scholarly journals Correction to: Heparin resistance in COVID‑19 patients in the intensive care unit

2020 ◽  
Vol 50 (2) ◽  
pp. 478-478
Author(s):  
D. White ◽  
S. MacDonald ◽  
T. Bull ◽  
M. Hayman ◽  
D. de Monteverde-Robb ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Heparin Resistance

Off Target: Case Report of Heparin Resistance in a Neurosurgical Intensive Care Unit Patient

2021 ◽  
Vol 41 (3) ◽  
pp. 33-41
Author(s):  
Lisa Fetters ◽  
Sue Sirianni
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Factor Viii ◽  
Reference Range ◽  
Fibrinogen Level ◽  
Anterior Communicating Artery ◽  
Factor Viii Activity ◽  
Platelet Factor ◽  
Antithrombin Activity ◽  
Heparin Resistance

Introduction Heparin resistance was discovered in a patient in the surgical intensive care unit who underwent emergency endovascular coiling and later an anterior communicating artery clipping procedure to treat subarachnoid hemorrhage due to rupture of an anterior communicating artery aneurysm. Clinical Findings On intensive care unit day 17/postoperative day 3, the patient experienced shortness of breath, persistent tachycardia, and hypoxia. Bilateral pulmonary emboli, a saddle embolus, and lower-extremity and upper-extremity deep vein thrombi were diagnosed. The patient received high-dose unfractionated heparin (>35 000 U/24 h), and activated partial thromboplastin times remained subtherapeutic over the next 72 hours. Diagnosis Factor VIII activity, fibrinogen, antithrombin activity, antithrombin antigen, and platelet factor 4 were measured. The results demonstrated an increase in factor VIII activity to 342% (reference range, 50%-200%), elevated fibrinogen level of 441 mg/dL (reference range, 200-400 mg/dL), antithrombin antigen level of 92% (reference range, 80%-130%), elevated antithrombin activity of 108% (reference range, 80%-100%), and negative platelet factor 4 result, indicating that the patient did not have heparin-induced thrombocytopenia and confirming the diagnosis of heparin resistance. Conclusions Risk factors for heparin resistance include antithrombin deficiency, elevation of factor VIII or fibrinogen level, elevation in heparin-binding proteins, increased heparin clearance, sepsis, trauma, and burns. The astute critical care nurse may be the first to recognize this condition in a patient, preventing a potentially fatal complication.

scholarly journals Heparin resistance in COVID-19 patients in the intensive care unit

2020 ◽  
Vol 50 (2) ◽  
pp. 287-291 ◽  
Author(s):  
D. White ◽  
S. MacDonald ◽  
T. Bull ◽  
M. Hayman ◽  
R. de Monteverde-Robb ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Heparin Resistance

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

Coping and Family Relationships in the Neonatal Intensive Care Unit

2014 ◽  
Author(s):  
Gina M. Brelsford ◽  
Kim Doheny ◽  
Kristin Veneman ◽  
Joshua Ramirez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Family Relationships ◽  
Neonatal Intensive Care

Developmental care approaches for mitigating stress in preterm neonates in the neonatal intensive care unit: A systematic review.

2018 ◽  
Vol 11 (2) ◽  
pp. 117-131 ◽  
Author(s):  
Nathália de Figueiredo Silva ◽  
Maria Beatriz Martins Linhares ◽  
Cláudia Maria Gaspardo
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Preterm Neonates ◽  
Developmental Care
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