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Development of a novel score for the prediction of hospital mortality in patients with severe sepsis: the use of electronic healthcare records with LASSO regression.
CONCLUSIONS: The study developed the LASSO score for mortality prediction in patients with severe sepsis. Although the score had good discrimination and calibration in a randomly selected subsample, external validations are still required. PMID: 28548951 [PubMed - as supplied by publisher] (Source: Oncotarget)
Source: Oncotarget - May 28, 2017 Category: Cancer & Oncology Tags: Oncotarget Source Type: research

Respiratory-syncytial-virus- and rhinovirus-related bronchiolitis in children aged & lt;2 years in an English district general hospital
Conclusions RV is the second most common pathogen associated with bronchiolitis and is isolated all year round. This may be important in those with risk factors resulting in prolonged LOS. Further research is necessary to establish the exact role of RV in this common condition, particularly outside the traditional RSV season. (Source: Journal of Hospital Infection)
Source: Journal of Hospital Infection - May 28, 2017 Category: Infectious Diseases Source Type: research

Overview of Lung Development in the Newborn Human.
Abstract In human neonates rapid adaptation from an aqueous intrauterine environment to permanent air breathing is the rate-limiting step for extrauterine life, failure of which justifies the existence of neonatal intensive care units. The lung develops at about 4-6 weeks' gestation in humans as a ventral outpouching of the primitive foregut into the surrounding ventral mesenchyme, termed the laryngotracheal groove. At its posterior end lie progenitor cells that form a pair of bronchial tubes, from which arise all the distal epithelial structures of the lung. In humans, formation of the distal gas exchange surface...
Source: Neonatology - May 27, 2017 Category: Perinatology & Neonatology Authors: Warburton D Tags: Neonatology Source Type: research

Association Between Acute Pain and Hemodynamic Parameters in a Postoperative Surgical Intensive Care Unit
I conducted a prospective repeated-measure study in the general surgery intensive care unit to investigate the associations among acute postoperative pain, analgesic therapy, and hemodynamic parameters. I selected 33 patients and recorded 84 episodes of pain. I measured intensity of pain and hemodynamic parameters after patients were transferred from the postanesthesia care unit to the general surgery intensive care unit, immediately before analgesic therapy and at 15, 30, and 45  minutes after analgesic therapy. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Hossein Asgar Pour Tags: Featured article Source Type: research

Burden and Outcome of Vitamin D Deficiency Among Critically Ill Patients: A Prospective Study.
CONCLUSION: Vitamin D insufficiency is common in critically ill patients (69%); it is associated with more severity of illness, but it is not an independent risk factor for longer ICU stay or mortality. PMID: 28537519 [PubMed - in process] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - May 27, 2017 Category: Nutrition Authors: Anwar E, Hamdy G, Taher E, Fawzy E, Abdulattif S, Attia MH Tags: Nutr Clin Pract Source Type: research

Novel, Family-Centered Intervention to Improve Nutrition in Patients Recovering From Critical Illness: A Feasibility Study.
CONCLUSION: The intervention was feasible and acceptable to families of critically ill patients and HCPs. Further research to evaluate intervention impact on nutrition intake and patient-centered outcomes is required. PMID: 28537514 [PubMed - in process] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - May 27, 2017 Category: Nutrition Authors: Marshall AP, Lemieux M, Dhaliwal R, Seyler H, MacEachern KN, Heyland DK Tags: Nutr Clin Pract Source Type: research

Effect of timing of renal replacement therapy on outcomes of critically ill patients in the intensive care unit
ConclusionTiming of RRT is associated with 28‐day mortality of ICU treated patients. Early RRT might improve patient survival. (Source: Nephrology)
Source: Nephrology - May 27, 2017 Category: Urology & Nephrology Authors: Yanli Jia, Li Jiang, Ying Wen, Meiping Wang, Xiuming Xi, Bin Du Tags: Original Article Source Type: research

The association between red cell distribution width and poor outcomes in hospitalized patients with influenza
Conclusion RDW>14.5% was a predictor of severe hospital complications in patients with influenza. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 27, 2017 Category: Gastroenterology Source Type: research

Influence of regular reporting on local Pseudomonas aeruginosa and Acinetobacter spp. sensitivity to antibiotics on consumption of antibiotics and resistance patterns
Summary What is known and objectiveRegular surveillance of antimicrobial resistance is an important component of multifaceted interventions directed at the problem with resistance of bacteria causing healthcare‐associated infections (HAIs) in intensive care units (ICUs). Our aim was to analyse antimicrobial consumption and resistance among isolates of Pseudomonas aeruginosa and Acinetobacter spp. causing HAIs, before and after the introduction of mandatory reporting of resistance patterns to prescribers. MethodsA retrospective observational study was conducted between January 2011 and December 2015, at an interdisciplina...
Source: Journal of Clinical Pharmacy and Therapeutics - May 27, 2017 Category: Drugs & Pharmacology Authors: Z. M. Djordjevic, M. M. Folic, S. M. Jankovic Tags: ORIGINAL ARTICLE Source Type: research

Serum intestinal fatty acid binding protein level for early diagnosis and prediction of severity of necrotizing enterocolitis in the preterm infant (case series)
Conclusions Serial measurements of serum I-FABP levels may be a useful marker for early diagnosis and prediction of disease severity in NEC. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - May 27, 2017 Category: General Medicine Source Type: research

Association Between Acute Pain and Hemodynamic Parameters in a Postoperative Surgical Intensive Care Unit
Publication date: June 2017 Source:AORN Journal, Volume 105, Issue 6 Author(s): Hossein Asgar Pour I conducted a prospective repeated-measure study in the general surgery intensive care unit to investigate the associations among acute postoperative pain, analgesic therapy, and hemodynamic parameters. I selected 33 patients and recorded 84 episodes of pain. I measured intensity of pain and hemodynamic parameters after patients were transferred from the postanesthesia care unit to the general surgery intensive care unit, immediately before analgesic therapy and at 15, 30, and 45 minutes after analgesic therapy. Ac...
Source: AORN Journal - May 27, 2017 Category: Nursing Source Type: research

Treatment outcomes after implementation of an adapted WHO protocol for severe sepsis and septic shock in Haiti
We describe patient outcomes before and after implementation of an adapted WHO severe sepsis protocol at a community hospital in Haiti. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 27, 2017 Category: Intensive Care Authors: Alfred Papali, T. Eoin West, Avelino C. Verceles, Marc E. Augustin, L. Nathalie Colas, Carl H. Jean-Francois, Devang M. Patel, Nevins W. Todd, Michael T. McCurdy, Haiti REsource Limited Intensive Care (Haiti-RELIC) Study Group Source Type: research

Permissive hypotension during shock resuscitation: equipoise in all patients?
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 27, 2017 Category: Intensive Care Source Type: research

Agreement between heart failure patients and providers in assessing New York Heart Association functional class
Uncertainty persists regarding whether patient assessment of New York Heart Association (NYHA) functional classification should be preferred over provider assessment among patients with heart failure (HF). (Source: Heart and Lung)
Source: Heart and Lung - May 27, 2017 Category: Intensive Care Authors: Brent A. Williams, Sanjay Doddamani, Melissa A. Troup, Alison L. Mowery, Cynthia M. Kline, Janine A. Gerringer, Robert T. Faillace Source Type: research

Up to 89% of neonates received antibiotics in cross ‐sectional Indian study including those with no infections and unclear diagnoses
ConclusionThese two Indian NICUs prescribed antibiotics for non‐infectious or unclear diagnoses in addition to prescribing combinations of broad spectrum antibiotics. Such practices increase the global risk of treatment failure, neonatal mortality rates and antibiotic resistance.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - May 26, 2017 Category: Pediatrics Authors: Camilla Hauge, Cecilia St ålsby Lundborg, Jagdish Mandaliya, Gaetano Marrone, Megha Sharma Tags: Regular Article Source Type: research

[Antimicrobial sensitivity of the environmental microbiota in the intensive care units of a peruvian hospital].
The objective was to detect Gram-negative bacilli and Gram-positive cocci isolated from the environmental microbiota of the Intensive Care Unit (ICU) departments of Neonatology, Pediatrics, and Transplants (kidney, liver, and general) in a Lima hospital and determine their antimicrobial sensitivity. Eighty samples were obtained from inanimate surfaces using a wet swab. A total of 61 bacterial strains were identified, including Staphylococcus epidermis (46.0%), Alcaligenes sp. (21.3%), Pseudomonas aeruginosa (16.4%), Acinetobacter sp. (13.1%), Staphylococcus aureus (1.6%), and Staphylococcus haemolyticus (1.6%). Acinetobact...
Source: Revista Peruana de Medicina de Experimental y Salud Publica - May 26, 2017 Category: International Medicine & Public Health Tags: Rev Peru Med Exp Salud Publica Source Type: research

Sutureless Valves Reduce Hospital Costs Compared to Traditional Valves.
Authors: Laborde F, Folliguet T, Ghorayeb G, Zannis K Abstract BACKGROUND: The study aim was to assess differences in clinical outcome, safety, and associated costs between sutureless and aortic isolated aortic valve replacement (AVR) with a standard bioprosthesis. METHODS: A retrospective comparative study was conducted to investigate 65 patients, each of whom had undergone isolated AVR with a traditional aortic valve (T) or a Perceval S sutureless aortic prosthesis (P) between January 2010 and December 2012. Cost data were drawn from the proprietary cost accounting system of the hospital, excluding acquisitio...
Source: Journal of Heart Valve Disease - May 26, 2017 Category: Cardiology Tags: J Heart Valve Dis Source Type: research

Cognitive Impairment and Psychological Distress at Discharge from Intensive Care Unit.
This study aimed to investigate cognitive impairment and psychological distress of critically ill patients at discharge from intensive care unit (ICU). This study included 30 critically ill patients who had neither pre-existing dementia nor ongoing delirium. At ICU discharge, they performed a screening test for cognitive impairment (Mini-Cog test) and completed questionnaires for depression (Patient Health Questionnaire-2, PHQ-2) and for 4 stressful experiences during ICU stay including nightmares, severe anxiety or panic, severe pain, and trouble to breathe or feeling of suffocation (Post-Traumatic Stress Syndrome 14-Ques...
Source: Psychiatry Investigation - May 26, 2017 Category: Psychiatry Tags: Psychiatry Investig Source Type: research

[Postpartum hemorrhage and pregnancy induced hypertension during emergency lower segment cesarean section: dexmedetomidine to our rescue].
Authors: Hariharan U Abstract Dexmedetomidine is a highly selective α-2 agonist which has recently revolutionized our anesthesia and intensive care practice. An obstetric patient presented for emergency cesarean delivery under general anesthesia, with pre-eclampsia and postpartum hemorrhage. In carefully selected cases with refractory hypertension and postpartum hemorrhage, dexmedetomidine can be used for improving overall patient outcome. It was beneficial in controlling both the blood pressure and uterine bleeding during cesarean section in our patient. PMID: 28535940 [PubMed - as supplied by publisher]...
Source: Revista Brasileira de Anestesiologia - May 26, 2017 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

Neonatal ICU System Safety: A Pilot Test for Medication Error by Using Fuzzy Grey Relational Analysis
This study analyzed risk factors for medication/near-miss errors in the neonatal intensive care unit by using Grey Relational Analysis based on self-incident reports from staff nurses. The ASSESS-ERR Medication System Worksheet was used. A total of 156 medication/near-miss errors were found across 5 stages of the medication use process. The order prescribing stage had the most errors. The highest systemic risk factors were critical drug information missing; environmental, staffing, and workflow problems; and lack of staff education. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 26, 2017 Category: Nursing Tags: Articles Source Type: research

Developing minimum clinical standards for physiotherapy in South African ICUs: A qualitative study
ConclusionsThe information obtained will be used to inform the development of a list of standards to be presented to the wider national physiotherapy and ICU communities for further consensus‐building activities. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - May 26, 2017 Category: General Medicine Authors: Heleen Aswegen, Shane Patman, Natascha Plani, Susan Hanekom Tags: ORIGINAL ARTICLE Source Type: research

Incidence of superimposed preeclampsia among pregnant Asian women with chronic hypertension.
CONCLUSION: Incidence of superimposed preeclampsia was 43.3% among pregnant women with chronic hypertension, with increased adverse neonatal outcomes. High MAP ≥105 mmHg during late second trimester might be an important predictor of the condition. PMID: 28541800 [PubMed - as supplied by publisher] (Source: Hypertension in Pregnancy)
Source: Hypertension in Pregnancy - May 26, 2017 Category: OBGYN Tags: Hypertens Pregnancy Source Type: research

Diaphragm electrical activity monitoring as a breakpoint in the management of a tetraplegic child
(Source: Critical Care)
Source: Critical Care - May 26, 2017 Category: Intensive Care Authors: Guillaume Mortamet, Fran çois Proulx, Benjamin Crulli, Nadia Savy, Philippe Jouvet and Guillaume Emeriaud Source Type: research

Timing of appropriate empirical antimicrobial administration and outcome of adults with community-onset bacteremia
Early administration of appropriate antimicrobials has been correlated with a better prognosis in patients with bacteremia, but the optimum timing of early antibiotic administration as one of the resuscitation... (Source: Critical Care)
Source: Critical Care - May 26, 2017 Category: Intensive Care Authors: Ching-Chi Lee, Chung-Hsun Lee, Ming-Yuan Hong, Hung-Jen Tang and Wen-Chien Ko Source Type: research

Hospital ‐acquired Rotavirus and Norovirus Acute Gastroenteritis in a Pediatric Unit, in 2014‐2015
This study aimed to evaluate the burden of norovirus and rotavirus nosocomial AGE, contributing to identify the environment source of infections and to activate effective strategies for intervention. The reduction in nosocomial AGE cases is an important aspect, considered the worsened disease course in transplant, cancer and intensive care unit inpatients. This article is protected by copyright. All rights reserved (Source: Journal of Medical Virology)
Source: Journal of Medical Virology - May 26, 2017 Category: Virology Authors: D. Valentini, G. Ianiro, I. Di Bartolo, C. Di Camillo, E. Boccuzzi, A.C. Vittucci, F.M. Ruggeri, M. Monini Tags: Research Article Source Type: research

Day-care unit for rigid panendoscopy of the upper aerodigestive tract: A study of 436 procedures
Conclusion Day-care management is appropriate for UADT panendoscopy in selected patients. The reasons for the high rate of patient refusal should be studied. (Source: European Annals of Otorhinolaryngology, Head and Neck Diseases)
Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - May 26, 2017 Category: ENT & OMF Source Type: research

Acetylcholinesterase and butyrylcholinesterase in cardiosurgical patients with postoperative delirium
AbstractBackgroundPatients in intensive care units (ICU) are often diagnosed with postoperative delirium; the duration of which has a relevant negative impact on various clinical outcomes. Recent research found a potentially important role of acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) in delirium of critically ill patients on non-surgical ICU or in non-cardiac-surgery patients. We tested the hypothesis that AChE and BChE have an impact on patients after cardiac surgery with postoperative delirium.MethodsAfter obtaining approval from the local ethics committee, this mechanistic study gathered data of all 2...
Source: Journal of Intensive Care - May 26, 2017 Category: Intensive Care Source Type: research

The prognostic value of hypophosphatemia in acute exacerbation of chronic obstructive pulmonary disease (COPD)
Conclusion Hypophosphatemia may contribute to an increase in the COPD exacerbation, the need for ventilation, the duration of ventilation, and may contribute with other factors in increase in the rate of mortality. Therefore, monitoring and correcting its level is imperative. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - May 26, 2017 Category: Intensive Care Source Type: research

Analysis of clinical features and prognostic factors in Chinese patients with rheumatic diseases in an intensive care unit
Conclusion SLE was the most frequent cause of ICU admission; infections are the leading causes prompting admission. RDs patients often had multi-organ involvement with a high mortality rate. (Source: The Egyptian Rheumatologist)
Source: The Egyptian Rheumatologist - May 26, 2017 Category: Rheumatology Source Type: research

Pre-emptive triple tributary internal iliac vein ligation reduces catastrophic haemorrhage from sacrectomy during pelvic exenterative surgery
ConclusionOur results show that pre-emptive triple tributary internal iliac vein ligation is feasible for taming the pelvis prior to sacrectomy in the prone position where control of significant haemorrhage can prove challenging. The technique has broader relevance for visceral resections in the pelvis involving the pelvic side walls. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 26, 2017 Category: Surgery Source Type: research

Hyperoxia provokes a time- and dose-dependent inflammatory response in mechanically ventilated mice, irrespective of tidal volumes
Mechanical ventilation and hyperoxia have the potential to independently promote lung injury and inflammation. Our purpose was to study both time- and dose-dependent effects of supplemental oxygen in an experi... (Source: Intensive Care Medicine Experimental)
Source: Intensive Care Medicine Experimental - May 26, 2017 Category: Surgery Authors: Hendrik J. F. Helmerhorst, Laura R. A. Schouten, Gerry T. M. Wagenaar, Nicole P. Juffermans, Joris J. T. H. Roelofs, Marcus J. Schultz, Evert de Jonge and David J. van Westerloo Source Type: research

Pediatric intermediate care and pediatric intensive care units: PICU metrics and an analysis of patients that use both
To examine how intermediate care units (IMCUs) are used in relation to pediatric intensive care units (PICUs), characterize PICU patients that utilize IMCUs, and estimate the impact of IMCUs on PICU metrics. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 26, 2017 Category: Intensive Care Authors: Andrew S. Geneslaw, Haomiao Jia, Adam R. Lucas, Michael S.D. Agus, Jeffrey D. Edwards Source Type: research

The effect of high-dose cholecalciferol on bioavailable vitamin D levels in critically ill patients: a post hoc analysis of the VITdAL-ICU trial
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 26, 2017 Category: Intensive Care Source Type: research

Healthcare utilization and costs in ARDS survivors: a 1-year longitudinal national US multicenter study
ConclusionsThis multicenter longitudinal study found that 40% of ARDS survivors reported at least one post-discharge hospitalization during 12-month follow-up. Few patient- or ICU-related variables were associated with hospitalization; however, physical, psychiatric, and quality of life measures at 6-month follow-up were associated with subsequent hospitalization. Interventions to reduce post-ARDS morbidity may be important to improve patient outcomes and reduce healthcare utilization. (Source: Intensive Care Medicine)
Source: Intensive Care Medicine - May 26, 2017 Category: Intensive Care Source Type: research

CD39 Limits P2X7 Receptor Inflammatory Signaling and Attenuates Sepsis-Induced Liver Injury
Sepsis is a leading cause of death in intensive care units worldwide [1] and represents a major public health issue, due to high numbers of deaths of economically productive people and major morbidity in survivors. Aspects of the associated morbidity and mortality are related to onset of shock and hemodynamic compromise with multiple system organ dysfunction and failure due to the excessive, unfettered inflammation [1,2]. (Source: Journal of Hepatology)
Source: Journal of Hepatology - May 26, 2017 Category: Gastroenterology Authors: Luiz Eduardo Baggio Savio, Paola de Andrade Mello, Vanessa R. Figliuolo, Thiago F. de Avelar Almeida, Patr ícia T. Santana, Suellen D.S. Oliveira, Claudia L.M. Silva, Linda Feldbrügge, Eva Csizmadia, Richard D. Minshall, Maria Serena Longhi, Yan Wu, Sim Source Type: research

Projective biomechanical depth matching for soft tissue registration in laparoscopic surgery
ConclusionThis work contributes a fully automatic featureless non-rigid registration approach. The results of the in silico and in vivo experiments suggest that our method is able to handle dynamic deformations during surgery. Additional experiments, especially regarding human tissue behaviour, are an important next step towards clinical applications. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - May 26, 2017 Category: Intensive Care Source Type: research

Statistical shape modelling to aid surgical planning: associations between surgical parameters and head shapes following spring-assisted cranioplasty
AbstractPurposeSpring-assisted cranioplasty is performed to correct the long and narrow head shape of children with sagittal synostosis. Such corrective surgery involves osteotomies and the placement of spring-like distractors, which gradually expand to widen the skull until removal about 4 months later. Due to its dynamic nature, associations between surgical parameters and post-operative 3D head shape features are difficult to comprehend. The current study aimed at applying population-based statistical shape modelling to gain insight into how the choice of surgical parameters such as craniotomy size and spring positionin...
Source: International Journal of Computer Assisted Radiology and Surgery - May 26, 2017 Category: Intensive Care Source Type: research

Severe Plasmodium falciparum malaria in the intensive care unit: A 6-year experience in Milano, Italy
Severe imported Plasmodium falciparum malaria is a potentially life-threatening disease with a reported mortality rate of 4 –10% when patients are admitted to the Intensive Care Unit. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - May 26, 2017 Category: Infectious Diseases Authors: Spinello Antinori, Alberto Corona, Antonio Castelli, Roberto Rech, Beatrice Borghi, Claudia Giannotti, Riccardo Colombo, Tommaso Fossali, Elisabetta Ballone, Caterina Minari, Andrea Perotti, Paola Bergomi, Laura Galimberti, Laura Milazzo, Davide Ricaboni, Tags: Original article Source Type: research

Intracranial pressure monitoring in severe blunt head trauma: does the type of monitoring device matter?
CONCLUSIONS This study demonstrated that compliance with the Brain Trauma Foundation guidelines for ICP monitoring is poor. In isolated severe blunt head injuries, the type of ICP monitoring device does not have any effect on survival, systemic complications, or functional outcome. PMID: 28548592 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - May 26, 2017 Category: Neurosurgery Authors: Aiolfi A, Khor D, Cho J, Benjamin E, Inaba K, Demetriades D Tags: J Neurosurg Source Type: research

Intensive care unit team perception of palliative care: the discourse of the collective subject
CONCLUSION The professionals perceived palliative care as appropriate in the last stages of life, with no need for futile treatment or as comfort measures. However, they are aware of the lack of standardization and lack of capacity building in this area, which leads them to conceive palli ative care as terminal care, and measures are recommended to break with this stigma.Resumen OBJETIVO Conocer la percepci ón de los profesionales sanitarios de una Unidad de Cuidados Intensivos acerca del cuidado paliativo. MÉTODO Investigación descriptiva, cualitativa del tipo Convergente Asistencial realizada en una ...
Source: Revista da Escola de Enfermagem da USP - May 25, 2017 Category: Nursing Source Type: research

Epidemiology and Predisposing Factors for Erythema Toxicum Neonatorum and Transient Neonatal Pustular: A Multicenter Study
ConclusionsAt least in the region where this study was conducted, seasonality affects these benign pustular skin conditions. The health of the child at birth, gestational age, and birthweight influenced the development of ETN. This finding may indicate a role of immune system maturity in ETN, but additional studies are needed to confirm this. (Source: Pediatric Dermatology)
Source: Pediatric Dermatology - May 25, 2017 Category: Dermatology Authors: Fl ávia Pereira Reginatto, Fernanda Mello Muller, Juliano Peruzzo, Tania Ferreira Cestari Tags: Original Article Source Type: research

Transition to motherhood in women with an infant with special care needs
ConclusionIt could be helpful for nurses to use Meleis's Theory of Transition in order understand the process of transition to motherhood for mothers of infants with special care needs. Implications for nursing and health policyThis study highlights a necessity to prepare an orientation programme for families who will have a baby with a congenital anomaly. Such a programme, developed with multidisciplinary approaches, may help mothers having a baby with a congenital abnormally to adapt to their babies' situation and need for post‐partum care. (Source: International Nursing Review)
Source: International Nursing Review - May 25, 2017 Category: Nursing Authors: O. Korukcu, A. Delikta ş, K. Kukulu Tags: Original Article Source Type: research

Effective management of breathlessness: a review of potential human rights issues
Chronic breathlessness is a distinct clinical syndrome defined as "breathlessness that persists despite an optimal use of the therapeutic resources available to treat the underlying causative condition" [1, 2]. This is a frequent clinical condition encountered in chronic respiratory diseases, cardiac diseases, neuromuscular disorders, terminal cancers, whether respiratory or not, and in patients receiving mechanical ventilation for acute or chronic respiratory failure. The above definition includes not only chronic conditions, but also acute breathlessness that persists despite maximal pathophysiological treatmen...
Source: European Respiratory Journal - May 25, 2017 Category: Respiratory Medicine Authors: Basoglu, M. Tags: Respiratory clinical practice Editorials Source Type: research

Risk factors for pressure ulcer development in Intensive Care Units: A systematic review
Conclusions There is no single factors which can explain the occurrence of pressure ulcers. Rather, it is an interplay of factors that increase the probability of its development. (Source: Medicina Intensiva)
Source: Medicina Intensiva - May 25, 2017 Category: Intensive Care Source Type: research

A Proposed Approach to Cerebral and Somatic Desaturation in the Intensive Care Unit: Preliminary Experience and Review
IN RECENT YEARS, frontal cortex tissue saturation (rSO2) using near-infrared spectroscopy (NIRS) has been serving as continuous, noninvasive monitoring of balance between cerebral oxygen delivery and consumption in the operating room (OR) setting. In the authors ’ center, cerebral NIRS has been used for more than 15 years during cardiac surgeries.1 Since 2013, the authors frequently have used the rSO2 electrodes during the early postoperative period of cardiac surgery patients. This was the consequence of one single center and one multicenter trial by Des champs et al that showed that brain desaturation in the intens...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 25, 2017 Category: Anesthesiology Authors: Vincent Lecluyse, Etienne J. Couture, Andr é Y. Denault Tags: Case Report Source Type: research

Factors influencing when intensive care unit nurses go to the bedside to investigate patient related alarms: A descriptive qualitative study
This study examines what prompts the intensive care unit (ICU) nurse to go to the patient ’s bedside to investigate an alarm and the influences on the nurse’s determination regarding how quickly this needs to occur. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 25, 2017 Category: Nursing Authors: Laurel A. Despins Tags: Original article Source Type: research

The MOVIN ’ project (Mobilisation Of Ventilated Intensive care patients at Nepean): A quality improvement project based on the principles of knowledge translation to promote nurse-led mobilisation of critically ill ventilated patients
Prospective quality improvement project to evaluate the impact of a training programme to promote nurse-led mobilisation of intubated critically ill patients. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 25, 2017 Category: Nursing Authors: Anwar Hassan, Arvind Rajamani, Fiona Fitzsimons Tags: Original article Source Type: research

Going beyond “two-getherness”: Nurse managers’ experiences of working together in a leadership model where more than two share the same chair
Over the past decade, shared leadership between managers has attracted increasing attention in organisation and management research (Denis et al., 2012; Dust and Ziegert, 2015). It is a leadership model used also in different types of health care settings (Choi et al., 2012; Hodgson et al., 1965; Klinga et al., 2016; Steinert et al., 2006), including nurse managers in intensive care units (ICUs) (Rosengren and Bondas, 2010; Rosengren et al., 2010). Organisational changes and improvements in technology have brought about challenging demands on nurse managers. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 25, 2017 Category: Nursing Authors: Marianne D öös, Helene Vinell, Mia von Knorring Source Type: research

Electronic audit and feedback intervention with action implementation toolbox to improve pain management in intensive care: protocol for a laboratory experiment and cluster randomised trial
Audit and feedback is often used as a strategy to improve quality of care, however, its effects are variable and often marginal. In order to learn how to design and deliver effective feedback, we need to under... (Source: Implementation Science)
Source: Implementation Science - May 25, 2017 Category: Health Management Authors: Wouter T. Gude, Marie-Jos é Roos-Blom, Sabine N. van der Veer, Evert de Jonge, Niels Peek, Dave A. Dongelmans and Nicolette F. de Keizer Source Type: research

Echocardiography accurately predicts pulmonary hypertension in patients with advanced lung disease
(Source: Critical Care)
Source: Critical Care - May 25, 2017 Category: Intensive Care Authors: Silvia Cottini, Christian Benden, Lars C. Huber and Mattia Arrigo Source Type: research