scholarly journals Non-invasive respiratory unit in the Hungarian health care system

2012 ◽  
Vol 153 (23) ◽  
pp. 918-921 ◽  
Author(s):  
András Lorx ◽  
Dóra Bartusek ◽  
György Losonczy ◽  
János Gál
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Hospital Stay ◽  
Respiratory Insufficiency ◽  
First Year Experience ◽  
First Year ◽  
Non Invasive ◽  
High Dependency ◽  
Chronic Respiratory Insufficiency ◽  
General Wards

Treating patients with acute or chronic respiratory insufficiency still poses a major load on the healthcare system. Though there is evidence that treating these patients in high dependency respiratory units results in a shortening of hospital stay, reduces the need of intubation, and decreases mortality. In the Hungarian routine these patients are treated in general wards until the development of global respiratory insufficiency, when they are transferred to intensive care units. The authors present their first year experience on their novel Non-invasive Respiratory Unit established at Semmelweis University. Orv. Hetil., 2012, 153, 918–921.

Role of the intensive care unit

2018 ◽  
Author(s):  
Matt Wise ◽  
Paul Frost
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Organ Failure ◽  
Radiology Department ◽  
Organ Support ◽  
Specific Patient ◽  
High Dependency ◽  
Operating Theatres ◽  
The Uk ◽  
General Wards

The intensive care unit (ICU) can be defined as an area reserved for patients with potential or established organ failure and has the facilities for the diagnosis, prevention, and treatment of multi-organ failure. Usually, the ICU is located in close proximity to A & E, the radiology department, and the operating theatres, as it is between these areas that patient flows are greatest. In large urban hospitals, there may be more than one ICU, some of which serve specific patient populations, such as paediatrics, neurosurgery, cardiothoracic surgery, liver failure, and burns. Many hospitals also have high-dependency units (HDUs) that offer higher nurse-to-patient ratios and more advanced monitoring than a general wards does, as well as limited organ support. In the UK, the distinctions between ICU, HDU, and general ward have been abandoned in favour of a classification based on the patient’s needs rather than their location.

scholarly journals Ongoing Challenges with Healthcare-Associated Candida auris Outbreaks in Oman

2019 ◽  
Vol 5 (4) ◽  
pp. 101 ◽  
Author(s):  
Al Maani ◽  
Paul ◽  
Al-Rashdi ◽  
Wahaibi ◽  
Al-Jardani ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Environmental Isolates ◽  
Candida Auris ◽  
Minimal Inhibitory Concentrations ◽  
High Dependency ◽  
Rdna Sequencing

Candida auris has emerged in the past decade as a multi-drug resistant public health threat causing health care outbreaks. Here we report epidemiological, clinical, and microbiological investigations of a C. auris outbreak in a regional Omani hospital between April 2018 and April 2019. The outbreak started in the intensive care areas (intensive care unit (ICU), coronary care unit (CCU), and high dependency unit) but cases were subsequently diagnosed in other medical and surgical units. In addition to the patients’ clinical and screening samples, environmental swabs from high touch areas and from the hands of 35 staff were collected. All the positive samples from patients and environmental screening were confirmed using MALDI-TOF, and additional ITS-rDNA sequencing was done for ten clinical and two environmental isolates. There were 32 patients positive for C. auris of which 14 (43.8%) had urinary tract infection, 11 (34.4%) had candidemia, and 7 (21.8%) had asymptomatic skin colonization. The median age was 64 years (14–88) with 17 (53.1%) male and 15 (46.9%) female patients. Prior to diagnosis, 21 (65.6%) had been admitted to the intensive care unit, and 11 (34.4%) had been nursed in medical or surgical wards. The crude mortality rate in our patient’s cohort was 53.1. Two swabs collected from a ventilator in two different beds in the ICU were positive for C. auris. None of the health care worker samples were positive. Molecular typing showed that clinical and environmental isolates were genetically similar and all belonged to the South Asian C. auris clade I. Most isolates had non-susceptible fluconazole (100%) and amphotericin B (33%) minimal inhibitory concentrations (MICs), but had low echinocandin and voriconazole MICs. Despite multimodal infection prevention and control measures, new cases continued to appear, challenging all the containment efforts.

scholarly journals Persistent phrenic palsy following interscalene block, leading to chronic respiratory insufficiency and requiring long-term non-invasive ventilation

2008 ◽  
Vol 1 (3) ◽  
pp. 253-255 ◽  
Author(s):  
Christel Saint Raymond ◽  
Jean-Christian Borel ◽  
Bernard Wuyam ◽  
Philippe Gil ◽  
Jean-François Payen ◽  
...  
Keyword(s):  
Respiratory Insufficiency ◽  
Interscalene Block ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Chronic Respiratory Insufficiency

scholarly journals A survey on awareness of genetic counseling for non-invasive prenatal testing: the first year experience in Japan

2016 ◽  
Vol 61 (12) ◽  
pp. 995-1001 ◽  
Author(s):  
Junko Yotsumoto ◽  
◽  
Akihiko Sekizawa ◽  
Nobuhiro Suzumori ◽  
Takahiro Yamada ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Prenatal Testing ◽  
First Year Experience ◽  
First Year ◽  
Non Invasive

scholarly journals Nasal High-flow versus non-invasive ventilation in stable hypercapnic COPD: a preliminary report

2015 ◽  
Vol 10 ◽  
Author(s):  
Jens Bräunlich ◽  
Hans-Jürgen Seyfarth ◽  
Hubert Wirtz
Keyword(s):  
Respiratory Insufficiency ◽  
Alternative Treatment ◽  
Preliminary Report ◽  
High Flow ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Copd Patients ◽  
Non Invasive Ventilation ◽  
Chronic Respiratory Insufficiency

Background: There are no data available about effectiveness of Nasal High-flow (NHF)in chronic respiratory insufficiency. Methods: Eleven COPD patients with stable hypercapnia were adjusted to NHF-system with a flow of 20 l/min. After six weeks patients were switched to non-invasive ventilation (NIV) for another six weeks period. Results: NHF led to significant decreases in resting pCO2. Between the devices we found no differences in pCO2 levels. Conclusions: NHF may thus be an alternative treatment device in stable hypercapnic COPD patients.

scholarly journals The clinical implications of sinus tachycardia in mild COVID-19 infection: A retrospective cohort study

2021 ◽  
Vol 9 ◽  
pp. 205031212110549
Author(s):  
Jenny Yi Chen Hsieh ◽  
Juliana Yin Li Kan ◽  
Shaikh Abdul Matin Mattar ◽  
Yan Qin
Keyword(s):  
Intensive Care Unit ◽  
Cohort Study ◽  
Intensive Care ◽  
Venous Thromboembolism ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Retrospective Cohort ◽  
Sinus Tachycardia ◽  
High Dependency ◽  
General Wards

Objectives: This study aims to estimate the prevalence of sinus tachycardia in hospitalized patients with mild COVID-19 infection and to identify the clinical, radiological, and biological characteristics associated with sinus tachycardia. Methods: A retrospective cohort study was conducted on patients with mild COVID-19 infection and sinus tachycardia during hospitalization. Outcomes measured included incidences of venous thromboembolism, high-dependency/intensive care unit admission, laboratory parameters, and radiological findings. Results: A total of 236 COVID-19 positive patients admitted to Singapore General Hospital isolation general wards from 1 June 2020 to 30 June 2020 were included in this study. Ninety-seven (41.1%) patients had sinus tachycardia on or during their admission. All patients were monitored in general wards and discharged to community quarantine facilities. None required oxygen support or high-dependency/intensive care unit admission. Sinus tachycardia was associated with increased C-reactive protein level (odds ratio = 1.033, 95% confidence interval = 1.002–1.066), abnormal chest X-ray findings (odds ratio = 3.142, 95% confidence interval = 1.390–7.104), and longer hospitalization (odds ratio = 1.117, 95% confidence interval = 1.010–1.236). There was no significant statistical association between sinus tachycardia and incidences of venous thromboembolism. Conclusion: This study suggests that patients with mild COVID-19 infection and concurrent sinus tachycardia are more likely to have higher inflammatory marker levels, abnormal imaging, and prolonged hospitalization. However, no significant association between sinus tachycardia and thromboembolism is identified in mild COVID-19 infection.

Sleep and non-invasive ventilation in patients with chronic respiratory insufficiency

2008 ◽  
Vol 35 (2) ◽  
Author(s):  
Cristina Ambrogio ◽  
Xazmin Lowman ◽  
Ming Kuo ◽  
Joshua Malo ◽  
Anil R. Prasad ◽  
...  
Keyword(s):  
Respiratory Insufficiency ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Chronic Respiratory Insufficiency

scholarly journals Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis

2020 ◽  
Vol 13 (8) ◽  
pp. e236586 ◽  
Author(s):  
Paul Whittemore ◽  
Laura Macfarlane ◽  
Anna Herbert ◽  
John Farrant
Keyword(s):  
Hospital Stay ◽  
Ct Imaging ◽  
Low Flow ◽  
Ground Glass ◽  
High Dependency Unit ◽  
Day Hospital ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
High Dependency

A 60-year-old man with swab-positive COVID-19 and extensive ground-glass change seen on CT imaging was successfully managed on our COVID-19 high-dependency unit with only low-flow oxygen and strict awake proning instructions. He was successfully weaned off oxygen entirely without any requirement for non-invasive or invasive ventilation and made a recovery to be discharged home after an 18-day hospital stay.

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