Role of Obstetric High Dependency and Intensive Care Unit in Improving Pregnancy Outcome and Reducing Maternal Mortality-A Study in Rural Central India

Background: Nosocomial infection (NI) is a major cause of morbidity and mortality of patients attending the healthcare facilities all over the world. Only a few studies regarding this issue have been conducted in Bangladesh.Objective: To describe the load of NI and to assess role of hand hygiene compliance of doctors and nurses regarding its prevention.Method: In this cross-sectional study, medical records of all patients admitted from January 2014 to June 2014 were reviewed and data were collected from patients who had diagnosis of NI. Collected data includes month wise number of NI patients, types of NI, organism responsible for NI and hand hygiene compliance of doctors and nurses. Regarding hand hygiene compliance only critical care areas were considered.Results: During the study period, a total of 8769 patients were admitted in all inpatient departments and critical care areas (cardiac intensive care unit, neonatal intensive care unit, general intensive care unit, coronary care unit, general high dependency unit and cardiac high dependency unit) of the hospital and number of NI was 201 (2.29%). The highest NI was respiratory tract infection (63%) and the lowest was skin & soft tissue infection (2%). Predominant organisms responsible were E. coli (16%), acinetobacter species (15%), Pseudomonas species (14%), Klebsiella species (13%), Serratia species (13%) and Candida species (13%). The highest average hand hygiene compliance (67.67%) and lowest NI (1.14%) was observed in June 2014.Conclusion: In this study, NI rate was the lowest when the hand hygiene compliance was the highest. So, it is obvious that implementation of hand hygiene may be one of the important measures to prevent NI. So, hospitals should have strict guidelines and review measures to prevent this man made phenomenon. All these efforts will not only reduce patient morbidity, but will also reduce the use of antibiotics and healthcare costs of the country.Bangladesh Crit Care J September 2017; 5(2): 83-87

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Why Obstetric Patients are admitted to Intensive Care Unit? A Retrospective Study

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1181 ◽

2012 ◽

Vol 4 (2) ◽

pp. 90-92

Author(s):

Sunita Ghike ◽

Prashant Asegaonkar

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Retrospective Study ◽

Maternal Mortality ◽

South Asian ◽

Medical Illness ◽

High Dependency Unit ◽

Icu Admission ◽

High Dependency ◽

Number Of Patients

ABSTRACT Pregnant women are often young and in their reproductive years. In majority of them, pregnancy and labor usually progresses uneventfully. Sudden complications occurring during this period may lead to maternal mortality. Though obstetric admission forms a small proportion of ICU admission, mortality among them is high. Proper antenatal care is still the mainstay of preventing complications in pregnant woman. This study was conducted to evaluate the obstetric admission to intensive care unit and causes and outcome of them. Two years retrospective review of all the obstetric admissions (Antenatal and postnatal up to 6 weeks post delivery) were done. Total number of patients admitted to ICU in this period, total number of deliveries in study period and total obstetric patients admitted to ICU were noted. The data included demographic details, obstetric history, indications for ICU admission, pre-existing medical illness and pregnancy complications necessitating ICU admissions. Total obstetric patients admitted to ICU were 1.04% of all deliveries. 48.53% women had pre-existing medical illness. 87.24% were antenatal and 12.67% were postnatal patients. 70.21% women had obstetric/medical illnesses during pregnancy which ICU admissions. Maternal mortality was observed in 31.91%. There was.changing trend in causes of maternal mortality, i.e. tropical diseases like dengue and malaria are found to be the cause of mortality in developing countries like India. Thus, there is need of obstetric high dependency unit (OHDU) at every center. How to cite this article Ghike S, Asegaonkar P. Why Obstetric Patients are admitted to Intensive Care Unit? A Retrospective Study. J South Asian Feder Obst Gynae 2012;4(2):90-92.

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Improving pregnancy outcomes in tertiary care institution in India through obstetric intensive care unit: three-year analysis

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20201789 ◽

2020 ◽

Vol 9 (5) ◽

pp. 1965

Author(s):

Ashish V. Gokhale ◽

Shonali Agarwal ◽

Dimpi Modi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Maternal Mortality ◽

Post Partum ◽

Tertiary Care ◽

Health Care Facilities ◽

Utilization Rate ◽

High Dependency ◽

Tertiary Care Institution ◽

Obstetric Population

Background: To analyse the requirement of high dependency unit (HDU)/intensive care unit (ICU) in an obstetric population in terms of utilization rate, indications for admission, interventions required and gestational outcome.Methods: Retrospective observational study was carried out from April 2015 to September 2018 at department of obstetrics and gynecology SSG Hospital, Vadodara India. Data related to indications for ICU admission, interventions required, length of stay and outcomes were collected, and results were analyzed.Results: Obstetric ICU utilization rate was 130 per 1000 deliveries. The major obstetric indications for admission were hypertensive disorders of pregnancy (42%) followed by anemia (25%) and post-partum hemorrhage (3%). In the rest of the patient’s majority (50%) had cardiovascular problems. Maternal mortality among these critically ill women was 3.76%. The death rate in the present study was high among patients admitted for non-obstetric (74.54%) as opposed to obstetric indications (25.46%).Conclusions: Establishment of well managed high dependency and intensive care unit in health care facilities dealing with high volumes of high-risk maternity cases reduces the maternal mortality significantly and results in improved maternal outcomes.

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ROLE OF CONTINUOUS EEG MONITORING IN PEDIATRIC INTENSIVE CARE UNIT

Neuropediatrics ◽

10.1055/s-2006-945917 ◽

2006 ◽

Vol 37 (S 1) ◽

Author(s):

S Hosain ◽

G Solomon

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Pediatric Intensive Care ◽

Eeg Monitoring ◽

Continuous Eeg ◽

Continuous Eeg Monitoring

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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

Dhaka Shishu (Children) Hospital Journal ◽

10.3329/dshj.v35i2.49688 ◽

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

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Sa107 THE ROLE OF FECAL OCCULT BLOOD TEST IN THE EVALUATION OF ANEMIA IN THE INTENSIVE-CARE UNIT: A RETROSPECTIVE STUDY ASSESSING THE CLINICAL UTILITY OF THE TEST

Gastroenterology ◽

10.1016/s0016-5085(21)01720-0 ◽

2021 ◽

Vol 160 (6) ◽

pp. S-423-S-424

Author(s):

Thanita Thongtan ◽

Anasua Deb ◽

Ashley Maveddat ◽

Paibul Suriyawongpaisal ◽

Passisd Laoveeravat ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Blood Test ◽

Clinical Utility ◽

Fecal Occult Blood Test ◽

Occult Blood ◽

Fecal Occult Blood ◽

Occult Blood Test ◽

Fecal Occult

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Continuous EEG Monitoring in the Intensive Care Unit

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100034661 ◽

1998 ◽

Vol 25 (S1) ◽

pp. S12-S15 ◽

Cited By ~ 4

Author(s):

John Kay

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Intensive Care Units ◽

Eeg Monitoring ◽

General Icus ◽

Continuous Eeg ◽

Nonconvulsive Seizures ◽

Continuous Eeg Monitoring ◽

Clinical Problems

AbstractBackground:Electroencephalography (EEG) is playing an increasingly important role in the management of comatose patients in the intensive care unit.Methods:The techniques of EEG monitoring are reviewed. Initially, standard, discontinuous recordings were performed in intensive care units (ICUs). Later, continuous displays of “raw EEG” (CEEG) were used. More recently, the addition of quantitative techniques allowed for more effective reading.Results and Conclusions:Applications of continuous EEG to clinical problems are discussed. The most useful role of CEEG appears to be the detection and management of nonconvulsive seizures. There is a need for controlled studies to assess the role for CEEG in neuro-ICUs and general ICUs.

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