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Total 274889 results found since Jan 2013.

Urinary tract infections in the critical care unit: A brief review
Satyen Parida, Sandeep Kumar MishraIndian Journal of Critical Care Medicine 2013 17(6):370-374The use of indwelling catheters in the Critical Care Units (CCUs) has a major role in determining the incidence and the morbidity as well as mortality from hospital-acquired urinary tract infections (UTIs). Instituting evidence-based protocols can significantly reduce both the prevalence of indwelling catheterization as well as the incidence of hospital-acquired UTIs. The prevalence of catheter-associated urinary tract infections (CAUTIs) in the CCUs is directly linked to the widespread use of indwelling catheters in these setting...
Source: Indian Journal of Critical Care Medicine - December 23, 2013 Category: Intensive Care Authors: Satyen ParidaSandeep Kumar Mishra Source Type: research

Efficacy of osteopathic manipulative treatment approach in the patient with pulmonary fibrosis in critical care outpatient department
Manu Goyal, Kanu Goyal, Kanimozhi Narkeesh, Asir John Samuel, Narkeesh Arumugam, Subhasish Chatterjee, Sorabh SharmaIndian Journal of Critical Care Medicine 2017 21(7):469-472 The purpose of the present case study was to explore the efficacy of osteopathic manipulative treatment (OMT) in patient with pulmonary fibrosis (PF) in the critical care outpatient department. Here, we present a 48-year-old male case with breathlessness, increased frequency of defecation, and pain in and around the nape of neck with diagnosed pulmonary fibrosis. He scored 3 on a patient-reported modified Medical Research Council (mMRC) dyspnea scal...
Source: Indian Journal of Critical Care Medicine - July 14, 2017 Category: Intensive Care Authors: Manu Goyal Kanu Goyal Kanimozhi Narkeesh Asir John Samuel Narkeesh Arumugam Subhasish Chatterjee Sorabh Sharma Source Type: research

Recommended Reading from the Massachusetts General Hospital, Department of Anesthesia, Critical Care and Pain Medicine Fellows.
PMID: 31185176 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - June 10, 2019 Category: Respiratory Medicine Authors: Zadek F, Spina S, Hu J, Berra L Tags: Am J Respir Crit Care Med Source Type: research

Zika virus: Report from the task force on tropical diseases by the world Federation of Societies of intensive and critical care medicine
Zika fever is an acute infectious disease caused by the Zika virus (ZIKV), an RNA virus belonging to the genus Flavivirus. ZIKV can be transmitted by bites from Aedes aegypti and Aedes albopictus species, sexual activity, blood transfusion and from mother to fetus during pregnancy and delivery. A total of 50 territories and countries in the Americas had reported ZIKV infections. For those with symptoms, the presentation is similar to dengue fever with body aches, joint pain, fatigue, malaise, fever and conjunctivitis lasting up to seven days.
Source: Journal of Critical Care - April 5, 2018 Category: Intensive Care Authors: Gisele Sampaio Silva, Guy A. Richards, Tim Baker, Jorge Hidalgo, Juan Ignacio Silesky Jim énez, Pravin Amin, Council of the World Federation of Societies of Intensive and Critical Care Medicine Source Type: research

Risk Factors for Functional Decline and Impaired Quality of Life after Pediatric Respiratory Failure.
CONCLUSIONS: Post-discharge morbidity after respiratory failure is common and associated with admission factors, exposure to critical care therapies, and pain and sedation management. PMID: 31034245 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - April 28, 2019 Category: Respiratory Medicine Authors: Watson RS, Asaro LA, Hutchins L, Bysani GK, Killien EY, Angus DC, Wypij D, Curley MAQ, RESTORE Study Investigators Tags: Am J Respir Crit Care Med Source Type: research

Dexmedetomidine Use in Critically Ill Children With Acute Respiratory Failure*
Conclusions: Our data support the use of dexmedetomidine as a primary agent in low criticality patients offering the benefit of rapid achievement of targeted sedation levels. Dexmedetomidine as a secondary agent does not appear to add benefit. The use of dexmedetomidine to facilitate extubation in children intolerant of an awake, intubated state may abbreviate ventilator weaning. These data support a broader armamentarium of pediatric critical care sedation.
Source: Pediatric Critical Care Medicine - December 1, 2016 Category: Pediatrics Tags: Feature Articles Source Type: research

Nurse-Implemented Goal-Directed Strategy to Improve Pain and Sedation Management in a Pediatric Cardiac ICU
Conclusions: The implementation of a nurse-driven goal-directed plan such as cardiac-RESTORE to manage pediatric cardiac ICU patient pain and sedation is possible, sustainable, and associated with reduced sedative and methadone use.
Source: Pediatric Critical Care Medicine - December 1, 2020 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Methadone: applications in pediatric anesthesiology and critical care medicine
AbstractLike morphine, methadone is a pure agonist at the µ opioid receptor. However, in distinction to morphine which has an elimination half-life of 2–3 h, methadone has an elimination half-life of 24–36 h. In addition to its effects at the µ opioid receptor, methadone is an antagonist at then-methyl-d-aspartate (NMDA) receptor and also inhibits the reuptake of the neurotransmitters, serotonin and norepinephrine, in the central nervous system. Given its long half-life and high oral bioavailability, methadone has had a primary role in the outpatient treatment of patients with a history of opioid abuse or addiction...
Source: Journal of Anesthesia - January 12, 2021 Category: Anesthesiology Source Type: research

Integrating Palliative Care Into the PICU: A Report From the Improving Palliative Care in the ICU Advisory Board*
Conclusions: Palliative care should begin at the time of a potentially life-limiting diagnosis and continue throughout the disease trajectory, regardless of the expected outcome. Although the PICU is often used for short term postoperative stabilization, PICU clinicians also care for many chronically ill children with complex underlying conditions and others receiving intensive care for prolonged periods. Integrating palliative care delivery into the PICU is rapidly becoming the standard for high quality care of critically ill children. Interdisciplinary ICU staff can take advantage of the growing resources for continuing ...
Source: Pediatric Critical Care Medicine - October 1, 2014 Category: Pediatrics Tags: Review Article Source Type: research

A Systematic Review of Risk Factors Associated With Cognitive Impairment After Pediatric Critical Illness*
Conclusions: Identifying risk factors for poor cognitive outcomes post critical illness may help healthcare teams modify patient risk and/or provide follow-up services to improve long-term cognitive outcomes in high-risk children.
Source: Pediatric Critical Care Medicine - March 1, 2018 Category: Pediatrics Tags: Online Review Article Source Type: research

Skin-to-Skin Care Is a Safe and Effective Comfort Measure for Infants Before and After Neonatal Cardiac Surgery
Objectives: To determine the effect of skin-to-skin care on stress, pain, behavioral organization, and physiologic stability of infants with critical congenital heart disease before and after neonatal cardiac surgery. Design: A baseline response-paired design was used, with infants acting as their own controls before, during, and after skin-to-skin care at two distinct time points: once in the preoperative period (T1) and once in the postoperative period (T2). Setting: Cardiac ICU and step-down unit in a large metropolitan freestanding children’s hospital. Subjects: Convenience sample of 30 infants admitted pr...
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

The use of methadone to facilitate opioid weaning in pediatric critical care patients: a systematic review of the literature and meta ‐analysis
ConclusionWe did not identify sufficient evidence to recommend any particular methadone weaning strategy, or to recommend methadone over other medications or prescribed infusion weaning, for successful weaning of continuous opioid infusions in the pediatric intensive care setting.
Source: Pediatric Anesthesia - January 21, 2017 Category: Anesthesiology Authors: Leslie A. Dervan, Beryl Yaghmai, Robert Scott Watson, Fredric M. Wolf Tags: Systematic Review Source Type: research

Developmental Care Practice and Documentation Variability in the Cardiac ICU
CONCLUSIONS: There are significant, quantifiable variations in documented developmental care practices at both the individual and site level. More reliable documentation of developmental care practices is required to associate these variables with later outcomes and investigate disparities in individualized developmental care practices.
Source: Pediatric Critical Care Medicine - March 1, 2022 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

Enteral Acetaminophen Bioavailability in Pediatric Intensive Care Patients Determined With an Oral Microtracer and Pharmacokinetic Modeling to Optimize Dosing
Conclusions: Microtracer studies present a new opportunity to gain knowledge on drug disposition in the intensive care. Using this modality in children in the pediatric intensive care, we showed that enteral administration of acetaminophen results in less predictable exposure and higher likelihood of subtherapeutic blood concentration than does IV administration. IV dosing may be preferable to ensure adequate pain relief.
Source: Critical Care Medicine - November 16, 2019 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research