scholarly journals The performance and importance of the dental surgeon in an Intensive Care Unit

2021 ◽  
Vol 10 (16) ◽  
pp. e10101622955
Author(s):  
Lasthenia Drumond Santos ◽  
Julia Carneiro dos Santos ◽  
Marina Sena Lopes da Silva Saccheto ◽  
Rafael Silva Lima ◽  
Simone Angélica de Faria Amormino
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Oral Health ◽  
Respiratory Infections ◽  
Systemic Disease ◽  
Professional Performance ◽  
Pubmed Database ◽  
Patient Will ◽  
The Relationship

Oral hygiene deficiency is common in intensive care unit (ICU) patients, which potentiates biofilm colonization by microorganisms that lead to respiratory infections. The literature has been reporting the association between oral health and systemic diseases, especially the development of ventilator-associated pneumonia (VAP). The objective of this study is to shed light on the performance and importance of the dental surgeon in an ICU. This is an integrative review performed in the PubMed database. It was adopted as the inclusion criteria papers in Portuguese or English, available as full-text papers, published from 2016 to 2021, and that answer the guiding question: what is the professional performance and importance of a dental surgeon in an ICU? After reading the title and abstract, 8 articles that reported the relationship between oral health and systemic disease were selected, especially regarding the development of VAP. Through this review we conclude how much it is indispensable the presence of a dental surgeon as part of an ICU multidisciplinary team, ensuring that the patient will be treated in an integral way and have their quality of life improved.

scholarly journals Examining the Relationship between Cost and Quality of Care in the Neonatal Intensive Care Unit and Beyond

Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 238
Author(s):  
Lauren Culbertson ◽  
Dmitry Dukhovny ◽  
Wannasiri Lapcharoensap
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Of Care ◽  
Neonatal Intensive Care Unit ◽  
Patient Outcomes ◽  
Neonatal Intensive Care ◽  
Future Research ◽  
The Relationship

There is tremendous variation in costs of delivering health care, whether by country, hospital, or patient. However, the questions remain: what costs are reasonable? How does spending affect patient outcomes? We look to explore the relationship between cost and quality of care in adult, pediatric and neonatal literature. Health care stewardship initiatives attempt to address the issue of lowering costs while maintaining the same quality of care; but how do we define and deliver high value care to our patients? Ultimately, these questions remain challenging to tackle due to the heterogeneous definitions of cost and quality. Further standardization of these terms, as well as studying the variations of both costs and quality, may benefit future research on value in health care.

Modern sedation aspects at endoscopic examination

2016 ◽  
Vol 10 (1) ◽  
pp. 0-0
Author(s):  
Киреев ◽  
V. Kireev ◽  
Китиашвили ◽  
D. Kitiashvili
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pain Perception ◽  
Endoscopic Examination ◽  
Emotional Status ◽  
Emotional Pain ◽  
Endoscopic Study ◽  
Central Nervous System Depression ◽  
The Relationship

The article highlights the issue of improving the quality of endoscopy in patients are treated at the department of anesthesiology and intensive care unit. Endoscopic study was the bronchoscopy, the gastroscopy, the colonoscopy. It was revealed the necessity of sedation during endoscopy in patients in the intensive care unit. The authors analyzed the characteristics of the use of drugs for sedation during endoscopic study. Clinical evaluation of their impact on the psycho-emotional status of the patient was carried out. The substantiation of the advantages of the Dexmedetomidine (Deksdor) as sedation analgesia over other drugs was proven. Controlled sedation with the Deksdor allows to stop pain with the absence of central nervous system depression, respiratory depression and danger emotional pain perception. After the sedation and endoscopy, the vegetative changes do not require medical treatment due to the subsequent tendency to vegetative equilibrium in post-endoscopic period. Based on the obtained data, it was proven the clinical efficacy of the proposed method of sedation in endoscopic studies, the relationship with the improvement of the current study, a decrease in the number and severity of complications.

scholarly journals Families' perception, knowledge, and psychological stressors associated with transition of care from the intensive care unit

2019 ◽  
Vol 2 (1) ◽  
pp. 53-56
Author(s):  
Gustavo Ferrer ◽  
Chi Chan Lee ◽  
Monica Egozcue ◽  
Hector Vazquez ◽  
Melissa Elizee ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Care Providers ◽  
Family Members ◽  
Expected Improvement ◽  
Transition Of Care ◽  
Care Providers ◽  
Icu Discharge ◽  
Family Perceptions

Background: During the process of transition of care from the intensive care setting, clarity, and understanding are vital to a patient's outcome. A successful transition of care requires collaboration between health-care providers and the patient's family. The objective of this project was to assess the quality of continuity of care with regard to family perceptions, education provided, and psychological stress during the process. Methods: A prospective study conducted in a long-term acute care (LTAC) facility. On admission, family members of individuals admitted to the LTAC were asked to fill out a 15-item questionnaire with regard to their experiences from preceding intensive care unit (ICU) hospitalization. The setting was an LTAC facility. Patients were admitted to an LTAC after ICU admission. Results: Seventy-six participants completed the questionnaire: 38% expected a complete recovery, 61% expected improvement with disabilities, and 1.3% expected no recovery. With regard to the length of stay in the LTAC, 11% expected < 1 week, 26% expected 1 to 2 weeks, 21% expected 3 to 4 weeks, and 42% were not sure. Before ICU discharge, 33% of the participants expected the transfer to the LTAC. Also, 72% did not report a satisfactory level of knowledge regarding their family's clinical condition or medical services required; 21% did not receive help from family members; and 50% reported anxiety, 20% reported depression, and 29% reported insomnia. Conclusion: Families' perception of patients' prognosis and disposition can be different from what was communicated by the physician. Families' anxiety and emotional stress may precipitate this discrepancy. The establishment of optimal projects to eliminate communication barriers and educate family members will undoubtedly improve the quality of transition of care from the ICU.

Effect of earplugs and eye masks on the sleep quality of intensive care unit patients: A systematic review and meta‐analysis

2021 ◽  
Author(s):  
Chiu‐Shu Fang ◽  
Hsiu‐Hung Wang ◽  
Ruey‐Hsia Wang ◽  
Fan‐Hao Chou ◽  
Shih‐Lun Chang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Sleep Quality ◽  
Meta Analysis

scholarly journals Lung ultrasound presentation of COVID-19 patients: phenotypes and correlations

2021 ◽  
Author(s):  
Gianmarco Secco ◽  
◽  
Marzia Delorenzo ◽  
Francesco Salinaro ◽  
Caterina Zattera ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Lung Ultrasound ◽  
Structure And Function ◽  
General Ward ◽  
Prognostic Role ◽  
Interstitial Syndrome ◽  
Lung Structure ◽  
And Function ◽  
The Relationship

AbstractBedside lung ultrasound (LUS) can play a role in the setting of the SarsCoV2 pneumonia pandemic. To evaluate the clinical and LUS features of COVID-19 in the ED and their potential prognostic role, a cohort of laboratory-confirmed COVID-19 patients underwent LUS upon admission in the ED. LUS score was derived from 12 fields. A prevalent LUS pattern was assigned depending on the presence of interstitial syndrome only (Interstitial Pattern), or evidence of subpleural consolidations in at least two fields (Consolidation Pattern). The endpoint was 30-day mortality. The relationship between hemogasanalysis parameters and LUS score was also evaluated. Out of 312 patients, only 36 (11.5%) did not present lung involvment, as defined by LUS score < 1. The majority of patients were admitted either in a general ward (53.8%) or in intensive care unit (9.6%), whereas 106 patients (33.9%) were discharged from the ED. In-hospital mortality was 25.3%, and 30-day survival was 67.6%. A LUS score > 13 had a 77.2% sensitivity and a 71.5% specificity (AUC 0.814; p < 0.001) in predicting mortality. LUS alterations were more frequent (64%) in the posterior lower fields. LUS score was related with P/F (R2 0.68; p < 0.0001) and P/F at FiO2 = 21% (R2 0.59; p < 0.0001). The correlation between LUS score and P/F was not influenced by the prevalent ultrasound pattern. LUS represents an effective tool in both defining diagnosis and stratifying prognosis of COVID-19 pneumonia. The correlation between LUS and hemogasanalysis parameters underscores its role in evaluating lung structure and function.

Transition from an Open Bay to a Private Room Neonatal Intensive Care Unit Design — A Human Factors Evaluation

2005 ◽  
Vol 49 (11) ◽  
pp. 974-978 ◽  
Author(s):  
Thomas J. Smith ◽  
Sandra Clayton ◽  
Kathleen Schoenbeck
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Human Factors ◽  
Neonatal Intensive Care Unit ◽  
Patient Care ◽  
Neonatal Intensive Care ◽  
Patient Care Team ◽  
Care Staff ◽  
Care Technology

This report summarizes findings from a human factors evaluation of a change in the design of a neonatal intensive care unit (NICU) from an open bay (OBNICU) to a private room (PRNICU) patient care environment. The objective was to compare and contrast effects of this design change on the perceptions and performance of NICU patient care staff. Results indicate that, relative to work on the OBNICU, staff perceived that work on the PRNICU resulted in notable improvements in the quality of physical environmental conditions, their jobs, patient care and patient safety, interaction with parents of NICU patients, interaction with patient care technology and their life off-the-job. In contrast, staff perceived that the quality of interaction among different members of the NICU patient care team worsened substantially after the move to the PRNICU. The latter finding prompted the recommendation that a virtual open bay environment be implemented in the PRNICU.

Quality of palliative care in intensive care unit “X” Hospital Indonesia

2020 ◽  
Vol 30 ◽  
pp. 16-19
Author(s):  
Ifa Hafifah ◽  
Syamsul Arifin ◽  
Dhemes Alin ◽  
Isnawati
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care
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