Inhaled Pulmonary Vasodilator Utilization and Cost Following Initiation of a Protocol in a Quaternary Academic Heart Center Intensive Care Unit

2021 ◽  
Author(s):  
Daniel R. Austin ◽  
Yvonne Lai ◽  
Ariel Mueller ◽  
Kenneth T. Shelton
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pulmonary Vasodilator ◽  
Heart Center

Nosocomial Myiasis in an Intensive Care Unit (ICU): A Case Report

2020 ◽  
Author(s):  
Ehsan AHMADPOUR ◽  
Mohammad Reza YOUSSEFI ◽  
Mohammad NAZARI ◽  
Seyed Abdollah HOSSEINI ◽  
Arash RAKHSHANPOUR ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Lucilia Sericata ◽  
Parasitic Infestation ◽  
Animal Tissues ◽  
North Of Iran ◽  
Heart Center

Myiasis is a parasitic infestation of human and animal tissues caused by larva of several fly species. Nosocomial myiasis is a type of myiasis that patient acquires infestation after admission to hospital and prevention of this infestation should be one of hospital authorities concerns. Therefore, we report a case of nosocomial oral myiasis caused by Lucilia sericata in a woman aged 78-yr-old hospitalized in a Heart Center in north of Iran Aug 2015. The significance of fly extermination in hospital was highlighted and emphasized. Besides, the etiology and different aspects of infestation were discussed elaborately.

scholarly journals The Impact of Clinical Pharmacist Interventions on Medication Errors Management in the Postoperative Cardiac Intensive Care Unit

2020 ◽  
Vol 27 (3) ◽  
pp. 433-438
Author(s):  
Naser Safaie ◽  
Hanieh Azizi ◽  
Sajad Khiali ◽  
Taher Entezari-Maleki
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medication Errors ◽  
Clinical Pharmacist ◽  
Therapeutic Process ◽  
Laboratory Data ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Heart Center ◽  
The Impact

Background: Medication errors (MEs) frequently occur in intensive care unit (ICU) admittedpatients. The present study aimed to evaluate the frequency and types of MEs in an open heartsurgery heart ICU and clinical pharmacists’ role in the management of them. Methods: This cross-sectional, observational study was performed from October 2016 toMarch 2017 in the Shahid Madani Heart Center. A clinical pharmacist reviewed patients’ files,laboratory data, and physician orders during morning hours. All of the MEs and the clinicalpharmacies’ recommendations for the management of them were analyzed. Results: A total of 311 MEs were observed in the medical files of 152 patients. The rate of MEswas 2.04 errors per patient and 0.19 errors per ordered medication. The acceptance rate of MEswas 72.6%. The most type of MEs was ‘forgot to order’ (75 cases, 24.1%) followed by "wrongfrequency" and "adding a drug" in 56 (18%) and 49 (15.8) patients, respectively. Most MEs wereinsignificant. Conclusion: MEs occur at different stages of the therapeutic process in the postoperative cardiacintensive care unit, and clinical pharmacists play an essential role in detecting and managingMEs.

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.

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