scholarly journals Invasive medical procedure skills amongst Foundation Year Doctors – a questionnaire study

JRSM Open ◽  
2014 ◽  
Vol 5 (5) ◽  
pp. 205427041452793
Author(s):  
Chung Thong Lim ◽  
Victoria Gibbs ◽  
Chung Sim Lim
Keyword(s):  
Questionnaire Study ◽  
Medical Procedure ◽  
Invasive Medical Procedure

scholarly journals Hospitalizations for viral respiratory infections in children under 2 years of age: epidemiology and in-hospital complications

2020 ◽  
Author(s):  
Jessie Zurita-Cruz ◽  
Alejandro Gutierrez-Gonzalez ◽  
Leticia Manuel-Apolinar ◽  
José Esteban Fernández-Gárate ◽  
María Luisa Arellano-Flores ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Hospital Stay ◽  
Respiratory Infections ◽  
Medical Procedure ◽  
Cross Sectional ◽  
Invasive Medical Procedure ◽  
Viral Respiratory Infections ◽  
Complications And Mortality ◽  
Viral Respiratory

Abstract Background: Viral respiratory infections (VRIs) are a frequent cause of hospitalization in children under 24 months of age. A history of prematurity or heart disease may be a risk factor for complications in patients hospitalized for VRI. The objective was to describe epidemiological data for children hospitalized for IRV and aged 1 to 24 months and to identify risk factors for the presence of in-hospital complications and mortality over a period of 5 years. Methods : This was a cross-sectional study. Patients registered with VRI codes B974, J12, J120-J129X, J168, J17, J171, J178, J20, J203-J209, J21, J210, J211, J218, J219 (based on International Classification of Diseases [ICD-10]) from 2013 to 2017 were included. Three subanalyses were performed to compare (1) patients with pathological history (prematurity, bronchopulmonary dysplasia [BPD] and congenital heart disease [CHD]), (2) diagnoses (pneumonia, acute bronchitis, and acute bronchiolitis), and (3) admission to the pediatric intensive care unit. Days of hospital stay, in-hospital complications, invasive medical procedure and mortality were analyzed. Statistical analysis : VRI hospitalization prevalence was described. For comparison between groups, Student's t-test, ANOVA and the Chi2 test were applied. To identify factors related to days of hospital stay, in-hospital complications and mortality, a linear and logistic regression model was performed. Results: A total of 66,304 hospitalizations were reported. The average age was 14.7 weeks; hospitalization events were higher in winter (39%), followed by autumn (27.3%). A total of 371 (0.56%) patients died. A total of 7,068 (10.6%) hospitalized patients with pathological histories were identified. The presence of BPD (coefficient = 1.6), CHD (coefficient = 1.2), diagnosis of pneumonia (coefficient = 1.2), in-hospital complications (coefficient = 2.1) and invasive medical procedures (coefficient = 15.7) were the most common factors that increased the length of hospital stay. Risk factors for in-hospital complications and mortality were invasive medical procedure (OR = 3.3 & 11.7), BPD (OR=1.8 & 1.6), CHD (OR = 4.6 & 3.4) and diagnosis of pneumonia (OR= 1.8 & 4.2). Conclusions: Risk factors for morbidity and mortality in patients hospitalized for VRIs are BPD and CHD, diagnosis of pneumonia and invasive medical procedure.

scholarly journals Hospitalizations for viral respiratory infections in children under 2 years of age: epidemiology and in-hospital complications

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jessie N. Zurita-Cruz ◽  
Alejandro Gutierrez-Gonzalez ◽  
Leticia Manuel-Apolinar ◽  
José Esteban Fernández-Gárate ◽  
María Luisa Arellano-Flores ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Hospital Stay ◽  
Respiratory Infections ◽  
Medical Procedure ◽  
Cross Sectional ◽  
Invasive Medical Procedure ◽  
Viral Respiratory Infections ◽  
Complications And Mortality ◽  
Viral Respiratory

Abstract Background Viral respiratory infections (VRIs) are a frequent cause of hospitalization in children under 24 months of age. A history of prematurity or heart disease may be a risk factor for complications in patients hospitalized for VRI. The objective was to describe epidemiological data for children hospitalized for IRV and aged 1 to 24 months and to identify risk factors for the presence of in-hospital complications and mortality over a period of 5 years. Methods This was a cross-sectional study. Patients registered with VRI codes B974, J12, J120-J129X, J168, J17, J171, J178, J20, J203-J209, J21, J210, J211, J218, J219 (based on International Classification of Diseases [ICD-10]) from 2013 to 2017 were included. Three subanalyses were performed to compare [1] patients with pathological history (prematurity, bronchopulmonary dysplasia [BPD] and congenital heart disease [CHD]), [2] diagnoses (pneumonia, acute bronchitis, and acute bronchiolitis), and [3] admission to the pediatric intensive care unit. Days of hospital stay, in-hospital complications, invasive medical procedure and mortality were analyzed. Statistical analysis: VRI hospitalization prevalence was described. For comparison between groups, Student’s t-test, ANOVA and the Chi2 test were applied. To identify factors related to days of hospital stay, in-hospital complications and mortality, a linear and logistic regression model was performed. Results A total of 66,304 hospitalizations were reported. The average age was 14.7 weeks; hospitalization events were higher in winter (39%), followed by autumn (27.3%). A total of 371 (0.56%) patients died. A total of 7068 (10.6%) hospitalized patients with pathological histories were identified. The presence of BPD (coefficient = 1.6), CHD (coefficient = 1.2), diagnosis of pneumonia (coefficient = 1.2), in-hospital complications (coefficient = 2.1) and invasive medical procedures (coefficient = 15.7) were the most common factors that increased the length of hospital stay. Risk factors for in-hospital complications and mortality were invasive medical procedure (OR = 3.3 & 11.7), BPD (OR = 1.8 & 1.6), CHD (OR = 4.6 & 3.4) and diagnosis of pneumonia (OR = 1.8 & 4.2). Conclusions Risk factors for morbidity and mortality in patients hospitalized for VRIs are BPD and CHD, diagnosis of pneumonia and invasive medical procedure.

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

PEDIATRICS ◽  
2005 ◽  
Vol 115 (1) ◽  
pp. e77-e85 ◽  
Author(s):  
Lisa D. Butler ◽  
Barbara K. Symons ◽  
Shelly L. Henderson ◽  
Linda D. Shortliffe ◽  
David Spiegel
Keyword(s):  
Medical Procedure ◽  
Invasive Medical Procedure

scholarly journals Smart Bio-Impedance-Based Sensor for Guiding Standard Needle Insertion

Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 665
Author(s):  
Ivan Kudashov ◽  
Sergey Shchukin ◽  
Mugeb Al-harosh ◽  
Andrew Shcherbachev
Keyword(s):  
Electrical Impedance ◽  
Experimental Studies ◽  
Needle Insertion ◽  
Electrode System ◽  
Medical Procedure ◽  
Peripheral Vascular ◽  
Non Invasive ◽  
Invasive Medical Procedure ◽  
Time Parameters ◽  
Tip Position

A venipuncture is the most common non-invasive medical procedure, and is frequently used with patients; however, a high probability of post-injection complications accompanies intravenous injection. The most common complication is a hematoma, which is associated with puncture of the uppermost and lowermost walls. To simplify and reduce complications of the venipuncture procedure, and as well as automation of this process, a device that can provide information of the needle tip position into patient’s tissues needs to be developed. This paper presents a peripheral vascular puncture control system based on electrical impedance measurements. A special electrode system was designed to achieve the maximum sensitivity for puncture identification using a traditional needle, which is usually used in clinical practice. An experimental study on subjects showed that the electrical impedance signal changed significantly once the standard needle entered the blood vessel. On basis of theoretical and experimental studies, a decision rule of puncture identification based on the analysis of amplitude-time parameters of experimental signals was proposed. The proposed method was tested on 15 test and 9 control samples, with the results showing that 97% accuracy was obtained.

scholarly journals Hospitalizations for viral respiratory infections in children under 2 years of age: epidemiology and in-hospital complications

2020 ◽  
Author(s):  
Jessie Zurita-Cruz ◽  
Alejandro Gutierrez-Gonzalez ◽  
Leticia Manuel-Apolinar ◽  
José Esteban Fernández-Gárate ◽  
María Luisa Arellano-Flores ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Hospital Stay ◽  
Respiratory Infections ◽  
Medical Procedure ◽  
Cross Sectional ◽  
Invasive Medical Procedure ◽  
Viral Respiratory Infections ◽  
Complications And Mortality ◽  
Viral Respiratory

Abstract Background: Viral respiratory infections (VRIs) are a frequent cause of hospitalization in children under 24 months of age. A history of prematurity or heart disease may be a risk factor for complications in patients hospitalized for VRI. The objective was to describe epidemiological data for children hospitalized for IRV and aged 1 to 24 months and to identify risk factors for the presence of in-hospital complications and mortality over a period of 5 years.Methods: This was a cross-sectional study. Patients registered with VRI codes B974, J12, J120-J129X, J168, J17, J171, J178, J20, J203-J209, J21, J210, J211, J218, J219 (based on International Classification of Diseases [ICD-10]) from 2013 to 2017 were included. Three subanalyses were performed to compare (1) patients with pathological history (prematurity, bronchopulmonary dysplasia [BPD] and congenital heart disease [CHD]), (2) diagnoses (pneumonia, acute bronchitis, and acute bronchiolitis), and (3) admission to the pediatric intensive care unit. Days of hospital stay, in-hospital complications, invasive medical procedure and mortality were analyzed. Statistical analysis: VRI hospitalization prevalence was described. For comparison between groups, Student's t-test, ANOVA and the Chi2 test were applied. To identify factors related to days of hospital stay, in-hospital complications and mortality, a linear and logistic regression model was performed.Results: A total of 66,304 hospitalizations were reported. The average age was 14.7 weeks; hospitalization events were higher in winter (39%), followed by autumn (27.3%). A total of 371 (0.56%) patients died. A total of 7,068 (10.6%) hospitalized patients with pathological histories were identified. The presence of BPD (coefficient = 1.6), CHD (coefficient = 1.2), diagnosis of pneumonia (coefficient = 1.2), in-hospital complications (coefficient = 2.1) and invasive medical procedures (coefficient = 15.7) were the most common factors that increased the length of hospital stay. Risk factors for in-hospital complications and mortality were invasive medical procedure (OR = 3.3 & 11.7), BPD (OR=1.8 & 1.6), CHD (OR = 4.6 & 3.4) and diagnosis of pneumonia (OR= 1.8 & 4.2).Conclusions: Risk factors for morbidity and mortality in patients hospitalized for VRIs are BPD and CHD, diagnosis of pneumonia and invasive medical procedure.

Parental Presence During Procedures in an Emergency Room: Results From 50 Observations

PEDIATRICS ◽  
1991 ◽  
Vol 87 (4) ◽  
pp. 544-548
Author(s):  
Howard Bauchner ◽  
Chris Waring ◽  
Robert Vinci
Keyword(s):  
Emergency Room ◽  
Pediatric Emergency ◽  
Medical Procedure ◽  
Parental Age ◽  
Parental Presence ◽  
Parental Decision ◽  
Invasive Medical Procedure ◽  
Arterial Blood ◽  
Level Of Training ◽  
Decision To Stay

This report describes the physician-parent-child encounter during an invasive medical procedure in a pediatric emergency department. Fifty children underwent venipuncture or intravenous cannulation performed by 22 physicians and 6 nurses. The median age of the children was 12 months. Parents remained with their children during 31 (62%) of the 50 procedures. Parents were more likely to stay if they had previously stayed when this child (P = .05) or another (P = .02) had undergone a procedure. Parental decision to stay was not related to parental age, gender, race, marital status, or level of education, nor to the residents' age, gender, or level of training. Only 43% of the parents who did stay were given that option by the residents, and of those who did not stay 37% reported that physicians asked them to leave. Nonverbal cues by the residents, such as pulling the curtain closed or turning their back toward parents, were noted in 58% of the encounters in which parents did not stay. The residents and nurses indicated that parents should stay with their child for the following procedures: laceration repair, 66%; venipuncture, 58%; intravenous cannulation, 48%; arterial blood sampling, 32%; suprapubic aspiration, 20%; and lumbar puncture, 14%. In the emergency room studied, it appears that for venipuncture and intravenous cannulation, the majority of parents stay with their children. Parental decision to stay or leave is frequently made without discussion with the physician.

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