Characteristics and outcome of admissions to general intensive care units following cardiac surgery

2004 ◽  
Vol 21 (Supplement 33) ◽  
pp. 25
Author(s):  
S. M. Walther ◽  
D. A. Harrison ◽  
A. R. Brady ◽  
K. Rowan
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units

scholarly journals Survey of Glycemic Control Protocols in Cardiac Surgery Intensive Care Units

2017 ◽  
Vol 2 (1) ◽  
pp. 24-25
Author(s):  
Vaishali S Badge ◽  
FM Ashiqe
Keyword(s):  
Mechanical Ventilation ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Glycemic Control ◽  
Glycaemic Control ◽  
Hospital Stay ◽  
Intensive Care Units ◽  
Cardiac Arrhythmias ◽  
Prolonged Mechanical Ventilation ◽  
Control Protocols

ABSTRACT Perioperative Hyperglycaemia can lead to sepsis, mediastinitis, prolonged mechanical ventilation, cardiac arrhythmias, increased ICU and hospital stay. The different centres follow different protocols to treat hyperglycaemia and still there is a controversy regarding the tight sugar control protocol. This survey was carried out to find the appropriate protocol regarding glycaemic control in various centres in UK. How to cite this article Badge VS, Ashiqe FM. Survey of Glycemic Control Protocols in Cardiac Surgery Intensive Care Units. Res Inno in Anesth 2017;2(1):24-25.

The Impact of Dedicated Cardiac Intensive Care Units on Outcomes in Pediatric Cardiac Surgery: A Virtual Pediatric Systems Database Analysis

2020 ◽  
Author(s):  
Dayanand N. Bagdure ◽  
Jason W. Custer ◽  
Cortney B. Foster ◽  
William C. Blackwelder ◽  
Vladimir Mishcherkin ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Mortality Rate ◽  
Intensive Care Units ◽  
Risk Category ◽  
Database Analysis ◽  
Cardiac Intensive Care ◽  
Outcomes For Children ◽  
The Impact ◽  
Risk Categories

AbstractCare of children undergoing cardiac surgery occurs in dedicated cardiac intensive care units (CICU) or mixed intensive care units. We analyzed data from Virtual Pediatric Systems (VPS, LLC) database (2009–2014) for children < 18 years of age undergoing cardiac surgery, classified according to Society of Thoracic Surgery–European Association of Cardiothoracic Surgery (STS-EACTS) risk category. We had 25,052 (52%) patients in 53 mixed units (mortality rate, 2.99%), and 22,762 (48%) patients in 19 dedicated CICUs (mortality rate, 2.62%). There was a direct relationship between STS-EACTS risk category and death rate in both units. By multivariable logistic and linear regression, there was no difference in mortality between mixed unit and CICU death rates within STS-EACTS risk categories. We found no difference in outcomes for children undergoing cardiac surgery based on the unit type (dedicated CICU or mixed unit).

scholarly journals New Modalities for the Administration of Inhaled Nitric Oxide in Intensive Care Units After Cardiac Surgery or for Neonatal Indications

2018 ◽  
Vol 126 (4) ◽  
pp. 1234-1240 ◽  
Author(s):  
Philippe Gaudard ◽  
Claudio Barbanti ◽  
Bertrand Rozec ◽  
Philippe Mauriat ◽  
Mimoun M’rini ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Inhaled Nitric Oxide

Patient’s dignity in intensive care unit: A critical ethnography

2017 ◽  
Vol 26 (3) ◽  
pp. 738-752 ◽  
Author(s):  
Farimah Shirani Bidabadi ◽  
Ahmadreza Yazdannik ◽  
Ali Zargham-Boroujeni
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Healthcare Providers ◽  
Cultural Knowledge ◽  
Medical Sciences ◽  
Interactive Communication ◽  
Major Barrier ◽  
Ethical Approval

Background: Maintaining patient’s dignity in intensive care units is difficult because of the unique conditions of both critically-ill patients and intensive care units. Objectives: The aim of this study was to uncover the cultural factors that impeded maintaining patients’ dignity in the cardiac surgery intensive care unit. Research Design: The study was conducted using a critical ethnographic method proposed by Carspecken. Participants and research context: Participants included all physicians, nurses and staffs working in the study setting (two cardiac surgery intensive care units). Data collection methods included participant observations, formal and informal interviews, and documents assessment. In total, 200 hours of observation and 30 interviews were performed. Data were analyzed to uncover tacit cultural knowledge and to help healthcare providers to reconstruct the culture of their workplace. Ethical Consideration: Ethical approval for the study from Ethics committee of Isfahan University of Medical Sciences was obtained. Findings: The findings of the study fell into the following main themes: “Presence: the guarantee for giving enough attention to patients’ self-esteem”, “Instrumental and objectified attitudes”, “Adherence to the human equality principle: value-action gap”, “Paternalistic conduct”, “Improper language”, and “Non-interactive communication”. The final assertion was “Reductionism as a major barrier to the maintaining of patient’s dignity”. Discussion: The prevailing atmosphere in subculture of the CSICU was reductionism and paternalism. This key finding is part of the biomedical discourse. As a matter of fact, it is in contrast with dignified care because the latter necessitate holistic attitudes and approaches. Conclusion: Changing an ICU culture is not easy; but through increasing awareness and critical self-reflections, the nurses, physicians and other healthcare providers, may be able to reaffirm dignified care and cure in their therapeutic relationships.

scholarly journals Etiology, incidence and mortality in patients with ventilator-associated pneumonia in adult general surgery and cardiac surgery intensive care units in University Hospital Dubrava

2020 ◽  
Vol 39 (4) ◽  
pp. 124-128
Author(s):  
Andrea Karin ◽  
Andrej Šribar ◽  
Marko Pražetina ◽  
Katerina Bakran ◽  
Jasminka Peršec
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
General Surgery ◽  
University Hospital ◽  
Ventilator Associated Pneumonia ◽  
Timely Initiation ◽  
Incidence And Mortality ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Ventilator-associated pneumonia (VAP) and hospital acquired pneumonia (HAP) strongly contribute to morbidity and mortality in intensive care units. Hospital acquired pneumonia (HAP) is pneumonia occurring 48 hours upon admission and appears not to be incubating at the time of admission. Ventilator-associated pneumonia (VAP) is a type of HAP developing in intubated patients after more than 48 hours upon mechanical ventilation. HAP and VAP are common and serious complications present in hospitalized patients. Since the diagnosis of VAP and HAP are rarely documented, we wanted to assess the incidence of VAP in General Surgery and Cardiac Surgery Intensive Care Units in 2018 and analyse the patients and procedures related factors. Patients intubated and ventilated more than 96 hours during 2018 were included. Our findings have shown that incidence of VAP in two analysed ICUs in UH Dubrava is in line with VAP incidence found in literature due to successful preventive strategies and timely initiation of antimicrobial therapy and other adjunctive procedures.

scholarly journals Virtual Reality Hypnosis for Anxiety and Pain Management in Intensive Care Units. A Prospective Randomized Trial Among Cardiac Surgery Patients.

2020 ◽  
Author(s):  
Floriane Marie Rousseaux ◽  
Nadia Dardenne ◽  
Paul B Massion ◽  
Didier Ledoux ◽  
Marie-Elisabeth Faymonville ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
University Hospital ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Significant Difference ◽  
Before And After ◽  
French Speaking

Abstract Background: Although non-pharmacological tools are nowadays commonly used in medical settings, virtual reality and hypnosis are little studied in complex contexts such as intensive care, where patients need significant physical and psychological assistance. The aim of the project is to evaluate the benefits of hypnosis, virtual reality (VR) and the combination of hypnosis and virtual reality (VRH) on anxiety and pain on patients before and after a cardiac surgery.Methods: This prospective randomized and controlled clinical trial was conducted in the University Hospital of Liege (Belgium). Participants are adults undergoing cardiac surgery, French speaking. Exclusion criteria are patients with psychiatric diseases, claustrophobia, acrophobia, heavy hearing impairment, visual impairment, extreme fatigue, verbal incoherence, surgery cancelled or postponed. The day before the surgery, patients were randomly assigned to four arms (control, hypnosis, VR and VRH) and had 20 minutes of one of the technique. They received the same intervention one day after surgery, in intensive care units. Anxiety, pain, fatigue, relaxation and physiological parameters were evaluated before and after each session.Results: 100 patients (66.38 ± 11.48 years; 76 men, 24 women) were included. Results showed that anxiety decreased from baseline to postoperative day in all groups. Relaxation increased in all groups in preoperative (p = .000) and postoperative period (p = 0.03). There were no significant results for pain and fatigue (p > 0.05). There was no significant difference between control group and hypnosis, VR or VRH.Conclusion: Anxiety decreased and relaxation increased in all groups, including control group. We cannot affirm that one technique is better than another is. Nevertheless, this study helps to expand the knowledge regarding application of virtual reality, hypnosis and virtual reality hypnosis in the specific contexts of cardiac surgery and intensive care units. Additional studies are required to compare and evaluate the costs-effectiveness of these techniques for critical care patients and caregivers (see Figure 1).Trial registration: ClinicalTrials.gov: NCT03820700. https://clinicaltrials.gov/ct2/show/NCT03820700. Registered on January 29 2019. Retrospectively registered.

Pulmonary Artery Catheterization

2019 ◽  
pp. 879-882
Author(s):  
Philip E. Lowman
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Intensive Care Units ◽  
Pulmonary Artery Catheterization ◽  
Wedge Pressure

For years, the pulmonary artery catheter (PAC, better known as Swan-Ganz catheter) has been used largely to estimate and optimize hemodynamics according to the wedge pressure of the pulmonary artery. Its use dramatically declined after reports of complications and increased costs without benefit to patients. In the absence of reliable noninvasive devices, the catheter is used in severe cases and in cardiac surgery intensive care units.

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