scholarly journals THE VALUE OF ROUTINE CHEST X-RAY (CXR) IN MECHANICALLY VENTILATED INTENSIVE CARE UNIT (ICU) PATIENTS

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 208S
Author(s):  
Marleen E. Graat ◽  
Esther K. Wolthuis ◽  
Goda Choi ◽  
Johanna C. Korevaar ◽  
Marcus J. Schultz
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Icu Patients ◽  
Mechanically Ventilated ◽  
X Ray ◽  
Chest X Ray ◽  
Routine Chest

scholarly journals Utility of daily routine portable chest X-ray in mechanically ventilated patients in the pediatric intensive care unit

2015 ◽  
Vol 03 (01) ◽  
pp. 029-034
Author(s):  
Hind Bafaqih ◽  
Suliman Almohaimeed ◽  
Farah Thabet ◽  
Abdulrahman Alhejaili ◽  
Reda Alarabi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care ◽  
Daily Routine ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
X Ray ◽  
Portable Chest ◽  
Chest X Ray ◽  
Ventilated Patients

scholarly journals The Role of Chest X-Ray in Intensive Care Unit

2021 ◽  
Vol 6 (01) ◽  
pp. 38-45
Author(s):  
Mayson Ahmed Wanasi Khair ◽  
Shouq Mohammed Alamri ◽  
Ahlam Hameed Alrashidi ◽  
Malak Abdulrahman Lharbi ◽  
Yosra Saleh Al-moghamsi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sample Size ◽  
Radiation Source ◽  
Small Sample ◽  
Pathologic Finding ◽  
X Rays ◽  
Icu Patients ◽  
X Ray ◽  
Chest X Ray

Purpose: Chest X-rays (CXRs) are the most common radiological tests performed in the intensive care unit (ICU). The purpose of the current study was to investigate the relationship between the performance CRX in ICU and the patient’s confirmed pathologic finding. Methods: This retrospective study was evaluated 50 ICU chest X-rays were retrieved from the Picture Archiving and Communication System (PACS) of the different Saudi Hospitals in Al-Medina (February - April 2017). Frequency Distribution, Ratio and Linear Regression were used for statistical analysis. Result: This study demonstrated that based on analyzing the data, 92% of chest X-ray requests were used among 50 ICU patients to confirm the diagnosis, and a significant relationship was found between the use of chest X-rays between the ICU patients and the patient's confirmed pathologic finding which may mean that chest X-ray had a great role in confirming the disease or its complications. There has been a recommendation to perform daily CRX for patients with severe cardiopulmonary disease or receiving mechanical ventilation, as well as immediate CXR imaging for all patients who have had endotracheal tubes, feeding tubes, vascular catheters, and chest tubes. The most effective principle of radiation protection is distance, when performing an X-ray, the technologist must be at least six feet (1.5 to 2 m) from the radiation source. If the technician needs to be close to the radiation source, wearable lead shields and thyroid collars can protect the radiation-sensitive areas of the body. Conclusion: The chest X-ray of ICU patients was an important diagnostic tool that would affect patient management; however, it may also be a tool that can lead to serious complications for patient. A small sample size was used in this investigation that results in unconfirmed information, the future research using a large sample size is needed to carry out a more reliable and valid information.

Association of opioid exposure during intensive care unit stays with post-discharge opioid use: A retrospective study and literature review

2021 ◽  
Vol 17 (6) ◽  
pp. 511-516
Author(s):  
Yoonsun Mo, MS, PharmD, BCPS, BCCCP ◽  
John Zeibeq, MD ◽  
Nabil Mesiha, MD ◽  
Abou Bakar, PharmD ◽  
Maram Sarsour, PharmD ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Hospital Discharge ◽  
Invasive Mechanical Ventilation ◽  
High Dose ◽  
Opioid Use ◽  
Electronic Health Record Data ◽  
Icu Patients ◽  
Mechanically Ventilated

Objective: To evaluate whether pain management strategies within intensive care unit (ICU) settings contribute to chronic opioid use upon hospital discharge in opioid-naive patients requiring invasive mechanical ventilation. Design: A retrospective, observational study.Setting: An 18-bed mixed ICU at a community teaching hospital located in Brooklyn, New York.Participants: This study included mechanically ventilated patients requiring continuous opioid infusion from April 25, 2017 to May 16, 2019. Patients were excluded if they received chronic opioid therapy at home or expired during this hospital admission. Eligible patients were identified using an electronic health record data query.Main outcome measure(s): The proportion of ICU patients who continued to require opioids upon ICU and hospital discharge. Results: A total of 196 ICU patients were included in this study. Of these, 22 patients were transferred to a regular floor while receiving a fentanyl transdermal patch. However, the fentanyl patch treatment was continued only for three patients (2 percent) at hospital discharge.Conclusions: This retrospective study suggested that high-dose use of opioids in mechanically ventilated, opioid-naive ICU patients was not associated with continued opioid use upon hospital discharge.

Clinical relevance of the routine daily chest X-Ray in the surgical intensive care unit

2017 ◽  
Vol 214 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Shelby Resnick ◽  
Kenji Inaba ◽  
Efstathios Karamanos ◽  
Dimitra Skiada ◽  
James A. Dollahite ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Relevance ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
X Ray ◽  
Chest X Ray

scholarly journals Comparing the Effect of Neostigmine and Metoclopramide on Gastric Residual Volume of Mechanically Ventilated Patients in Intensive Care Unit: A Double-Blind Randomized Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Alireza Rahat-Dahmardeh ◽  
Sara Saneie-Moghadam ◽  
Masoum Khosh-Fetrat
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Randomized Clinical Trial ◽  
Normal Saline ◽  
Residual Volume ◽  
Gastric Residual Volume ◽  
Double Blind ◽  
Icu Patients ◽  
Mechanically Ventilated

Introduction. The gastric residual volume (GRV) monitoring in patients with mechanical ventilation (MV) is a common and important challenge. The purpose of this study was to compare the effect of neostigmine and metoclopramide on GRV among MV patients in the intensive care unit (ICU). Methods. In a double-blind randomized clinical trial, a total of 200 mechanically ventilated ICU patients with GRV > 120   ml (6 hours after the last gavage) were randomly assigned into two groups (A and B) with 100 patients in each group. Patients in groups A and B received intravenous infusion of neostigmine at a dose of 2.5 mg/100 ml normal saline and metoclopramide at a dose of 10 mg/100 ml normal saline, within 30 minutes, respectively. GRV was evaluated 5 times for each patient, once before the intervention and 4 times (at 3, 6, 9, and 12 hours) after the intervention. In addition, demographic characteristics including age and gender, as well as severity illness based on the sequential organ failure assessment score (SOFA), were initially recorded for all patients. Results. After adjusting of demographic and clinical characteristics (age, gender, and SOFA score), the generalized estimating equation (GEE) model revealed that neostigmine treatment increased odds of GRV improvement compared to the metoclopramide group ( OR = 2.45 , 95% CI: 1.60-3.76, P < 0.001 ). However, there is a statistically significant time trend (within-subject differences or time effect) regardless of treatment groups ( P < 0.001 ). Conclusion. According to the results, although neostigmine treatment significantly improved GRV in more patients in less time, within 12 hours of treatment, all patients in both groups had complete recovery. Considering that there was no significant difference between the two groups in terms of side effects, it seems that both drugs are effective in improving the GRV of ICU patients.

scholarly journals Analgesia and sedation in surgery Intensive Care Unit (ICU)

2017 ◽  
Vol 64 (1) ◽  
pp. 21-26
Author(s):  
Sanja Maric ◽  
Dalibor Boskovic
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Pain Management ◽  
Clinical Outcomes ◽  
Therapeutic Interventions ◽  
Negative Consequences ◽  
Icu Patients ◽  
Mechanically Ventilated ◽  
Pain At Rest

The goals of analgesia and sedation at the intensive care unit (ICU) are to facilitate mechanical ventilation, prevent patient and caregiver injury, and avoid the psychological and physiologic consequences of inadequate treatment of pain, anxiety, agitation, and delirium. Most ICU patients, especially the surgical and trauma ones, routinely experience pain at rest and with routine procedures. Treating pain in ICU patients depends on a clinician?s ability to perform a reproducible pain assessment and to monitor patients over time to determine the adequacy of therapeutic interventions to treat pain. Implementation of behavioral pain scales improves ICU pain management and clinical outcomes, including better use of analgesic and sedative agents and shorter durations of mechanical ventilation and ICU stay. Opioids are the primary medications for managing pain in critically ill patients. Multimodal approach to pain management in ICU patients has been recommended. Sedatives are commonly administered to ICU patients to treat agitation and its negative consequences. Sedation strategies using nonbenzodiazepine sedatives (propofol or dexmedetomidine) may be preferred over sedation with benzodiazepines (midazolam or lorazepam) to improve clinical outcomes in mechanically ventilated adult ICU patients. It is recommend daily sedation interruption or a light target level of sedation be routinely used in adult intensive care patients using mechanical ventilation. Delirium affecting up to 80% of mechanically ventilated adult ICU patients. ICU protocols that combine routine pain and sedation assessments, with pain management and sedation-minimizing strategies, along with delirium monitoring and prevention, may be the best strategy for avoiding the complications of oversedation. Protocolized pain, agitation and delirium assessment (PAD ICU), is significantly associated with a reduction in the use of analgesic medications, ICU length of stay, and duration of mechanical ventilation.

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