Role of Fiberoptic Bronchoscopy in Intensive Care Unit

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104

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Sa107 THE ROLE OF FECAL OCCULT BLOOD TEST IN THE EVALUATION OF ANEMIA IN THE INTENSIVE-CARE UNIT: A RETROSPECTIVE STUDY ASSESSING THE CLINICAL UTILITY OF THE TEST

Gastroenterology ◽

10.1016/s0016-5085(21)01720-0 ◽

2021 ◽

Vol 160 (6) ◽

pp. S-423-S-424

Author(s):

Thanita Thongtan ◽

Anasua Deb ◽

Ashley Maveddat ◽

Paibul Suriyawongpaisal ◽

Passisd Laoveeravat ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Blood Test ◽

Clinical Utility ◽

Fecal Occult Blood Test ◽

Occult Blood ◽

Fecal Occult Blood ◽

Occult Blood Test ◽

Fecal Occult

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Continuous EEG Monitoring in the Intensive Care Unit

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100034661 ◽

1998 ◽

Vol 25 (S1) ◽

pp. S12-S15 ◽

Cited By ~ 4

Author(s):

John Kay

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Intensive Care Units ◽

Eeg Monitoring ◽

General Icus ◽

Continuous Eeg ◽

Nonconvulsive Seizures ◽

Continuous Eeg Monitoring ◽

Clinical Problems

AbstractBackground:Electroencephalography (EEG) is playing an increasingly important role in the management of comatose patients in the intensive care unit.Methods:The techniques of EEG monitoring are reviewed. Initially, standard, discontinuous recordings were performed in intensive care units (ICUs). Later, continuous displays of “raw EEG” (CEEG) were used. More recently, the addition of quantitative techniques allowed for more effective reading.Results and Conclusions:Applications of continuous EEG to clinical problems are discussed. The most useful role of CEEG appears to be the detection and management of nonconvulsive seizures. There is a need for controlled studies to assess the role for CEEG in neuro-ICUs and general ICUs.

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Serratia marcescens outbreak in a neonatal intensive care unit: crucial role of implementing hand hygiene among external consultants

BMC Infectious Diseases ◽

10.1186/s12879-014-0734-6 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 25

Author(s):

Carlotta Montagnani ◽

Priscilla Cocchi ◽

Laura Lega ◽

Silvia Campana ◽

Klaus Peter Biermann ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Hand Hygiene ◽

Neonatal Intensive Care Unit ◽

Serratia Marcescens ◽

Crucial Role ◽

Neonatal Intensive Care ◽

External Consultants

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The role of the nurse in the neonatal intensive care unit: between the ideal, the real and the possible

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692011000200011 ◽

2011 ◽

Vol 19 (2) ◽

pp. 301-308 ◽

Cited By ~ 6

Author(s):

Liciane Langona Montanholi ◽

Miriam Aparecida Barbosa Merighi ◽

Maria Cristina Pinto de Jesus

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Public And Private ◽

Public And Private Hospitals ◽

The City ◽

Social Phenomenology ◽

The Ideal

The nurse is one of the professionals responsible for the care directed toward the physical, mental and social development of newborns in the Neonatal Intensive Care Unit. This study aimed to comprehend the experience of nurses working in a Neonatal Intensive Care Unit. Data collection was performed in 2008, through interviews with 12 nurses working in public and private hospitals of the city of São Paulo. The units of meaning identified were grouped into three categories: Developing actions; Perceiving their actions and Expectations. The analysis was based on social phenomenology. It was concluded that the overload of activities, the reduced number of staff, the lack of materials, equipment and the need for professional improvement are the reality of the work of the nurse in this sector. To supervise the care is the possible; integral care of the newborn, involving the parents, is the ideal desired.

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Defining the Role of Dexmedetomidine in the Prevention of Delirium in the Intensive Care Unit

BioMed Research International ◽

10.1155/2015/635737 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 19

Author(s):

S. Nelson ◽

A. J. Muzyk ◽

M. H. Bucklin ◽

S. Brudney ◽

J. P. Gagliardi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Outcome Measure ◽

Inclusion Criteria ◽

Respiratory Compromise ◽

Ongoing Research ◽

Cochrane Database ◽

Delirium Prevention ◽

Sedation Regimen

Dexmedetomidine is a highly selectiveα2agonist used as a sedative agent. It also provides anxiolysis and sympatholysis without significant respiratory compromise or delirium. We conducted a systematic review to examine whether sedation of patients in the intensive care unit (ICU) with dexmedetomidine was associated with a lower incidence of delirium as compared to other nondexmedetomidine sedation strategies. A search of PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews yielded only three trials from 1966 through April 2015 that met our predefined inclusion criteria and assessed dexmedetomidine and outcomes of delirium as their primary endpoint. The studies varied in regard to population, comparator sedation regimen, delirium outcome measure, and dexmedetomidine dosing. All trials are limited by design issues that limit our ability definitively to conclude that dexmedetomidine prevents delirium. Evidence does suggest that dexmedetomidine may allow for avoidance of deep sedation and use of benzodiazepines, factors both observed to increase the risk for developing delirium. Our assessment of currently published literature highlights the need for ongoing research to better delineate the role of dexmedetomidine for delirium prevention.

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