scholarly journals Airway management – a review of current methods, guidelines and equipment

2018 ◽  
Vol 12 (1) ◽  
pp. 34-40
Author(s):  
Dominik Bargieł ◽  
Justyna Sejboth ◽  
Anna Jurkiewicz-Śpiewak ◽  
Dariusz Szurlej ◽  
Piotr Gurowiec ◽  
...  
Keyword(s):  
Airway Management ◽  
Professional Training ◽  
Medical Professionals ◽  
Evidence Based ◽  
Modern Approach ◽  
Airway Patency ◽  
Non Invasive ◽  
Sources Of Knowledge ◽  
Life Saving ◽  
Based Medicine

Maintaining airway patency is an essential issue in many fields of medicine. The modern approach to CPR, which focuses on maintaining airway, breathing, and circulation was finally established by Peter Safar in his book ABC of Resuscitation (1950). At present, along with the development of evidence-based medicine, techniques which are proven to be clinically effective are regularly published in a convenient form – as bundles and guidelines. Regarding airway management, ERC and DAS guidelines are the most reliable and useful sources of knowledge and practical clinical advice. Among the medical staff, there is emphasis put on the mastery of AB C techniques. Airway management is the first step in the resuscitation algorithm. It consists of a variety of procedures ranging from simple and non-invasive to more complex, requiring professional training and experience. Currently, the most clinically effective and life-saving actions are incorporated into whole procedures and bundles, such as ERC or DAS guidelines, which are evenly checked, evaluated and, eventually, modified. This method of regular revision allows us to keep all medical professionals at the same level of competence. The aim of the study was to describe basic and advanced techniques, methods, and devices which are currently used to provide it. Currently applicable guidelines regarding CPR and airway management were reviewed and summarized.

Ventilator Weaning

2018 ◽  
Author(s):  
Brian Brajcich ◽  
Ann Hwalek ◽  
Joseph Posluszny
Keyword(s):  
Respiratory Mechanics ◽  
Spontaneous Breathing Trial ◽  
Clinical Status ◽  
Ventilator Weaning ◽  
Evidence Based ◽  
Airway Patency ◽  
Diaphragm Dysfunction ◽  
Complex Process ◽  
Abcde Bundle ◽  
Based Medicine

Ventilator weaning/liberation is a complex process that requires focus on a patient’s respiratory mechanics, strength, awareness, airway patency, and secretions while also keeping in mind a patient’s overall clinical status and critical illness. The recommendations in the chapter are based on evidence-based medicine when available. When no clear data can definitively guide patient management, clinical guidelines and accepted practices are described.  Our hope is that the reader finds this chapter as a reliable and safe way to approach ventilator liberation. This review contains 4 figures, 6 tables and 77 references Key Words: ABCDE bundle, diaphragm dysfunction, negative inspiratory force, reintubation, RSBI, sedation, spontaneous breathing trial, tracheostomy, ventilator liberation, ventilator weaning

scholarly journals What should medical students know about artificial intelligence in medicine?

2019 ◽  
Vol 16 ◽  
pp. 18 ◽  
Author(s):  
Seong Ho Park ◽  
Kyung-Hyun Do ◽  
Sungwon Kim ◽  
Joo Hyun Park ◽  
Young-Suk Lim
Keyword(s):  
Artificial Intelligence ◽  
Medical Students ◽  
Data Science ◽  
Medical Professionals ◽  
The Internet ◽  
Evidence Based ◽  
The Public ◽  
Correct Information ◽  
The Media ◽  
Based Medicine

Artificial intelligence (AI) is expected to affect various fields of medicine substantially and has the potential to improve many aspects of healthcare. However, AI has been creating much hype, too. In applying AI technology to patients, medical professionals should be able to resolve any anxiety, confusion, and questions that patients and the public may have. Also, they are responsible for ensuring that AI becomes a technology beneficial for patient care. These make the acquisition of sound knowledge and experience about AI a task of high importance for medical students. Preparing for AI does not merely mean learning information technology such as computer programming. One should acquire sufficient knowledge of basic and clinical medicines, data science, biostatistics, and evidence-based medicine. As a medical student, one should not passively accept stories related to AI in medicine in the media and on the Internet. Medical students should try to develop abilities to distinguish correct information from hype and spin and even capabilities to create thoroughly validated, trustworthy information for patients and the public.

Quality and Reliability Aspects in Evidence Based E-Medicine

2010 ◽  
pp. 100-117
Author(s):  
Asen Atanasov
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Healthcare Quality ◽  
Medical Professionals ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Present Evidence ◽  
Evidence Strength ◽  
Quality And Reliability ◽  
Based Medicine

This chapter is a brief survey on some e-medicine resources and international definitions focused on the three main subjects of the healthcare quality – the patient, the costs and the evidence for quality. The patients can find in e-medicine everything that they need, but often without data on the supporting evidence. The medical professionals can learn where to find e-information on cost, quality and patient safety, and, more importantly, how to distinguish claims from evidence by applying the principles of evidence based medicine. The goal is to spread and popularize the knowledge in this field with an emphasis on how one can find, assess and utilize the best present evidence for more effective healthcare. The sites discussed below could assist in the retrieval of information about methods for obtaining evidence along with the ways of measuring evidence strength and limitations. These sites also provide information on implementing the ultimate evidence-based product – clinical guidelines for better medical practice and health service.

Questions of neurorehabilitation. Innovative technologies of neurorehabilitation

2020 ◽  
pp. 61-65
Author(s):  
I. V. Sidyakina ◽  
M. V. Voronova ◽  
V. V. Ivanov ◽  
P. S. Snopkov ◽  
V. A. Epifanov
Keyword(s):  
Intensive Care Unit ◽  
Virtual Reality ◽  
Intensive Care ◽  
Evidence Based ◽  
Virtual Reality Technology ◽  
Rehabilitation Treatment ◽  
Non Invasive ◽  
Modern Methods ◽  
Treatment Procedures ◽  
Based Medicine

The report is devoted to modern methods of neurorehabilitation, which are actively being introduced into the clinical practice of rehabilitation treatment centers. The technologies used at all stages of rehabilitation are described, starting from the intensive care unit, ending with remote methods used after the patient is discharged from the hospital. We consider robotic technologies, mechanotherapy with biofeedback, non-invasive stimulation techniques, virtual reality technology. Data on the effectiveness of rehabilitation treatment procedures from the perspective of evidence-based medicine are presented.

A scenario guideline for designing new teletreatments: a multidisciplinary approach

2010 ◽  
Vol 16 (6) ◽  
pp. 302-307 ◽  
Author(s):  
Rianne MHA Huis in 't Veld ◽  
Ing A Widya ◽  
Richard GA Bults ◽  
Leif Sandsjö ◽  
Hermie J Hermens ◽  
...  
Keyword(s):  
Development Process ◽  
Multidisciplinary Approach ◽  
User Acceptance ◽  
Service Development ◽  
Medical Professionals ◽  
Evidence Based ◽  
Important Barrier ◽  
To Come ◽  
Based Medicine ◽  
Technical Professions

Lack of user acceptance of telemedicine services is an important barrier to deployment and stresses the need for involving users, i.e. medical professionals. However, the involvement of users in the service development process of telemedicine services is difficult because of (a) the knowledge gap between the expertise of medical and technical experts; (b) the language gap, i.e. the use of different terminologies between the medical and the technical professions; and (c) the methodological gap in applying requirement methods to multidisciplinary scientific matters. We have developed a guideline in which the medical and technical domains meet. The guideline can be used to develop a scenario from which requirements can be elicited. In a retrospective analysis of a myofeedback-based teletreatment service, the technically-oriented People-Activities-Context-Technology (PACT) framework and medically-oriented principles of evidence-based medicine were incorporated into a guideline. The guideline was developed to construct the content of a scenario which describes the new teletreatment service. This allows the different stakeholders to come together and develop the service. Our approach provides an arena for different stakeholders to take part in the early stages of the design process. This should increase the chance of user acceptance and thus adoption of the service being developed.

Quality and Reliability Aspects in Evidence Based E-Medicine

2011 ◽  
pp. 172-189
Author(s):  
Asen Atanasov
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Healthcare Quality ◽  
Medical Professionals ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Present Evidence ◽  
Evidence Strength ◽  
Quality And Reliability ◽  
Based Medicine

This chapter is a brief survey on some e-medicine resources and international definitions focused on the three main subjects of the healthcare quality – the patient, the costs and the evidence for quality. The patients can find in e-medicine everything that they need, but often without data on the supporting evidence. The medical professionals can learn where to find e-information on cost, quality and patient safety, and, more importantly, how to distinguish claims from evidence by applying the principles of evidence based medicine. The goal is to spread and popularize the knowledge in this field with an emphasis on how one can find, assess and utilize the best present evidence for more effective healthcare. The sites discussed below could assist in the retrieval of information about methods for obtaining evidence along with the ways of measuring evidence strength and limitations. These sites also provide information on implementing the ultimate evidence-based product – clinical guidelines for better medical practice and health service.

scholarly journals Evidence based medicine for professional training of physicians: informational and economical aspects

2002 ◽  
Vol 1 (4) ◽  
pp. 47-61
Author(s):  
V. A. Fokin ◽  
S. I. Karas ◽  
T. A. Kalitvyanskaya
Keyword(s):  
Evidence Based Medicine ◽  
Professional Training ◽  
Evidence Based ◽  
Approaches To Teaching ◽  
Medical Decisions ◽  
Medical University ◽  
Based Medicine

Possible approaches to teaching of methodology of evidencebased medicine in medical university and post degree education of specialists are discussed. There are examined the informational and economical factors leading to raising of medical decisions and introduction of demonstrative approach to medical pr.

scholarly journals EVIDENCE-BASED PRACTICE TEACHING INTEGRATION IN COLLEGE NURSING STUDIES: HISTORICAL AND LEGAL ASPECTS

2021 ◽  
Vol 1 ◽  
pp. 685-695
Author(s):  
Danguolė Šakalytė ◽  
Valdonė Indrašienė
Keyword(s):  
Health Professionals ◽  
Evidence Based Medicine ◽  
Professional Training ◽  
Evidence Based Practice ◽  
Scientific Information ◽  
Legal Aspects ◽  
Evidence Based ◽  
Nursing Science ◽  
Study Programs ◽  
Based Medicine

To better understand and analyze the education of evidence-based practice, it is necessary to review the context and premises of the formation of evidence-based practice itself. The beginning of the evidence-based practice movement in the teaching of health professionals’ dates back to 1910 and looking at the health care system; first, there was evidence-based medicine. In 1990, Sackett's initiative at McMaster University in Canada, it was decided to change the term "evidence-based medicine" to "evidence-based practice" (Mackey Bassendowski, 2017; Thom Eaves, 2015). In nursing, the beginning of evidence-based practice is linked to the reforms of nursing science and practice by the first nursing researcher, Florence Nightingale, from 1854 to 1910, although the term of “evidence-based practice” was not yet known at the time. The professional training of nurses as one of the leading health professionals is related to health policy and the development of nursing science. The European Qualifications Framework (EHEA) defines the expected learning outcomes for professionals with a bachelor's degree, including the skills to find, evaluate, reflect, and apply scientific information in practice (Bologna Working Group, 2005). Despite international and national recommendations, it is difficult for many higher education institutions to refine the steps of teaching evidence-based practice in nursing study programs. These difficulties are revealed by the ambiguity in the definition of the concept of evidence-based practice (Horntvedt et al. 2018).The problematic question is: What is the basis for integrating evidence-based practice training into college nursing study programs?The study is based on the scientific literature review. 

Ventilator Weaning

2018 ◽  
Author(s):  
Brian Brajcich ◽  
Ann Hwalek ◽  
Joseph Posluszny
Keyword(s):  
Respiratory Mechanics ◽  
Spontaneous Breathing Trial ◽  
Clinical Status ◽  
Ventilator Weaning ◽  
Evidence Based ◽  
Airway Patency ◽  
Diaphragm Dysfunction ◽  
Complex Process ◽  
Abcde Bundle ◽  
Based Medicine

Ventilator weaning/liberation is a complex process that requires focus on a patient’s respiratory mechanics, strength, awareness, airway patency, and secretions while also keeping in mind a patient’s overall clinical status and critical illness. The recommendations in the chapter are based on evidence-based medicine when available. When no clear data can definitively guide patient management, clinical guidelines and accepted practices are described.  Our hope is that the reader finds this chapter as a reliable and safe way to approach ventilator liberation. This review contains 4 figures, 6 tables and 77 references Key Words: ABCDE bundle, diaphragm dysfunction, negative inspiratory force, reintubation, RSBI, sedation, spontaneous breathing trial, tracheostomy, ventilator liberation, ventilator weaning

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