scholarly journals MOBILISASI PROGRESIF TERHADAP PERUBAHAN TEKANAN DARAH PASIEN DI INTENSIVE CARE UNIT (ICU)

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Ainnur Rahmanti ◽  
Dyah Kartika Putri
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Respiratory Function ◽  
Lateral Position ◽  
High Morbidity ◽  
Left Lateral Position ◽  
Critical Patients

Patient with critical condition had high morbidity and mortality rate. This condition is worsened by long term immobilization. Instability vital sign made nurses stationed delayed mobilization activities in ICU. Progressive mobilization must be started for ICU patient to decrease respiratory function, level of awareness and cardiovascular function. The objective of this study was to identify progressive mobilization activities on blood pressure parameters among critical patients in ICU. The design of this study was quai experiment design. Thirty respondents were included to the study using concequtive sampling. Progressive mobilization was given with head of bed 300 (HOB 300), head of bed450 (HOB 450) with  passive range of motion, continued with right and left lateral position. Anova repeated measurement was used to identify mean difference each of blood pressure. The result of this study show there is two moment sistolic change between HOB 300 to HOB 450 and HOB 450 to right lateral position (3,3%). There is nine moment diastolic change between HOB 450 to right lateral position (16,7%).   Keywords: blood pressure, ICU, Progressive mobilization

scholarly journals Invasive Blood Pressure Measurement and In-hospital Mortality in Critically Ill Patients With Hypertension

2021 ◽  
Vol 8 ◽  
Author(s):  
Bin Zhou ◽  
Liang-Ying Lin ◽  
Xiao-Ai Liu ◽  
Ye-Sheng Ling ◽  
Yuan-Yuan Zhang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Confidence Interval ◽  
Hospital Mortality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Odds Ratio ◽  
Invasive Blood Pressure

Background: Invasive blood pressure (IBP) measurement is common in the intensive care unit, although its association with in-hospital mortality in critically ill patients with hypertension is poorly understood.Methods and Results: A total of 11,732 critically ill patients with hypertension from the eICU-Collaborative Research Database (eICU-CRD) were enrolled. Patients were divided into 2 groups according to whether they received IBP. The primary outcome in this study was in-hospital mortality. Propensity score matching (PSM) and inverse probability of treatment weighing (IPTW) models were used to balance the confounding covariates. Multivariable logistic regression was used to evaluate the association between IBP measurement and hospital mortality. The IBP group had a higher in-hospital mortality rate than the no IBP group in the primary cohort [238 (8.7%) vs. 581 (6.5%), p < 0.001]. In the PSM cohort, the IBP group had a lower in-hospital mortality rate than the no IBP group [187 (8.0%) vs. 241 (10.3%), p = 0.006]. IBP measurement was associated with lower in-hospital mortality in the PSM cohort (odds ratio, 0.73, 95% confidence interval, 0.59–0.92) and in the IPTW cohort (odds ratio, 0.81, 95% confidence interval, 0.67–0.99). Sensitivity analyses showed similar results in the subgroups with high body mass index and no sepsis.Conclusions: In conclusion, IBP measurement was associated with lower in-hospital mortality in critically ill patients with hypertension, highlighting the importance of IBP measurement in the intensive care unit.

scholarly journals PENGARUH MOBILISASI PROGRESIF LEVEL I TERHADAP TEKANAN DARAH DAN SATURASI OKSIGEN PASIEN KRITIS DENGAN PENURUNAN KESADARAN

2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Mugi Hartoyo ◽  
Shobirun Shobirun ◽  
Budiyati Budiyati ◽  
Rizqi Rachmilia
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Oxygen Saturation ◽  
T Test ◽  
Increase Blood Pressure ◽  
Group Design ◽  
Post Test ◽  
Level I ◽  
Critical Patients

AbstrakPasien yang dirawat di ruang Intensive Care Unit (ICU) merupakan pasien kritis yang dalam keadaan terancam jiwanya karena kegagalan atau disfungsi pada satu atau multipel organ yang disertai gangguan hemodinamik. Pasien kritis dalam keadaan penurunan kesadaran memiliki keterbatasan dalam mobilisasi, yang berdampak terhadap tekanan darah dan saturasi oksigen yang tidak stabil. Salah satu intervensi yang dapat dilakukan untuk menangani hal tersebut dengan mobilisasi progresif level I berupa head of bed, ROM, dan rotasi lateral. Penelitian ini bertujuan untuk mengetahui pengaruh mobilisasi progresif level I terhadap tekanan darah dan saturasi oksigen pada pasien kritis dengan penurunan kesadaran di ruang ICU. Metode penelitian ini menggunakan pra eksperimental dengan rancangan pre-test and post-test one group design. Responden penelitian ditetapkan dengan non probability sampling dengan metode total sampling. Penelitian dilaksanakan di ruang ICU pada 15 responden yang terdiri dari 10 responden perempuan dan 5 responden laki-laki dan memenuhi kriteria inklusi. Uji dependent t-test menunjukkan ada pengaruh mobilisasi progresif level I terhadap tekanan darah sistolik (p = 0,024), tekanan diastolik (p = 0,002), dan saturasi oksigen (p = 0,000). Mobilisasi Progresif Level I dapat meningkatkan tekanan darah dan saturasi oksigen pada pasien kritis dengan penurunan kesadaran. Mobilisasi Progresif Level I dapat dijadikan salah satu intervensi keperawatan untuk meningkatkan tekanan darah dan saturasi oksigen pasien kritis dengan penurunan kesadaran dengan tekanan darah di bawah normal. Kata kunci: Mobilisasi progresif level I, tekanan darah, saturasi oksigen, pasien kritis. AbstractThe effect of progressive level I mobilization on blood pressure and oxygen saturation in critical patients with decreased awareness. Patients who are treated in the Intensive Care Unit (ICU) are critical patients who are in danger of failure or dysfunction in one or multiple organs accompanied by hemodynamic disturbances. Critical patients in a state of reduced consciousness have limitations in mobilization, which have an impact on blood pressure and unstable oxygen saturation. One intervention that can be done to deal with this is with progressive level I mobilization in the form of head of bed, ROM, and lateral rotation. This study aims to determine the effect of progressive level I mobilization on blood pressure and oxygen saturation in critical patients with decreased awareness in the ICU. This research method uses pre-experimental design with pre-test and post-test one group design. Research respondents were determined by non-probability sampling with total sampling method. The study was conducted in the ICU room in 15 respondents consisting of 10 female respondents and 5 male respondents and met the inclusion criteria. The dependent t-test showed that there was an effect of progressive level I mobilization on systolic blood pressure (p= 0.024), diastolic pressure (p= 0.002), and oxygen saturation (p= 0.000). Level I Progressive Mobilization can increase blood pressure and oxygen saturation in critical patients with decreased consciousness. Level I Progressive Mobilization can be used as one of the nursing interventions to increase blood pressure and oxygen saturation of critical patients with decreased consciousness with below normal blood pressure. Keywords: Progressive level I mobilization, blood pressure, oxygen saturation, critical patients

Intra-arterial blood pressure reading in intensive care unit patients in the lateral position

2011 ◽  
Vol 21 (13-14) ◽  
pp. 1825-1830 ◽  
Author(s):  
Marcel JH Aries ◽  
Adnan Aslan ◽  
Jan Willem J Elting ◽  
Roy E Stewart ◽  
Jan G Zijlstra ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Arterial Blood Pressure ◽  
Lateral Position ◽  
Blood Pressure Reading ◽  
Pressure Reading ◽  
Arterial Blood

Survival after cardiac surgery and long-term intensive care unit stay

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
C Schimmer ◽  
K Hamouda ◽  
M Özkur ◽  
SP Sommer ◽  
I Aleksic ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Unit Stay

Sportliche Leistung von Pferden, die als Fohlen intensivmedizinischer Behandlung bedurften

2019 ◽  
Vol 47 (06) ◽  
pp. 399-399
Author(s):  
Lukas Demattio
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sich Eine ◽  
Factors Associated ◽  
Intensivmedizinische Behandlung ◽  
Sportliche Leistung

Studies AC, Chidlow H, Ere SG et al. Factors associated with long-term athletic outcome in Thoroughbred neonates admitted to an intensive care unit. Equine Vet J 2019; 51: 716–719 Für viele Pferdezüchter stellt sich immer wieder die Frage, wie viel Geld in ein Fohlen investiert werden soll, wenn dieses tierärztlicher Behandlung bedarf. Lohnt sich eine intensivmedizinische Behandlung für ein Fohlen, das für eine sportliche Nutzung vorgesehen ist? Diese Frage versuchten die Autoren in der Studie zu beantworten.

scholarly journals Completeness of the operating room to intensive care unit handover: a matter of time?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fabian Dusse ◽  
Johanna Pütz ◽  
Andreas Böhmer ◽  
Mark Schieren ◽  
Robin Joppich ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Information Transfer ◽  
Time Pressure ◽  
Intraoperative Complications ◽  
Patient Characteristics ◽  
Information Loss ◽  
Ensure Patient Safety ◽  
Underlying Diseases

Abstract Background Handovers of post-anesthesia patients to the intensive care unit (ICU) are often unstructured and performed under time pressure. Hence, they bear a high risk of poor communication, loss of information and potential patient harm. The aim of this study was to investigate the completeness of information transfer and the quantity of information loss during post anesthesia handovers of critical care patients. Methods Using a self-developed checklist, including 55 peri-operative items, patient handovers from the operation room or post anesthesia care unit to the ICU staff were observed and documented in real time. Observations were analyzed for the amount of correct and completely transferred patient data in relation to the written documentation within the anesthesia record and the patient’s chart. Results During a ten-week study period, 97 handovers were included. The mean duration of a handover was 146 seconds, interruptions occurred in 34% of all cases. While some items were transferred frequently (basic patient characteristics [72%], surgical procedure [83%], intraoperative complications [93.8%]) others were commonly missed (underlying diseases [23%], long-term medication [6%]). The completeness of information transfer is associated with the handover’s duration [B coefficient (95% CI): 0.118 (0.084-0.152), p<0.001] and increases significantly in handovers exceeding a duration of 2 minutes (24% ± 11.7 vs. 40% ± 18.04, p<0.001). Conclusions Handover completeness is affected by time pressure, interruptions, and inappropriate surroundings, which increase the risk of information loss. To improve completeness and ensure patient safety, an adequate time span for handover, and the implementation of communication tools are required.

Population-based assessment of intensive care unit-acquired bloodstream infections in adults: Incidence, risk factors, and associated mortality rate

2002 ◽  
Vol 30 (11) ◽  
pp. 2462-2467 ◽  
Author(s):  
Kevin B. Laupland ◽  
David A. Zygun ◽  
H. Dele Davies ◽  
Deirdre L. Church ◽  
Thomas J. Louie ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Bloodstream Infections ◽  
Population Based ◽  
Incidence Risk

scholarly journals Prevalence of multidrug-resistant Acinetobacter baumannii in a critical care setting: A tertiary teaching hospital experience

2021 ◽  
Vol 9 ◽  
pp. 205031212110011
Author(s):  
Thabit Alotaibi ◽  
Abdulrhman Abuhaimed ◽  
Mohammed Alshahrani ◽  
Ahmed Albdelhady ◽  
Yousef Almubarak ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Acinetobacter Baumannii ◽  
Care Setting ◽  
Multidrug Resistant ◽  
University Hospital ◽  
Published Data ◽  
Tertiary Teaching ◽  
The Mean

Background: The management of Acinetobacter baumannii infection is considered a challenge especially in an intensive care setting. The resistance rate makes it difficult to manage and is believed to lead to higher mortality. We aim to investigate the prevalence of Acinetobacter baumannii and explore how different antibiotic regimens could impact patient outcomes as there are no available published data to reflect our population in our region. Methods: We conducted a retrospective review of all infected adult patients admitted to the intensive care unit at King Fahad University Hospital with a confirmed laboratory diagnosis of Acinetobacter baumannii from 1 January 2013 until 31 December 2017. Positive cultures were obtained from the microbiology department and those meeting the inclusive criteria were selected. Variables were analyzed using descriptive analysis and cross-tabulation. Results were further reviewed and audited by blinded co-authors. Results: A comprehensive review of data identified 198 patients with Acinetobacter baumannii. The prevalence of Acinetobacter baumannii is 3.37%, and the overall mortality rate is 40.81%. Our sample consisted mainly of male patients, that is, 68.7%, with a mean age of 49 years, and the mean age of female patients was 56 years. The mean age of survivors was less than that of non-survivors, that is, 44.95 years of age. We observed that prior antibiotic use was higher in non-survivors compared to survivors. From the review of treatment provided for patients infected with Acinetobacter baumannii, 65 were treated with colistin alone, 18 were treated with carbapenems, and 22 were treated with a combination of both carbapenems and colistin. The mean length of stay of Acinetobacter baumannii–infected patients was 20.25 days. We found that the survival rates among patients who received carbapenems were higher compared to those who received colistin. Conclusion: We believe that multidrug-resistant Acinetobacter baumannii is prevalent and associated with a higher mortality rate and represents a challenging case for every intensive care unit physician. Further prospective studies are needed.

Position for Lumbar Punctures

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 976-976
Author(s):  
FRAN PORTER ◽  
J. PHILIP MILLER ◽  
F. SESSIONS COLE ◽  
RICHARD E. MARSHALL
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Lumbar Puncture ◽  
Neonatal Intensive Care ◽  
Lateral Position ◽  
Common Position

in Reply.— Dr Pinheiro correctly points out that alternative positions for performance of lumbar punctures in newborns have been shown to result in less physiologic perturbation than the position for lumbar puncture used in our study. Although we did not select specifically to study the fully flexed lateral position, it was the most common position for lumbar punctures in our Neonatal Intensive Care Unit at the time our study was conducted.

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