Heart failure in COVID-19 patients: Critical care experience

Abstract Introduction The ongoing COVID-19 pandemic has presented unforeseen threats and stresses to healthcare systems around the world, most notably in the ability to provide critical care. Aim To assess surgical NCHD experience in providing critical care and working in an intensive care environment. Method An electronic survey was distributed amongst surgical trainees and then amongst individual surgical departments. Ten questions were included in the survey assessing the NCHD’s experience with aspects of critical care. Results 39 respondents including 16 specialist registrars, 3 senior registrars, 11 registrars and 9 senior house officers. 18% of respondents had previous experience in anaesthetics or intensive care. 23% self-reported being competent in performing endotracheal intubation. 15% self-reported being competent in the use of CPAP and BiPaP, 5% did not know what these were. 20% self-reported being competent in the use of AIRVO. 15% self-reported being competent in placing central and arterial lines. 15% self-reported being competent in starting and adjusting inotropes/vasopressors. 49% reported completing a CCRISP or BASIC course. 85% felt that a rotation in anaesthesia should be a routine part of surgical training. Conclusions Whilst there is critical care experience amongst the surgical NCHD cohort there remains room for further development.

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Family Support and ICU Survivorship: Lessons Learned from the Pediatric Critical Care Experience

Families in the Intensive Care Unit ◽

10.1007/978-3-319-94337-4_9 ◽

2018 ◽

pp. 101-118

Author(s):

Bree Andrews ◽

Nilu Rahman ◽

Neethi Pinto

Keyword(s):

Critical Care ◽

Family Support ◽

Lessons Learned ◽

Pediatric Critical Care ◽

Care Experience

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The Pediatric Critical Care Experience at Naval Hospital Guam: Suggestions for Critical Care Training during Residency

Military Medicine ◽

10.1093/milmed/165.6.441 ◽

2000 ◽

Vol 165 (6) ◽

pp. 441-444 ◽

Cited By ~ 5

Author(s):

Derek S. Wheeler ◽

Keith K. Vaux ◽

Stephanie R. Starr ◽

W. Bradley Poss

Keyword(s):

Critical Care ◽

Pediatric Critical Care ◽

Care Experience ◽

Care Training ◽

Naval Hospital

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The associations between direct and delayed critical care unit admission with mortality and readmissions among patients with heart failure

American Heart Journal ◽

10.1016/j.ahj.2020.11.002 ◽

2021 ◽

Vol 233 ◽

pp. 20-38

Author(s):

Ismail R. Raslan ◽

Heather J. Ross ◽

Robert A. Fowler ◽

Damon C. Scales ◽

Henry T. Stelfox ◽

...

Keyword(s):

Heart Failure ◽

Critical Care ◽

Critical Care Unit ◽

Patients With Heart Failure

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Variation in Critical Care Unit Admission Rates and Outcomes for Patients With Acute Coronary Syndromes or Heart Failure Among High‐ and Low‐Volume Cardiac Hospitals

Journal of the American Heart Association ◽

10.1161/jaha.114.001708 ◽

2015 ◽

Vol 4 (3) ◽

Cited By ~ 21

Author(s):

Sean van Diepen ◽

Jeffrey A. Bakal ◽

Meng Lin ◽

Padma Kaul ◽

Finlay A. McAlister ◽

...

Keyword(s):

Heart Failure ◽

Critical Care ◽

Acute Coronary Syndromes ◽

Critical Care Unit ◽

Admission Rates ◽

Coronary Syndromes ◽

Low Volume

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Heart failure for the pulmonary critical care physician

Clinical Practice Manual for Pulmonary and Critical Care Medicine ◽

10.1016/b978-0-323-39952-4.00006-8 ◽

2018 ◽

pp. 65-92

Author(s):

Judd W. Landsberg

Keyword(s):

Heart Failure ◽

Critical Care ◽

Care Physician ◽

Critical Care Physician

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Navigating Symptom Management in Heart Failure: The Crucial Role of the Critical Care Nurse

Critical Care Nurse ◽

10.4037/ccn2020685 ◽

2020 ◽

Vol 40 (2) ◽

pp. 55-63

Author(s):

Karen M. Vuckovic ◽

Rebecca (Schuetz) Bierle ◽

Catherine J. Ryan

Keyword(s):

Heart Failure ◽

Critical Care ◽

Early Intervention ◽

Crucial Role ◽

Early Recognition ◽

Care Nurse ◽

Critical Care Nurse ◽

Symptom Intensity ◽

High Acuity ◽

Recognition And Response

High-acuity, progressive care, and critical care nurses often provide care for patients with heart failure during an exacerbation of acute disease or at the end of life. Identifying and managing heart failure symptoms is complex and requires early recognition and early intervention. Because symptoms of heart failure are not disease specific, patients may not respond to them appropriately, resulting in treatment delays. This article reviews the complexities and issues surrounding the patient’s ability to recognize heart failure symptoms and the critical care nurse’s role in facilitating early intervention. It outlines the many barriers to symptom recognition and response, including multimorbidities, age, symptom intensity, symptom escalation, and health literacy. The influence of self-care on heart failure management is also described. The critical care nurse plays a crucial role in teaching heart failure patients to identify and respond appropriately to their symptoms, thus promoting early intervention.

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