scholarly journals Extracardiac Complications in Intensive Care Units after Surgical Repair for Congenital Heart Disease: Imaging Review with a Focus on Ultrasound and Radiography

2020 ◽  
Author(s):  
Takahiro Hosokawa ◽  
Saki Shibuki ◽  
Yutaka Tanami ◽  
Yumiko Sato ◽  
Yoshihiro Ko ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Pediatric Patients ◽  
Cardiovascular Surgery ◽  
Surgical Repair ◽  
Lung Parenchyma ◽  
Medical Doctors ◽  
Iatrogenic Complications ◽  
Pictorial Review ◽  
The Central Nervous System

AbstractPediatric patients show various extracardiac complications after cardiovascular surgery, and radiography and ultrasound are routinely performed in the intensive care unit to detect and evaluate these complications. This review presents images of these complications, sonographic approach, and timing of occurrence that are categorized based on their extracardiac locations and include complications pertaining to the central nervous system, mediastinum, thorax and lung parenchyma, diaphragm, liver and biliary system, and kidney along with pleural effusion and iatrogenic complications. This pictorial review will make it easier for medical doctors in intensive care units to identify and manage various extracardiac complications in pediatric patients after cardiovascular surgery.

Iatrogenic Complications in Adult Intensive Care Units

1994 ◽  
Vol 38 (03) ◽  
pp. 154
Author(s):  
T. GIRAUD ◽  
J. F. DHAINAUT ◽  
J. F. VAXELAIRE ◽  
T. JOSEPH ◽  
D. JOURNOIS ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Iatrogenic Complications

scholarly journals Pediatric patients with COVID‐19 admitted to intensive care units in Brazil: a prospective multicenter study

2020 ◽  
Vol 96 (5) ◽  
pp. 582-592
Author(s):  
Arnaldo Prata‐Barbosa ◽  
Fernanda Lima‐Setta ◽  
Gustavo Rodrigues dos Santos ◽  
Vanessa Soares Lanziotti ◽  
Roberta Esteves Vieira de Castro ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Multicenter Study ◽  
Pediatric Patients ◽  
Prospective Multicenter Study

scholarly journals Agreement between the Clinical and Autopsy Results of Children Who Died with Pneumonia in Pediatric Intensive Care

2020 ◽  
Author(s):  
Pablo Vásquez-Hoyos ◽  
Laura C. Bernal-Peña ◽  
Daniel A. Castro-Gómez ◽  
Lina Jaramillo ◽  
José F. Polo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Confidence Interval ◽  
Intensive Care Units ◽  
Pediatric Patients ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Kappa Agreement ◽  
Level Of Agreement

AbstractThe study aimed to measure the agreement between the clinical and anatomopathological results of children who died with pneumonia from two pediatric intensive care units. Pediatric patients chosen were those who died between January 2008 and December 2015. The agreement was tested with Kappa. A total of 111 autopsies were included. Upon autopsy, 58 had pneumonia, 33 had it clinically and pathologically, 24 only clinically, and one only in autopsy. The Kappa agreement was 0.5 (95% confidence interval of 0.4 to 0.7). The level of agreement between the clinic and the autopsy is moderate. However, the consistency in cases of clinical pneumonia is low.

Iatrogenic complications in adult intensive care units

1993 ◽  
Vol 21 (1) ◽  
pp. 40-51 ◽  
Author(s):  
THIERRY GIRAUD ◽  
JEAN-FRANCOIS DHAINAUT ◽  
JEAN-FRANCOIS VAXELAIRE ◽  
THIERRY JOSEPH ◽  
DIDIER JOURNOIS ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Iatrogenic Complications

scholarly journals Malpositioned Lines and Tubes on Chest Radiograph – A Concise Pictorial Review

2020 ◽  
Vol 10 ◽  
pp. 66
Author(s):  
Muthu Kumar Sakthivel ◽  
Thangavijayan Bosemani ◽  
Leon Bacchus ◽  
Ertan Pamuklar
Keyword(s):  
Intensive Care ◽  
Clinical Outcomes ◽  
Intensive Care Units ◽  
Chest Radiograph ◽  
Chest Radiographs ◽  
Pictorial Review ◽  
Outpatient Settings ◽  
Support Devices

A wide variety of cardiothoracic support devices are used in intensive care units and few of these devices are increasingly being utilized in outpatient settings as well. A meticulous assessment of these lines and tubes by the interpreting radiologist is cardinal since malpositioned lines and tubes can significantly impact the functioning of these devices and may result in potential complications affecting the clinical outcomes. The purpose of this article is to illustrate the normal positioning and malpositioning of the routinely used support lines and tubes identified on chest radiographs.

scholarly journals Naloxone as a trigger to identify opioid-related adverse events in pediatric intensive care units

2020 ◽  
Vol 10 (2) ◽  
pp. 411
Author(s):  
Haline Ogata ◽  
Fábio A. Motta ◽  
Marinei C. Ricier
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Medical Records ◽  
Human Factor ◽  
Pediatric Patients ◽  
Adverse Drug Events ◽  
Age Groups ◽  
Pediatric Intensive Care ◽  
Opioid Intoxication ◽  
Possible Cause

Objective: this study had the objective to identify opioid-related Adverse Drug Events (ADE) with naloxone as a trigger and evaluate the patterns of naloxone administration in hospitalized children as well as verify the report of these ADE to the hospital’s pharmacovigilance department. Methods: a retrospective review of electronic medical records was conducted with records of pediatric patients who received naloxone from January 1st, 2015 to June 30th, 2016. Descriptive statistics and analysis of Variance (ANOVA) followed by Tukey’s test were performed to analyze the results (P < 0.05 was considered statistically significant). The study was conducted in a tertiary children’s hospital in Paraná, Brazil. Results: we found 58 opioid-related ADE (3.2 events/month) and an underreporting rate of 93% at the hospital. All of the events occurred in Intensive Care Units (ICU) while most of the patients were female (51.7%) and infants (from 1 month old to 24 months old) (51.7%) inside the Cardiac ICU (63.8%). Fentanyl was the most prescribed opioid (66.2%); apnea (29.31%) and insaturation (20.69%) were the most reported symptoms during the ADE. All opioid-related ADEs caused temporary harm to the patients and required intervention. However, only 2.8% of the patients presented ADE by opioid intoxication. The opioid-related ADE were not influenced by opioid types, age groups or patients’ diseases. Conclusions: these findings showed a higher incidence of opioid-related ADE inside the Cardiac ICU among infants and a significant underreporting rate of these ADE to the pharmacovigilance department. Our study strengthens the importance of the human factor as a possible cause of ADE in pediatric patients, as well as the challenge to manage patient’s safety in pediatric institutions.

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