries with an incidence between 5 and 60 cases/100,000 persons/y. Patients with ARDS have non-cardiogenic pulmonary edema and dyspnea often requiring invasive mechanical ventilation and intensive care admission. Although the short-term mortality rate has significantly decreased in the last decade, mainly due to the widespread application of lung-protective ventilation and better general support, long-term outcomes are still unsatisfactory. Besides simply evaluating the outcome at hospital discharge, several recent studi...
Source: Respiratory Care - April 29, 2016 Category: Respiratory Medicine Authors: Chiumello D, Coppola S, Froio S, Gotti M Tags: Respir Care Source Type: research

Does Staphylococcus aureus Bacteriuria Predict Clinical Outcomes in Patients With Bacteremia?: Analysis of 274 Patients With Staphylococcus aureus Blood Stream Infection
Conclusions: Concomitant staphylococcal bacteremia and bacteriuria were not associated with increased mortality or worse clinical outcome. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - April 29, 2016 Category: Infectious Diseases Tags: Original Articles Source Type: research

Bradykinin-mediated angioedema: factors associated with admission to an intensive care unit, a multicenter study
Conclusion: Upper airway involvement is an independent risk factor for ICU admission. Corticosteroid use, which is an ineffective treatment, and C1-inhibitor concentrate use are factors for ICU admission. The presence of upper airway involvement should be a warning signal that the attack may be severe. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - April 29, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

[Series] High-flow oxygen therapy and other inhaled therapies in intensive care units
In this Series paper, we review the current evidence for the use of high-flow oxygen therapy, inhaled gases, and aerosols in the care of critically ill patients. The available evidence supports the use of high-flow nasal cannulae for selected patients with acute hypoxaemic respiratory failure. Heliox might prevent intubation or improve gas flow in mechanically ventilated patients with severe asthma. Additionally, it might improve the delivery of aerosolised bronchodilators in obstructive lung disease in general. (Source: LANCET)
Source: LANCET - April 29, 2016 Category: Journals (General) Authors: Sean D Levy, Jehan W Alladina, Kathryn A Hibbert, R Scott Harris, Ednan K Bajwa, Dean R Hess Tags: Series Source Type: research

Multiple organ dysfunction syndrome in critically ill children: clinical value of two lists of diagnostic criteria
Two sets of diagnostic criteria of paediatric multiple organ dysfunction syndrome (MODS) were published by Proulx in 1996 and by Goldstein in 2005. We hypothesized that this changes the epidemiology of MODS. T... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - April 29, 2016 Category: Intensive Care Authors: Andréanne Villeneuve, Jean-Sébastien Joyal, François Proulx, Thierry Ducruet, Nicole Poitras and Jacques Lacroix Source Type: research

Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials
Enteral nutrition (EN) is recommended as the preferred route for early nutrition therapy in critically ill adults over parenteral nutrition (PN). A recent large randomized controlled trial (RCT) showed no outc... (Source: Critical Care)
Source: Critical Care - April 29, 2016 Category: Intensive Care Authors: Gunnar Elke, Arthur R. H. van Zanten, Margot Lemieux, Michele McCall, Khursheed N. Jeejeebhoy, Matthias Kott, Xuran Jiang, Andrew G. Day and Daren K. Heyland Source Type: research

Multiple organ dysfunction syndrome in critically ill children: clinical value of two lists of diagnostic criteria
Two sets of diagnostic criteria of paediatric multiple organ dysfunction syndrome (MODS) were published by Proulx in 1996 and by Goldstein in 2005. We hypothesized that this changes the epidemiology of MODS. T... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - April 29, 2016 Category: Intensive Care Authors: Andréanne Villeneuve, Jean-Sébastien Joyal, François Proulx, Thierry Ducruet, Nicole Poitras and Jacques Lacroix Source Type: research

Reactive oxygen species measure for rapid detection of infection in fluids
Early detection of infection is critical to rapidly starting effective treatment. Diagnosis can be difficult, particularly in the intensive care unit (ICU) population. Because the presence of polymorphonuclear... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - April 29, 2016 Category: Intensive Care Authors: Jean Bardon, Anne-Claire Lukaszewicz, Valérie Faivre, Benjamin Huot and Didier Payen Source Type: research

Peripheral and local anaesthetic techniques for paediatric surgery
This article discusses a general approach to peripheral nerve blocks in children, along with the benefits of a predominately ultrasound approach and role of peripheral catheters. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - April 29, 2016 Category: Anesthesiology Source Type: research

Maternal Use of Selective Serotonin Reuptake Inhibitors and Lengthening of the Umbilical Cord: Indirect Evidence of Increased Foetal Activity—A Retrospective Cohort Study
Conclusion In addition to the previously known associates with maternal SSRI exposure, such as lowered Apgar scores, SSRI exposure appeared to be associated with increased umbilical cord length. The observation related to increased umbilical cord length may be explained by an SSRI-induced increase in the movements of the developing foetus. (Source: PLoS One)
Source: PLoS One - April 29, 2016 Category: Biomedical Science Authors: Julia Kivistö Source Type: research

Evaluation of intravenous lipid emulsion on haloperidol-induced hypotension in rabbits
In conclusion, ILE could reverse HAL-induced hypotension same as the other lipophilic drugs. However, the clinical use of ILE for this purpose needs more evaluation to determine its exact indication and safety. (Source: Toxicology and Industrial Health)
Source: Toxicology and Industrial Health - April 29, 2016 Category: Toxicology Authors: Moshiri, M., Vahabzadeh, M., Mohammadpour, A. H., Hosseinzadeh, H. Tags: Articles Source Type: research

Risk factors for late defecation and its association with the outcomes of critically ill patients: a retrospective observational study
Conclusions Late enteral nutrition, sedatives, and surgery were independent the risk factors for late defecation in critically ill patients. Late defecation was associated with prolonged ICU stay. (Source: Journal of Intensive Care)
Source: Journal of Intensive Care - April 29, 2016 Category: Intensive Care Source Type: research

Impact of a health education tool on enhancing communication between health providers and parents of neonates in intensive care in Egypt
Conclusion Providing sufficient information and increasing awareness of parents about the NICU in the form of a written guide is an effective way of improving communication between healthcare providers and parents. (Source: Journal of the Chinese Medical Association)
Source: Journal of the Chinese Medical Association - April 29, 2016 Category: Journals (General) Source Type: research

Lung transplantation for cystic fibrosis: differential characteristics and outcomes between children and adults [TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT]
CONCLUSION Paediatric CF patients usually present with poorer pre-transplant status, require CPB more frequently and have a higher incidence of post-LTx diabetes and infections. This might explain the trend towards a better long-term survival observed in adult CF patients. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - April 29, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Moreno, P., Alvarez, A., Carrasco, G., Redel, J., Guaman, H. D., Baamonde, C., Algar, F. J., Cerezo, F., Salvatierra, A. Tags: Trachea and bronchi TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT Source Type: research

A risk-adjusted financial model to estimate the cost of a video-assisted thoracoscopic surgery lobectomy programme [THORACIC]
CONCLUSIONS Risk-adjusting financial data can help estimate the total cost associated with VATS lobectomy based on clinical factors. This model can be used to audit the internal financial performance of a VATS lobectomy programme for budgeting, planning and for appropriate bundled payment reimbursements. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - April 29, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Brunelli, A., Tentzeris, V., Sandri, A., McKenna, A., Liew, S. L., Milton, R., Chaudhuri, N., Kefaloyannis, E., Papagiannopoulos, K. Tags: Mediastinum, Pleura, Professional affairs THORACIC Source Type: research

Difficult airway management resources and capnography use in Japanese intensive care units: a nationwide cross-sectional study
Conclusion In Japanese ICUs, SGAs and dedicated DAM carts were less available, and capnometry was not universally applied either to confirm tube placement, or for continuous monitoring of ventilated patients. Our study revealed areas in need of improvement. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 29, 2016 Category: Anesthesiology Source Type: research

Heparin-induced thrombocytopenia associated with polycythemia vera during the treatment of acute coronary syndrome
Publication date: Available online 28 April 2016 Source:Journal of Cardiology Cases Author(s): Takashi Yoshizane, Makoto Iwama, Takahiro Ueno, Maya Ishiguro, Yoshiaki Goto, Koji Ono, Masazumi Arai, Toshiyuki Noda Here, we report a case of heparin-induced thrombocytopenia (HIT) associated with polycythemia vera (PV) during the treatment of acute coronary syndrome. An 84-year-old woman with pre-existing PV had an acute myocardial infarction and developed HIT after using heparin. An additional myocardial infarction was caused by HIT, and caused marked damage to her cardiac function. However, she was successfully tre...
Source: Journal of Cardiology Cases - April 29, 2016 Category: Cardiology Source Type: research

Neutrophil gelatinase-associated lipocalin levels during the first 48 hours of intensive care may indicate upcoming acute kidney injury
Conclusions Most AKI cases were diagnosed within the first 48 hours after admission, and NGAL was useful for predicting upcoming AKI. (Source: Journal of Critical Care)
Source: Journal of Critical Care - April 29, 2016 Category: Gastroenterology Source Type: research

Organ Donation Education Initiatives: A Report of the Donor Management Task Force
This report describes two free, publicly available educational resources about the organ donation process created to advance the mission of basic education and improve donation processes within hospitals and healthcare systems. (Source: Journal of Critical Care)
Source: Journal of Critical Care - April 29, 2016 Category: Intensive Care Authors: Christopher P. Michetti, Thomas A. Nakagawa, Darren Malinoski, Charles Wright, LeAnn Swanson Source Type: research

Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care Units: A 10-Year Analysis
This article describes the interventions that sustained low central line–associated bloodstream infection (CLABSI) rates in the Michigan Keystone ICU Project. This analysis included data from March 2004 to December 2013 for 121 intensive care units (ICUs) in 73 hospitals. The Keystone Project was a cohort collaborative with an improvement team in each ICU. During the sustainability period, teams integrated the intervention into staff orientation, collected and submitted monthly data, and reported infection rates to leaders. The annual mean rate of BSIs dropped from 2.5 infections/1000 catheter-days in 2004 to 0.76 in...
Source: American Journal of Medical Quality - April 29, 2016 Category: Health Management Authors: Pronovost, P. J., Watson, S. R., Goeschel, C. A., Hyzy, R. C., Berenholtz, S. M. Tags: Articles Source Type: research

Physical restraint in mechanically ventilated adults: A complex early diagnosis by protocols?
To the Editor, (Source: Journal of Critical Care)
Source: Journal of Critical Care - April 29, 2016 Category: Intensive Care Authors: Luiz Alberto Forgiarini, Antonio M. Esquinas Source Type: research