Reasons why of nurses empaty with newborn families in neonatal ICU.
Authors: Mufato LF, Gaiva MAM Abstract OBJECTIVE: To understand the empathic conduct and the reasons why nurses empathize with relatives of newborns in a Neonatal Intensive Care Unit. METHODS: Phenomenological research, performed in a hospital in Mato Grosso, Brazil. Data were collected between May and August 2018, through interviews with 11 nurses experienced in neonatal care, and analyzed through the lens of Alfred Schutz's Social Phenomenology. RESULTS: Presented by two categories: nurses' empathy with family members of newborns in Neonatal ICU: empathic conduct; and, the reasons why the empathic conduct...
Source: Revista gaucha de enfermagem EENFUFRGS - October 30, 2020 Category: Nursing Tags: Rev Gaucha Enferm Source Type: research

Early Experience With COVID-19 and Solid Organ Transplantation at a US High-volume Transplant Center
Conclusions. COVID-19 positive SOT at our institution had favorable short-term outcomes. Those with concomitant infections had more severe illness. More data will be available to evaluate long-term outcomes and disease impact on graft function. (Source: Transplantation)
Source: Transplantation - October 30, 2020 Category: Transplant Surgery Tags: In View: COVID Around the World Source Type: research

Respiratory and Gastrointestinal COVID-19 Phenotypes in Kidney Transplant Recipients
Conclusions. COVID-19 is frequent among the KT population. Advanced age and pneumonia are the main clinical features associated with a high-mortality rate. Gastrointestinal disease is associated with a more benign course and lower mortality. (Source: Transplantation)
Source: Transplantation - October 30, 2020 Category: Transplant Surgery Tags: In View: COVID Around the World Source Type: research

Mechanical ventilation: Past and present
Publication date: Available online 28 October 2020Source: Medicina Intensiva (English Edition)Author(s): G. Rialp (Source: Medicina Intensiva)
Source: Medicina Intensiva - October 29, 2020 Category: Intensive Care Source Type: research

Risk Factors for Pressure Injury Development Among Critical Care Patients
Identification of the appropriate pressure injury (PI) risk factors is the first step in successful PI prevention. Measuring PI risk through formalized PI risk assessment is an essential component of any PI prevention program. Major PI risk factors identified in the empirical literature in the critical care population include age, diabetes, hypotension, mobility, prolonged intensive care unit admission, mechanical ventilation and vasopressor administration. Future risk assessment using sophisticated data analytics available in the electronic medical record may result in earlier, targeted PI prevention and will improve our ...
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Authors: Jill Cox Source Type: research

Incidence of bacterial and fungal bloodstream infections in covid-19 patients in intensive care: an alarming “collateral effect”
Publication date: Available online 29 October 2020Source: Journal of Global Antimicrobial ResistanceAuthor(s): Maria Adriana Cataldo, Nardi Tetaj, Marina Selleri, Luisa Marchioni, Alessandro Capone, Emanuela Caraffa, Antonino Di Caro, Nicola Petrosillo, the INMI COVID-19 co-infection group (Source: Journal of Global Antimicrobial Resistance)
Source: Journal of Global Antimicrobial Resistance - October 29, 2020 Category: Infectious Diseases Source Type: research

Effects of Fluid Resuscitation on the Occurrence of Organ Failure and Mortality in Patients With Acute Pancreatitis
Conclusions Increased fluid balance was associated with increased risk of organ failure and mortality. Increased fluid output may decrease mortality. (Source: Pancreas)
Source: Pancreas - October 29, 2020 Category: Gastroenterology Tags: Original Articles Source Type: research

Current state of noninvasive, continuous monitoring modalities in pediatric anesthesiology
Purpose of review The last decades, anesthesia has become safer, partly due to developments in monitoring. Advanced monitoring of children under anesthesia is challenging, due to lack of evidence, validity and size constraints. Most measured parameters are proxies for end organ function, in which an anesthesiologist is actually interested. Ideally, monitoring should be continuous, noninvasive and accurate. This present review summarizes the current literature on noninvasive monitoring in noncardiac pediatric anesthesia. Recent findings For cardiac output (CO) monitoring, bolus thermodilution is still considered the go...
Source: Current Opinion in Anaesthesiology - October 29, 2020 Category: Anesthesiology Tags: TECHNOLOGY, EDUCATION AND SAFETY: Edited by Keith J. Ruskin Source Type: research

Helping Experienced Pediatric Nurses Bridge the Gap Between Intermediate and Intensive Care
The desire for career advancement has been identified as a cause of nurse turnover. In order to prevent nurses wanting to advance in their career from leaving the organization, a program was developed to transition nurses from pediatric acute and intermediate care to the intensive care unit. The intervention included classroom training, social support, and a formal orientation. Turnover rates are lower for participants in the program, and transitions to the intensive care unit have been successful. (Source: Journal for Nurses in Professional Development)
Source: Journal for Nurses in Professional Development - October 29, 2020 Category: Nursing Tags: Articles Source Type: research

Prolonged Critical Illness and Demoralization: Curative Factors in Hospice Care in the Age of COVID-19
In this case report, an elderly patient with COVID-19 pneumonia and a protracted intensive care course, who was unable to wean from mechanical ventilation, was transferred to the hospice unit for ventilator withdrawal and end of life care. Although symptom management was anticipated to focus on treating acute dyspnea, conditions mandated a shift to addressing the psychological challenges associated with prolonged critical illness. The interventions typical to hospice care—patient centered, family focused, and culturally sensitive—served to alleviate psychological symptoms of demoralization and despair, contribu...
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Special Articles: COVID-19 Source Type: research

COVID-19 Pandemic Restrictions and the Use of Technology for Pediatric Palliative Care in the Acute Care Setting
This article presents a case where technologies such as these were utilized to assist a family in goals-of-care discussions and at end of life for an infant in the intensive care unit at a large urban pediatric care facility during the COVID-19 pandemic. (Source: Journal of Hospice and Palliative Nursing)
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Special Articles: COVID-19 Source Type: research

Family Bereavement Adaptation After Death of a Loved One in an Intensive Care Unit: Impact of Race/Ethnicity
Limited longitudinal studies have hindered the understanding of family adaptation after loss of a loved one in an intensive care unit (ICU). Based on the Double ABCX Model, this study examined changes in adaptation to bereavement for family members in the first year after the ICU death, with special attention to the effects of race/ethnicity. A repeated-measures design was used to conduct the investigation using 3 time points (1-3, 6, and 12 months) after the ICU death. Data were analyzed using linear mixed modeling. Family members (n = 30) consisted of 60% non-Hispanic Whites and 40% African Americans (AAs). During the fi...
Source: Journal of Hospice and Palliative Nursing - October 29, 2020 Category: Nursing Tags: Feature Articles Source Type: research

Characteristics, Clinical Course, and Outcomes of Veterans Admitted With Covid-19 in Detroit, Michigan
Conclusions Detroit veterans were primarily older African American men with more comorbidities than inpatients previously described. Gastrointestinal symptoms were twice as common as fever. Rates of mortality and readmission were higher than those previously reported in populations with shorter follow up. (Source: Infectious Diseases in Clinical Practice)
Source: Infectious Diseases in Clinical Practice - October 29, 2020 Category: Infectious Diseases Tags: Original Articles Source Type: research

Multisystem Inflammatory Syndrome in an Adult After COVID-19
We describe the first case of multisystem inflammatory syndrome in an adult patient after coronavirus disease-19 (COVID-19). A 34-year-old Hispanic man, who tested positive for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) 1 month before presentation, was admitted for fever, abdominal pain, headache, and myalgia. The patient deteriorated, developing multisystem organ failure. He required intensive care unit admission, mechanical ventilation, vasopressors, and continuous renal replacement therapy. Laboratory workup showed depletion of serum complement levels. After immunosuppressive therapy with intravenous i...
Source: Infectious Diseases in Clinical Practice - October 29, 2020 Category: Infectious Diseases Tags: Case Reports Source Type: research

Hantavirus Infections —Treatment and Prevention
AbstractPurpose of reviewHantavirus infection is an emerging zoonosis and there are two main clinical presentations, hemorrhagic fever with renal syndrome (HFRS) and Hantavirus pulmonary syndrome (HPS). Although Hantavirus infections have a worldwide distribution with a high mortality rate, a safe and effective vaccine or an antiviral drug against the Hantavirus disease is yet to be available. This review summarizes all the efforts undertaken to develop medical countermeasures in vitro, in vivo, and human clinical trials against Hantavirus infections.Recent findingsMultiple antivirals are shown to be effective with limited...
Source: Current Treatment Options in Infectious Diseases - October 29, 2020 Category: Infectious Diseases Source Type: research

Coronavirus Disease 2019: A Brief Review of the Clinical Manifestations and Pathogenesis to the Novel Management Approaches and Treatments
The recent outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or coronavirus disease 2019 (COVID-19) in China, which spread to the rest of the world, led the World Health Organization to classify it as a global pandemic. COVID-19 belongs to the Bettacoronavirus genus of the Coronaviridae family, and it mainly spreads through the respiratory tract. Studies have now confirmed a human-to-human transmission as the primary pathway of spread. COVID-19 patients with a history of diseases such as respiratory system diseases, immune deficiency, diabetes, cardiovascular disease, and cancer are prone to adverse ...
Source: Frontiers in Oncology - October 29, 2020 Category: Cancer & Oncology Source Type: research

COVID-19 is associated with clinically significant weight loss and risk of malnutrition, independent of hospitalisation: a post-hoc analysis of a prospective cohort study
Coronavirus disease 2019 (COVID-19) may associate with clinical manifestations, ranging from alterations in smell and taste to severe respiratory distress requiring intensive care, that might associate with weight loss and malnutrition. We aimed to assess the incidence of unintentional weight loss and malnutrition in COVID-19 survivors. (Source: Clinical Nutrition)
Source: Clinical Nutrition - October 29, 2020 Category: Nutrition Authors: Luigi Di Filippo, Rebecca De Lorenzo, Marta D ’Amico, Valentina Sofia, Luisa Roveri, Roberto Mele, Alessandro Saibene, Patrizia Rovere-Querini, Caterina Conte Tags: Original article Source Type: research

Oncologic Emergencies
This article discusses aspects of diagnosis and management for important malignancy-associated emergencies. (Source: Critical Care Clinics)
Source: Critical Care Clinics - October 29, 2020 Category: Intensive Care Authors: Jenna Spring, Laveena Munshi Source Type: research

Triage and Prognostication of Cancer Patients Admitted to the Intensive Care Unit
Cancer remains a leading cause of morbidity and mortality. Advances in cancer screening, early detection, targeted therapies, and supportive care have led to improvements in outcomes and quality of life. The rapid increase in novel cancer therapies can cause life-threatening adverse events. The need for intensive care unit (ICU) care is projected to increase. Until 2  decades ago, cancer diagnosis often precluded ICU admission. Recently, substantial cancer survival has been achieved; therefore, ICU denial is not recommended. ICU resources are limited and expensive; hence, appropriate utilization is needed. This review...
Source: Critical Care Clinics - October 29, 2020 Category: Intensive Care Authors: Dereddi Raja Shekar Reddy, Gregory H. Botz Source Type: research

Acute respiratory failure and mechanical ventilation in the context of the COVID-19 pandemic: why a special issue in ICM?
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - October 29, 2020 Category: Intensive Care Source Type: research

Clinical validation of precision medicine protocols: the last mile is the longest
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - October 29, 2020 Category: Intensive Care Source Type: research

Covid-19 cumulative incidence, intensive care and mortality in Italian regions compared to selected European countries
Covid-19 has been characterized, since its onset, by high contagiousness [1 –3] and different syndromic appearance from an asymptomatic state or mild signs of discomfort (the majority of cases) to severe manifestation of acute respiratory distress, necessitating intensive care treatment. Different virus containment measures have been adopted throughout the world. Response to the threat included individual and collective mobility limitations, physical distancing, quarantine of red zones, in-house confinement, provision of personal protective equipment (PPE), identification of infectious cases and contact tracing via a...
Source: International Journal of Infectious Diseases - October 29, 2020 Category: Infectious Diseases Authors: A. Olivieri, G. Pal ù, G. Sebastiani Source Type: research

Regional venous –arterial CO2 to arterial–venous O2 content difference ratio in experimental circulatory shock and hypoxia
Venous –arterial carbon dioxide (CO2) to arterial–venous oxygen (O2) content difference ratio (Cv-aCO2/Ca-vO2) > 1 is supposed to be both sensitive and specific for anaerobic metabolism. What regional hemodynamic ... (Source: Intensive Care Medicine Experimental)
Source: Intensive Care Medicine Experimental - October 29, 2020 Category: Surgery Authors: Thiago Domingos Corr êa, Adriano José Pereira, Jukka Takala and Stephan Mathias Jakob Tags: Research Source Type: research

IMPact of the COVID-19 epidemic on the moRTAlity of kidney transplant recipients and candidates in a French Nationwide registry sTudy (IMPORTANT).
End stage kidney disease increase the risk of COVID-19 related death but how the kidney replacement strategy should be adapted during the pandemic is unknown. Chronic hemodialysis makes social distancing difficult to achieve. Alternatively, kidney transplantation could increase the severity of COVID-19 due to therapeutic immunosuppression and contribute to saturation of intensive care units. For these reasons, kidney transplantation was suspended in France during the first epidemic wave. Here, we retrospectively evaluated this strategy by comparing the overall and COVID-19 related mortality in kidney transplant recipients ...
Source: Kidney International - October 29, 2020 Category: Urology & Nephrology Authors: Olivier Thaunat, Camille Legeai, Dany Anglicheau, Lionel Couzi, Gilles Blancho, Marc Hazzan, Myriam Pastural, Emilie Savoye, Florian Bayer, Emmanuel Morelon, Yann Le Meur, Olivier Bastien, Sophie Caillard, French nationwide Registry of Solid Organ Transpl Tags: clinical investigation Source Type: research

Ascites: a loadstar for the diagnosis and management of an intracranial tumor.
CONCLUSION: In case of intractable ascites occurrence after a ventriculoperitoneal shunt placement, a pediatrician should consider etiologies resulting in imbalance of absorption and secretion function of cerebrospinal fluid. PMID: 33108092 [PubMed - as supplied by publisher] (Source: The Turkish Journal of Pediatrics)
Source: The Turkish Journal of Pediatrics - October 28, 2020 Category: Pediatrics Authors: Gülşen HH, Kurtuluş A Tags: Turk J Pediatr Source Type: research

A national survey on use of less invasive surfactant administration in Turkey.
CONCLUSIONS: LISA/MIST is widely used in Turkey similar to several regions in Europe but unlike the USA. Future studies are expected to further clarify some questions about LISA/MIST procedure, especially on its efficacy and safety. PMID: 33108081 [PubMed - as supplied by publisher] (Source: The Turkish Journal of Pediatrics)
Source: The Turkish Journal of Pediatrics - October 28, 2020 Category: Pediatrics Authors: Öncel MY, Erdeve Ö Tags: Turk J Pediatr Source Type: research

Point-of-care ultrasound use in pediatric intensive care units in Turkey.
CONCLUSIONS: Our study showed that point-of-care ultrasound was not only used for central venous catheterization but also for widespread fields in pediatric intensive care units. With an experienced team, it is possible to perform rapid, noninvasive and repeatable ultrasonographic assessment of patients. In our view point-of-care ultrasound is the new stethoscope of critical care physicians. PMID: 33108079 [PubMed - as supplied by publisher] (Source: The Turkish Journal of Pediatrics)
Source: The Turkish Journal of Pediatrics - October 28, 2020 Category: Pediatrics Authors: Aslan N, Yildizdas D, Horoz OO, Ekinci F, Study-Group TP Tags: Turk J Pediatr Source Type: research

[Distribution of Yeast Species Isolated from Blood Cultures for a Six Year Period in Turkey: a Multicentre Study].
Authors: Ergon MC, Doluca Dereli M, Ener B, Atalay MA, Koç AN, Çerikçioğlu N, Erturan Z, Aksaray S Abstract Bloodstream infections due to yeast species especially Candida spp. have been reported to be important healthcare associated infections with high mortality and morbidity rates. Candidemia causes prolonged hospital stays as well as increased cost. In order to prevent or treat these life-threatening bloodstream infections successfully, nationwide epidemiological data should be available about the etiological agents of these infections. Multi-centre national epidemiological data on yeast bl...
Source: Mikrobiyoloji Bulteni - October 28, 2020 Category: Microbiology Tags: Mikrobiyol Bul Source Type: research

[Evaluation of SARS-CoV-2 PCR Positive Cases in the Pediatric Emergency Department].
In this study, it was aimed to evaluate the epidemiological, clinical, laboratory and radiologic findings, treatment and clinical outcomes of patients admitted to the pediatric emergency department with the suspicion of COVID-19. Between March 11 and June 16, 2020, patients aged between 1 month-18 years admitted to the pediatric emergency department and who have an indication for sampling for the polymerase chain reaction (PCR) method with the suspicion of COVID-19 according to the current guidelines published by the Ministry of Health were included in the study. The demographic characteristics, symptoms, durations and the...
Source: Mikrobiyoloji Bulteni - October 28, 2020 Category: Microbiology Tags: Mikrobiyol Bul Source Type: research

[Evaluation of Patients Diagnosed with COVID-19 in Terms of Risk Factors].
In this study, we aimed to investigate the demographic characteristics and risk factors of patients with the diagnosis of COVID-19. A total of 100 patients (53 female and 47 male) were included in our study. The patients included in the study were randomly selected from the registration system and their information was evaluated retrospectively. The mean age of the patients was 54.42 (Age range= 20-90). When the risk factors for catching the disease were evaluated; it was determined that there was at least one risk factor in 46 patients; 30 patients had close contact with the COVID-19 patient in the social environment (30%...
Source: Mikrobiyoloji Bulteni - October 28, 2020 Category: Microbiology Tags: Mikrobiyol Bul Source Type: research

[The Identification of Acinetobacter baumannii Blood Isolates by MALDI-TOF MS, ARDRA and blaOXA-51-like Gene-Specific Real-Time PCR].
In this study, we aimed to evaluate the diagnosis performance of MALDI-TOF MS system to identify blood isolates of A.baumannii. A total of 180 nonduplicate carbapenem resistant Acb complex (strain numbers; TR1-TR60) and A.baumannii (TR61-TR180) blood isolates were collected from the intensive care units of the three university hospitals in Turkey from January 2016 to December 2016. All isolates were evaluated by using blaOXA-51-like gene specific real time (Rt-PCR) analysis, ARDRA (restriction enzymes-AluI, CfoI, MboI, MspI, RsaI) method and MALDI-TOF MS (VITEK® MS, bioMérieux, France) system. All the strains ex...
Source: Mikrobiyoloji Bulteni - October 28, 2020 Category: Microbiology Tags: Mikrobiyol Bul Source Type: research

Anuria in neonatal intensive care: Questions
(Source: Pediatric Nephrology)
Source: Pediatric Nephrology - October 28, 2020 Category: Urology & Nephrology Source Type: research

Assessment and management of agitation, sleep, and mental illness in the surgical ICU
Purpose of review Increased focus on patient-centered outcomes, mental health, and delirium prevention makes this review timely and relevant for critical care. Recent findings This review focuses on patient-centered outcomes in the ICU, highlighting the latest research to promote brain health and psychological recovery during and after perioperative critical illness. Topics include sedation in the obese patient, delirium severity assessments, the role of the Psychiatry Consultation-Liaison in the ICU, Post-intensive care syndrome, and the importance of family engagement in the COVID era. Summary Highlighting new re...
Source: Current Opinion in Critical Care - October 28, 2020 Category: Nursing Tags: THE SURGICAL PATIENT: Edited by Bryan A. Cotton Source Type: research

Geolocated Twitter-based population mobility in Victoria, Australia, during the staged COVID-19 restrictions.
We describe preliminary evidence that geotagged Twitter data may be used to provide real-time population mobility data and information on the impact of restrictions on such mobility. PMID: 33105920 [PubMed - as supplied by publisher] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - October 28, 2020 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Aerosol generation during surgical tracheostomy in a patient with COVID-19.
Authors: McGain F, Humphries RS, Mora JC, Timms P, Hill F, French C PMID: 33105919 [PubMed - as supplied by publisher] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - October 28, 2020 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Serum Anion Gap at Admission Predicts All-Cause Mortality in Critically Ill Patients with Cerebral Infarction: Evidence from the MIMIC-III Database.
CONCLUSIONS: High AG was associated with increased risk of all-cause mortality, and AG could be an independent short-term prognostic factor for cerebral infarction. PMID: 33103496 [PubMed - as supplied by publisher] (Source: Biomarkers)
Source: Biomarkers - October 28, 2020 Category: Research Tags: Biomarkers Source Type: research

Prognostic association of routinely measured biomarkers in patients admitted to critical care: a systematic review.
Conclusions: Simple regression models have so far proved inadequate for the complexity of data available from routine blood sampling in critical care. Adoption of a direct causal framework may help better assess mechanistic processes, aid design of future studies, and guide clinical decision making using routine data. PMID: 33103483 [PubMed - as supplied by publisher] (Source: Biomarkers)
Source: Biomarkers - October 28, 2020 Category: Research Tags: Biomarkers Source Type: research

COVID-19 Epidemic in Sri Lanka: A Mathematical and Computational Modelling Approach to Control.
In this study, we use the SEIR conceptual model and its modified version by decomposing infected patients into two classes: patients who show mild symptoms and patients who tend to face severe respiratory problems and are required to be treated in intensive care units. We numerically simulate the models for about a five-month period reflecting the early stage of the epidemic in the country, considering three critical parameters of COVID-19 transmission mainly in the Sri Lankan context: efficacy of control measures, rate of overseas imported cases, and time to introduce social distancing measures by the respective authoriti...
Source: Computational and Mathematical Methods in Medicine - October 28, 2020 Category: Statistics Tags: Comput Math Methods Med Source Type: research

Egyptian Neonatal Safety Training Network: a dream to improve patient safety culture in Egyptian neonatal intensive care units.
Conclusions: Continuous organized training for health-care workers on patient safety and implementation of ENSTN standards to reduce medical errors in the NICU are needed. We implemented the first confidential patient safety reporting system for NICU. PMID: 33103758 [PubMed - in process] (Source: Eastern Mediterranean Health Journal)
Source: Eastern Mediterranean Health Journal - October 28, 2020 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Maternal and perinatal outcomes in twin pregnancies conceived spontaneously and by assisted reproductive techniques: cross-sectional study.
This study compared maternal, perinatal and obstetric outcomes of dichorionic twin pregnancies conceived spontaneously with twin pregnancies conceived through assisted reproductive technology. Methods: This was a cross-sectional study of dichorionic twins delivered at the Maternity Teaching Hospital, Erbil, Kurdistan Region, Iraq from 1 November 2016 to 31 December 2017. Twin pregnancies were classified into two groups: spontaneously conceived (n = 121) and conceived through assisted reproductive technology (n = 79). Maternal and perinatal outcomes were compared between the two groups. The chi-squared test was used to ...
Source: Eastern Mediterranean Health Journal - October 28, 2020 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Gallbladder Cancer Presenting as Mirizzi Syndrome Complicated by Rapidly Evolving 23 rRNA Gene-Linezolid Resistance with Vancomycin-Resistant Enterococcus Infection Resulting in Fatal Cholangial Sepsis
We describe the case of a 71-year-old woman who presented with obstructive jaundice and subhilar bile duct stenosis. MRI showed extensive cholecystolithiasis with an impacted bile stone in the cystic duct suggesting Mirizzi syndrome. Delayed enhancement of the thickened gallbladder wall suggested inflammation instead of carcinoma. After drainage of the obstructed bile duct via ERCP, the patient developed liver abscesses with a nosocomial vancomycin-resistant enterococcus infection treated by linezolid. After 4 weeks, the VRE infection was complicated by a new-onset 23 rRNA gene-mediated linezolid resistance in the same bac...
Source: Case Reports in Gastroenterology - October 28, 2020 Category: Gastroenterology Source Type: research

Neurorehabilitation in the times of Covid-19: insights from the Spanish Neurorehabilitation Society (SENR).
This article is intended to invite to reflect on and discuss the redesign of our current neurorehabilitation plans after the experience on the Covid 19 pandemic. PMID: 33104386 [PubMed - as supplied by publisher] (Source: Brain Injury)
Source: Brain Injury - October 28, 2020 Category: Neurology Tags: Brain Inj Source Type: research

Preclinical validation of occupational and environmental safety of an isolation system for non-invasive ventilation in COVID-19 and other aerosol-transmitted infections.
CONCLUSION: Aerosolized markers were successfully contained within ISATI in all experimental simulations, offering occupational and environmental protection against the dissemination of aerosolized microparticles under CPAP or HFNO therapy conditions, which are indicated for patients with acute respiratory infections. PMID: 33103939 [PubMed - as supplied by publisher] (Source: Expert Review of Medical Devices)
Source: Expert Review of Medical Devices - October 28, 2020 Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research

Peg-Asparaginase-Associated Pancreatitis in Chemotherapy-Treated Pediatric Patients: A 5-Year Retrospective Study
ConclusionEarly recognition and management of AAP is essential in reversing the severity of AAP. The existing AAP criteria had a low strength in determining the severity of pediatric AAP. A well-defined AAP definition could help distinguish patients with high anticipated risk for redeveloping AAP and ALL relapse, in order to prevent unnecessary withdrawal of asparaginase. Our study could serve as a basis for conducting future large cohort studies and for establishing an accurate definition of pediatric AAP. (Source: Frontiers in Oncology)
Source: Frontiers in Oncology - October 28, 2020 Category: Cancer & Oncology Source Type: research

Prevalence of Non-Cardiac Multimorbidity in Patients Admitted to Two Cardiac Intensive Care Units and Their Association with Mortality
Current cardiac intensive care unit (CICU) practice has seen a rise in patient complexity, including an increase in non-cardiac organ failure, critical care therapies, and comorbidities. We sought to describe the changing epidemiology of non-cardiac multimorbidity in the CICU population. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - October 28, 2020 Category: General Medicine Authors: P. Elliott Miller, Alexander Thomas, Thomas J. Breen, Fouad Chouairi, Yukiko Kunitomo, Faisal Aslam, Abdulla A. Damluji, Nandan S. Anavekar, Joseph G. Murphy, Sean van Diepen, Gregory W. Barsness, Joseph Brennan, Jacob Jentzer Tags: Clinical Research Study Source Type: research

Intensive Care Unit Organization and Interdisciplinary Care for Critically Ill Patients with Cancer
This article provides an overview of the current state-of-the-art in multidisciplinary care for critically ill patients with cancer. Better integration of multidisciplinary critical care into the continuum of care for patients with cancer offers the prospect of further improvements in the outcomes of patients with cancer. (Source: Critical Care Clinics)
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: Alexander Shimabukuro-Vornhagen Source Type: research

Evidence-Based Communication with Critically Ill Older Adults
Communication is a critical component of patient-centered care. Critically ill, mechanically ventilated patients are unable to speak and this condition is frightening, frustrating, and stressful. Impaired communication in the intensive care unit (ICU) contributes to poor symptom identification and restricts effective patient engagement. Older adults are at higher risk for communication impairments in the ICU because of pre-illness communication disorders and cognitive dysfunction that often accompanies or precedes critical illness. Assessing communication disorders and developing patient-centered strategies to enhance comm...
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: JiYeon Choi, Judith A. Tate Source Type: research

Rehabilitation Concerns in the Geriatric Critically Ill and Injured - Part 1
Elderly patients who are critically ill have unique challenges that must be considered when attempting to prognosticate survival and determine expectations for physical rehabilitation and meaningful recovery. Furthermore, frail elderly patients present unique rehabilitation and clinical challenges when suffering from critical illness. There are multiple symptoms and syndromes that affect morbidity and mortality of elderly patients who require intensive care unit management including delirium, dementia, pain, and constipation. Rehabilitation goals should be based on patient values, clinical course, and functional status. Pa...
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: Corey X. Tapper, Kimberly Curseen Source Type: research

The Frailty Syndrome
The number of older adults with cancer is growing in the United States, and there is a relative paucity of data relating the presence of frailty with its outcomes of interest. The authors present the surgical oncology, radiation oncology, and medical oncology literature with respect to the presence of frailty in older adults with cancer. More research is needed to understand how the presence of frailty should be used by surgical, radiation, and medical oncologists to guide patient counseling and treatment planning. (Source: Critical Care Clinics)
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: Christina A. Minami, Zara Cooper Source Type: research

The Effect of Aging Physiology on Critical Care
Older patients experience a decline in their physiologic reserves as well as chronic low-grade inflammation named “inflammaging.” Both of these contribute significantly to aging-related factors that alter the acute, subacute, and chronic response of these patients to critical illness, such as sepsis. Unfortunately, this altered response to stressors can lead to chronic critical illness followed by dismal ou tcomes and death. The primary goal of this review is to briefly highlight age-specific changes in physiologic systems majorly affected in critical illness, especially because it pertains to sepsis and trauma...
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: Dijoia B. Darden, Frederick A. Moore, Scott C. Brakenridge, Eduardo B. Navarro, Stephen D. Anton, Christiaan Leeuwenburgh, Lyle L. Moldawer, Alicia M. Mohr, Philip A. Efron, Robert T. Mankowski Source Type: research