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

Effects of Red Blood Cell Transfusion on Long-Term Disability of Patients with Traumatic Brain Injury
Conclusion Our results strongly suggest an independent association between RBCT and unfavorable long-term functional outcomes of patients with TBI. (Source: Neurocritical Care)
Source: Neurocritical Care - May 28, 2016 Category: Neurology Source Type: research

Neurocritical care update
Abstract This update comprises six important topics under neurocritical care that require reevaluation. For post-cardiac arrest brain injury, the evaluation of the injury and its corresponding therapy, including temperature modulation, is required. Analgosedation for target temperature management is an essential strategy to prevent shivering and minimizes endogenous stress induced by catecholamine surges. For severe traumatic brain injury, the diverse effects of therapeutic hypothermia depend on the complicated pathophysiology of the condition. Continuous electroencephalogram monitoring is an essential tool for d...
Source: Journal of Intensive Care - May 28, 2016 Category: Intensive Care Source Type: research

Umbilical cords longer in babies exposed to SSRIs
Data show babies born to women who used SSRIs also had lower Apgar scores and were more likely to be admitted to neonatal intensive care. (Source: Clinical Pharmacist)
Source: Clinical Pharmacist - May 27, 2016 Category: Drugs & Pharmacology Source Type: research

OC02_03 Systemic-To-Pulmonary Artery Shunts as Emergency Treatment in Pediatric Cardiac Intensive Care Unit at the National Institute of Cardiology “Ignacio Chavez” in the Period 2003-2014
The Systemic-pulmonary artery shunts is considered the most often urgent surgery in patients with cyanotic congenital heart disease, and its mortality risk is similar to the arterial switch operation. Post surgical care focus on keeping continuous pulmonary flow rate. (Source: CVD Prevention and Control)
Source: CVD Prevention and Control - May 27, 2016 Category: Cardiology Authors: C. Gilles, A. Juanico, J.E. Calderon, J.A. Garcia-Montes, C. Zabal, E.S. Ramirez, J.L. Cervantes Tags: Oral Abstract Source Type: research

PS235 The Role of Transesophageal Cardiography in Risk Stratification and Mortality Reduction of Critically ill Patients With Complicated Infective Endocarditis: A 12 – Year Single Centre Retrospective Study
Few studies focus on severe Infective endocarditis (IE) requiring admission to the medical intensive care unit (MICU) or coronary care unit (CCU). Currently, the observed mortality of IE requiring admission to the ICU is unacceptably high at 84% (Source: CVD Prevention and Control)
Source: CVD Prevention and Control - May 27, 2016 Category: Cardiology Authors: F. Ahmad, S. Cox, C.S. Thim, M.A. Sadiq Tags: Poster Abstract Source Type: research

PS234 Disease Spectrum of Complicated Infective Endocarditis in an Urban Area of a Developing Country: A Single-Centre Experience
Several studies have focused on complicated infective endocarditis (IE) requiring admission to intensive care unit (ICU). To date, the observed mortality from complicated IE admitted to ICU setting in Western countries remains high at 84% [1-3]. (Source: CVD Prevention and Control)
Source: CVD Prevention and Control - May 27, 2016 Category: Cardiology Authors: F. Ahmad, S. Cox, C. Soon Thim, E. Abdul Rahman, M.A. Sadiq Tags: Poster Abstract Source Type: research

PS232 Clinical Investigation on the Use of Smartphone for Oxygen Saturation, Blood Pressure, and Heart Rate Measurement in Intensive Care Unit
We have previously demonstrated the ability to use smartphone to monitor vital signs in stable patients. In literature, there are not sill relevant data about the use of smartphone in unstable patients admitted in critical area. (Source: CVD Prevention and Control)
Source: CVD Prevention and Control - May 27, 2016 Category: Cardiology Authors: F. Lamonaca, C. Biscardi, E. Santoro, V. Spagnuolo, D. Grimaldi Tags: Poster Abstract Source Type: research

PT201 Efficacy of Electrical Velocimetry Hemodynamic Monitoring During Head Up Tilt Testing for Syncope
noninvasive hemodynamic monitoring by the method of electrical velocimetry (EV) is used mainly in intensive care setting for beat to beat monitoring of the systemic vascular resistance (SVR), of the cardiac output (CO) and heart rate (HR). (Source: CVD Prevention and Control)
Source: CVD Prevention and Control - May 27, 2016 Category: Cardiology Authors: C. Podoleanu, I. Coman, C. Tarta, Z. Jeremias, A. Serdean, I. Grancea, D. Podoleanu, A. Incze, E. Carasca Tags: Poster Abstract Source Type: research

Anticholinergic Medication Use and Transition to Delirium in Critically Ill Patients: A Prospective Cohort Study
(Abstracted from Crit Care Med, 43:1846–1852, 2015) Delirium and disturbances in attention are regulated in part by cholinergic neurotransmitter systems. It is thus thought that use of a medication with anticholinergic properties may potentially contribute to delirium occurrence in critically ill patients in the intensive care unit (ICU). (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - May 27, 2016 Category: Anesthesiology Tags: Critical Care Source Type: research

The Timing of Discharge From the Intensive Care Unit and Subsequent Mortality: A Prospective, Multicenter Study
(Abstracted from Am J Respir Crit Care Med, 191:1033–1039, 2015) Previous studies led medical professionals in Australia to suspect a causal link between after-hours intensive care unit (ICU) discharge and patient outcomes—specifically, increased mortality rates. However, there has been a lack of sufficient data to confirm a hypothesis (or suspicion) that has been largely observational and anecdotal. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - May 27, 2016 Category: Anesthesiology Tags: Critical Care Source Type: research

Coping Strategies and Posttraumatic Stress Symptoms in Post-ICU Family Decision Makers
(Abstracted from Crit Care Med, 43:1205–1212, 2015) Having a loved one in a hospital’s intensive care unit (ICU) is a stressful event for most people. In fact, the burden of being a family decision maker (FDM) for an incapacitated ICU patient is taxing to the point of inducing anxiety and depression. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - May 27, 2016 Category: Anesthesiology Tags: Critical Care Source Type: research

Risk of Diagnosis of Dementia for Elderly Medicare Beneficiaries After Intensive Care
(Abstracted from Anesthesiology, 123:1105–1112, 2015) There is mounting evidence that potentially severe decrements in cognitive function may occur in elderly patients after a critical illness. However, the magnitude of this effect at the population level, as well as the potential predisposition of critically ill patients toward developing dementia, has not been elucidated. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - May 27, 2016 Category: Anesthesiology Tags: Geriatric Anesthesia Source Type: research

A Snapshot on MRSA Epidemiology in a Neonatal Intensive Care Unit Network, Palermo, Italy
Daniela M. Geraci, Mario Giuffrè, Celestino Bonura, Giorgio Graziano, Laura Saporito, Vincenzo Insinga, Grazia Rinaudo, Aurora Aleo, Davide Vecchio, Caterina Mammina, The NICU Surveillance Study Group , Amalia Ciofalo, Marcello Salvino Vitaliti, Fabio Lunetta, Giorgio Sulliotti, Giampiero Pinna, Raffaele Pomo, Angelo Rizzo, Vittoria Sepporta (Source: Frontiers in Microbiology)
Source: Frontiers in Microbiology - May 27, 2016 Category: Microbiology Source Type: research

[Intensive care unit-acquired muscular weakness: A problem with a single solution?].
Authors: Martí Romeu JD PMID: 27222474 [PubMed - in process] (Source: Enfermeria Intensiva)
Source: Enfermeria Intensiva - May 27, 2016 Category: Nursing Tags: Enferm Intensiva Source Type: research

[The adapting of a care plan after Kennedy terminal ulcer diagnosis].
CONCLUSION: The diagnosis of KTU helped the health care team in the decision-making process when they considered limiting the life support, as well as in the adapting of the care plan to the actual situation. PMID: 27221551 [PubMed - as supplied by publisher] (Source: Enfermeria Intensiva)
Source: Enfermeria Intensiva - May 27, 2016 Category: Nursing Tags: Enferm Intensiva Source Type: research

The use of angiotensin II in distributive shock
(Source: Critical Care)
Source: Critical Care - May 27, 2016 Category: Intensive Care Authors: Lakhmir S. Chawla, Laurence W. Busse, Ermira Brasha-Mitchell and Ziyad Alotaibi Source Type: research

Diagnosis and management of invasive candidiasis in the ICU: an updated approach to an old enemy
Invasive fungal infections, particularly those caused by Candida species, are not uncommon in critically ill patients and are associated with considerable morbidity and mortality. Diagnosis and management of thes... (Source: Critical Care)
Source: Critical Care - May 27, 2016 Category: Intensive Care Authors: Thierry Calandra, Jason A. Roberts, Massimo Antonelli, Matteo Bassetti and Jean-Louis Vincent Source Type: research

Acute kidney injury in the perioperative period and in intensive care units (excluding renal replacement therapies)
Acute kidney injury (AKI) is a syndrome that has progressed a great deal over the last 20 years. The decrease in urine output and the increase in classical renal biomarkers, such as blood urea nitrogen and ser... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - May 27, 2016 Category: Intensive Care Authors: Carole Ichai, Christophe Vinsonneau, Bertrand Souweine, Fabien Armando, Emmanuel Canet, Christophe Clec’h, Jean-Michel Constantin, Michaël Darmon, Jacques Duranteau, Théophille Gaillot, Arnaud Garnier, Laurent Jacob, Olivier Joannes-Boyau, Laurent Jui Source Type: research

Venoarterial Extracorporeal Membrane Oxygenation in Adults With Cardiac Arrest
Cardiac arrest (CA) is a major cause of morbidity and mortality worldwide. Despite the use of conventional cardiopulmonary resuscitation (CPR), rates of return of spontaneous circulation and survival with minimal neurologic impairment remain low. Utilization of venoarterial extracorporeal membrane oxygenation (ECMO) for CA in adults is steadily increasing. Propensity-matched cohort studies have reported outcomes associated with ECMO use to be superior to that of conventional CPR alone in in-hospital patients with CA. In this review, we discuss the mechanism, indications, complications, and evidence for ECMO in CA in adults...
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Patel, J. K., Schoenfeld, E., Parnia, S., Singer, A. J., Edelman, N. Tags: Analytic Reviews Source Type: research

Pulmonary Hypertension in the Intensive Care Unit
Pulmonary hypertension occurs as the result of disease processes increasing pressure within the pulmonary circulation, eventually leading to right ventricular failure. Patients may become critically ill from complications of pulmonary hypertension and right ventricular failure or may develop pulmonary hypertension as the result of critical illness. Diagnostic testing should evaluate for common causes such as left heart failure, hypoxemic lung disease and pulmonary embolism. Relatively few patients with pulmonary hypertension encountered in clinical practice require specific pharmacologic treatment of pulmonary hypertension...
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Jentzer, J. C., Mathier, M. A. Tags: Analytic Reviews Source Type: research

Chronic Statin Use and Long-Term Rates of Sepsis: A Population-Based Cohort Study
Conclusion: In the REGARDS cohort, statin use at baseline was not associated with rates of future sepsis events. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Wang, H. E., Griffin, R., Shapiro, N. I., Howard, G., Safford, M. M. Tags: Review of a Large Clinical Series Source Type: research

Incidence of Mechanical Complications of Central Venous Catheterization Using Landmark Technique: Do Not Try More Than 3 Times
Conclusions: The incidence of mechanical complications is affected by the number of punctures performed. After adjustment, the risk increases substantially with more than 3 attempts. Limiting the number of attempts, appropriate supervision and the use of ultrasound guidance when available are recommended for the further reduction in mechanical complications of central venous catheterization. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Calvache, J.-A., Rodriguez, M.-V., Trochez, A., Klimek, M., Stolker, R.-J., Lesaffre, E. Tags: Review of a Large Clinical Series Source Type: research

Incidence, Risk Factors, and Prognosis of Intra-Abdominal Hypertension in Critically Ill Children: A Prospective Epidemiological Study
Conclusion: Intra-abdominal hypertension does occur in about 13% of the critically ill children, albeit less frequently than adult patients, probably related to a better compliance of the abdominal wall. The presence of abdominal distension and a plateau pressure of more than 30 cm H2O was found to be independent predictors of IAH. Children with IAH had higher mortality rate and more prolonged ICU stay. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Thabet, F. C., Bougmiza, I. M., Chehab, M. S., Bafaqih, H. A., AlMohaimeed, S. A., Malbrain, M. L. N. G. Tags: Original Research Source Type: research

The Safety and Feasibility of Admitting Patients With Intracerebral Hemorrhage to the Step-Down Unit
Conclusion: Admission of ICH patients with mild symptoms to the SDU is safe and feasible. Larger prospective studies are needed to define the specific criteria for admission. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Hafeez, S., Behrouz, R. Tags: Original Research Source Type: research

Use of a Cholestyramine Washout in a Patient With Septic Shock on Leflunomide Therapy: A Case Report and Review of the Literature
We report a case of a patient with severe septic shock secondary to a prosthetic joint infection in which therapeutic levels of leflunomide were discovered, despite the patient ceasing therapy several weeks prior to admission. An orogastric cholestyramine washout was given to the patient to expedite the removal of the drug. Serum levels rapidly declined over the next several days, corresponding with resolution of her sepsis. A review of the literature relevant to the incidence of DMARD-related infections was conducted as well as discussion regarding the role of leflunomide drug monitoring and cholestyramine-facilitated rem...
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Laub, M., Fraser, R., Kurche, J., Lara, A., Kiser, T. H., Reynolds, P. M. Tags: Case Reports Source Type: research

Assessment of Noninvasive Regional Brain Oximetry in Posterior Reversible Encephalopathy Syndrome and Reversible Cerebral Vasoconstriction Syndrome
Conclusions: Regional cerebral oximetry can provide valuable diagnostic feedback in complicated cases of PRES and RCVS. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Chung, D. Y., Claassen, J., Agarwal, S., Schmidt, J. M., Mayer, S. A. Tags: Case Reports Source Type: research

Association of Pneumonia With Short- and Long-Term Mortality After Cardiac Surgery
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Liu, J.-H., Xue, F.-S., Sun, C., Liu, G.-P. Tags: Letter to the Editor Source Type: research

Authors Response
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 27, 2016 Category: Intensive Care Authors: Ibanez, J., Riera, M., Campillo-Artero, C. Tags: Authors ' Response Source Type: research

Contemporary retrospective analysis of acute coronary syndrome. An Egyptian study
Conclusion 1. Higher incidence of MACE was observed in the higher age group, higher levels of cardiac biomarkers, and higher Killip class. 2. Outcome was affected by early interventional treatment in all patient groups. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - May 27, 2016 Category: Intensive Care Source Type: research

Implementation of Clinical Decision Support Rules to Reduce Repeat Measurement of Serum Ionized Calcium, Serum Magnesium, and N-Terminal Pro-B-Type Natriuretic Peptide in Intensive Care Unit Inpatients [Evidence-Based Medicine and Test Utilization]
CONCLUSIONS: Implementation of CDS dramatically decreased repeat testing of iCa, Mg, and NT-proBNP without adversely impacting clinical outcomes in the ICU. Expansion of the rules from the ICU units to include the entire hospitalized patient population and expansion to additional analytes is expected to lead to further reductions in testing. (Source: Clinical Chemistry)
Source: Clinical Chemistry - May 27, 2016 Category: Chemistry Authors: Moyer, A. M., Saenger, A. K., Willrich, M., Donato, L. J., Baumann, N. A., Block, D. R., Botz, C. M., Khan, M. A., Jaffe, A. S., Hanson, C. A., Karon, B. S. Tags: Evidence-Based Medicine and Test Utilization Source Type: research

Evolving classification of intensive care patients from event data
Conclusions Our experimental results have not identified a single optimal approach for evolving classification of ICU episodes. On Days 0 and 1, the IIN algorithm has produced the simplest and the most accurate models, which incorporate the temporal order of feature arrival. However, starting with Day 2, regenerative approaches have reached better performance in terms of predictive accuracy. (Source: Artificial Intelligence in Medicine)
Source: Artificial Intelligence in Medicine - May 27, 2016 Category: Bioinformatics Source Type: research

Detecting borderline infection in an automated monitoring system for healthcare-associated infection using fuzzy logic
Conclusion The study showed that Moni-ICU was effective in classifying patient data as borderline for infection-related concepts and top-level HAI surveillance definitions. (Source: Artificial Intelligence in Medicine)
Source: Artificial Intelligence in Medicine - May 27, 2016 Category: Bioinformatics Source Type: research

Volatile Agents in Medical and Surgical Intensive Care Units: A Meta-Analysis of Randomized Clinical Trials
To comprehensively assess published randomized peer-reviewed studies related to volatile agents used for sedation in intensive care unit (ICU) settings, with the hypothesis that volatile agents could reduce time to extubation in adult patients. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 27, 2016 Category: Anesthesiology Authors: Giovanni Landoni, Laura Pasin, Luca Cabrini, Anna Mara Scandroglio, Martina Baiardo Redaelli, Carmine Domenico Votta, Mattia Bellandi, Giovanni Borghi, Alberto Zangrillo Tags: Original Article Source Type: research

Assessment and Utility of Frailty Measures in Critical Illness, Cardiology and Cardiac Surgery
Publication date: Available online 27 May 2016 Source:Canadian Journal of Cardiology Author(s): Naheed Rajabali, Darryl Rolfson, Sean M. Bagshaw Frailty is a clearly emerging theme in acute care medicine with obvious prognostic and health resource implications. Frailty is a term used to describe a multi-dimensional syndrome of loss of homeostatic reserves that gives rise to vulnerability to adverse outcomes following relatively minor stressor events. This is conceptually simple; yet, there has been little consensus on the operational definition. The gold standard method to diagnose frailty remains a comprehensive geri...
Source: Canadian Journal of Cardiology - May 27, 2016 Category: Cardiology Source Type: research

Surveillance of antibiotic susceptibility in a Swedish Burn Center 1994–2012
Infections are still a major problem in severe burns receiving intensive care [1–9]. The overall morbidity and mortality of burn patients has decreased over the years, much due to improvements in early surgical intervention, wound care, and intensive care treatment [10–15]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - May 27, 2016 Category: Cosmetic Surgery Authors: Jian Fransén, Fredrik R.M. Huss, Lennart E. Nilsson, Ulf Rydell, Folke Sjöberg, Håkan Hanberger Source Type: research

Clinical and economic burden of bloodstream infections in critical care patients with central venous catheters
Conclusion Bloodstream infections after CVC placement in ICU patients are associated with significant increases in costs of care and risk of death during the index hospitalization but no differences in readmissions or costs after discharge. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 27, 2016 Category: Gastroenterology Source Type: research

Neonatal Platelet Transfusions and Future Areas of Research
Thrombocytopenia affects approximately one-fourth of neonates admitted to neonatal intensive care units, and prophylactic platelet transfusions are commonly administered to reduce bleeding risk. However, there are few evidence-based guidelines to inform clinicians' decision-making process. Developmental differences in hemostasis and differences in underlying disease processes make it difficult to apply platelet transfusion practices from other patient populations to neonates. Thrombocytopenia is a risk factor for common preterm complications such as intraventricular hemorrhage, however a causal link has not been establishe...
Source: Transfusion Medicine Reviews - May 27, 2016 Category: Hematology Authors: Martha Sola-Visner, Rachel S. Bercovitz Source Type: research

Presentation Number 09 S.M.A.R.T. Strategies for the Prevention and Control of Infections in a Polyvalent Intensive Care Unit in Resource Constrained Organizations
Publication date: 2 June 2016 Source:American Journal of Infection Control, Volume 44, Issue 6, Supplement Author(s): Manuel Jesðs Mayorga-Espichán, Luis MartÃn Santiváñez-Monge, Walter Enrique Prudencio-León, Patrick Albert Palmieri (Source: American Journal of Infection Control)
Source: American Journal of Infection Control - May 27, 2016 Category: Infectious Diseases Source Type: research