Heroics at the End of Life in Pediatric Cardiac Intensive Care: The Role of the Intensivist in Supporting Ethical Decisions Around Innovative Surgical Interventions

2021 ◽  
Author(s):  
Mithya Lewis-Newby ◽  
Emily Berkman ◽  
Douglas Diekema ◽  
Jonna Clark
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Surgical Interventions ◽  
Ethical Decisions ◽  
Cardiac Intensive Care

Role of Sildenafil in the Treatment of Persistent Pulmonary Hypertension of Newborn (PPHN) - Should it Be Withdrawn from Market of Bangladesh due to Threat of being Misuses

2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cardiac Intensive Care Unit ◽  
Cross Sectional ◽  
Cardiac Intensive Care ◽  
Hospital Protocol

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104

End of Life Simulation in a Pediatric Cardiac Intensive Care Unit

2021 ◽  
Author(s):  
Brenda K. Williams ◽  
Tiffany L. Pendergrass ◽  
Taylor R. Grooms ◽  
Amy R. Florez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
Cardiac Intensive Care Unit ◽  
Cardiac Intensive Care

Pattern of end-of-life decisions in two Tunisian intensive care units: the role of culture and intensivists’ training

2012 ◽  
Vol 38 (4) ◽  
pp. 710-717 ◽  
Author(s):  
Islem Ouanes ◽  
Néji Stambouli ◽  
Fahmi Dachraoui ◽  
Lamia Ouanes-Besbes ◽  
Samir Toumi ◽  
...  
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
End Of Life Decisions ◽  
Life Decisions

The role of the neonatal intensive care nurse in decision-making: Advocacy, involvement in ethical decisions and communication

2005 ◽  
Vol 11 (3) ◽  
pp. 108-117 ◽  
Author(s):  
Leanne Monterosso ◽  
Linda Kristjanson ◽  
Peter D Sly ◽  
Mary Mulcahy ◽  
Beng Gee Holland ◽  
...  
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Care Nurse ◽  
Ethical Decisions ◽  
Intensive Care Nurse

Applying Educational Theory to Interdisciplinary Education in Pediatric Cardiac Critical Care

2019 ◽  
Vol 10 (6) ◽  
pp. 742-749
Author(s):  
Mary E. McBride ◽  
Melvin C. Almodovar ◽  
Amy R. Florez ◽  
Annette Imprescia ◽  
Lillian Su ◽  
...  
Keyword(s):  
Intensive Care ◽  
Interdisciplinary Education ◽  
Intensive Care Society ◽  
International Meeting ◽  
Cardiopulmonary Interactions ◽  
Curricular Design ◽  
Simulation Based ◽  
Cardiac Intensive Care ◽  
Cardiac Critical Care

At the 14th Annual International Meeting for the Pediatric Cardiac Intensive Care Society, the authors presented a simulation workshop for junior multidisciplinary providers focused on cardiopulmonary interactions. We provide an overview of educational theories of particular relevance to curricular design for simulation-based or enhanced activities. We then demonstrate how these theories are applied to curriculum development for individuals to teams and for novice to experts. We review the role of simulation in cardiac intensive care education and the education theories that support its use. Finally, we demonstrate how a conceptual framework, SIMZones, can be applied to design effective simulation-based teaching.

Role of Early Postoperative Surface Echocardiography in the Pediatric Cardiac Intensive Care Unit

CHEST Journal ◽  
1994 ◽  
Vol 105 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Alvin J. Chin ◽  
Jane M. Vetter ◽  
Mohamed Seliem ◽  
Audrey A. Jones ◽  
Beth Ann A. Andrews
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cardiac Intensive Care Unit ◽  
Cardiac Intensive Care

scholarly journals The role of advance directives in end-of-life decisions in Austria: survey of intensive care physicians

2010 ◽  
Vol 11 (1) ◽  
Author(s):  
Eva Schaden ◽  
Petra Herczeg ◽  
Stefan Hacker ◽  
Andrea Schopper ◽  
Claus G Krenn
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Advance Directives ◽  
End Of Life Decisions ◽  
Life Decisions

scholarly journals Extra note of music in anaesthesia

2019 ◽  
Vol 7 (8) ◽  
pp. 3219
Author(s):  
Harpreet Kaur ◽  
Veena Shukla ◽  
Gopal Lal Bansal ◽  
Harsh Kumar Harsh ◽  
Anie Joseph ◽  
...  
Keyword(s):  
Intensive Care ◽  
Regional Anaesthesia ◽  
Positive Impact ◽  
Stress Factors ◽  
Ample Evidence ◽  
Surgical Interventions ◽  
Sedative Effects ◽  
Ancient Times ◽  
The Brain

Role of music has been identified since ancient times for alleviating anxiety. Music has been known for its potential to produce a sense of wellbeing and peace. Anaesthesia and surgery are major stress factors for any person. Preoperative anxiety is a usual phenomenon in patients posted for various surgical interventions as well as those admitted to intensive care units (ICU). Literature shows ample evidence regarding neurohormonal disturbances related to stressful situations like preoperative, intraoperative and post-operative periods. Music has been shown to attenuate release of various biochemical molecules leading to relaxing and sedative effects on the brain. Not only patients under regional anaesthesia who are awake have a positive impact, even patients under general anaesthesia have also been shown to benefit from listening to music intraoperatively. Music is a hazard free intervention which can be added to various drug combinations used by anaesthesiologists.

scholarly journals Improving Family Intensive Care Unit Experiences at the End of Life: Barriers and Facilitators

2019 ◽  
Vol 39 (3) ◽  
pp. 52-58 ◽  
Author(s):  
Freda DeKeyser Ganz
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
Health Care Providers ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
Clinically Significant ◽  
Bereavement Care ◽  
The Coordinator

Experiencing the end of life of a family member in the intensive care unit is clearly difficult. An important role of critical care nurses is to help family members through this challenging period. This article highlights a few clinically significant barriers and facilitators related to improving family experiences at the patient’s end of life that have received less attention in the literature thus far. Facilitators include specific aspects of communication, the nurse’s role as the coordinator of care, bereavement care, promoting a “good death,” and caring for health care providers. Barriers include medical uncertainty and differences in values and culture.

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