Miscellaneous archivos - Page 2 of 3 - Perfusfind Intensive Care

Supporting the bereaved child in the adult ICU: a narrative review

Abstract Childhood bereavement is a significant issue globally, affecting millions of children each year, with incidence rates significantly increasing following the COVID-19 pandemic. The loss of an important adult, particularly in the ICU environment, can lead to lasting psychological and behavioural challenges for children. While family-centred practices in the ICU have advanced, the unique bereavement […]

Bereavement, Child-bereavement, End of life, Intensive care unit

Supporting the bereaved child in the adult ICU: a narrative review Read Post »

Miscellaneous, Respiratory

Distribution of airway pressure opening in the lungs measured with electrical impedance tomography (POET): a prospective physiological study

Abstract Background In patients with acute hypoxemic respiratory failure (AHRF) under mechanical ventilation, the change in pressure slope during a low-flow insufflation indicates a global airway opening pressure (AOP) needed to reopen closed airways and may be used for titration of positive end-expiratory pressure. Objectives To understand 1) if airways open homogeneously inside the lungs

acute hypoxemic respiratory failure (AHRF), Airway opening pressure, Electrical impedance tomography, mechanical ventilation, tomography

Distribution of airway pressure opening in the lungs measured with electrical impedance tomography (POET): a prospective physiological study Read Post »

Miscellaneous

Assessing fluid responsiveness with ultrasound in the neonatal intensive care setting: the mini-fluid challenge

Abstract The mini-fluid challenge (MFC) can guide individualised fluid therapy and prevent fluid overload and associated morbidity in adult intensive care patients. This ultrasound test is based on the Frank-Starling principles to assess dynamic fluid responsiveness, but limited MFC data exists for newborns. This brief report describes the feasibility of the MFC in 12 preterm infants

fluid challenge, newborn, sepsis, ultrasound

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Mechanical Ventilation, Miscellaneous

Echocardiography in the Ventilated Patient: What the Clinician Has to Know

Abstract Heart and lung sharing the same anatomical space are influenced by each other. Spontaneous breathing induces dynamic changes in intrathoracic pressure, impacting cardiac function, particularly the right ventricle. In intensive care units (ICU), mechanical ventilation (MV) and therefore positive end-expiratory pressure (PEEP) are often applied, and this inevitably influences cardiac function. In ventilated patients,

echocardiography, fluid challenge, inferior vena cava, mechanical ventilation, stroke volume, TAPSE, venous return

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Miscellaneous

The non-haemorrhagic vagal response to trauma: a review of hypotensive and bradycardic responses to injury in the absence of bleeding

Abstract Purpose Trauma has the potential to cause haemorrhage, tissue damage, pain, visceral manipulation and psychological distress. Each of these consequences of trauma can cause changes in autonomic outflow, which dictates a patient’s vital signs. Patients who are hypotensive and bradycardic due to a vagally mediated parasympathetic response to pain, psychological distress and visceral manipulation

Haemorrhage, trauma, Vagus nerve, Vital signs

The non-haemorrhagic vagal response to trauma: a review of hypotensive and bradycardic responses to injury in the absence of bleeding Read Post »

Miscellaneous, Respiratory

Comparative efficacy and safety of pulmonary surfactant delivery strategies in neonatal RDS: a network meta-analysis

Abstract Purpose To compare five pulmonary surfactant (PS) administration strategies for neonates with respiratory distress syndrome (RDS), including intubation-surfactant-extubation (InSurE), thin catheter administration, laryngeal mask airway (LMA), surfactant nebulization (SN), and usual care, with a particular emphasis on the comparison of the LMA and SN with other strategies. Methods We conducted a systematic search of

Comparative efficacy and safety of pulmonary surfactant delivery strategies in neonatal RDS: a network meta-analysis Read Post »

Miscellaneous

Artificial intelligence in pediatric allergy research

Abstract Atopic dermatitis, food allergy, allergic rhinitis, and asthma are among the most common diseases in childhood. They are heterogeneous diseases, can co-exist in their development, and manifest complex associations with other disorders and environmental and hereditary factors. Elucidating these intricacies by identifying clinically distinguishable groups and actionable risk factors will allow for better understanding

Allergic rhinitis, Allergy, Artificial intelligence, Asthma, Pediatrics

Artificial intelligence in pediatric allergy research Read Post »

Miscellaneous

Use of Antimicrobials for Bloodstream Infections in the Intensive Care Unit, a Clinically Oriented Review

Abstract Bloodstream infections (BSIs) in critically ill patients are associated with significant mortality. For patients with septic shock, antibiotics should be administered within the hour. Probabilistic treatment should be targeted to the most likely pathogens, considering the source and risk factors for bacterial resistance including local epidemiology. Source control is a critical component of the

Antimicrobials, Bloodstream infections (BSIs), Intensive care unit

Use of Antimicrobials for Bloodstream Infections in the Intensive Care Unit, a Clinically Oriented Review Read Post »

Miscellaneous, Respiratory

Development of a predictive nomogram for early identification of pulmonary embolism in hospitalized patients: a retrospective cohort study

Abstract Background Hospitalized patients often present with complex clinical conditions, but there is a lack of effective tools to assess their risk of pulmonary embolism (PE). Therefore, our study aimed to develop a nomogram model for better predicting PE in hospitalized populations. Methods Data from hospitalized patients (aged ≥ 15 years) who underwent computed tomography pulmonary angiography

Nomogram, Predictive model, Pulmonary embolism

Development of a predictive nomogram for early identification of pulmonary embolism in hospitalized patients: a retrospective cohort study Read Post »

Mechanical Ventilation, Miscellaneous

How we use ultrasound in the management of weaning from mechanical ventilation

Difficult weaning from invasive mechanical ventilation is associated with adverse clinical outcome and increased use of limited health care resources. Difficult weaning, characterized by failure of multiple spontaneous breathing trails (SBTs), can result from several causes, including impaired function of lung, heart, and respiratory pump [1]. In this editorial, we discuss how ultrasound may facilitate

Critical care ultrasound (CCUS), mechanical ventilation, ultrasound, weaning

How we use ultrasound in the management of weaning from mechanical ventilation Read Post »