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Total 158228 results found since Jan 2013.

Closing the Gap: Insights into the Epidemiology of Heart Failure Care from the Critical Care Cardiology Trials Network
There is no field in greater need of high-quality prospective evidence and comparative effectiveness research than that of cardiovascular critical care. The stakes are high, fueled by a high proportion of lives lost. The resources consumed are substantial. Variability in care is striking and practice is often driven by institutional experience and preferences in the absence of robust evidence. Within the domain of critical care cardiology, management of cardiogenic shock and severely decompensated heart failure (HF) is emblematic of this need.
Source: Journal of Cardiac Failure - October 1, 2021 Category: Cardiology Authors: DAVID A. MORROW Source Type: research

Critical Care of the Vascular Surgery Patient
Anesthesiol Clin. 2022 Dec;40(4):775-790. doi: 10.1016/j.anclin.2022.08.017. Epub 2022 Sep 28.ABSTRACTPatients that require major vascular surgery suffer from widespread atherosclerosis and have multiple comorbidities that place them at increased risk for postoperative complications and require admission to the intensive care unit (ICU). Postoperative critical care of these patients is focused on hemodynamic optimization, and early identification and management of complications to improve outcomes.PMID:36328628 | DOI:10.1016/j.anclin.2022.08.017
Source: Atherosclerosis - November 3, 2022 Category: Cardiology Authors: Milad Sharifpour Edward A Bittner Source Type: research

Training Pathways in Critical Care Cardiology: Competencies and Considerations for Cardiologists
AbstractPurpose of ReviewCritical care cardiology (CCC) is a rapidly developing field undergoing a renaissance of interest and growth to meet the well-documented population shift in the cardiac intensive care unit (CICU). With this has come the emergence of novel training paradigms that seek to combine specialties with meaningful overlap.Recent FindingsThe benefit of having critical care expertise in the CICU has been clearly established; however, there is no formal or uniform CCC training pathway. Contemporary approaches seek to provide appropriate clinical and procedural experience while minimizing opportunity cost. The ...
Source: Current Cardiology Reports - September 11, 2023 Category: Cardiology Source Type: research

From the Coronary Care Unit to the Cardiovascular Intensive Care Unit: The Evolution of Cardiac Critical Care
This article presents an overview of the evolution of cardiac critical care in the past half century. It tracks the rapid advances in the management of cardiovascular disease and how the intensive care area has kept pace, improving outcomes and incorporating successive innovations. The current multidisciplinary, evidence based unit is vastly different from the early days and is expected to evolve further in keeping with the concept of ‘hybrid’ care areas where care is delivered by the ‘heart team’.
Source: Cardiology Clinics - September 23, 2013 Category: Cardiology Authors: Umesh K. Gidwani, Annapoorna S. Kini Source Type: research

Challenges to the Provision of Emergency Services and Critical Care in Resource-Constrained Settings
We describe some of the challenges to the provision of emergency services and critical care in Tanzania.
Source: Global Heart - November 1, 2014 Category: Cardiology Source Type: research

A report on 5 th congress of Asia Pacific Pediatric Cardiac Society, New Delhi, India, 6-9 March 2014
This article describes the journey of preparing and hosting one of the largest international events in the specialty of Pediatric Cardiac Care ever held in India. A total of 938 delegates, including 400 from outside India, participated. The scientific program was inclusive keeping in mind the diverse background of delegates from the member nations. Large numbers of research papers were presented, mostly by fellows in training.
Source: Annals of Pediatric Cardiology - January 19, 2015 Category: Cardiology Authors: Saurabh K GuptaAnita Saxena Source Type: research

End-of-life issues in cardiac critical care: The option of organ donation
Publication date: Available online 24 October 2016 Source:Canadian Journal of Cardiology Author(s): Karim Serri, Pierre Marsolais Despite important advances in the care of post-cardiac arrest patients, severe brain injury remains one of the major causes of death in the cardiac intensive care unit (CICU). Neurological prognostication after cardiac arrest has evolved significantly since the introduction of therapeutic hypothermia. It now relies on a multimodal approach and a minimal observation period of 72 hours is usually advocated. However when brain injury is severe and the prognosis considered dismal, patients become e...
Source: Canadian Journal of Cardiology - October 23, 2016 Category: Cardiology Source Type: research

Simulation as a tool to ensure competency and quality of care in the cardiac critical care unit
This article will review the simulation literature in the intensive care unit and will evaluate its integration in Coronary Care Units (CCUs) and postoperative Cardiovascular Intensive Care Units (CVICUs). It will also provide resources for educators and clinicians wishing to implement simulation workshops in these settings. Teaser Simulation is now widely recognized as an effective and safe means to learn and practice acute care setting skills. Applications include crisis resource management and team training, procedural skills training, patient and family member communication skills and healthcare system quality improvem...
Source: Canadian Journal of Cardiology - October 23, 2016 Category: Cardiology Source Type: research

Prevention of Critical Care Complications in the Coronary Intensive Care Unit: Protocols, Bundles, and Insights From Intensive Care Studies
Publication date: January 2017 Source:Canadian Journal of Cardiology, Volume 33, Issue 1 Author(s): Sean van Diepen, Wendy I. Sligl, Jeffrey B. Washam, Ian C. Gilchrist, Rakesh C. Arora, Jason N. Katz Over the past half century, coronary care units have expanded from specialized ischemia arrhythmia monitoring units into intensive care units (ICUs) for acutely ill and medically complex patients with a primary cardiac diagnosis. Patients admitted to contemporary coronary intensive care units (CICUs) are at risk for common and preventable critical care complications, yet many CICUs have not adopted standard-of-care preventio...
Source: Canadian Journal of Cardiology - December 23, 2016 Category: Cardiology Source Type: research

Risk factors and outcomes of tracheostomy after prolonged mechanical ventilation in pediatric patients with heart disease
The indications for tracheostomy after prolonged mechanical ventilation among pediatric patients with heart disease are multifactorial and difficult to determine; therefore, knowing the risk factors and outcomes of tracheostomy may be useful for selecting patients who require tracheostomy. The aim of this study was to identify the risk factors and outcomes of tracheostomy after prolonged mechanical ventilation in pediatric patients with heart disease. We performed a retrospective, single-center observational study in consecutive patients with heart disease aged ≤18 years admitted to a pediatric intensive care unit at a...
Source: Progress in Pediatric Cardiology - May 17, 2018 Category: Cardiology Authors: Takeshi Hatachi, Yoshiko Kawamura, Shogo Fujimoto, Kazumi Matsuura, Yu Inata, Toshiki Sofue, Nao Okuda, Hideyuki Matsunaga, Kazumi Takemori, Muneyuki Takeuchi Source Type: research

The high cost of critical care unit over-utilization for patients with NSTE ACS
Conclusions In a population-based contemporary cohort, CCU utilization for patients with NSTE ACS varied widely and in-hospital mortality was similar between low, medium and high utilization centers. CCU care accounted for 45% of hospitalization costs; thus, implementing policies and admission practices to align hospital resources with patient care needs have the potential to reduce overall health care costs.
Source: American Heart Journal - May 20, 2018 Category: Cardiology Source Type: research

How New Support Devices Change Critical Care Delivery.
Abstract Mechanical support devices are used to support failing cardiac, respiratory, or both systems. Since Gibbon developed the cardiopulmonary bypass in 1953, collaborative efforts by medical centers, bioengineers, industry, and the National Institutes of Health have led to development of mechanical devices to support heart, lung, or both. These devices are used as a temporary or long-term measures for acute collapse of circulatory system and/or respiratory failure. Patients are managed on these support devices as a bridge to recovery, bridge to long term devices, or bridge to transplant. The progress in develo...
Source: Methodist DeBakey Cardiovascular Journal - April 1, 2018 Category: Cardiology Authors: Zainab A, Tuazon D, Uddin F, Ratnani I Tags: Methodist Debakey Cardiovasc J Source Type: research

The high cost of critical care unit over-utilization for patients with NSTE ACS
ConclusionsIn a population-based contemporary cohort, CCU utilization for patients with NSTE ACS varied widely and in-hospital mortality was similar between low, medium and high utilization centers. CCU care accounted for 45% of hospitalization costs; thus, implementing policies and admission practices to align hospital resources with patient care needs have the potential to reduce overall health care costs.
Source: American Heart Journal - July 10, 2018 Category: Cardiology Source Type: research

Abernethy malformation: Our experience from a tertiary cardiac care center and review of literature
We describe our experience with five cases in a tertiary pediatric cardiac care center with Abernethy malformation, with review of literature and also discuss possible therapeutic implications.
Source: Annals of Pediatric Cardiology - August 20, 2019 Category: Cardiology Authors: Sushil Azad Adhi Arya Radhakrishnan Sitaraman Amit Garg Source Type: research