scholarly journals Care and compassion at time of pandemic: an ICU field experience in Italy

2022 ◽  
Vol 2 (1) ◽  
Author(s):  
Annalaura Ferrari ◽  
Selena Russo ◽  
Catia Quagliotto ◽  
Roberta Granello ◽  
Lorenza Menato ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Field Experience ◽  
Virus Transmission ◽  
Hospital Policies ◽  
Hospital Wards

AbstractAfter the COVID-19 pandemic outbreak in March 2020, the majority of hospital policies have followed guidelines aimed to prevent the virus transmission and the families’ entry was denied in all hospital wards and intensive care units (ICU). Despite being necessary, such restrictions have been experienced with discomfort and sufferings by the general ICU staff of Treviso Hospital (Italy) and by families of patients. Therefore, from April 2020, a step-by-step project was developed to reactivate contact with COVID-19 patients’ families. The several requests and appeals of intensive care communities and organizations, both nationally and internationally, motivated the Treviso hospital initiative, leading to a model that might be potentially useful to other intensive care units worldwide.

scholarly journals Otolaryngologists’ Role in Redeployment During the COVID-19 Pandemic: A Commentary

2020 ◽  
Vol 163 (1) ◽  
pp. 94-95 ◽  
Author(s):  
Taha Z. Shipchandler ◽  
B. Ryan Nesemeier ◽  
Cecelia E. Schmalbach ◽  
Jonathan Y. Ting
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Emergency Departments ◽  
Health Care Systems ◽  
Care Community ◽  
Care Systems ◽  
Hospital Wards

As otolaryngologists, we identify as subspecialists and fellowship-trained surgeons and may even identify as “super-subspecialists.” The likelihood of being redeployed and drawing from knowledge learned during our postgraduate year 1 training seemed exceedingly unlikely until physician resources became scarce in some health care systems during the COVID-19 pandemic. More now than ever, it is evident that our broad training is valuable in helping patients and allowing the otolaryngologist to meaningfully contribute to the larger health care community, especially while the majority (70%-95%) of elective care is delayed. With our skill set, otolaryngologists are poised to support various aspects of hospital wards, intensive care units, emergency departments, and beyond.

scholarly journals Why and how to open intensive care units to family visits during the pandemic

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Giovanni Mistraletti ◽  
Alberto Giannini ◽  
Giuseppe Gristina ◽  
Paolo Malacarne ◽  
Davide Mazzon ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Family Members ◽  
The Other ◽  
Local Setting ◽  
Strategic Goals ◽  
A Priority ◽  
Hospital Wards ◽  
Operational Guidance

AbstractSince the lockdown because of the pandemic, family members have been prohibited from visiting their loved ones in hospital. While it is clearly complicated to implement protocols for the admission of family members, we believe precise strategic goals are essential and operational guidance is needed on how to achieve them. Even during the pandemic, we consider it a priority to share strategies adapted to every local setting to allow family members to enter intensive care units and all the other hospital wards.

scholarly journals Strokes occurring in the hospital: Symptom recognition and eligibility for treatment in the intensive care units versus hospital wards

2020 ◽  
Vol 6 (3) ◽  
pp. 196
Author(s):  
Ashkan Mowla ◽  
Haris Kamal ◽  
MuhammadK Ahmed ◽  
Alicia Zha ◽  
NavdeepS Lail ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Symptom Recognition ◽  
Hospital Wards

scholarly journals Longitudinal Survey of COVID-19 Burden and Related Policies in U.S. Neonatal Intensive Care Units

2020 ◽  
Vol 38 (01) ◽  
pp. 093-098
Author(s):  
Kaashif A. Ahmad ◽  
Ashley Darcy-Mahoney ◽  
Amy S. Kelleher ◽  
Dan L. Ellsbury ◽  
Veeral N. Tolia ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional ◽  
Key Points ◽  
Hospital Policies ◽  
Expectant Mothers ◽  
Novel Coronavirus ◽  
The Impact

Objective This study aimed to determine the prevalence of confirmed novel coronavirus disease 2019 (COVID-19) disease or infants under investigation among a cohort of U.S. neonatal intensive care units (NICUs). Secondarily, to evaluate hospital policies regarding maternal COVID-19 screening and related to those infants born to mothers under investigation or confirmed to have COVID-19. Study Design Serial cross-sectional surveys of MEDNAX-affiliated NICUs from March 26 to April 3, April 8 to April 19, May 4 to May 22, and July 13 to August 2, 2020. The surveys included questions regarding COVID-19 patient burden and policies regarding infant separation, feeding practices, and universal maternal screening. Results Among 386 MEDNAX-affiliated NICUs, responses were received from 153 (42%), 160 (44%), 165 (45%), 148 (38%) across four rounds representing an active patient census of 3,465, 3,486, 3,452, and 3,442 NICU admitted patients on the day of survey completion. Confirmed COVID-19 disease in NICU admitted infants was rare, with the prevalence rising from 0.03 (1 patient) to 0.44% (15 patients) across the four survey rounds, while the prevalence of patients under investigation increased from 0.8 to 2.6%. Hospitals isolating infants from COVID-19-positive mothers fell from 46 to 20% between the second and fourth surveys, while centers permitting direct maternal breastfeeding increased 17 to 47% over the same period. Centers reporting universal severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) screening for all expectant mothers increased from 52 to 69%. Conclusion Among a large cohort of NICU infants, the prevalence of infants under investigation or with confirmed neonatal COVID-19 disease was low. Policies regarding universal maternal screening for SARS-CoV-2, infant isolation from positive mothers, and direct maternal breastfeeding for infants born to positive mothers are rapidly evolving. As universal maternal screening for SARS-CoV-2 becomes more common, the impact of these policies requires further investigation. Key Points

scholarly journals Intensive care unit discharge: mind the gap!

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cristian Deana ◽  
Giovanni Sermann ◽  
Amato De Monte
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Intensive Care Unit Discharge ◽  
The Other ◽  
Level Of Care ◽  
Unit Discharge ◽  
Severity Of The Disease ◽  
Hospital Wards

AbstractMortality after intensive care discharge is a hot topic in critical care medicine. Many factors probably play a role: patient’s comorbidities and severity of the disease may have great impact on mortality. However it should be taken into account also the level of care that characterizes the ward in which the patient is discharged to. A soft transition from intensive care units to the other hospital wards is desirable to avoid the traumatic step that the fragile post-ICU patient has to face with.

Nosocomial TB in two neonatal intensive care units at a tertiary care centre: infection risk and outcomes

2021 ◽  
Vol 25 (7) ◽  
pp. 567-572
Author(s):  
B. Yangthara ◽  
P. Wutthigate ◽  
S. Roongmaitree ◽  
P. Siripattanapipong ◽  
K. Lapphra ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Preventive Treatment ◽  
Healthcare Personnel ◽  
Neonatal Intensive Care Units ◽  
Tertiary Care Centre ◽  
Contact Investigation ◽  
Hospital Policies

BACKGROUND: Sick neonates in TB endemic areas are at risk of nosocomial TB exposure.OBJECTIVE: To evaluate outcomes following contact investigation and isoniazid preventive treatment (IPT) in sick neonates exposed to healthcare personnel (HCP) with pulmonary TB.METHODS: Investigations were conducted following two exposure events in different neonatal intensive care units (NICUs). Details of the infants´ physical examination, chest X-ray and exposure history were recorded. Infants without TB disease were prescribed a 9-month course of IPT and followed for ≥1 year.RESULTS: Ninety infants were exposed in NICU A and 231 in NICU B (n = 321). The overall proportions of completing the 9-month IPT was 164/265 (61.8%): 40/79 (50.6%) in NICU A and 124/186 (66.7%) in NICU B (P = 0.01). The overall incidence of TB was 10.2% (24/236): 7.5% in NICU A and 11.2% in NICU B (P = 0.39). Contact investigation beginning >111 days after exposure was a risk factor for TB infection (P = 0.02).CONCLUSION: The risk of TB following nosocomial exposure in sick neonates was high, particularly when contact investigation was delayed. Our findings underscore the importance of hospital policies that promote early detection of TB in HCP, reduce transmission in NICUs, and facilitate rapid case investigation.

scholarly journals Prospective cohort study protocol to describe the transfer of patients from intensive care units to hospital wards

BMJ Open ◽  
2015 ◽  
Vol 5 (7) ◽  
pp. e007913 ◽  
Author(s):  
Denise L Buchner ◽  
Sean M Bagshaw ◽  
Peter Dodek ◽  
Alan J Forster ◽  
Robert A Fowler ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Prospective Cohort Study ◽  
Study Protocol ◽  
Prospective Cohort ◽  
Hospital Wards
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