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Total 158228 results found since Jan 2013.

Early Integration of Palliative Care in Families of Children with Single Ventricle Congenital Heart Defects: A Quality Improvement Project to Enhance Family Support
AbstractChildren with single ventricle congenital heart defects (SVCHD) experience a significant risk of early mortality throughout their lifespan, particularly during their first year of life. Due to the intense care needed for these children and families, pediatric palliative care (PPC) team consults should be routine; however, medical staff are often reluctant to broach the idea of PPC to families. The involvement of PPC for many carries with it an association to end-of-life (EOL) care. Setting the standard of PPC involvement from the time of admission for the first palliative surgery led to increased family support, de...
Source: Pediatric Cardiology - October 31, 2019 Category: Cardiology Source Type: research

CRITICAL CARE MANAGEMENT OF THE ACUTE POST-IMPLANT LVAD PATIENT: Management of Acute Post-Op LVAD Patients
Publication date: Available online 20 December 2019Source: Canadian Journal of CardiologyAuthor(s): Roman G. Nepomuceno, Livia A. Goldraich, Sabe De, Ahmed F. Hegazy, Dan Bainbridge, Muhanad Algadheeb, A. Dave NagpalAbstractLeft ventricular assist devices (LVADs) improve survival and quality of life in refractory end-stage heart failure. However, the therapy itself is associated with some degree of morbidity and mortality, at highest risk during the first 30 days post-implantation. Management of the freshly implanted LVAD patient requires an in-depth understanding of the acute post-implant period and common critical care i...
Source: Canadian Journal of Cardiology - December 21, 2019 Category: Cardiology Source Type: research

Critical Care Management of the Acute Postimplant LVAD Patient
Publication date: February 2020Source: Canadian Journal of Cardiology, Volume 36, Issue 2Author(s): Roman G. Nepomuceno, Livia A. Goldraich, Sabe De, Ahmed F. Hegazy, Dan Bainbridge, Muhanad Algadheeb, A. Dave NagpalAbstractLeft ventricular assist devices (LVADs) improve survival and quality of life in refractory end-stage heart failure. However, the therapy itself is associated with some degree of morbidity and mortality at highest risk during the first 30 days postimplantation. Management of the patient with a freshly implanted LVAD requires an in-depth understanding of the acute postimplant period and common critical ca...
Source: Canadian Journal of Cardiology - February 7, 2020 Category: Cardiology Source Type: research

A Quality Improvement Initiative to Reduce Surgical Site Infections in Patients Undergoing Delayed Sternal Closure After Pediatric Cardiac Surgery
AbstractSternal wound infections (SWI) in delayed sternal closure (DSC) patients are a healthcare burden after congenital heart surgery. There are no guidelines specific for pediatric DSC patients to prevent this costly complication. The hypothesis was that the modifications to a bundled approach for DSC patients would decrease the SWI rate. For this prospective cohort study, DSC patients were postoperatively admitted to a pediatric cardiac care unit from February 2017 to January 2018. Using a modified protocol for prevention of SWI, the infection rates pre- and post-modified protocol were compared. The primary outcome mea...
Source: Pediatric Cardiology - June 17, 2020 Category: Cardiology Source Type: research

Viscoelastic Haemostatic Assays in Cardiovascular Critical Care
Since its inception, cardiovascular critical care has witnessed an increase in the complexity of its patient population and the therapies available. The initiation and management of anticoagulation is a fundamental practice for a wide variety of indications, including the management of patients with acute MI, stroke prevention in patients with AF or mechanical valves, as well as...
Source: Radcliffe Cardiology - February 19, 2021 Category: Cardiology Authors: c242508f1d9059bc0f2aa9bdd5421ba2 Source Type: research

The Nexus of Heart Failure and Critical Care Cardiology
Both HF and CCC have seen significant transformation over the past few decades with an aging, complex patient population with multiple co-morbidities; advent of novel technologies and therapeutics; and changes in organizational structure, staffing, and training models of care delivery. Not surprisingly, several important questions have emerged during the course of clinical practice: How should HF patients be managed in the contemporary cardiac intensive care unit (CICU)? Who is ideally suited to care for these patients (advanced heart failure and transplant cardiologists, critical care cardiologists, cardiac intensivists, ...
Source: Journal of Cardiac Failure - October 1, 2021 Category: Cardiology Authors: Shashank S. Sinha, Erin A. Bohula, Jason N. Katz Source Type: research

Echocardiography in a critical care unit: a contemporary review
Expert Rev Cardiovasc Ther. 2022 Feb 2:1-9. doi: 10.1080/14779072.2022.2036124. Online ahead of print.ABSTRACTINTRODUCTION: Echocardiography is a rapid, noninvasive, and complete cardiac assessment tool for patients with hemodynamic instability. Relevant articles were extracted after searching on databases by two reviewers and incorporated in this review in anarrative style.AREAS COVERED: his review provides an overview of the evidence for current practices in critical care units (CCUs), incorporating the use of echocardiography in different etiologies of shock.EXPERT OPINION: In an acute scenario, a basic echocardiographi...
Source: Expert Review of Cardiovascular Therapy - January 31, 2022 Category: Cardiology Authors: Muhammad Mohsin Muhammad Umar Farooq Waheed Akhtar Waqar Mustafa Tanzeel Ur Rehman Jahanzeb Malik Taimoor Zahid Source Type: research

The Intersection between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations
The overall patient population in contemporary Cardiac Intensive Care Units (CICUs) has only increased with respect to patient acuity, complexity, and illness severity. The current population has more cardiac and non-cardiac comorbidities, a higher prevalence of multi-organ injury, and consumes more critical care resources than previously. Heart failure (HF) patients now occupy a large portion of contemporary tertiary or quaternary care CICU beds around the world. In this review, we will discuss core issues that relate to care of critically ill HF patients, including global perspectives on the organization, designation, an...
Source: Journal of Cardiac Failure - July 14, 2022 Category: Cardiology Authors: Shashank S. Sinha, Erin A. Bohula, Sean van Diepen, Sergio Leonardi, Alexandre Mebazaa, Alastair G. Proudfoot, Alessandro Sionis, Yew Woon Chia, Fernando G. Zampieri, Renato D. Lopes, Jason N. Katz Source Type: research

Establishing a Cardiac ICU Recovery Clinic: Characterizing a Model for Continuity of Cardiac Critical Care
Conclusions: CICU survivors are faced with significant residual symptom burden, dependence upon caretakers, and impairments in mental health. Dedicated CICURCs may help prioritize treatment of ICU related illness, reduce symptom burden, and improve outcomes. Interventions delivered in ICU recovery clinic for patients surviving the CICU warrant further investigation.
Source: Critical Pathways in Cardiology - August 29, 2022 Category: Cardiology Tags: Original Study Source Type: research

Thirty-Year Survival After Cardiac Surgery in Children With Williams –Beuren Syndrome (from the Pediatric Cardiac Care Consortium Study)
Williams –Beuren syndrome (WBS) is a genetic condition frequently requiring interventions for associated congenital heart disease (CHD). Long-term survival data after cardiac interventions for children with WBS are sparse. This is a retrospective cohort study aiming to describe the 30-year survival outcom es of children with WBS after interventions for CHD using the Pediatric Cardiac Care Consortium (PCCC), a large North American-based registry of interventions for pediatric heart diseases, between 1982 and 2009.
Source: The American Journal of Cardiology - December 14, 2022 Category: Cardiology Authors: Tawanda Zinyandu, Alejandro J. Montero, Amanda S. Thomas, Leandros Sassis, Pelagia Kefala-Karli, Jessica Knight, Lazaros K. Kochilas Source Type: research

Evaluation of the Performance of Vasoactive Ventilation Renal Score in Predicting the Duration of Mechanical Ventilation and Intensive Care Hospitalization After Pediatric Cardiac Surgery
AbstractVarious methods have been used to evaluate the predictivity of some markers during the recovery process after cardiac surgery in children. The aim herein was to evaluate the vasoactive ventilation renal (VVR) score in predicting the clinical outcomes of children who underwent congenital cardiac surgery within the early period in the pediatric intensive care unit (PICU). Patients who underwent congenital heart surgery (CHS) between November 2016 and March 2020 were enrolled and evaluated prospectively. The VVR score was calculated as follows: vasoactive inotrope score (VIS)  + ventilation index + (change in ...
Source: Pediatric Cardiology - January 1, 2023 Category: Cardiology Source Type: research

Cardiac Critical Care After Transcatheter Aortic Valve Replacement
Transcatheter aortic valve replacement (TAVR) is a new therapy for severe aortic stenosis now available in the United States. Initial patients eligible for TAVR are defined by high operative risk, with advanced age and multiple comorbidities. Following TAVR, patients experience acute hemodynamic changes and several possible complications, including hypotension, vascular injury, anemia, stroke, new-onset atrial fibrillation, conduction disturbances and kidney injury, requiring an acute phase of intensive care. Alongside improvements in TAVR technology and technique, improvements in care after TAVR may contribute to improved...
Source: Cardiology Clinics - November 1, 2013 Category: Cardiology Authors: Matthew I. Tomey, Umesh K. Gidwani, Samin K. Sharma Source Type: research

Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.
y W, Nichol G, Okada K, Ong ME, Travers AH, Nolan JP, for the Utstein Collaborators, for the Utstein Collaborators Abstract Utstein-style guidelines contribute to improved public health internationally by providing a structured framework with which to compare emergency medical services systems. Advances in resuscitation science, new insights into important predictors of outcome from out-of-hospital cardiac arrest, and lessons learned from methodological research prompted this review and update of the 2004 Utstein guidelines. Representatives of the International Liaison Committee on Resuscitation developed an updat...
Source: Circulation - November 11, 2014 Category: Cardiology Authors: Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, Bossaert LL, Brett SJ, Chamberlain D, de Caen AR, Deakin CD, Finn JC, Gräsner JT, Hazinski MF, Iwami T, Koster RW, Lim SH, Ma MH, McNally BF, Morley PT, Morrison LJ, Monsieurs KG, Montgome Tags: Circulation Source Type: research

Temperature Management After Cardiac Arrest: An Advisory Statement by the Advanced Life Support Task Force of the International Liaison Committee on Resuscitation and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.
PMID: 26434495 [PubMed - as supplied by publisher]
Source: Circulation - October 4, 2015 Category: Cardiology Authors: Donnino MW, Andersen LW, Berg KM, Reynolds JC, Nolan JP, Morley PT, Lang E, Cocchi MN, Xanthos T, Callaway CW, Soar J, and the ILCOR ALS Task Force Tags: Circulation Source Type: research

Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study
Abstract This prospective, observational, single-center study aimed to determine the perioperative predictors of early extubation (<24 h after cardiac surgery) in a cohort of children undergoing cardiac surgery. Children aged between 1 month and 18 years who were consecutively admitted to pediatric intensive care unit after cardiac surgery for congenital heart disease between January 2012 and June 2014. Ninety-nine patients were qualified for inclusion during the study period. The median duration of mechanical ventilation was 20 h (range 1–480), and 64 patients were extubated within 24 h. Four of the...
Source: Pediatric Cardiology - June 5, 2016 Category: Cardiology Source Type: research