Browsing by Subject "Intensive Care Units"
Now showing items 1-20 of 21
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A nationwide survey of intravenous antimicrobial use in intensive care units in Japan.
(International journal of antimicrobial agents, 2018-04)Although most patients in the intensive care unit (ICU) receive antibiotics, little is known about patterns of antibiotic use in ICUs in Japan. The objective of this study was to evaluate the pattern of antibiotic use in ... -
Association between hospital volume and network membership and an analgesia, sedation and delirium order set quality score: a cohort study.
(Critical care (London, England), 2012-06)<h4>Introduction</h4>Protocols for the delivery of analgesia, sedation and delirium care of the critically ill, mechanically ventilated patient have been shown to improve outcomes but are not uniformly used. The extent to ... -
Breakthrough invasive fungal infections: Who is at risk?
(Mycoses, 2020-10)The epidemiology of invasive fungal infections (IFIs) in immunocompromised individuals has changed over the last few decades, partially due to the increased use of antifungal agents to prevent IFIs. Although this strategy ... -
Continuous intravenous cimetidine decreases stress-related upper gastrointestinal hemorrhage without promoting pneumonia.
(Crit Care Med, 1993-01)OBJECTIVES: To determine whether a continuous i.v. infusion of cimetidine, a histamine-2 (H2) receptor antagonist, is needed to prevent upper gastrointestinal (GI) hemorrhage when compared with placebo and if that usage ... -
Diagnostic Accuracy of Electrographic Seizure Detection by Neurophysiologists and Non-Neurophysiologists in the Adult ICU Using a Panel of Quantitative EEG Trends.
(J Clin Neurophysiol, 2015-08)PURPOSE: To evaluate the sensitivity and specificity of a panel of quantitative EEG (qEEG) trends for seizure detection in adult intensive care unit (ICU) patients when reviewed by neurophysiologists and non-neurophysiologists. ... -
ECMM/ISHAM recommendations for clinical management of COVID-19 associated mucormycosis in low- and middle-income countries.
(Mycoses, 2021-09)Reports are increasing on the emergence of COVID-19-associated mucormycosis (CAM) globally, driven particularly by low- and middle-income countries. The recent unprecedented surge of CAM in India has drawn worldwide attention. ... -
How Prepared Are Medical and Nursing Students to Identify Common Hazards in the Intensive Care Unit?
(Annals of the American Thoracic Society, 2017-04)<h4>Rationale</h4>Care in the hospital is hazardous. Harm in the hospital may prolong hospitalization, increase suffering, result in death, and increase costs of care. Although the interprofessional team is critical ... -
Implementation Strategies to Improve Evidence-Based Bathing Practices in a Neuro ICU.
(Journal of nursing care quality, 2019-04)<h4>Background</h4>Evidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs). However, implementation of ... -
Invasive aspergillosis in critically ill patients: Review of definitions and diagnostic approaches.
(Mycoses, 2021-09)Invasive aspergillosis (IA) is an increasingly recognised phenomenon in critically ill patients in the intensive care unit, including in patients with severe influenza and severe coronavirus disease 2019 (COVID-19) infection. ... -
Metabolomic derangements are associated with mortality in critically ill adult patients.
(PLoS One, 2014)OBJECTIVE: To identify metabolomic biomarkers predictive of Intensive Care Unit (ICU) mortality in adults. RATIONALE: Comprehensive metabolomic profiling of plasma at ICU admission to identify biomarkers associated with ... -
Minimally Invasive Surgery for Mild-to-Moderate Adult Spinal Deformities: Impact on Intensive Care Unit and Hospital Stay.
(World neurosurgery, 2019-07)<h4>Objective</h4>To compare circumferential minimally invasive (cMIS) versus open surgeries for mild-to-moderate adult spinal deformity (ASD) with regard to intensive care unit (ICU) and hospital lengths of stay ... -
Program Evaluation of an Early Nurse Intervention Team.
(AACN advanced critical care, 2022-03)<h4>Background</h4>Many hospitals have implemented early rapid response teams to improve detection of patients at risk for decline. However, formal evaluation of these programs is rare.<h4>Objective</h4>To evaluate the Early ... -
Recurrent Use of VV ECMO in Refractory Hypoxemia After Penetrating Lung Injury and Multifocal Pneumonia in a Single Individual's ICU Stay.
(Journal of cardiothoracic and vascular anesthesia, 2021-05) -
Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial.
(Implementation science : IS, 2021-04-26)<h4>Background</h4>Central line-associated bloodstream infections (CLABSIs) result in approximately 28,000 deaths and approximately $2.3 billion in added costs to the U.S. healthcare system each year, and yet, many of these ... -
Risk factors and outcome of pulmonary aspergillosis in critically ill coronavirus disease 2019 patients-a multinational observational study by the European Confederation of Medical Mycology.
(Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2022-04)<h4>Objectives</h4>Coronavirus disease 2019 (COVID-19) -associated pulmonary aspergillosis (CAPA) has emerged as a complication in critically ill COVID-19 patients. The objectives of this multinational study were to determine ... -
Strategies to Sustain Quality Interventions: Case Examples of Chlorhexidine Gluconate Bathing.
(AACN advanced critical care, 2022-09)Sustaining improvements achieved through clinical inquiry projects is challenging. Often improvements are observed early after a change; however, over time, clinical staff will frequently revert to their previous practices, ... -
Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative.
(Infection control and hospital epidemiology, 2022-07)We reviewed the sustainability of a multifaceted intervention on catheter-associated urinary tract infection (CAUTI) in 3 intensive care units. During the 4-year postintervention period, we observed reductions in urine culture ... -
The effect of tracheostomy delay time on outcome of patients with prolonged mechanical ventilation: A STROBE-compliant retrospective cohort study.
(Medicine, 2019-08)The tracheostomy timing for patients with prolonged mechanical ventilation (PMV) was usually delayed in our country. Both physician decision time and tracheostomy delay time (time from physician's suggestion of tracheostomy ... -
The first 20 months of the COVID-19 pandemic: Mortality, intubation and ICU rates among 104,590 patients hospitalized at 21 United States health systems.
(PloS one, 2022-01)<h4>Main objective</h4>There is limited information on how patient outcomes have changed during the COVID-19 pandemic. This study characterizes changes in mortality, intubation, and ICU admission rates during the first 20 ... -
Which factors should be included in triage? An online survey of the attitudes of the UK general public to pandemic triage dilemmas.
(BMJ open, 2020-12-08)<h4>Objective</h4>As cases of COVID-19 infections surge, concerns have renewed about intensive care units (ICUs) being overwhelmed and the need for specific triage protocols over winter. This study aimed to help inform triage ...
