Pulmonary Embolism: An Update Based on the Revised AWMF-S2k Guideline
Hamostaseologie. 2024 Apr;44(2):111-118. doi: 10.1055/s-0044-1779011. Epub 2024 Apr 30.ABSTRACTPulmonary embolism (PE) is the third most common acute cardiovascular disease. The risk of PE increases with age and mortality is high. Patients are stratified into hemodynamically stable versus unstable patients, as this has important implications for diagnosis and therapy. Since clinical signs and symptoms of acute PE are nonspecific, the clinical likelihood of PE is estimated to guide diagnostic pathways. D-dimer testing is performed in hemodynamically stable patients with low or intermediate probability of PE and the visualiz...
Source: Hamostaseologie - April 30, 2024 Category: Hematology Authors: Christian F Opitz F Joachim Meyer Source Type: research

Successful Conservative Treatment of Necrotizing Pneumonia in Pediatric Patients: Two Case Reports
CONCLUSION: Our case report highlights that necrotizing pneumonia can be successfully treated with conservative treatment, thus obviating the need for early surgical intervention. These findings are potentially important for guiding clinical practice, suggesting that conservative management can be an effective treatment strategy for necrotizing pneumonia in certain circumstances.PMID:38687851 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - April 30, 2024 Category: Complementary Medicine Authors: Yin Li Tingyun Yuan Jiawu Yang Haifeng Liu Peilong Li Hongmin Fu Source Type: research

The effect of family-centered care on unplanned emergency room visits, hospital readmissions and intensive care admissions after surgery: a root cause analysis from a prospective multicenter study in the Netherlands
CONCLUSION: Based on the insights from the root-cause analysis in this prospective multicenter study, it appears that unplanned emergency room visits and hospital readmissions are not related to the active involvement of family caregivers in surgical follow-up care. Moreover, surgical follow-up care by trained family caregivers during hospitalization was not associated with increased rates of unplanned adverse events. Hence, the concept of active family involvement by proficiently trained family caregivers in postoperative care appears safe and feasible for patients undergoing major abdominal surgery.PMID:38689336 | PMC:PM...
Source: Patient Safety in Surgery - April 30, 2024 Category: Surgery Authors: Sani Marijke Kreca Iris Sophie Albers Selma Clazina Wilhelmina Musters Els Jaqueline Maria Nieveen van Dijkum Pieter Roel Tuinman Anne Maria Eskes ARTIS consortium Source Type: research

Burden and outcomes of postpartum haemorrhage in Nigerian referral-level hospitals
CONCLUSIONS: A PPH prevalence of 3.2% can be reduced with improved access to skilled birth attendants.PMID:38686455 | DOI:10.1111/1471-0528.17822 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - April 30, 2024 Category: OBGYN Authors: Tajudeen Adebayo Ayodeji Adefemi Idowu Adewumi Opeyemi Akinajo Bola Akinkunmi David Awonuga Olufemi Aworinde Ekundayo Ayegbusi Iyabode Dedeke Iretiola Fajolu Zainab Imam Olusoji Jagun Olumide Kuku Ezra Ogundare Timothy Oluwasola Lawal Oyeneyin Damilola Ad Source Type: research

Evaluation of Nurse-Driven Management of Hypoglycemia In Critically Ill Patients
CONCLUSION: Adherence to nurse-driven hypoglycemia protocols can be equally effective in ICU and non-ICU patients. Further research is needed to determine protocol adherence barriers and patient characteristics that influence response to hypoglycemia interventions.PMID:38688842 | DOI:10.4037/ajcc2024320 (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - April 30, 2024 Category: Nursing Authors: Anna Robinson Michelle A Mathiason Carol Manchester Mary Fran Tracy Source Type: research

Evaluation of an Intensive Care Unit Sepsis Alert in Critically Ill Medical Patients
CONCLUSIONS: An ICU sepsis alert using modified systemic inflammatory response syndrome criteria was effective for identifying sepsis in critically ill medical patients.PMID:38688850 | DOI:10.4037/ajcc2024566 (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - April 30, 2024 Category: Nursing Authors: Rebecca L Rich Jennifer M Montero Kyle E Dillon Patrick Condon Mathew Vadaparampil Source Type: research

Sources of Sound Exposure in Pediatric Critical Care
CONCLUSIONS: Clinicians should partner with families to limit nighttime PICU noise pollution. Large-scale studies using this reliable coding scheme are needed to understand the PICU sound environment.PMID:38688851 | DOI:10.4037/ajcc2024688 (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - April 30, 2024 Category: Nursing Authors: Laura Beth Kalvas Tondi M Harrison Source Type: research

Integrating Perspectives on Family Caregiving After Critical Illness: A Qualitative Content Analysis
CONCLUSIONS: Caregivers have instrumental, self-care, and mental health needs after critical illness. Adapting hands-on and skills training interventions to the post-ICU setting, while tailoring interventions to caregivers' health-related social context, may improve caregiver outcomes.PMID:38688852 | DOI:10.4037/ajcc2024309 (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - April 30, 2024 Category: Nursing Authors: Amanda C Moale Erica M Motter Peter Eisenhauer Nimit Gandhi S Peter Kim Tim D Girard Charles F Reynolds Natalie E Leland Judy C Chang Leslie P Scheunemann Source Type: research

Psychometric Evaluation of the Family Willingness for Caregiving Scale
CONCLUSIONS: Further testing of the FWCS is needed. After refinement, the FWCS could be used to evaluate factors contributing to caregiving willingness of family members of ICU patients and advance the science related to family engagement in the ICU. Additionally, it could be used as a practical tool to suggest family caregiving activities in the ICU.PMID:38688853 | DOI:10.4037/ajcc2024809 (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - April 30, 2024 Category: Nursing Authors: Cindy Wilk Amy Petrinec Source Type: research

Early Mobility Index and Patient Outcomes: A Retrospective Study in Multiple Intensive Care Units
CONCLUSIONS: More daily out-of-bed mobility for ICU patients was associated with shorter mechanical ventilation duration and hospital stays, suggesting a dose-response relationship between daily mobility and patient outcomes. However, relationships differed across ICU subpopulations.PMID:38688854 | DOI:10.4037/ajcc2024747 (Source: American Journal of Critical Care)
Source: American Journal of Critical Care - April 30, 2024 Category: Nursing Authors: Sarina A Fazio Irene Cort és-Puch Jacqueline C Stocking Amy L Doroy Hugh Black Anna Liu Sandra L Taylor Jason Y Adams Source Type: research

Risk factors and outcome of antenatally diagnosed congenital diaphragmatic hernia following in-utero transfer in a busy public-sector tertiary care center in North India
Monaldi Arch Chest Dis. 2024 Apr 30. doi: 10.4081/monaldi.2024.2880. Online ahead of print.ABSTRACTWe analyzed the risk factors and outcomes of antenatally diagnosed congenital diaphragmatic hernia (CDH) from a tertiary-care children's hospital following in-utero transfer. A total of 41 antenatally detected cases of CDH were included; 30 were live-born and 11 were still-born. The primary outcome was postnatal survival. The secondary outcome was the probable factor affecting survival. No medical termination of the pregnancy was done. The mean gestational age at diagnosis was 23 weeks. The diagnostic accuracy of antenatal ul...
Source: Monaldi Archives for Chest Disease - April 30, 2024 Category: Respiratory Medicine Authors: Abhay Joglekar Subhasis Roy Choudhury Chandra Vibhash Manisha Kumar Amit Gupta Source Type: research

Pulmonary Embolism: An Update Based on the Revised AWMF-S2k Guideline
Hamostaseologie. 2024 Apr;44(2):111-118. doi: 10.1055/s-0044-1779011. Epub 2024 Apr 30.ABSTRACTPulmonary embolism (PE) is the third most common acute cardiovascular disease. The risk of PE increases with age and mortality is high. Patients are stratified into hemodynamically stable versus unstable patients, as this has important implications for diagnosis and therapy. Since clinical signs and symptoms of acute PE are nonspecific, the clinical likelihood of PE is estimated to guide diagnostic pathways. D-dimer testing is performed in hemodynamically stable patients with low or intermediate probability of PE and the visualiz...
Source: Hamostaseologie - April 30, 2024 Category: Hematology Authors: Christian F Opitz F Joachim Meyer Source Type: research

Successful Conservative Treatment of Necrotizing Pneumonia in Pediatric Patients: Two Case Reports
CONCLUSION: Our case report highlights that necrotizing pneumonia can be successfully treated with conservative treatment, thus obviating the need for early surgical intervention. These findings are potentially important for guiding clinical practice, suggesting that conservative management can be an effective treatment strategy for necrotizing pneumonia in certain circumstances.PMID:38687851 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - April 30, 2024 Category: Complementary Medicine Authors: Yin Li Tingyun Yuan Jiawu Yang Haifeng Liu Peilong Li Hongmin Fu Source Type: research

Risk factors and outcome of antenatally diagnosed congenital diaphragmatic hernia following in-utero transfer in a busy public-sector tertiary care center in North India
Monaldi Arch Chest Dis. 2024 Apr 30. doi: 10.4081/monaldi.2024.2880. Online ahead of print.ABSTRACTWe analyzed the risk factors and outcomes of antenatally diagnosed congenital diaphragmatic hernia (CDH) from a tertiary-care children's hospital following in-utero transfer. A total of 41 antenatally detected cases of CDH were included; 30 were live-born and 11 were still-born. The primary outcome was postnatal survival. The secondary outcome was the probable factor affecting survival. No medical termination of the pregnancy was done. The mean gestational age at diagnosis was 23 weeks. The diagnostic accuracy of antenatal ul...
Source: Monaldi Archives for Chest Disease - April 30, 2024 Category: Respiratory Medicine Authors: Abhay Joglekar Subhasis Roy Choudhury Chandra Vibhash Manisha Kumar Amit Gupta Source Type: research

Pulmonary Embolism: An Update Based on the Revised AWMF-S2k Guideline
Hamostaseologie. 2024 Apr;44(2):111-118. doi: 10.1055/s-0044-1779011. Epub 2024 Apr 30.ABSTRACTPulmonary embolism (PE) is the third most common acute cardiovascular disease. The risk of PE increases with age and mortality is high. Patients are stratified into hemodynamically stable versus unstable patients, as this has important implications for diagnosis and therapy. Since clinical signs and symptoms of acute PE are nonspecific, the clinical likelihood of PE is estimated to guide diagnostic pathways. D-dimer testing is performed in hemodynamically stable patients with low or intermediate probability of PE and the visualiz...
Source: Hamostaseologie - April 30, 2024 Category: Hematology Authors: Christian F Opitz F Joachim Meyer Source Type: research