scholarly journals The Clinico-radiologic Evaluation and Risk Factor of Ventilator-associated Pneumonia in a Pediatric Care Unit of a Tertiary Center

2021 ◽  
Vol 11 (3) ◽  
pp. 262-268
Author(s):  
Gürkan Atay ◽  
Emine Çalışkan ◽  
Nezahat Gürler ◽  
Demet Demirkol ◽  
Ayper Somer
Keyword(s):  
Risk Factor ◽  
Pediatric Care ◽  
Ventilator Associated Pneumonia ◽  
Radiologic Evaluation ◽  
Tertiary Center

scholarly journals Mobile pediatric neurosurgery: rapid response neurosurgery for remote or urgent pediatric patients

2015 ◽  
Vol 16 (3) ◽  
pp. 340-345 ◽  
Author(s):  
Brian K. Owler ◽  
Kathryn A. Browning Carmo ◽  
Wendy Bladwell ◽  
T. Arieta Fa’asalele ◽  
Jane Roxburgh ◽  
...  
Keyword(s):  
Head Injuries ◽  
Pediatric Neurosurgery ◽  
Lessons Learned ◽  
Neurological Deficits ◽  
Pediatric Care ◽  
Start Time ◽  
Tertiary Center ◽  
Metropolitan Hospital ◽  
Time Critical ◽  
Median Interval

OBJECT Time-critical neurosurgical conditions require urgent operative treatment to prevent death or neurological deficits. In New South Wales/Australian Capital Territory patients’ distance from neurosurgical care is often great, presenting a challenge in achieving timely care for patients with acute neurosurgical conditions. METHODS A protocol was developed to facilitate consultant neurosurgery locally. Children with acute, time-critical neurosurgical emergencies underwent operations in hospitals that do not normally offer neurosurgery. The authors describe the developed protocol, the outcome of its use, and the lessons learned in the 9 initial cases where the protocol has been used. Three cases are discussed in detail. RESULTS Nine children were treated by a neurosurgeon at 5 rural hospitals, and 2 children were treated at a smaller metropolitan hospital. Road ambulance, fixed wing aircraft, and medical helicopters were used to transport the Newborn and Paediatric Emergency Transport Service (NETS) team, neurosurgeon, and patients. In each case, the time to definitive neurosurgical intervention was significantly reduced. The median interval from triage at the initial hospital to surgical start time was 3:55 hours, (interquartile range [IQR] 03:29–05:20 hours). The median distance traveled to reach a patient was 232 km (range 23–637 km). The median interval from the initial NETS call requesting patient retrieval to surgical start time was 3:15 hours (IQR 00:47–03:37 hours). The estimated median “time saved” was approximately 3:00 hours (IQR 1:44–3:15 hours) compared with the travel time to retrieve the child to the tertiary center: 8:31 hours (IQR 6:56–10:08 hours). CONCLUSIONS Remote urgent neurosurgical interventions can be performed safely and effectively. This practice is relevant to countries where distance limits urgent access for patients to tertiary pediatric care. This practice is lifesaving for some children with head injuries and other acute neurosurgical conditions.

Ventilator-associated pneumonia (VAP) is the main mortality risk factor in patients following cardiac surgery

2011 ◽  
Vol 28 ◽  
pp. 176-177
Author(s):  
Rodríguez M. Heredia ◽  
Urbón A. Fernández ◽  
Serrano E. Carrasco ◽  
Jareño M.T. Peláez ◽  
Rafael B. Martínez ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Risk Factor ◽  
Mortality Risk ◽  
Ventilator Associated Pneumonia

Tracheal colonisation within 24 h of intubation in patients with head trauma: risk factor for developing early-onset ventilator-associated pneumonia

2000 ◽  
Vol 26 (9) ◽  
pp. 1369-1372 ◽  
Author(s):  
J.M. Sirvent ◽  
A. Torres ◽  
L. Vidaur ◽  
J. Armengol ◽  
J. de Batlle ◽  
...  
Keyword(s):  
Risk Factor ◽  
Head Trauma ◽  
Early Onset ◽  
Ventilator Associated Pneumonia

Duration of prehospital intubation is not a risk factor for development of early ventilator-associated pneumonia

2014 ◽  
Vol 29 (4) ◽  
pp. 539-544 ◽  
Author(s):  
Nicholas M. Mohr ◽  
Karisa K. Harland ◽  
Dionne Skeete ◽  
Kent Pearson ◽  
Kent Choi
Keyword(s):  
Risk Factor ◽  
Ventilator Associated Pneumonia

scholarly journals Extended approach or usage of nasoseptal flap is a risk factor for olfactory dysfunction after endoscopic anterior skullbase surgery: results from 928 patients in a single tertiary center

2020 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
M.Y. Seo ◽  
D-H. Nam ◽  
D-S. Kong ◽  
Y. Noh ◽  
Y.G. Yung ◽  
...  
Keyword(s):  
Risk Factor ◽  
Olfactory Dysfunction ◽  
Nasoseptal Flap ◽  
Extended Approach ◽  
Tertiary Center

scholarly journals Is fever control or improved survival the ‘risk factor’ for ventilator-associated pneumonia?

Critical Care ◽  
2015 ◽  
Vol 19 (1) ◽  
Author(s):  
Matthew BA Harmon ◽  
Theis S Itenov ◽  
Jens U Jensen ◽  
Nicole P Juffermans
Keyword(s):  
Risk Factor ◽  
Ventilator Associated Pneumonia

scholarly journals Ventilator-Associated Pneumonia Is an Important Risk Factor for Mortality After Major Cardiac Surgery

2012 ◽  
Vol 56 (6) ◽  
pp. 269-270
Author(s):  
Eduardo Tamayo ◽  
Francisco Javier Álvarez ◽  
Beatriz Martínez-Rafael ◽  
Juan Bustamante ◽  
Jesus F. Bermejo-Martin ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Risk Factor ◽  
Important Risk Factor ◽  
Ventilator Associated Pneumonia

scholarly journals Modifiable risk factors of ventilator-associated pneumonia in non-intensive care unit versus intensive care unit

2021 ◽  
Vol 15 (10) ◽  
pp. 1471-1480
Author(s):  
Patpong Udompat ◽  
Daravan Rongmuang ◽  
Ronald Craig Hershow
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Risk Factor ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Proton Pump ◽  
Multidrug Resistant ◽  
Surgical Intensive Care Unit ◽  
Ventilator Associated Pneumonia ◽  
Neurosurgical Patients

Introduction: Ventilator-associated pneumonia patients are treated in non-intensive care units because of a shortage of intensive care unit beds in Thailand. Our objective was to assess whether the type of unit and medications prescribed to the patient were associated with ventilator‑associated pneumonia and multidrug resistant ventilator‑associated pneumonia. Methodology: A matched case-control study nested in a prospective cohort of mechanical ventilation adult patients in a medical-surgical intensive care unit and five non-intensive care units from March 1 through October 31, 2013. The controls were randomly selected 1:1 with cases and matched based on duration and start date of mechanical ventilation. Results: 248 ventilator-associated pneumonia and control patients were analyzed. The most common bacteria were multidrug resistant Acinetobacter baumannii (82.4%). Compared with patients in the intensive care unit, those in the neurosurgical/surgical non-intensive care units were at higher risk (p = 0.278). Proton pump inhibitor was a risk factor (p = 0.011), but antibiotic was a protective factor (p = 0.054). Broad spectrum antibiotic was a risk factor (p < 0.001) for multidrug resistant ventilator-associated pneumonia. Conclusions: Post-surgical and neurosurgical patients treated in non-intensive care unit settings were at the highest risk of ventilator-associated pneumonia. Our findings suggest that alternative using proton pump inhibitors should be considered based on the risk-benefit of using this medication. In addition, careful stewardship of antibiotic use should be warranted to prevent multidrug resistant ventilator-associated pneumonia.

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