scholarly journals Thromboelastography in clinical decision-making in the critically ill patient in a district general hospital ICU

Critical Care ◽  
2008 ◽  
Vol 12 (Suppl 2) ◽  
pp. P212
Author(s):  
J Louw ◽  
T Veenith ◽  
P Moondi
Keyword(s):  
Decision Making ◽  
General Hospital ◽  
Critically Ill ◽  
Clinical Decision Making ◽  
District General Hospital ◽  
Clinical Decision ◽  
Critically Ill Patient

Impact of lung ultrasound on clinical decision making in critically ill patients

2013 ◽  
Vol 40 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Nektaria Xirouchaki ◽  
Eumorfia Kondili ◽  
George Prinianakis ◽  
Polychronis Malliotakis ◽  
Dimitrios Georgopoulos
Keyword(s):  
Decision Making ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Clinical Decision Making ◽  
Lung Ultrasound ◽  
Clinical Decision

Vascular anatomical considerations and clinical decision making during insertion of the Avalon® Elite Dual Lumen single-site veno-venous ECMO cannula in children weighing less than 20 kg

Perfusion ◽  
2018 ◽  
Vol 34 (4) ◽  
pp. 267-271 ◽  
Author(s):  
William Cory Ellis ◽  
Michal Schafer ◽  
Cindy S. Barrett ◽  
Katie Butler ◽  
Andrew Sprowell ◽  
...  
Keyword(s):  
Decision Making ◽  
Extracorporeal Membrane Oxygenation ◽  
Critically Ill ◽  
Mechanical Characteristics ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Single Site ◽  
Correct Selection ◽  
Critically Ill Children ◽  
Clinical Strategy

The correct selection and placement of a single-site Avalon® Elite Dual Lumen Cannula for veno-venous extracorporeal membrane oxygenation (ECMO) in children weighing less than 20 kg is dependent on both the mechanical characteristics of the catheter, including length and diameter, as well as the unique vascular anatomic considerations of the patient. This manuscript describes the development of a clinical strategy, over a four-year period from 2012-2016, for cannula selection to reduce the risk of migration and malposition in 20 critically ill children weighing less than 20 kg who presented for veno-venous ECMO.

scholarly journals The Utility of Procalcitonin to Support Clinical Decision Making in Critically Ill Pediatric Patients

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
David Jacobs ◽  
Maya Holsen ◽  
Shirley Chen ◽  
Nicholas Fusco ◽  
Amanda Hassinger
Keyword(s):  
Decision Making ◽  
Critically Ill ◽  
Pediatric Patients ◽  
Clinical Decision Making ◽  
Clinical Decision

Clinical decision-making by the emergency department resident physicians for critically ill patients

2012 ◽  
Vol 6 (1) ◽  
pp. 89-93 ◽  
Author(s):  
Tengda Xu ◽  
Jun Xu ◽  
Xuezhong Yu ◽  
Sui Ma ◽  
Zhong Wang
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Resident Physicians

scholarly journals Lower blood pH as a strong prognostic factor for fatal outcomes in critically ill COVID-19 patients at an intensive care unit: A multivariable analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0258018
Author(s):  
Martin Kieninger ◽  
Annemarie Sinning ◽  
Timea Vadász ◽  
Michael Gruber ◽  
Wolfram Gronwald ◽  
...  
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Prognostic Factors ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Critically Ill ◽  
Clinical Decision Making ◽  
Ph Value ◽  
Clinical Decision ◽  
Blood Ph

Background Data of critically ill COVID-19 patients are being evaluated worldwide, not only to understand the various aspects of the disease and to refine treatment strategies but also to improve clinical decision-making. For clinical decision-making in particular, prognostic factors of a lethal course of the disease would be highly relevant. Methods In this retrospective cohort study, we analyzed the first 59 adult critically ill Covid-19 patients treated in one of the intensive care units of the University Medical Center Regensburg, Germany. Using uni- and multivariable regression models, we extracted a set of parameters that allowed for prognosing in-hospital mortality. Results Within the cohort, 19 patients died (mortality 32.2%). Blood pH value, mean arterial pressure, base excess, troponin, and procalcitonin were identified as highly significant prognostic factors of in-hospital mortality. However, no significant differences were found for other parameters expected to be relevant prognostic factors, like low arterial partial pressure of oxygen or high lactate levels. In the multivariable logistic regression analysis, the pH value and the mean arterial pressure turned out to be the most influential prognostic factors for a lethal course.

Invasive Fungal Infections in the Critically Ill Patient

2005 ◽  
Vol 18 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Craig A. Martin
Keyword(s):  
Critically Ill ◽  
Antifungal Agents ◽  
Clinical Decision Making ◽  
Fungal Infections ◽  
Significant Risk ◽  
Pathogenic Fungi ◽  
Clinical Decision ◽  
Invasive Fungal Infections ◽  
Critically Ill Patient ◽  
Advantages And Disadvantages

Invasive fungal infections have become an increasingly prevalent and disturbing problem in critically ill patients. The advent of broad-spectrum antibacterial therapy and immunosuppressant therapy, among other factors such as mechanical ventilation, places the intensive care patient at significant risk for infection with pathogenic fungi. Most patients who become infected with invasive fungi, especially Candida species, have been previously colonized with the offending organism, lending to the notion that colonization precedes infection inmany cases. Despite an ever-increasing array of antifungal therapy for these infections, mortality rates remain extremely high, especially when the bloodstream is the primary site of infection. In addition, a shift toward more resistant pathogens such asCandida glabrata, Candida krusei, and moldswill provide clinicianswith therapeutic challenges for many years. The wide variation in acquisition cost across antifungal agents adds an additional layer of complexity to clinical decision making. Newer antifungal agents, each with its own advantages and disadvantages, have become available in recent years. Placing each agent in its appropriate niche is a dilemma that has yet to be solved.

scholarly journals An DETERMINANT OF NURSING CLINICAL DECISION MAKING IN ARIFIN ACHMAD GENERAL HOSPITAL OF RIAU PROVINCE

2019 ◽  
Vol 5 (3) ◽  
pp. 227-234
Author(s):  
Susi Erianti ◽  
Rizanda Machmud ◽  
Harmawati
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
General Hospital ◽  
Nursing Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Dominant Factor ◽  
Clinical Nursing ◽  
Nursing Clinical

Nurses always deal with various clinical problems when caring their patients. Nursing clinical decision making is an evaluation process of nursing care to the patient which evaluated by nurses every day. The phenomenon showed that there was a lack of nurses' ability to make a clinical nursing decision in the nursing process of patients at the Intensive Care Installation (IPI) of Arifin Achmad General Hospital of Riau Province. The study aims were to analyzed the factors related to nursing clinical decision making This research was a quantitative study with used cross-sectional design. Population were all nurses in the intensive care installation consisting of ICU, CVCU and PICU. Sample of this study were 60 nurses which taken by used total sampling technique. Data analyze was used multivariate with logistic regression test. The results showed that the factors related to clinical nursing decision making were length of work and training certificates. Meanwhile age, education and work unit factors were not related to clinical nursing decision making. The most dominant factor related to clinical nursing decision making was length of work (OR = 8.312). The results of this study could be an information for nurses to improving their ability in making clinical nursing decision, nurses competency and work experiences in their work units, so that the quality of nursing care services and the quality of hospital services can be improved.

Use And Influence Of Lung Ultrasound On Clinical Decision Making In Critically Ill Patients

2010 ◽  
Author(s):  
Nektaria Xirouchaki ◽  
Maria Plataki ◽  
DHMHTRHS BABALIS ◽  
LEFTERIS MAGKANAS ◽  
VAGGELIS KANIARIS ◽  
...  
Keyword(s):  
Decision Making ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Clinical Decision Making ◽  
Lung Ultrasound ◽  
Clinical Decision
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