Controlled Fluid Removal in Critical Ill Patients With Fluid Overload in the Intensive Care Unit.

2019 ◽  
Author(s):  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Fluid Overload ◽  
Fluid Removal ◽  
Critical Ill Patients ◽  
Critical Ill

scholarly journals Secondary Bacterial Infections in Critical Ill Patients With Coronavirus Disease 2019

2020 ◽  
Vol 7 (6) ◽  
Author(s):  
Yiqi Fu ◽  
Qing Yang ◽  
Min Xu ◽  
Haishen Kong ◽  
Hongchao Chen ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Bacterial Infection ◽  
Critically Ill Patients ◽  
Bacterial Infections ◽  
Critical Ill Patients ◽  
Prevention Of Nosocomial Infection ◽  
Critical Ill

Secondary bacterial infections occurred in 13.9% (5 of 36) of critical ill patients with coronavirus disease 2019. All 5 patients had been admitted to intensive care unit and received mechanical ventilation before developing bacterial infection. Active surveillance of culture should be performed for critically ill patients. Prevention of nosocomial infection should to be taken seriously.

scholarly journals MP196PROSNOSTIC VALUE OF URINE NGAL (UNGAL) AND IL18 (UIL18) IN CRITICAL ILL PATIENTS AT THE ADMISSION TO AN INTENSIVE CARE UNIT (ICU)

2016 ◽  
Vol 31 (suppl_1) ◽  
pp. i406-i406
Author(s):  
Carmen Bernis ◽  
Marta Chicot ◽  
Raquel Ferreiros ◽  
Diego A Rodriguez- Serrano ◽  
Laura Salanova ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Urine Ngal ◽  
Critical Ill Patients ◽  
Critical Ill

scholarly journals Drug Interaction Exposures in an Intensive Care Unit: AntihypertensivePopulation

2015 ◽  
Vol 7 ◽  
pp. 41
Author(s):  
Muhammad Tahir Aziz ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Drug Interaction ◽  
Drug Interactions ◽  
Adverse Drug Events ◽  
Drug Effect ◽  
Pharmacological Response ◽  
Critical Ill Patients ◽  
Drug Drug Interaction ◽  
Critical Ill

Drug-drug interaction is an event that occurs when the effects of one drug modified by another drug or food when taken concurrently or concomitantly. This interaction either reduced the effect or no effect or increased drug effect. Patient in intensive care unit (ICU) are highly susceptible to drug interactions because of the complexity of the drugs regimens they receive. Drugs may affect the Pharmacokinetics of the critical ill patients and subsequently altered the pharmacological response, which potentially lead to serious adverse drug events. Drug-drug interaction (DDI) are considered predictable and thus avoidable and manageable.

scholarly journals Defining fluid removal in the intensive care unit: A national and international survey of critical care practice

2017 ◽  
Vol 18 (4) ◽  
pp. 282-288 ◽  
Author(s):  
Michael E O’Connor ◽  
Sarah L Jones ◽  
Neil J Glassford ◽  
Rinaldo Bellomo ◽  
John R Prowle
Keyword(s):  
Intensive Care Unit ◽  
United Kingdom ◽  
Intensive Care ◽  
New Zealand ◽  
Critically Ill ◽  
Fluid Overload ◽  
Venous Pressure ◽  
Diuretic Therapy ◽  
Care Practice ◽  
Fluid Removal

Design and objectives To identify and compare how intensive care unit specialists in the United Kingdom and Australia and New Zealand self-reportedly define, assess and manage fluid overload in critically ill patients using a structured online questionnaire. Results We assessed 219 responses. Australia and New Zealand and United Kingdom intensive care unit specialists reported using clinical examination findings, bedside tools and radiological features to assess fluid status, diagnose fluid overload and initiate fluid removal in the critically ill. An elevated central venous pressure is not regarded as helpful in diagnosing fluid overload and targeting a clinician-set fluid balance is the most popular management strategy. Renal replacement therapy is used ahead of more diuretic therapy in patients who are oligo/anuric, or when diuretic therapy has not generated an adequate response. Conclusions This self-reported account of practice by United Kingdom and Australia and New Zealand intensivists demonstrates that fluid overload remains poorly defined with variability in both management and practice.

scholarly journals FP263A COMPARISON BETWEEN BIOIMPEDANCE DATA, LUNG ULTRASONOGRAPHY AND FLUID ACCCUMULATION. THREE CARDS TO DETERMINATE THE STATE OF EUVOLEMIA AND FLUID OVERLOAD IN CRITICAL ILL PATIENTS

2018 ◽  
Vol 33 (suppl_1) ◽  
pp. i119-i119
Author(s):  
Francisco Javier Centellas Pérez ◽  
Mercedes Martínez Díaz ◽  
Angela Prado Mira ◽  
Agustín Ortega Cerrato ◽  
Jaime López Tendero ◽  
...  
Keyword(s):  
Fluid Overload ◽  
The State ◽  
Lung Ultrasonography ◽  
Critical Ill Patients ◽  
Critical Ill

scholarly journals Mortality rates in pediatric septic shock

2017 ◽  
Vol 56 (5) ◽  
pp. 304 ◽  
Author(s):  
Desy Rusmawatiningtyas ◽  
Nurnaningsih Nurnaningsih
Keyword(s):  
Intensive Care Unit ◽  
Septic Shock ◽  
Intensive Care ◽  
Mortality Rate ◽  
Fluid Overload ◽  
Pediatric Intensive Care ◽  
Developed Countries ◽  
Mortality Rates ◽  
Study Cohort ◽  
Survival Group

Background Septic shock remains a major cause of morbidity and mortality in children admitted to the intensive care unit. Recent investigations from developed countries have reported mortality rates of 20-30%. Few studies have reported mortality rates from pediatric septic shock in intensive care settings in developing countries with limited resources.  Objective  To determine the current mortality rates for pediatric patients with septic shock in a developing country.Methods A retrospective study was conducted in the Pediatric Intensive Care Unit (PICU) at DR. Sardjito General Hospital. Medical records and charts were reviewed and recorded for diagnoses of septic shock, from November 1st, 2011 to June 30th, 2014. Results  A database of all PICU admissions was assembled, and cases with diagnoses of septic shock were reviewed. The final data consisted of 136 patients diagnosed with septic shock. Septic shock was defined as a clinical suspicion of sepsis, manifested by hyperthermia or hypothermia, and accompanied by hypoperfusion  The overall mortality rate for the study cohort was 88.2%.  The median age of patients was 16 months, with 52.2% males. Median initial PRISM III and PELOD scores were 10 and 22, respectively. The median length of PICU stay was 4 days. A total of 48.5% of the subjects were in need of crystalloid and colloid fluid at a median amount of 40 mL/kg. The median time required to complete the initial resuscitation was 60 minutes. Mechanical ventilator support in the first 24 hours was required in 79.4% of the cases. Fluid overload of > 10% (FO>10%) was found in 58.8% of the subjects.Conclusion The mortality rate in pediatric septic shock in our hospital is very high. There is a higher incidence of fluid overload in the non-survival group .

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