Monitoring of the kidneys, liver, and other vital organs

2021 ◽  
pp. 147-164
Author(s):  
Karl Werdan ◽  
Brijesh Patel ◽  
Matthias Girndt ◽  
Henning Ebelt ◽  
Jochen Schröder ◽  
...  
Keyword(s):  
Critical Care ◽  
Organ Failure ◽  
Critically Ill ◽  
Cardiac Disease ◽  
Critical Care Unit ◽  
Cardiac Patients ◽  
Cardiac Care ◽  
Close Monitoring ◽  
Cardiac Care Unit ◽  
Organ Complications

The prognosis of critically ill cardiac patients in the critical care unit and intensive cardiac care unit depends not only on the underlying cardiac disease, but also on the development of secondary organ complications and failures. Therefore, close monitoring of vital organs is mandatory in all critically ill cardiac patients to detect the development of non-cardiac organ failure as early as possible.

Monitoring of the kidneys, liver, and other vital organs

2015 ◽  
Author(s):  
K Werdan ◽  
B Patel ◽  
M Girndt ◽  
H Ebelt ◽  
J Schröder ◽  
...  
Keyword(s):  
Critical Care ◽  
Organ Failure ◽  
Critically Ill ◽  
Cardiac Disease ◽  
Critical Care Unit ◽  
Cardiac Patients ◽  
Cardiac Care ◽  
Close Monitoring ◽  
Cardiac Care Unit ◽  
Organ Complications

The prognosis of critically ill cardiac patients in the critical care unit and intensive cardiac care unit depends not only on the underlying cardiac disease, but also on the development of secondary organ complications and failures. Therefore, close monitoring of vital organs is mandatory in all critically ill cardiac patients to detect the development of non-cardiac organ failure as early as possible.

Monitoring of the kidneys, liver, and other vital organs

2018 ◽  
Author(s):  
Karl Werdan ◽  
Brijesh Patel ◽  
Matthias Girndt ◽  
Henning Ebelt ◽  
Jochen Schröder ◽  
...  
Keyword(s):  
Critical Care ◽  
Organ Failure ◽  
Critically Ill ◽  
Cardiac Disease ◽  
Critical Care Unit ◽  
Cardiac Patients ◽  
Cardiac Care ◽  
Close Monitoring ◽  
Cardiac Care Unit ◽  
Organ Complications

The prognosis of critically ill cardiac patients in the critical care unit and intensive cardiac care unit depends not only on the underlying cardiac disease, but also on the development of secondary organ complications and failures. Therefore, close monitoring of vital organs is mandatory in all critically ill cardiac patients to detect the development of non-cardiac organ failure as early as possible.

scholarly journals Emergency department critical care unit for critically ill cardiovascular patients: An observation study

2017 ◽  
Vol 80 (4) ◽  
pp. 233-244 ◽  
Author(s):  
Ken-Hui Fu ◽  
Yin-Ru Chen ◽  
Ju-Shin Fan ◽  
Yen-Chia Chen ◽  
Hsien-Hao Huang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Critically Ill ◽  
Critical Care Unit ◽  
Observation Study ◽  
Cardiovascular Patients

scholarly journals Inter-hospital transport of the child with critical cardiac disease

2017 ◽  
Vol 27 (S6) ◽  
pp. S40-S46 ◽  
Author(s):  
Padmanabhan Ramnarayan ◽  
Zafurallah Intikhab ◽  
Neil Spenceley ◽  
Ilias Iliopoulos ◽  
Alana Duff ◽  
...  
Keyword(s):  
Critical Care ◽  
Cardiac Disease ◽  
Air Transport ◽  
Cardiac Care ◽  
Middle Income ◽  
Expert Review ◽  
Middle Income Countries ◽  
Care Intervention ◽  
Specialist Services ◽  
Hospital Transport

AbstractCentralisation of services such as cardiology, cardiac surgery, and intensive care in many parts of the world has resulted in the need to safely transport children with critical cardiac disease from local hospitals to specialist centres for diagnostic, surgical, and/or critical care intervention. The transport of this cohort of children, whether locally or internationally, can present specific clinical and logistical challenges. An international group of clinicians with expertise in cardiac care and critical care transport worked together to summarise current clinical practice relating to key areas of transport. This expert review covers the transport of the child with critical cardiac disease in terms of referral triage and advice, enabling optimal management of locally available resources, clinical stabilisation before transport, international air transport, transport considerations in low- and middle-income countries, and the transport of children with specific cardiac conditions. As specialist services are centralised to fewer large centres, the need for safe and timely inter-hospital transport of children with critical cardiac disease is only expected to rise in the future. The key principles outlined in this review will be helpful for practitioners in global settings who are, or might be, involved in transporting children between hospitals.

scholarly journals Epidemiology of Bleeding in Critically Ill Children

2021 ◽  
Vol 9 ◽  
Author(s):  
Jake Sequeira ◽  
Marianne E. Nellis ◽  
Oliver Karam
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critical Care Unit ◽  
Critically Ill Children ◽  
Pediatric Critical Care ◽  
Risk Of Mortality ◽  
Increased Risk ◽  
Duration Of Surgery ◽  
The Impact ◽  
Bleeding Severity

Objective: Bleeding can be a severe complication of critical illness, but its true epidemiologic impact on children has seldom been studied. Our objective is to describe the epidemiology of bleeding in critically ill children, using a validated clinical tool, as well as the hemostatic interventions and clinical outcomes associated with bleeding.Design: Prospective observational cohort study.Setting: Tertiary pediatric critical care unitPatients: All consecutive patients (1 month to 18 years of age) admitted to a tertiary pediatric critical care unitMeasurements and Main Results: Bleeding events were categorized as minimal, moderate, severe, or fatal, according to the Bleeding Assessment Scale in Critically Ill Children. We collected demographics and severity at admission, as evaluated by the Pediatric Index of Mortality. We used regression models to compare the severity of bleeding with outcomes adjusting for age, surgery, and severity. Over 12 months, 902 critically ill patients were enrolled. The median age was 64 months (IQR 17; 159), the median admission predicted risk of mortality was 0.5% (IQR 0.2; 1.4), and 24% were post-surgical. Eighteen percent of patients experienced at least one bleeding event. The highest severity of bleeding was minimal for 7.9% of patients, moderate for 5.8%, severe for 3.8%, and fatal for 0.1%. Adjusting for age, severity at admission, medical diagnosis, type of surgery, and duration of surgery, bleeding severity was independently associated with fewer ventilator-free days (p < 0.001) and fewer PICU-free days (p < 0.001). Adjusting for the same variables, bleeding severity was independently associated with an increased risk of mortality (adjusted odds ratio for each bleeding category 2.4, 95% CI 1.5; 3.7, p < 0.001).Conclusion: Our data indicate bleeding occurs in nearly one-fifth of all critically ill children, and that higher severity of bleeding was independently associated with worse clinical outcome. Further multicenter studies are required to better understand the impact of bleeding in critically ill children.

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