Intensive Care Intensive Care RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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

Generalized iterative most likely oriented-point (G-IMLOP) registration
Conclusion The IMLOP and G-IMLOP algorithms provide a cohesive framework for incorporating orientation data into the registration problem, thereby enabling improvement in accuracy as well as increased confidence in the quality of registration outcomes. For shape data having anisotropic uncertainty in position and/or orientation, the anisotropic noise model of G-IMLOP enables further gains in registration accuracy to be achieved. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - May 22, 2015 Category: Intensive Care Source Type: research

Mechanical ventilation and acute kidney injury in patients in the intensive care unit
Conclusion The use of invasive mechanical ventilator support with positive end-expiratory pressure in critically ill patients in intensive care units can impair renal function. (Source: Acta Paulista de Enfermagem)
Source: Acta Paulista de Enfermagem - May 22, 2015 Category: Nursing Source Type: research

Equipment contamination in an intensive care unit
Conclusion The contamination of equipment in the studied intensive care unit was confirmed, as well as the efficacy of 70% alcohol in its disinfection. (Source: Acta Paulista de Enfermagem)
Source: Acta Paulista de Enfermagem - May 22, 2015 Category: Nursing Source Type: research

Septic Cerebral Embolisation in Fulminant Mitral Valve Infective Endocarditis
A 37-year-old male with known intravenous drug use was admitted with an acute onset of worsening confusion and speech impairment. His vitals and biochemical profile demonstrated severe sepsis, with a brain CT showing several lesions suspicious for cerebral emboli. He then went on to have a bedside transthoracic echocardiogram that was positive for vegetation on the mitral valve, with associated severe mitral regurgitation. Unfortunately, before he was stable enough to be transferred for valve surgery, he suffered an episode of acute pulmonary oedema requiring intubation and ventilation on intensive care unit.Case Rep Neuro...
Source: Case Reports in Neurology - May 22, 2015 Category: Neurology Source Type: research

Effect of multiple repeat cesarean sections on maternal morbidity: data from southeast Turkey.
Conclusions An increasing number of CSs is accompanied by serious maternal complications. Four or more CSs are of especially critical importance. Decreasing the number of cesarean sections is required to decrease relevant complications. Vaginal birth after CS is an option that should be recommended to the patient. PMID: 25989945 [PubMed - in process] (Source: Medical Science Monitor)
Source: Medical Science Monitor - May 22, 2015 Category: Research Tags: Med Sci Monit Source Type: research

Predictive Performance of a Vancomycin Population Pharmacokinetic Model in Neonates
Conclusion An evaluation of a recently published neonatal vancomycin population pharmacokinetic model in a large external dataset supported the predictive performance and generalizability of the model. This model may be useful in evaluating neonatal vancomycin dosing regimens and estimating the extent of drug exposure. (Source: Infectious Diseases and Therapy)
Source: Infectious Diseases and Therapy - May 22, 2015 Category: Infectious Diseases Source Type: research

Adequate application of recombinant thrombomodulin for sepsis-associated disseminated intravascular coagulation
No description available (Source: Critical Care)
Source: Critical Care - May 22, 2015 Category: Intensive Care Authors: Toshiaki Iba Source Type: research

Intensive Care Medicine launches a call for papers on perioperative critical care
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 22, 2015 Category: Intensive Care Source Type: research

Cost awareness of physicians in intensive care units: a multicentric national study
Conclusions ICU physicians have a poor awareness of prescriptions costs, especially with regards to high-cost drugs. Considerable emphasis and effort are still required to integrate the cost-containment problem into the daily prescriptions in ICUs. (Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 22, 2015 Category: Intensive Care Source Type: research

Effects of pharmacy resident led education on resident physician prescribing habits associated with stress ulcer prophylaxis in non-intensive care unit patients.
CONCLUSION: Pharmacist led educational sessions improved appropriateness of stress ulcer prophylaxis prescribing by Family Practice Resident Physicians, leading to patient risk avoidance and cost savings.. PMID: 25991596 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)
Source: American Journal of Health-System Pharmacy : AJHP - May 21, 2015 Category: Drugs & Pharmacology Authors: Agee C, Coulter L, Hudson J Tags: Am J Health Syst Pharm Source Type: research

Feeding the kidneys in AKI: no appetite for a change in practice
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 21, 2015 Category: Intensive Care Source Type: research

Early goal-directed therapy: from discovery through enthusiasm to equipoise?
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 21, 2015 Category: Intensive Care Source Type: research

A large pediculated moving mass in the left atrium
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 21, 2015 Category: Intensive Care Source Type: research

Outcomes for extremely premature infants.
Abstract Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for 7 years and is now approximately 11.39%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23 to 24 weeks in developed countries. Infant girls, on average, have better outcomes than infant boys. A relatively uncomplicated course in the intensive care nursery for an extremely premature infant results in a discharge date close to ...
Source: Anesthesia and Analgesia - May 21, 2015 Category: Anesthesiology Authors: Glass HC, Costarino AT, Stayer SA, Brett CM, Cladis F, Davis PJ Tags: Anesth Analg Source Type: research

The Relevance of Pupillometry for Evaluation of Analgesia Before Noxious Procedures in the Intensive Care Unit.
CONCLUSIONS: In patients unable to communicate verbally, pupillometry may potentially guide caregivers to adjust analgesia before noxious procedures. PMID: 25993266 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - May 21, 2015 Category: Anesthesiology Authors: Lukaszewicz AC, Dereu D, Gayat E, Payen D Tags: Anesth Analg Source Type: research

Management of cardiogenic shock
Cardiogenic shock (CS) remains the most common cause of death in patients with acute myocardial infarction although mortality could be reduced from formerly ~80% to 40–50%. In addition to percutaneous coronary intervention or coronary artery bypass grafting, catecholamines, fluids, intraaortic balloon pumping (IABP), and also active assist devices are widely used for CS management. However, there is only limited evidence for any of the above treatments except for early revascularization and the relative ineffectiveness of IABP. This updated review will therefore outline the management of CS complicating acute myocard...
Source: European Heart Journal - May 21, 2015 Category: Cardiology Authors: Thiele, H., Ohman, E. M., Desch, S., Eitel, I., de Waha, S. Tags: Clinical update Source Type: research

Neuroprotective properties of dehydroepiandrosterone-sulfate and its relationship to interleukin 6 after aneurysmal subarachnoid hemorrhage: a prospective cohort study
IntroductionThe established neuroprotective property of the sex steroid precursor dehydroepiandrosterone-sulfate (DHEAS) has not yet been investigated in the context of aneurysmal subarachnoid hemorrhage (aSAH). The influence of DHEAS on inflammatory response resulting in modulation of interleukin 6 (IL-6) synthesis has been shown. Here, we evaluate DHEAS serum levels after aSAH (day 0–14) and levels of IL-6 related to functional outcome at discharge and at six months. Methods: A complete data set (DHEAS and IL-6 serum levels for days 0, 1, 4, 7, 10 and 14 after aSAH) and outcome assessment at discharge according to modi...
Source: Critical Care - May 21, 2015 Category: Intensive Care Authors: Anke HölligMiriam ThielBirgit Stoffel-WagnerMark CoburnHans Clusmann Source Type: research

Do we need a pharmacist in the ICU?
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 21, 2015 Category: Intensive Care Source Type: research

Overdose of dolutegravir in combination with tenofovir disaproxil fumarate/emtricitabine in suicide attempt in a 21-year old patient
A 21 year old MSM patient with newly diagnosed HIV infection was hospitalized in our department after ingestion of an overdose of his antiretroviral therapy (ART) comprising dolutegravir (DTG - Tivicay®) and tenofovir disaproxil fumarate/emtricitabine (Truvada®) in suicidal intention. On admission, the patient did not show any clinical signs of intoxication and laboratory findings were unremarkable. After 6 hours of intensive care monitoring, the patient was referred to a psychiatric clinic. 5 days after the day of intoxication, serum creatinine levels increased to high normal values (1.2 mg/dl). However, levels neve...
Source: AIDS Research and Therapy - May 21, 2015 Category: Infectious Diseases Authors: Marcel LeeFlorian EyerNorbert FelgenhauerHartwig KlinkerChristoph Spinner Source Type: research

Super-refractory nonconvulsive status epilepticus secondary to fat embolism: A clinical, electrophysiological, and pathological study
Conclusions Fat embolism should be considered a potential cause of sr-NCSE. This article is part of a Special Issue entitled "Status Epilepticus". (Source: Epilepsy and Behavior)
Source: Epilepsy and Behavior - May 21, 2015 Category: Neurology Source Type: research

Prediction of rhythmic and periodic EEG patterns and seizures on continuous EEG with early epileptiform discharges
Conclusions Epileptiform discharges within the first 30min of EEG recording are predictive for the occurrence of ictal EEG patterns and for RPPIIU on subsequent cEEG, for acute convulsive seizures during the ICU stay, and for a worse functional outcome after 6months of follow-up. This article is part of a Special Issue entitled Status Epilepticus. (Source: Epilepsy and Behavior)
Source: Epilepsy and Behavior - May 21, 2015 Category: Neurology Source Type: research

Fp732 * long -term survival in end stage renal disease patients admitted to intensive care unit in a large teaching hospital
(Source: Nephrology Dialysis Transplantation)
Source: Nephrology Dialysis Transplantation - May 21, 2015 Category: Urology & Nephrology Authors: Elsayed, I., Pawley, N., Rosser, J., Wilkie, M., Raithatha, A. Tags: DIALYSIS. EPIDEMIOLOGY, OUTCOME RESEARCH, HEALTH SERVICES RESEARCH - 1 Source Type: research

Sp227 * long term outcomes in acute kidney injury patients receiving continuous renal replacement therapy on intensive care unit in a large teaching hospital
(Source: Nephrology Dialysis Transplantation)
Source: Nephrology Dialysis Transplantation - May 21, 2015 Category: Urology & Nephrology Authors: Elsayed, I., Pawley, N., Rosser, J., Heap, M. J., Mills, G. H., Tridente, A., Raithatha, A. H. Tags: ACUTE KIDNEY INJURY - CLINICAL Source Type: research

Sp237 * discrepancies between urinary and plasma ngal concentrations in patients admitted to the medical intensive care
(Source: Nephrology Dialysis Transplantation)
Source: Nephrology Dialysis Transplantation - May 21, 2015 Category: Urology & Nephrology Authors: Delanaye, P., Lambermont, B., Morimont, P., Krzesinski, J.-M., Maillard, N., Claisse, G., Cavalier, E., Mariat, C. Tags: ACUTE KIDNEY INJURY - CLINICAL Source Type: research

Sp261 * predictors of leptospirosis severity: a comparative study between patients admitted to ward and intensive care unit
(Source: Nephrology Dialysis Transplantation)
Source: Nephrology Dialysis Transplantation - May 21, 2015 Category: Urology & Nephrology Authors: De Francesco Daher, E., Fernandes, A. T. B. d. M., Girao, M. M. V., Sidrim, R. P., Vieira, A. P. F., Delgado Barros Pereira, E., de Sousa Soares, D., Bezerra da Silva Junior, G. Tags: ACUTE KIDNEY INJURY - CLINICAL Source Type: research

Sp263 * review of mortality and longterm effects on renal function in patients that received continuous renal replacement therapy in the intensive care unit at antrim area hospital
(Source: Nephrology Dialysis Transplantation)
Source: Nephrology Dialysis Transplantation - May 21, 2015 Category: Urology & Nephrology Authors: Murray, R. J., Mullan, R. N., O'Neill, O., Nutt, C. L. Tags: ACUTE KIDNEY INJURY - CLINICAL Source Type: research

‘Biomarking’ infection during continuous renal replacement therapy: still relevant?
No description available (Source: Critical Care)
Source: Critical Care - May 21, 2015 Category: Intensive Care Authors: Patrick HonoreRita JacobsInne HendrickxElisabeth De WaeleViola Van GorpHerbert Spapen Source Type: research

Nurse Knowledge of Intrahospital Transport
Preventable adverse events and other medical errors occur to hundreds of thousands of Americans every year. The financial burden of these preventable events is estimated to be $29 billion. According to the World Health Organization, reducing medical errors has become an international concern. Protecting patients from harm is a primary responsibility of all nurses regardless of whether the nurse works in the intensive care unit or operating room. Adherence to policies to maintain patient safety can be discerned once the level of knowledge of these policies among nurses is determined. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 20, 2015 Category: Nursing Authors: John Shields, Maria Overstreet, Stephen D. Krau Source Type: research

Continuous roadmapping in liver TACE procedures using 2D–3D catheter-based registration
Conclusion We present a catheter-based registration method to continuously fuse a 3DRA roadmap arterial tree onto 2D fluoroscopic images with an efficient shape similarity. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - May 20, 2015 Category: Intensive Care Source Type: research

Emergence of carbapenem non‐susceptible multidrug resistant Acinetobacter baumannii strains of clonal complexes 103B and 92B harboring OXA‐type carbapenemases and metallo‐β‐lactamases in Southern India
ABSTRACT The molecular epidemiology and carbapenem resistance mechanisms of clinical isolates of Acinetobacter baumannii obtained from a south Indian tertiary care hospital were investigated by repetitive extragenic palindromic sequence PCR (REP‐PCR) and multi‐locus sequence typing (MLST). Analysis of resistant determinants was achieved by PCR screening for the presence of genes encoding OXA‐carbapenemases, metallo‐β‐lactamases (MBLs) and efflux pumps. REP‐PCR generated around eight clusters of high heterogeneity; of these, two major clusters (I and V) appeared to be clonal in origin. Analysis of representativ...
Source: Microbiology and Immunology - May 20, 2015 Category: Microbiology Authors: Rajagopalan Saranathan, Vaidyanathan Vasanth, Thamodharan Vasanth, Pidathala Raghavendra Venkata Shabareesh, P. Shashikala, Chandrakesan Sheela Devi, Ramakrishnan Kalaivani, Johny Asir, Pagal Sudhakar, K Prashanth Tags: Original Article Source Type: research

Pancreatic Necrosectomy Through a Novel Double-flange Lumen-apposing Covered Metal Stent (Video)
We present a 60 year old patient admitted to the intensive care unit for severe acute pancreatitis that developed WON with superinfection. The intensivists and surgeons indicated endoscopic cystgastrostomy to evacuate the collection. Using the echoendoscope we found a large collection adherent to the gastric wall. The collection was accessed under EUS-guidance using the Hot AXIOS™ catheter that features a cautery tip, then a 15mm AXIOS™ stent was deployed through the cystgastrostomy orifice to keep it patent. The patient required two necrosectomy sessions to clean the cavity. The WON resolved in 6 weeks and the stent w...
Source: Video Journal and Encyclopedia of GI Endoscopy - May 20, 2015 Category: Gastroenterology Source Type: research

Patient Preferences and Surrogate Decision Making in Neuroscience Intensive Care Units
Abstract In the neuroscience intensive care unit (NICU), most patients lack the capacity to make their own preferences known. This fact leads to situations where surrogate decision makers must fill the role of the patient in terms of making preference-based treatment decisions, oftentimes in challenging situations where prognosis is uncertain. The neurointensivist has a large responsibility and role to play in this shared decision-making process. This review covers how NICU patient preferences are determined through existing advance care documentation or surrogate decision makers and how the optimum roles of the p...
Source: Neurocritical Care - May 20, 2015 Category: Neurology Source Type: research

ICU family communication and health care professionals: A qualitative analysis of perspectives
This study was undertaken to understand perceptions of miscommunication and the circumstances in which they present. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 20, 2015 Category: Nursing Authors: Jane R. Schubart, Margaret Wojnar, James Price Dillard, Eric Meczkowski, Mary Louise Kanaskie, George F. Blackall, Nancy Sperry, Thomas Lloyd Tags: Original article Source Type: research

Severity of delirium in the ICU is associated with short term cognitive impairment. A prospective cohort study
To examine the hypothesis that severity of delirium in the intensive care unit (ICU) is positively associated with cognitive impairment at the time of hospital discharge. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 20, 2015 Category: Nursing Authors: Hideaki Sakuramoto, Jesmin Subrina, Takeshi Unoki, Taro Mizutani, Hiroko Komatsu Source Type: research

Current state of continuous renal replacement therapy for acute kidney injury in Japanese intensive care units in 2011: analysis of a national administrative database
Conclusions Using a large Japanese nationwide database, this study revealed remarkably high in-hospital mortality of CRRT-treated AKI patients, although the period prevalence of CRRT for AKI in ICUs was low. (Source: Nephrology Dialysis Transplantation)
Source: Nephrology Dialysis Transplantation - May 20, 2015 Category: Urology & Nephrology Authors: Iwagami, M., Yasunaga, H., Noiri, E., Horiguchi, H., Fushimi, K., Matsubara, T., Yahagi, N., Nangaku, M., Doi, K. Tags: Acute Kidney Injury Source Type: research

Impact of an Overnight Internal Medicine Academic Hospitalist Program on Patient Outcomes
Conclusions Implementation of an overnight academic hospitalist program showed no impact on several important clinical outcomes, and revenue generation was modest. As overnight hospitalist programs develop, investigations are needed to delineate the return on investment and focus on other outcomes that may be more sensitive to change, such as errors and provider/patient satisfaction. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - May 20, 2015 Category: Internal Medicine Source Type: research

Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review
Conclusions: The signs and symptoms we found in the literature reflect the nature of nurses’ ‘worry/concern’ and nurses may incorporate these signs in their assessment of the patient and the decision to call for assistance. Its presence before vital signs have changed, suggests potential for improving care in an early stage of deterioration. (Source: Critical Care)
Source: Critical Care - May 20, 2015 Category: Intensive Care Authors: Gooske DouwLisette SchoonhovenTineke HolwerdaGetty Huisman-de WaalArthur van ZantenTheo van AchterbergJohannes van der Hoeven Source Type: research

The direct costs of intensive care management and risk factors for financial burden of patients with severe sepsis and septic shock
This study investigated direct intensive care unit (ICU) costs and factors that could affect the financial outcomes. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 20, 2015 Category: Intensive Care Authors: Bodin Khwannimit, Rungsun Bhurayanontachai Source Type: research

A mathematical model approach quantifying patients’ response to changes in mechanical ventilation: Evaluation in pressure support
This paper evaluates how mathematical models of gas-exchange, blood acid–base status, chemical respiratory drive and muscle function can describe the respiratory response of spontaneously breathing patients to different levels of pressure support. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 20, 2015 Category: Intensive Care Authors: S. Larraza, N. Dey, D.S. Karbing, J.B. Jensen, M. Nygaard, R. Winding, S.E. Rees Source Type: research

Glucagon Levels, Disease Severity, and Outcome in Severe Sepsis
Conclusions: Glucagon levels might reflect disease severity and clinical outcomes in patients with severe sepsis or septic shock. (Source: Shock)
Source: Shock - May 19, 2015 Category: Emergency Medicine Tags: Clinical Aspects Source Type: research

Severe Lymphopenia Is Associated with Elevated Plasma Interleukin-15 Levels and Increased Mortality During Severe Sepsis
In conclusion, severe lymphopenia was associated with increased mortality in patients with severe sepsis. We found that patients with sepsis with severe lymphopenia had down-regulated B-cell lymphoma 2 mRNA expression in peripheral blood mononuclear cells, despite increased plasma IL-15 concentrations. Whether IL-7 and IL-15 are insufficient in patients with severe lymphopenia during severe sepsis warrants further investigations. (Source: Shock)
Source: Shock - May 19, 2015 Category: Emergency Medicine Tags: Clinical Aspects Source Type: research

ADAMTS-13 in Critically Ill Patients With Septic Syndromes and Noninfectious Systemic Inflammatory Response Syndrome
Conclusions: Septic patients have lower levels of ADAMTS-13 than do patients with noninfectious SIRS. Levels of ADAMTS-13 are correlated with illness severity in patients with septic syndromes. ADAMTS-13 levels were associated with an increased risk of mortality in critically ill patients with SIRS especially those with septic syndromes. (Source: Shock)
Source: Shock - May 19, 2015 Category: Emergency Medicine Tags: Clinical Aspects Source Type: research

Neonatal nurses’ beliefs about almost continuous parent–infant skin‐to‐skin contact in neonatal intensive care
ConclusionsAlthough the nurses can describe several of the documented benefits of almost continuous skin‐to‐skin contact, an underuse continues to exist. Relevance for clinical practiceBeliefs described by the nurses are important to consider and resolve if the goal is to implement and provide Kangaroo Mother Care. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - May 19, 2015 Category: Nursing Authors: Evalotte Mörelius, Gene Cranston Anderson Tags: Original Article Source Type: research