Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

English (EN)·Polski (PL)·Yкраїнський (UK)
Przejdź do strony domowej biblioteki Centralna Biblioteka Wojskowa Link otwiera się w nowym oknie Logo biblioteki Prolib Integro - strona głównaCentralna Biblioteka Wojskowa

Wyszukujesz frazę "intensive care" wg kryterium: Temat

  Lista filtrów
Wyrównaj
Wyświetlanie 1-15 z 31
Tytuł:
Post intensive care syndrome prevention and impact of COVID 19
Autorzy:
Alefragkis, Dimitrios
Powiązania:
https://bibliotekanauki.pl/articles/1918959.pdf
Data publikacji:
2021-06-14
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
COVID 19
post intensive care syndrome
intensive care unit
prevention
Opis:
In recent years, there has been a maximum increase in admissions to the intensive care unit, culminating in an exponential increase in admissions during the COVID 19 pandemic. Many patients who survived and were discharged from the intensive care unit have cognitive, physical, and psychological disorders that are reflected in the term post-intensive care syndrome. Patients and their families show symptoms of anxiety, depression, post-traumatic stress, and sleep problems. The result is that they negatively affect their quality of life. Numerous risk factors contribute to the development of this syndrome, mainly the sedation, the duration of mechanical ventilation, and the length of stay in the intensive care unit. For this reason, it is necessary to take measures to prevent this syndrome including ABCDEFGH care plan, physical rehabilitation, nutritional support, and intensive care unit diaries. Care must also be given to the creation of Post Intensive care unit clinics where they have a diagnostic, therapeutic, counseling, and rehabilitation role that will act as assistants in the care of patients after discharge from the intensive care unit. Also, special care should be taken with patients who have recovered from COVID 19 whose needs are increasing and need immediate treatment. This review aims to analyze post-intensive care syndrome, prevention measures, and the impact of COVID 19. In conclusion, it is necessary to take measures to treat post-intensive care unit syndrome with early diagnosis and treatment, to reduce the adverse effects on both patients and their families.
Źródło:
Progress in Health Sciences; 2021, 11(1); 112-117
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Selected methods of measuring workload among intensive care nursing staff
Autorzy:
Kwiecień, Katarzyna
Wujtewicz, Maria
Mędrzycka-Dąbrowska, Wioletta
Powiązania:
https://bibliotekanauki.pl/articles/2180082.pdf
Data publikacji:
2012-06-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
workload
workload measurement tools
intensive care nurses
intensive care unit
Opis:
Intensive care units and well-qualified medical staff are indispensable for the proper functioning of every hospital facility. Due to demographic changes and technological progress having extended the average life expectancy, the number of patients hospitalized in intensive care units increases every year. Global shortages of nursing staff (including changes in their age structure) have triggered a debate on the working environment and workload the nursing staff are exposed to while performing their duties. This paper provides a critical review of selected methods for the measurement of the workload of intensive care nurses and points out their practical uses. The paper reviews Polish and foreign literature on workload and the measurement tools used to evaluate workload indicators.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2012, 25, 3; 209-217
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Correlation of vitamin D deficiency with mortality in critically ill patients admitted to the intensive care unit
Autorzy:
Joshi, Vidit Maheshkumar
Wasnik, Seema Balkrishna
Yadav, Amlendu
Yadav, Rupesh
Powiązania:
https://bibliotekanauki.pl/articles/29432042.pdf
Data publikacji:
2024-03-31
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Intensive care unit
mortality
vitamin D
Opis:
INTRODUCTION: Vitamin D, which is a fat-soluble vitamin, plays a key role in enhancing the intestinal absorption of calcium, magnesium and phosphate. In severely ill patients, vitamin D can adversely affect immune and metabolic functions, contributing to poorer outcomes. The aim of this study was to correlate vitamin D with mortality in critically ill patients. MATERIALS AND METHODS: prospective observational study was conducted, involving 162 patients in an intensive care unit (ICU). 162 patients were divided into two groups according to vitamin D Deficiency Group levels ≤ 20 ng/ml and Non vitamin D deficiency group levels <20 ng / ml and non-vitamin D deficiency group B levels > 20ng/ml. Data collected during the study included the APACHE II (acute physiology and chronic health evaluation) score at ICU admission, SOFA (sequential organ failure assessment) scores throughout the ICU stay, the need for mechanical ventilation, inotropic support, length of stay in ICU, and ICU outcomes, which were classified as either discharge or mortality. RESULTS: Of the 162 patient admitted to ICU, the prevalence of vitamin D deficiency in this study was 140 (86.4%) and nondeficient 22 (13.6%). The mortality rate in the vitamin D deficient group was 40% compared to 18.18% in the nondeficient group. The difference in mortality in both groups for mortality was statistically significant (p-value < 0.05). Vitamin D deficiency was not associated as an independent risk factor for ICU mortality [Odds ratio (OR) 1.220, 95% CI (0.825- 1.805) (p-value -0.320)]. CONCLUSIONS: The vitamin D-deficient group had a significantly higher mortality rate compared to the patient in the nondeficient group. But vitamin D deficiency was not found to be an independent risk factor for mortality.
Źródło:
Critical Care Innovations; 2024, 7, 1; 1-11
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Association of glycosylated hemoglobin with mortality of patients in intensive care unit: a prospective observation study
Autorzy:
Kumar, Damera Seshi
Wasnik, Seema Balkrishna
Yadav, Amlendu
Yadav, Rupesh
Powiązania:
https://bibliotekanauki.pl/articles/29432036.pdf
Data publikacji:
2024-03-31
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Glycated hemoglobin
intensive care unit
mortality
Opis:
INTRODUCTION: Glycated hemoglobin (HbA1c) is the most commonly used clinical test to estimate mean blood glucose during the past 2 to 3 months. In addition to diagnostic purposes, the HbA1c level also predicts diabetes complications. The aim of this study was to determine the association of glycosylated hemoglobin with mortality in intensive care unit (ICU). MATERIALS AND METHODS: A prospective observational study was conducted in the ICU with a total of 281 patients. These patients were classified into two groups based on their HbA1c levels: one group with HbA1c level < 6.5 % and another group with HbA1c level ≥ 6.5%. The following data were collected during the study period. Clinical details and scores such as the APACHE II score (Acute Physiology and Chronic Health Assessment) and daily SOFA (Sequential Organ Failure Assessment) scores for the period of stay in the ICU. ICU morbidities as the need for mechanical ventilation, the use of inotropes / vasopressors, the length of stay in the ICU, and the requirement of renal replacement therapy (RRT). The outcome measures were ICU mortality and 28-day mortality. RESULTS: Of 281 patients admitted to the ICU for more than 48 hours, 157 patients (55.9%) had HbA1c levels < 6.5%, with the remaining 124 (44.1%) had levels ≥ 6.5%. ICU mortality was present in 107 (38.07%) cases. ICU mortality was higher in patients in the HbA1c ≥ 6.5% group compared to the HbA1c < 6.5% group. This was statistically significant (p-value <0.001). Mortality at 28 days was observed in 125 (44.48%) cases. Patients with an HbA1c value ≥ 6.5%, there was a higher mortality at 28 days compared to patients with an HbA1c value < 6.5%. This was found to be statistically significant (p-value <0.001). CONCLUSIONS: The study showed that glycated hemoglobin levels (HbA1c) levels ≥ 6.5% had a significantly higher mortality rate compared to the patient in the HbA1c level < 6.5%.
Źródło:
Critical Care Innovations; 2024, 7, 1; 24-33
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Preterm birth and perinatal outcome: an observational cohort study
Autorzy:
Kumar, N.
Yadav, A.
Powiązania:
https://bibliotekanauki.pl/articles/2088201.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Opolski. Instytut Nauk o Zdrowiu
Tematy:
pregnancy
infant
newborn
intensive care units
Opis:
Background: Preterm birth is a common cause for neonatal morbidity and mortality worldwide. Aim of the study: To compare perinatal outcomes in preterm and term neonates. Material and methods: The present cohort study was conducted in the Obstetrics and Gynecology Department of MMIMSR, Ambala, a rural tertiary care center of Northern India over a one-year period (January-December 2018). 2,997 antenatal women were recruited at gestation (≥28 weeks) with singleton live pregnancies. All participants were divided into two groups: Group I: Antenatal women delivering at gestation (≥37 weeks) and Group II: Antenatal women delivering at gestation (≥28 to <37-weeks. Onset of labor, mode of delivery, perinatal outcome including birth weight, Apgar scores, Neonatal Intensive Care Unit (NICU) admission, need for intubation, complications, and mortality were compared between groups. Results: Of 2,997 deliveries, 2,528 (84.4%) were full-term, 469 (15.6%) preterm [48(10.2%) very preterm and 421(89.8%) late preterm] deliveries. The most common mode of delivery in both full-term and preterm participants was spontaneous vaginal delivery (62.8% vs 60.4%) followed by cesarean section (36.6% vs 39.2%). Preterm neonates (especially very preterm) had significantly lower birthweights (p<0.001, OR: 0.898; 95% CI: 0.108-7.48), 1-minute (p=0.018; OR: 7.812; 95% CI: 1.06-57.69) and 5-minutes Apgar scores (p=.000; OR: 3.410; 95% CI: 1.79-6.48) as compared to moderate- to- late preterm neonates. NICU admission rate, need for intubation, neonatal complications, stillbirth and early neonatal deaths were significantly higher in preterm neonates (p=.000). The most common complication in preterm neonates was Respiratory Distress Syndrome 172(55.1%) followed by sepsis 41(54.7%). Conclusions: Preterm delivery, especially very preterm, was significantly associated with adverse perinatal outcome as compared to full-term delivery.
Źródło:
Medical Science Pulse; 2019, 13, 4; 4-10
2544-1558
2544-1620
Pojawia się w:
Medical Science Pulse
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Current situation’s analysis of the problem in intensive care of complicated community-acquired pneumonias in children
Analiza aktualnego problemu w intensywnej terapii skomplikowanego pozaszpitalnego zapalenia płuc u dzieci
Autorzy:
Horodkova, Yuliia
Powiązania:
https://bibliotekanauki.pl/articles/1033273.pdf
Data publikacji:
2020
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
child
intensive care units.
plasmapheresis
pneumonia
Opis:
INTRODUCTION: The leading place in the nosological structure of pathology in the lower respiratory tract is pneumonia. Community-acquired pneumonia (CAP) remains one of the most common causes of childhood morbidity and accounts for about 16% of all deaths in children under 5 years old. The article presents a review of publications of recent years using the databases PubMed, Scopus, Web of Science, Google Scholar regarding the current possibilities of intensive care of complicated community-acquired pneumonia (CCAP), problems of using extracorporeal detoxication methods (ECDM), the choice of starting antibacterial therapy and microbiological monitoring and the problem of determining the severity of endogenous intoxication syndrome in children with CCAP. PURPOSE: To analyze the relevance of intensive therapy in children with complicated community-acquired pneumonia, to consider current therapeutic interventions and the need to use extracorporeal detoxication methods in complex treatment based on the analysis of scientific literature data. CONCLUSIONS: The epidemiology of community-acquired pneumonia is currently characterized by an increasing trend in morbidity and mortality worldwide. Plasmapheresis is not first-line therapy, because antibacterial drug (ABD), conservative detoxication, respiratory support are the mainstay of treatment like for other infections, but in case of CCAP the course of basic therapy is often not enough and then there is a need for ECDM. Identification of causative microorganisms in children with CCAP remains a constant problem. In most cases, therapy is prescribed empirically and knowledge of local epidemiology, the structure of ABD resistance is an important platform for improving antibacterial therapy. The optimal therapeutic approach for CCAP remains open to research.
WSTĘP: Wiodącym miejscem w strukturze nosologicznej patologii dolnych dróg oddechowych jest zapalenie płuc. Pozaszpitalne zapalenie płuc (CAP) pozostaje jedną z najczęstszych przyczyn zachorowań i zachorowań wśród dzieci na około 16% wszystkich zgonów dzieci poniżej 5 lat. Artykuł przedstawia przegląd publikacji z ostatnich lat z korzystaniem baz danych: PubMed, Scopus, Web of Science, Google Scholar w zakresie obecnych możliwości intensywnej opieki nad skomplikowanym pozaszpitalnym zapaleniem płuc (CCAP), problemów ze stosowaniem metod detoksykacji pozaustrojowej (ECDM), rozpoczęcia terapii przeciwbakteryjnej i monitorowania mikrobiologicznego oraz problemu ustalenia nasilenia zespołu zatrucia endogennego u dzieci z CCAP. CEL: Analiza znaczenia intensywnej terapii u dzieci ze skomplikowanym pozaszpitalnym zapaleniem płuc, ocena interwencji terapeutycznych i potrzeb stosowania złożonych metod detoksykacji pozaustrojowej w leczeniu opartym na analizie danych z literatury naukowej. WNIOSKI: Epidemiologia pozaszpitalnego zapalenia płuc charakteryzuje się obecnie rosnącą tendencją w chorobowości i śmiertelności na całym świecie. Plazmafereza nie jest leczeniem pierwszego rzutu, ponieważ lek przeciwbakteryjny (ABD), konserwatywna detoksykacja i wspomaganie oddychania są podstawą leczenia, podobnie jak w przypadku innych infekcji, ale w przypadku CCAP przebieg podstawowej terapii często nie wystarcza, a następnie istnieje potrzeba ECDM. Identyfikacja mikroorganizmów u dzieci z CCAP pozostaje stałym problemem. W większości przypadków terapia jest przepisywana empirycznie na podstawie znajomości lokalnej epidemiologii, a struktura oporności na ABD jest ważną składową poprawy działania terapii przeciwbakteryjnej. Optymalne podejście terapeutyczne do CCAP wymaga dalszych badań.
Źródło:
Critical Care Innovations; 2020, 3, 2; 29-42
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of nonpharmacological nursing practices related to thirst and the thirst of patients in the intensive care unit
Autorzy:
Çelik, Sevim
Şengül, Münevver
Karahan, Elif
Powiązania:
https://bibliotekanauki.pl/articles/29519538.pdf
Data publikacji:
2023-09-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
intensive care patient
nurse
thirst
nursing practices
Opis:
Introduction and aim. Thirst is a significant symptom and stressor among patients in the intensive care unit. The aim of this study is to assess the severity of thirst and associated symptoms experienced by patients in the intensive care unit, and to evaluate the nursing practices related to addressing thirst. Material and methods. This descriptive and correlational study involved a total of 66 patients in the intensive care unit. Severity of thirst experienced by these patients was assessed using a numeric rating scale. The nursing practices related to assessing thirst severity on admission to the unit, on the third day, and on the seventh day were also recorded. Results. Our findings showed a statistically significant increase in the levels of thirst, dry mouth, bad taste and odor in the mouth, as well as sensitivity and dryness in the throat among patients on the seventh day of hospitalization (p<0.05). Among nursing interventions, communication with the patient was the most frequently applied intervention during the seven-day period, with a range of 98.5% to 100%, biochemical control (100%), ventilation of the unit (100%), and temperature regulation (100%) were also frequently applied. Conclusion. The patients had all the symptoms of thirst. The frequency of nursing interventions increased in parallel with the severity of thirst.
Źródło:
European Journal of Clinical and Experimental Medicine; 2023, 3; 458-464
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Pandemic awareness and caring behaviors of nurses working in intensive care unit – a multicenter study
Autorzy:
Demir, Burcu Dedeoğlu
Türen, Sevda
Dogan, Derya Akca
Powiązania:
https://bibliotekanauki.pl/articles/25102364.pdf
Data publikacji:
2023-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
pandemic awareness
caring behavior
intensive care
nurse
Opis:
Introduction and aim. In the COVID-19 pandemic, which is a global threat, the awareness levels of intensive care nurses who meet all the care needs of patients can affect the quality of care. In this study, pandemic awareness and care behaviors of nurses who undertook the patient’s care needs in intensive care units were examined. Material and methods. The research was carried out with 317 nurses working critical care units of 12 hospitals in different provinces. “Nurse Characteristics Form”, “Pandemic Awareness Scale” and “Caring Behaviors Inventory-24” were used as data collection tools. Data were collected between March and August 2022 in the middle of the COVID-19 pandemic process using an online survey. Results. It was determined that 75.4% of the participants were female and the mean age was 25.56±4.49. Pandemic awareness scale score was 3.04±0.62 (0.11-3.67) and caring behaviors inventory score was 5.48±0.84 (1.00-6.00). A significant, positive, weak relationship was found between nurses’ pandemic awareness and all sub-dimensions of caring behaviors (p≤ 0.05). Conclusion. It was seen that the caring behaviors of nurses with high pandemic awareness were also positively affected. Although it was the first time they had experienced the pandemic, nurses were found to have good caring behaviors.
Źródło:
European Journal of Clinical and Experimental Medicine; 2023, 2; 245-250
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Drug susceptibility of fungi isolated from ICU patients
Autorzy:
Modrzewska, Barbara D.
Kurnatowska, Anna J.
Khalid, Katarzyna
Powiązania:
https://bibliotekanauki.pl/articles/972283.pdf
Data publikacji:
2017
Wydawca:
Polskie Towarzystwo Parazytologiczne
Tematy:
intensive care unit
susceptibility to drugs
fungi
Candida
Opis:
Candida species can be a reason of infections associated with high morbidity and mortality. The risk of invasive candidosis for patients admitted to intensive care units (ICUs) is increased due to immunosuppressive states, prolonged length of stay, broad-spectrum antibiotics and Candida colonization. The aim of the study was to determine selected properties of fungi isolated from patients treated in the ICUs of hospitals in Lodz. The materials were collected from the oral cavity, the tracheostomy or endotracheal tube and urine from 16 children and 35 adult. In total, 127 samples were examined to differentiate the fungal strains with used morphological and biochemical methods. Candida species were isolated from adult patients (82.9%), but were not isolated from any of the children; C. albicans was the predominant fungus (61.7%), much less frequent were C. glabrata (12.8%), C. tropicalis (6.4%) and C. kefyr, C. dubliniensis (4.3% each).The susceptibility of fungi to antimycotic drugs revealed that almost all of the strains were susceptible to nystatin (97.9%) and to amphotericin B (72.3%), and resistant to fluconazole (72.3%) and ketoconazole (57.5%). No isolation of fungi from children remaining in ICU may be an evidence of high sanitary regime at these wards; fungi from the genus Candida are the etiological factors for ICU infections; 3/5 of them are caused by C. albicans, mostly of the code 2 576 174, characteristic for strains isolated from hospitalized patients; it is necessary to determine the species of the fungus and its susceptibility to drugs, which allows to conduct effective therapy; prophylactic administration of fluconazole leads to an increase in the number of strains resistant to this chemotherapeutic agent; in the antifungal local treatment, nystatin should be a drug of choice as the drug to which most fungi are susceptible.
Źródło:
Annals of Parasitology; 2017, 63, 3; 189-198
0043-5163
Pojawia się w:
Annals of Parasitology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute hypersensitivity reaction following intravenous ferric carboxymaltose injection for iron deficiency anaemia: a case report
Autorzy:
Kumar, Neeraj
Gautam, Preeti Bala
Ahmad, Sarfaraz
Qutub, Danish
Prasad, Indira
Powiązania:
https://bibliotekanauki.pl/articles/29432056.pdf
Data publikacji:
2023
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Ferric carboxy maltose
hypersensitivity reaction
intensive care unit
Opis:
Ferric carboxymaltose (FCM) is a non-dextran iron preparation used for intravenous treatment of iron deficiency anaemia (IDA) in adult patients with intolerance or poor response to oral iron therapy. Acute hypersensitivity reactions (HSRs) during iron infusions are very rare but can be life-threatening even after receiving a prior test dose. Here, we report a case of 42 years old female patient who underwent total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. On the next postoperative day she received an injection of ferric carboxy maltose. She was diagnosed with IDA. She presented with the picture of an adverse drug reaction due to injection FCM. She was managed with oxygen, vasopressors, antihistaminics, intravenous fluids and, corticosteroids. She recovered well within 24 hours of intensive care unit admission following this adverse drug reaction. So, careful and precise observation is required in management of adverse reaction following ferric carboxymaltose and prompt recognition and treatment based on severity is warranted.
Źródło:
Critical Care Innovations; 2023, 6, 1; 41-45
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Standardy badań ultrasonograficznych Polskiego Towarzystwa Ultrasonograficznego. Badanie ultrasonograficzne w anestezjologii i intensywnej terapii
Standards of the Polish Ultrasound Society. Ultrasound examination in anesthesiology and intensive care
Autorzy:
Andruszkiewicz, Paweł
Powiązania:
https://bibliotekanauki.pl/articles/1057830.pdf
Data publikacji:
2014
Wydawca:
Medical Communications
Tematy:
anesthesiology
intensive care
standards
anestezjologia
intensywna terapia
standardy badania
Opis:
This article has been prepared on the basis of the Ultrasonography Standards of the Polish Ultrasound Society (2011) and updated based on the latest findings and reports. Various applications of ultrasonography are used in anesthesiology and intensive therapy both for diagnosis and as a supportive tool during invasive procedures (such as vascular cannulation or regional anesthesia). Ultrasound examinations performed by anesthesiologists in intensive care units are not detailed scans, but they are focused on immediate identification of pathologies that lead to life-threatening conditions. Performing repeated US exams in time intervals enables a physician to monitor the effectiveness of the instituted treatment. Many simplified protocols are used in clinical practice which help to systemize the examination. Focused US examination should be verified by a physician competent in this imaging method as soon as possible. Due to the specificity of anesthesiologists’ practice and spatial limitations of operating rooms and intensive care units, portable robust ultrasound equipment with short power-on to scanning time is preferable. A growing number of indications show that ultrasound machine should be equipped with three basic transducers (linear, convex and sector), and in higher-reference centers with a transesophageal probe. The specificity of certain procedures guided by ultrasonography requires adherence to safety measures, e.g. full sterility condition during vein cannulation.
Pracę przygotowano na podstawie Standardów badań ultrasonograficznych Polskiego Towarzystwa Ultrasonograficznego (2011) i zaktualizowano, opierając się na najnowszych doniesieniach z piśmiennictwa. Specyfiką zastosowania różnych aplikacji ultrasonografii w anestezjologii i intensywnej terapii jest wykorzystanie tej metody obrazowania zarówno w diagnostyce, jak i w celu wspomagania niektórych inwazyjnych procedur (np. kaniulacji naczyń, znieczulenia regionalnego). Badania ultrasonograficzne wykonywane przez anestezjologa na oddziale intensywnej terapii nie mają charakteru szczegółowego, lecz są ukierunkowane na identyfikację patologii prowadzącej do stanu zagrożenia życia. Powtarzanie badania w odstępach czasowych ułatwia monitorowanie efektywności wdrożonego leczenia. W diagnostyce wykorzystywane są często uproszczone protokoły, które pozwalają usystematyzować badanie. Powinny być one w miarę możliwości zweryfikowane przez kompetentnego w tej technice obrazowej lekarza. Ze względu na specyfikę pracy anestezjologa oraz ograniczenia powierzchniowe sali operacyjnej i oddziału intensywnej terapii najlepiej sprawdzają się mobilne, odporne na uszkodzenia aparaty ultrasonograficzne, gotowe do pracy w krótkim czasie od uruchomienia. Rosnąca liczba wskazań powoduje, że uzasadnione jest dysponowanie aparatem wyposażonym w trzy podstawowe głowice (liniowa, convex i sektor), a w ośrodkach o wyższym poziomie referencyjności również w głowicę przezprzełykową. Specyfika niektórych procedur wykonywanych pod kontrolą ultrasonografu wymaga zachowania odpowiednich procedur bezpieczeństwa, np. w trakcie kaniulacji naczyń konieczne jest przestrzeganie pełnej jałowości.
Źródło:
Journal of Ultrasonography; 2014, 14, 59; 406-413
2451-070X
Pojawia się w:
Journal of Ultrasonography
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of patients with candida infections in a tertiary care hospital’s general intensive care unit in Turkey.
Autorzy:
Ceylan, İlkay
Korkmaz, Hamide Ayben
Karakoç, Ebru
Powiązania:
https://bibliotekanauki.pl/articles/2054911.pdf
Data publikacji:
2022-06-30
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Candidemia
sepsis
non-albicans
intensive care unit
candida species
Opis:
INTRODUCTION: : Studies indicate that approximately 90% of the patients followed in the ICU have Candida spp colonization. In this study we aimed to elucidate the epidemiology, characteristics, management and outcomes of patients with candidemia in the intensive care unit of a training and research hospital. MATERIAL AND METHODS: All patients over the age of 18 who were hospitalized in general intensive care unit more than 24 hours between 2013 and 2019 were included in the this retrospective study. RESULTS: A total of 43 critically ill patients with blood cultures positive for Candida spp. have been enrolled in this retrospective analysis. The duration of stay in the intensive care unit of the survivors was approximately 53 days, while the average length of stay in the intensive care unit of the non survivors was 16 days, and this difference was statistically significant (p<0.05), 89.7% of septic patients with candidemia died the intensive care unit. There was a statistically significant difference between the two groups in terms of platelets, urea and systolic blood pressure (p<0.05), the mean platelet and systolic blood pressure values of the surviving patients were higher than the deceased individuals, while the urea value was lower. The average fungal growth time of the surviving individuals was 17 days, while this period was 1 day in the non-survivor patients. CONCLUSIONS: The mortality rate was higher in patients with sepsis and concomittant candida infection at very soon days of ICU hospitalization. Early administration of empirical antifungal therapy with coverage of non-albicans should be considered for septic patients.
Źródło:
Critical Care Innovations; 2022, 5, 2; 1-10
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute naphthalene toxicity following ingestion of mothballs and ethyl alcohol: a case report
Autorzy:
Roshan, Nikesh Kumar
Vishwas, Kirti
Kumar, Neeraj
Powiązania:
https://bibliotekanauki.pl/articles/29432052.pdf
Data publikacji:
2023
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Naphthalene balls
mothballs
ethyl alcohol
toxicity
intensive care unit
Opis:
Naphthalene poisoning is an uncommon poisoning due to its pungent smell, taste, insolubility in water, and poor absorption from the gut following exposure to naphthalene-containing compounds such as mothballs. Paradichlorobenzene has been reported to dissolve more quickly in alcohol. Within a period of 48-96 hours following naphthalene mothball exposure patient presents with acute onset of non-bloody bilious vomiting, dark brown urine and watery diarrhoea. We present a diagnostic and therapeutic challenge while treating a 27 years old male admitted to the intensive care unit with features of acute naphthalene-toxicity, methemoglobinemia and acute kidney injury following accidental ingestion of mothballs and ethyl alcohol. His vital signs at the time of intensive care unit admission included fever, tachycardia, and hypotension, and his laboratory workup demonstrates hyperbilirubinemia with indirect predominance, hemolytic anaemia, methemoglobinemia, and renal dysfunction. Treatment options include supportive care, red cell transfusion, ascorbic acid, methylene blue, and N-acetylcysteine. The importance of obtaining a careful history and clinical findings is of paramount importance, especially in making the right diagnosis and a successful outcome largely depends on it.
Źródło:
Critical Care Innovations; 2023, 6, 1; 29-35
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Testing knowledge of eye donation: a survey of intensive care nurses
Autorzy:
Prous, M.
Ponto, M.
Powiązania:
https://bibliotekanauki.pl/articles/1917704.pdf
Data publikacji:
2016
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
Corneal donation
tissue donation
attitudes
views
knowledge
intensive care
nurses
Opis:
Introduction: Corneal transplantation is a sight restoring procedure that enhances the recipient’s quality of life. Most deceased patients in Intensive Care Units (ICU) are potential eye donors, but the number of referrals from this group remains low. Understanding how nurses view eye donation and identifying their educational needs is vital in order to increase donation rates while offering choice to patients and families. Purpose: To assess nurses’ knowledge about the identification and referral of potential eye donors. Materials and methods: An online, 18-item, questionnaire survey assessing the knowledge, training and views towards eye donation was emailed to 100 ICU nurses working in a tertiary NHS Trust. Fifty-eight percent (n=58/100) of nurses completed the questionnaire. Results: The majority of nurses (n=50/58) could not identify the medical contraindications to eye donation, just one was aware of the referral process and only two reported that they received previous training on eye donation. Overall, participants were in agreement that corneal transplants improve the recipients’ quality of life (n= 50/58) and that offering eye donation should be considered as part of end-oflife care (n=43/58). However, only seven felt confident raising the subject with relatives. Conclusion: ICU nurses play a pivotal role identifying and discussing the potential for donation. However, the results of this survey showed that the majority of responding nurses lacked knowledge, training and confidence to effectively undertake this role. Therefore there is a need for educational programmes that focus on eye donation and communication skills to be able to offer the choice to patients and families. There is also a scope for research to evaluate the efficacy of educational programmes and their impact on donation rates
Źródło:
Progress in Health Sciences; 2016, 6(1); 86-94
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ocena wyników leczenia dzieci poszkodowanych w wypadkach komunikacyjnych, hospitalizowanych w Klinice Intensywnej Terapii Dziecięcej w Zabrzu w latach 200– 2009
Evaluation of treatment results in children injured in traffic accidents, hospitalized in Pediatric Intensive Care Unit in Zabrze in years 2000–2009
Autorzy:
Gamrot, Zuzanna
Siuda, Katarzyna
Kiermasz, Aleksandra
Bursa, Janusz
Powiązania:
https://bibliotekanauki.pl/articles/1034893.pdf
Data publikacji:
2013
Wydawca:
Śląski Uniwersytet Medyczny w Katowicach
Tematy:
dzieci
wypadki komunikacyjne
intensywna terapia
children
traffic accidents
intensive care
Opis:
INTRODUCTION Injuries which result from traffic accidents are the leading cause of death among youths and children over the age of 3 in Poland. RESULTS The analysed group was dominated by boys (70%) and children aged from 9 to 12 (40%) and from 15 to 18 (30%) (patients aged from 0.27 to 17 years, median 10.7). Generally multi-organ injuries occurred , including 80% facial injuries accompanied by acute respiratory failure, 60% bone fractures and 45% acute circulatory failure. The clinical status of the children at the time of admission was critical and was described in terms of the Glasgow Scale ≤ 8 points for 80% of them and in terms of the Pediatric Trauma Score ≤ 5 points for 75% of them. 80% of the 20 severely injured children were kept alive, and two out of 4 dead patients became organ donors (50%). Treatment included: intubation with mechanical ventilation 85%, pharmacological coma 60%, and antioedematous treatment in 90% of the cases. After treatment, 65% of the children were transferred for further treatment in other wards, and 15% were discharged home in good condition. CONCLUSIONS Our experience shows that we managed to keep alive 80% of children with serious injuries as a result of traffic accidents and out of the 20% deceased, two patients were organ donors.
W S T Ę P Urazy powstałe w wyniku wypadków komunikacyjnych st anowią główną przyczynę zgonów wśród dzieci powyżej 3 roku życia i młodzieży w Polsce. P A C J E N C I I M E T O D Y K A Analizą retrospektywną objęto 20 dzieci, które w okresie ostatnich 10 lat, w wyniku stanu zagrożenia życia związanego z wypadkiem komunikacyjnym, wymagały hospitalizacji w Klinice Intensywnej Terapii Dziecięcej w Zabrzu. Badania oparto na dokumentacji lekarsko-pielęgniarskiej, w tym konsultacjach specjalistycznych oraz wynikach badań obrazowych. W Y N I K I Wśród objętych analizą dominowali chłopcy (70%). Większość stanowiły dzieci w wieku 9–12 lat (40%) i 15–18 lat (30%) oraz poszkodowane w wyniku potrącenia przez samochód (11 osób – 55%). W obrazie klinicznym dominowały urazy wielonarządowe, w tym: w 80% twarzoczaszki z towarzyszącą ostrą niewydolnością oddychania, w 60% złamania kości, w 45% ostra niewydolność krążenia. Stan kliniczny dzieci w momencie przyjęcia do kliniki był krytyczny i wyrażał się oceną stanu neurologicznego w skali Glasgow ≤ 8 pkt (80%) oraz Pediatric Trauma Score ≤ 5 pkt (75%). Udało się utrzymać przy życiu 16 spośród 20 ciężko poszkodowanych dzieci, a 2 spośród 4 zmarłych zostało dawcami narządów. W leczeniu stosowano: intubację z wentylacją mechaniczną (85%), śpiączkę farmakologiczną (60%) oraz leczenie przeciwobrzękowe (90%). Czas pobytu na oddziale mieścił się w zakresie 1–30 dób (mediana 6,0). Po zakończeniu leczenia 65% dzieci przekazano do dalszego leczenia na inne oddziały, a 15% wypisano do domu w stanie ogólnym dobrym. W N I O S K I Doświadczenia własne wskazują, że udało się utrzymać przy życiu 80% dzieci, które uległy ciężkim obrażeniom w wyniku wypadków komunikacyjnych, spośród 4 zmarłych, 2 pacjentów zostało dawcami narządów.
Źródło:
Annales Academiae Medicae Silesiensis; 2013, 67, 3; 166-172
1734-025X
Pojawia się w:
Annales Academiae Medicae Silesiensis
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 31

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies