Lung ultrasound score for monitoring the withdrawal of extracorporeal membrane oxygenation on neonatal acute respiratory distress syndrome
Extracorporeal membrane oxygenation (ECMO) is considered an efficient and life-saving treatment for neonatal severe acute respiratory distress syndrome (ARDS).1 However, ECMO also brings many inevitable complications, such as the inflammatory response to extracorporeal circulation, bleeding, thrombosis risks, etc. Weaning off ECMO should be considered immediately when neonatal ARDS patients recover from reversible pulmonary disease.2 Bedside lung ultrasound (LUS) is an attractive and feasible method for evaluating neonatal ARDS. (Source: Heart and Lung)
Source: Heart and Lung - September 15, 2023 Category: Intensive Care Authors: Hong-Lin Wu, Si-Jia Zhou, Xiu-Hua Chen, Hua Cao, Yi-Rong Zheng, Qiang Chen Source Type: research
A family intervention to prevent postoperative delirium in patients undergoing cardiac valve surgery: A randomized controlled study
Valvular heart disease (VHD) is a common cause of cardiovascular disease, afflicting approximately 25 million patients in China.1 Surgical repair and replacement are commonly required as the primary treatment for VHD. As the population ages, the number of patients requiring cardiac valve surgery is expected to increase as well.2 Although surgery extends the survival of patients,3 related postoperative complications are gradually emerging. Delirium is a common neurological complication of VHD, with a high incidence of 33.0% −56.0%. (Source: Heart and Lung)
Source: Heart and Lung - September 13, 2023 Category: Intensive Care Authors: Lingyu Lin, Yanchun Peng, Xizhen Huang, Sailan Li, Liangwan Chen, Yanjuan Lin Source Type: research
Clear Vision and Mission Focused: AAHFN
This past summer, I had the pleasure of focusing my attention on the future work and growth of AAHFN along with my other esteemed Board of Directors. Since joining the Board in 2018, this is my second time to assist with strategic planning for our organization. This is a deliberate process that we undertake every 3 years during which we look at past successes and build on those, and look forward to determine the work we should carry out in the coming years. As a Board, our role is to guide the work and growth of the organization and building a solid, well-developed strategic plan ensures that we know our mission and stay m...
Source: Heart and Lung - September 8, 2023 Category: Intensive Care Source Type: research
Driveline dressings used in heartmate patients and local complications: A retrospective cohort
Advanced heart failure is defined as a progressive worsening of symptoms and disabling for daily activities, in addition to being refractory to optimised drug therapy and with high mortality.1,2 The proposed treatment for patients at this stage consists of invasive interventions, such as, mechanical circulatory support (MCS).1 –4 (Source: Heart and Lung)
Source: Heart and Lung - August 25, 2023 Category: Intensive Care Authors: Natalia Balestra, Suzanne Fredericks, Adryel Vieira Caetano da Silva, Roberta Cunha Matheus Rodrigues, Daniella Pires Nunes, Rafaela Batista dos Santos Pedrosa Source Type: research
Pre-hospital use of direct oral anticoagulants agents is associated with a lower risk of major bleeding events in critically ill patients: A single academic center experience
The last decade has witnessed significant advancements in direct oral anticoagulants (DOACs), transforming the landscape of anticoagulation therapy. Dabigatran was the first DOAC to gain approval in 2011 by the Food and Drug Administration (FDA).1 Apixaban, rivaroxaban, edoxaban and betrixaban soon followed. Randomized controlled trials have demonstrated the noninferiority of DOACs to warfarin for stroke prevention in nonvalvular atrial fibrillation and treatment of venous thromboembolism.1 –5 Based on the robust evidence, clinical practice guidelines strongly recommend using DOACs over warfarin for various cardiovascula...
Source: Heart and Lung - August 24, 2023 Category: Intensive Care Authors: Amos Lal, Abdul Wahab, Aysun Tekin, Simmy Lahori, John G Park Source Type: research
Combination prophylactic amiodarone with beta-blockers versus beta-blockers in atrial fibrillation after cardiac surgery: A systematic-review and meta-analysis
Postoperative atrial fibrillation (POAF) is one of the most common complications associated with cardiac surgery. It occurs in approximately 30 –50% of postoperative patients and is associated with high mortality risks, morbidity, and longer hospital stays.1 POAF is also associated with higher rates of thromboembolic events, need for additional treatments, and higher economic costs, particularly in those undergoing cardiac surgery.1 (Source: Heart and Lung)
Source: Heart and Lung - August 22, 2023 Category: Intensive Care Authors: Edgar Theodore Polintan, Reejeen Monsalve, Rajiv Hans Menghrajani, Kym Yves Sirilan, Sandeep Samethadka Nayak, Peter Abdelmaseeh, Gabriel Patarroyo-Aponte, Kevin Bryan Lo, Sourbha S. Dani Source Type: research
A mindfulness-oriented psycho-behavioral intervention for patients with acute coronary syndrome: A pilot study
Coronary heart disease is the world's leading killer, responsible for 8.9 million deaths.1 Acute coronary syndrome (ACS) has become a major cause of cardiovascular morbidity and mortality annually and imposes a significant socioeconomic burden on patients, and the healthcare system.2 Due to changes in sociodemographic structure and acquisition of unhealthy lifestyles driven by the rapid economic development and urbanization in the past decades, morbidity and mortality of ACS continue to increase in China. (Source: Heart and Lung)
Source: Heart and Lung - August 21, 2023 Category: Intensive Care Authors: Huijing Zou, Sek Ying Chair, Dan Luo, Qian Liu, Xiao Qin Wang, Bing Xiang Yang Source Type: research
Biological age as a predictor of unplanned intensive care readmission during the same hospitalization
Following apparent successful intensive care unit (ICU) discharge between 5% and 10% of the patients are readmitted to the ICU during the same hospitalization,1,2 increasing the overall morbidity and resource requirements of the critically ill.3-5 Multiple risk factors for unplanned ICU readmission have been identified, including incomplete resolution of the primary critical illness evidenced by high levels of inflammatory markers at ICU discharge, development of new complications in the hospital wards such as venous thromboembolism and nosocomial infection, and worsening of preexisting comorbidity. (Source: Heart and Lung)
Source: Heart and Lung - August 21, 2023 Category: Intensive Care Authors: Kwok M. Ho Source Type: research
Muscle strength and mobility of individuals with COVID-19 compared with non-COVID-19 in intensive care
The coronavirus disease (COVID-19) pandemic resulted in a burden of hospitalizations, high rates of intensive care admissions and the use of invasive mechanical ventilation (IMV), posing unprecedented challenges to intensive care services globally. COVID-19 was identified in December 2019 and caused the COVID-19 pandemic, which was essentially controlled with access to vaccination.1 Before vaccination, 15% of individuals with COVID-19 required hospitalization. Also, 5% of the infected population and 20% of hospitalized individuals required IMV. (Source: Heart and Lung)
Source: Heart and Lung - August 19, 2023 Category: Intensive Care Authors: Graziele S Tavares, Cristino C Oliveira, Liliane P S Mendes, Marcelo Velloso Source Type: research
Machine learning algorithms for prediction of ventilator associated pneumonia in traumatic brain injury patients from the MIMIC-III database
As a common type of central nervous system injury, traumatic brain injury (TBI) is still widespread in the world and causes huge burden to family of victims and economy of the society. Due to the systemic pathophysiological process after TBI, the prognosis of TBI patients is not only determined by the severity of intracranial injury, but also influenced by extracranial complications caused by intrinsic pathophysiological changes and iatrogenic interventions. As a common pulmonary complication, the ventilator associated pneumonia (VAP) has been reported widely occurring in TBI patients with the incidence ranging from 20.4 %...
Source: Heart and Lung - August 16, 2023 Category: Intensive Care Authors: Ruoran Wang, Linrui Cai, Yan Liu, Jing Zhang, Xiaofeng Ou, Jianguo Xu Source Type: research
An observational pilot study of sleep disruption and delirium in critically ill children
Delirium is a frequent complication of pediatric critical illness associated with poor outcomes, including increased length of stay (LOS), healthcare costs, and mortality.1 Sleep/wake cycle disturbances are frequently observed in children with delirium and included as criteria in pediatric delirium screening.2,3 However, few researchers have explored the relationship between sleep disruption and pediatric delirium. (Source: Heart and Lung)
Source: Heart and Lung - August 15, 2023 Category: Intensive Care Authors: Laura Beth Kalvas, Tondi M. Harrison, Martha A.Q. Curley, Monica R. Ordway, Nancy S. Redeker, Mary Beth Happ Source Type: research
Development and validation of a prediction model for postoperative intensive care unit admission in patients with non-cardiac surgery
Intensive care unit (ICU) resources are costly and scarce, particularly during the COVID-19 pandemic. Statistically, in the United States, more than 15 million major inpatient surgeries are performed every year,1 and nearly 10% of elective surgery patients require postoperative ICU care.2,3 The daily costs of surgical ICU care range from $2000 to $10,000.4,5 Failure to identify surgery patients with high risk of ICU admission or delay in their admission to the ICU can result in increased morbidity, mortality, and costs. (Source: Heart and Lung)
Source: Heart and Lung - August 9, 2023 Category: Intensive Care Authors: Zhikun Xu, Shihua Yao, Zhongji Jiang, Linhui Hu, Zijun Huang, Quanjun Zeng, Xueyan Liu Source Type: research
Bloodstream infections in COVID-19 patients undergoing extracorporeal membrane oxygenation in ICU: An observational cohort study
The pandemic due to SARS-CoV-2 infection is characterized by a wide spectrum of clinical presentation and disease (COVID-19), ranging from an asymptomatic course to the acute respiratory distress syndrome (ARDS).1,2 Like ARDS of other etiologies,3,4 the most severe cases of respiratory failure due to Sars-CoV2 can require the extra-corporeal membrane oxygenation (ECMO) support.5,6 (Source: Heart and Lung)
Source: Heart and Lung - August 8, 2023 Category: Intensive Care Authors: Simone Carelli, Antonio Maria Dell'Anna, Luca Montini, Giulia Bernardi, Mariangela Gozza, Salvatore Lucio Cutuli, Daniele Natalini, Filippo Bongiovanni, Eloisa Sofia Tanzarella, Gabriele Pintaudi, Maria Grazia Bocci, Alessandra Bisanti, Giuseppe Bello, Do Source Type: research
Predictors of gain in exercise capacity through cardiac rehabilitation: Sex and age matter
Cardiovascular diseases (CVD) are a major public health burden.1 Cardiac rehabilitation (CR) has become a cornerstone of secondary cardiovascular prevention worldwide2 and improves cardiovascular outcomes.3 The determinants affecting treatment outcome of CR, however, are poorly understood. (Source: Heart and Lung)
Source: Heart and Lung - August 8, 2023 Category: Intensive Care Authors: Rub én Fuentes Artiles, Sebastian Euler, Bianca Auschra, Hadassa Brito da Silva, David Niederseer, Christian Schmied, Roland von Känel, Lena Jellestad Source Type: research
Effectiveness of the integration of a palliative care team in the follow-up of patients with advanced chronic obstructive pulmonary disease: The home obstructive lung disease study
End-stage chronic obstructive pulmonary disease (COPD) is characterized by a considerable symptom burden, functional impairment, and reduced quality of life, similar to that experienced by patients with lung cancer.1 Therefore, COPD management guidelines recommend involving palliative care (PC) teams in the management of patients with end-stage COPD.2 (Source: Heart and Lung)
Source: Heart and Lung - August 7, 2023 Category: Intensive Care Authors: D. Gainza-Miranda, EM Sanz-Peces, M Varela Cerdeira, C Prados Sanchez, A Alonso-Babarro Source Type: research
