scholarly journals Health-care associated infections in children after cardiac surgery in a pediatric cardiac intensive care unit (PCICU)

2011 ◽  
Vol 5 (10) ◽  
pp. 748-750 ◽  
Author(s):  
Naveed -ur-Rehman Siddiqui ◽  
Fatima Mir ◽  
Omair Shakil ◽  
Muneer Amanullah ◽  
Anwarul Haque
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Full Text ◽  
Cardiac Intensive Care Unit ◽  
Health Care Associated Infections ◽  
Cardiac Intensive Care

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scholarly journals Rhizopus rhizopodiformis: emerging etiological agent of mucormycosis

1979 ◽  
Vol 9 (4) ◽  
pp. 530-537
Author(s):  
E J Bottone ◽  
I Weitzman ◽  
B A Hanna
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Mount Sinai Hospital ◽  
Etiological Agent ◽  
Invasive Potential ◽  
Cardiac Intensive Care Unit ◽  
Cardiac Intensive Care ◽  
Mount Sinai ◽  
Systemic Infections

Mucormycosis is caused principally by members of the genus Rhizopus, especially R arrhizus and R. oryzae. Infection attributable to R. rhizopodiformis has rarely been documented. Of 13 cases of mucormycosis diagnosed during a 4-year period (1974 to 1978) at The Mount Sinai Hospital, 6 cases, occurring within 9 months, were caused by R. rhizopodiformis. The six isolates were identified mainly by: growth at 50 degrees C; production of short, sometimes branched, sporangiophores arising from opposite rhizoids; elongated columellae; and small spherical-to-elliptical, smooth-to-finely striated sporangiospores. The possibility that this explosive occurrence of R. rhizopodiformis at our institution was because of nosocomial acquisition was strongly supported by the recovery of this same mycotic agent from adhesive bandages used in the cardiac intensive care unit, where a patient developed subcutaneous R. rhizopodiformis infection after cardiac surgery. The invasive potential of R. rhizopodiformis was manifested by the extensive subcutaneous and systemic infections in each of the six patients, three of whom developed antibody against this mucormycotic agent.

scholarly journals Identification of Low Cardiac Output Syndrome at the Bedside: A Pediatric Cardiac Intensive Care Unit Survey

2019 ◽  
Vol 39 (2) ◽  
pp. e1-e7 ◽  
Author(s):  
Matthew J. Nordness ◽  
Ashly C. Westrick ◽  
Heidi Chen ◽  
Mark A. Clay
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Output ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Years Of Experience ◽  
Cardiac Intensive Care Unit ◽  
Low Cardiac Output Syndrome ◽  
Low Cardiac Output ◽  
Cardiac Intensive Care ◽  
Intensive Care Unit Nurses

BACKGROUND Low cardiac output syndrome is a transient constellation of signs and symptoms that indicate the heart’s inability to supply sufficient oxygen to tissues and end-organs to meet metabolic demand. Because the term lacks a standard clinical definition, the bedside diagnosis of this syndrome can be difficult. OBJECTIVE To evaluate concordance among pediatric cardiac intensive care unit nurses in their identification of low cardiac output syndrome in pediatric patients after cardiac surgery. METHODS An anonymous survey was distributed to 69 pediatric cardiac intensive care unit nurses. The survey described 10 randomly selected patients aged 6 months or younger who had undergone corrective or palliative cardiac surgery at a freestanding children’s hospital in a tertiary academic center. For each patient, data were presented corresponding to 5 time points (0, 6, 12, 18, and 24 hours postoperatively). The respondent was asked to indicate whether the patient had low cardiac output syndrome (yes or no) at each time point on the basis of the data presented. RESULTS The response rate was 46% (32 of 69 nurses). The overall Fleiss k value was 0.30, indicating fair agreement among raters. When the results were analyzed by years of experience, agreement remained only slight to fair. CONCLUSIONS Regardless of years of experience, nurses have difficulty agreeing on the presence of low cardiac output syndrome. Further research is needed to determine whether the development of objective guidelines could improve recognition and facilitate communication between the pediatric cardiac intensive care unit nurse and the medical team.

scholarly journals Tissue oximetry during cardiac surgery and in the cardiac intensive care unit: A prospective observational trial

2018 ◽  
Vol 21 (4) ◽  
pp. 371 ◽  
Author(s):  
BenjaminJ Heller ◽  
Pranav Deshpande ◽  
JoshuaA Heller ◽  
Patrick McCormick ◽  
Hung-Mo Lin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Cardiac Intensive Care Unit ◽  
Observational Trial ◽  
Cardiac Intensive Care ◽  
Tissue Oximetry

Dexmedetomidine use in a pediatric cardiac intensive care unit: Can we use it in infants after cardiac surgery?

2009 ◽  
Vol 10 (6) ◽  
pp. 654-660 ◽  
Author(s):  
Constantinos Chrysostomou ◽  
Joan Sanchez De Toledo ◽  
Tracy Avolio ◽  
Maria V. Motoa ◽  
Donald Berry ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Cardiac Intensive Care Unit ◽  
Cardiac Intensive Care
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