scholarly journals Description of physical rehabilitation in intensive care units in Argentina: usual practice and during the COVID-19 pandemic. Online survey

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Matias Nicolás Bertozzi ◽  
Sabrina Cagide ◽  
Emiliano Navarro ◽  
Matias Accoce
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Online Survey ◽  
Physical Rehabilitation ◽  
Usual Practice

Utilization of echocardiography in Intensive Care Units: results of an online survey in Germany

2019 ◽  
Vol 85 (3) ◽  
Author(s):  
Felix Balzer ◽  
Ralf F. Trauzeddel ◽  
Martin Ertmer ◽  
Joachim Erb ◽  
Matthias Heringlake ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Online Survey

Extubation in intensive care units in the UK: an online survey

2010 ◽  
Vol 15 (6) ◽  
pp. 281-284 ◽  
Author(s):  
Jack Hodd ◽  
Alex Doyle ◽  
Joseph Carter ◽  
John Albarran ◽  
Peter Young
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Online Survey ◽  
The Uk

scholarly journals CONOCIMIENTOS, PERCEPCIONES Y PRÁCTICAS EN PROFESIONALES DE LA SALUD SOBRE MOVILIZACION TEMPRANA EN LOS PACIENTES DE LAS UNIDADES DE CUIDADOS INTENSIVOS

2021 ◽  
Vol 6 (2) ◽  
pp. 5
Author(s):  
Ángela Yaleska Arévalo Tabares ◽  
Freiser Eceomo Cruz Mosquera ◽  
Yuly Viviana Valencia Salazar ◽  
Diego Alonzo Peláez Domínguez ◽  
Juan David Rosero Portocarrero
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Health Professionals ◽  
Early Mobilization ◽  
Post Discharge ◽  
Cross Sectional ◽  
Usual Practice ◽  
Calidad De Vida ◽  
Critical Patients

Introducción: Los pacientes críticos son sometidos a intervenciones que traen consigo complicaciones que pueden aparecer incluso de manera precoz, entre ellas se encuentra la debilidad muscular adquirida en unidad de cuidados intensivos, en este contexto tiene una importancia fundamental la movilización temprana del paciente crítico, que facilita el destete de la ventilación mecánica e influye en la calidad de vida posterior al alta. Objetivo: determinar los conocimientos, percepciones y prácticas en profesionales de la salud sobre movilizacion temprana en los pacientes de las unidades de cuidados intensivos de dos centros de salud de Cali.  Método: estudio observacional descriptivo de corte transversal en el que se incluyeron 24 profesionales de la salud que laboran en unidades de cuidados intensivos de dos Clínicas de la Ciudad de Cali, a los cuales se les aplicó un cuestionario autoadministrado sobre movilización temprana. El análisis de los datos se realizó en el programa SPSS versión 24. Resultados: La mayoría de los profesionales de la salud encuestados eran de sexo femenino, con una edad promedio de 31±5; se encontró que el 67% tenía un conocimiento medio, el 25% bajo y el 8% conocimiento alto. Por otro lado, el 88% manifestó ejecutar esta estrategia en su práctica habitual, y reportaron como barreras percibidas ausencia de protocolos y personal insuficiente. Conclusiones: gran parte de los profesionales de salud encuestados mostraron un conocimiento medio sobre movilización temprana y una alta incorporación de esta estrategia a la práctica clínica habitual. Palabras claves: movilización precoz de paciente crítico, cuidados intensivos, paciente crítico, ventilación mecánica. ABSTRACT Introduction: Critical patients are subjected to interventions that bring complications that can appear even early, among them is muscle weakness acquired in the intensive care unit, in this context, early mobilization of the critical patient is of fundamental importance, which facilitates weaning from mechanical ventilation and influences post-discharge quality of life. Objective: to determine the knowledge, perceptions and practices in health professionals about early mobilization in patients in the intensive care units of two health centers in Cali. Method: a descriptive, cross-sectional observational study that included 24 health professionals working in intensive care units of two Clinics in the City of Cali, to which a self-administered questionnaire on early mobilization was applied. Data analysis was performed using SPSS version 24. Results: Most of the health professionals surveyed were female, with a mean age of 31 ± 5; It was found that 67% had medium knowledge, 25% low and 8% high knowledge. On the other hand, 88% stated that they executed this strategy in their usual practice, and reported the absence of protocols and insufficient personnel as perceived barriers. Conclusions: a large part of the health professionals surveyed showed a medium knowledge about early mobilization and a high incorporation of this strategy into routine clinical practice. Keywords: early mobilization of critical patients, intensive care, critical patients, mechanical ventilation

scholarly journals OPEN REGIME OF INTENSIVE CARE UNITS PATIENT VISITS: EXPERTS OPINION

2021 ◽  
pp. 89-95
Author(s):  
О. V. Yemyashev ◽  
I. R. Malysh ◽  
S. O. Dubrov ◽  
L. V. Zgrzheblovska ◽  
O. A. Loskutov ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Working Conditions ◽  
Online Survey ◽  
Medical Community ◽  
Results Of Treatment ◽  
Working Groups ◽  
The Media ◽  
Set Up ◽  
The One

Resume. The issue of open visits to intensive care units is currently a topical, acute and ambiguous issue. In Ukraine, it is actively discussed in the media, social networks, the medical community. Appropriate working groups of the Ministry of Health are being set up to optimize the regulatory framework on this issue.The article reviews the literature on the problems of open visits of adult patients undergoing treatment in the intensive care unit. Opinions on this issue are quite contradictory. On the one hand, there is a position that the stay of relatives in the ICU 24/7 improves the results of treatment, creating a more comfortable psychological atmosphere for the patient. On the other hand, and this approach prevails, a number of studies indicate an increase in the number of bacterial complications in patients with unlimited visits, complication of working conditions of medical staff, which leads to a deterioration in treatment outcomes in general.Public organization «Association of Anesthesiologists of Ukraine» conducted an online survey among anesthesiologists - members of the association for find out the opinion of Ukrainian experts about open visits to ICU’s patients. Most of the anesthesiologists surveyed are inclined to a limited visitation regime.

scholarly journals Family Presence Restrictions and Telemedicine Use in Neonatal Intensive Care Units during the Coronavirus Disease Pandemic

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 590
Author(s):  
Mio Ozawa ◽  
Haruyo Sakaki ◽  
Xianwei Meng
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Physical Contact ◽  
Neonatal Intensive Care Units ◽  
Parental Presence ◽  
Cross Sectional ◽  
Family Presence

We aimed to describe parental presence policy and telemedicine use in Japanese neonatal intensive care units (NICUs) before and during the coronavirus disease (COVID-19) pandemic. This cross-sectional study was performed through an online survey in 110 level III units from 19 November 2020 to 18 December 2020. Nurses’ evaluation of the current situation (during COVID-19) was compared with their retrospective pre-COVID-19 (December 2019) evaluation. Responses were received from 52 NICUs distributed across all regions in Japan. The median allowed parental presence time decreased from 12 h to 1 h, and 29 NICUs allowed entry of parents simultaneously during COVID-19. There was an increase in the number of units providing telemedicine through telephone and online visits during COVID-19 compared to that before COVID-19 (from 2% to 19%). The hybrid design NICUs, with 11–89% of beds in single-patient rooms, allowed a longer parental presence time in the NICUs than those with ≥90% of beds in multi-bed rooms. The number of units implementing kangaroo care decreased during COVID-19 compared to that before COVID-19. The need for telemedicine increased among Japanese NICUs to mitigate the adverse effect of parental restriction and limited physical contact due to the COVID-19 pandemic.

Survey of Ventilation Practices in the Neonatal Intensive Care Units of the United States and Canada: Use of Volume-Targeted Ventilation and Barriers to Its Use

2018 ◽  
Vol 36 (05) ◽  
pp. 484-489 ◽  
Author(s):  
Ashish Gupta ◽  
Martin Keszler
Keyword(s):  
United States ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Online Survey ◽  
The United States ◽  
Current Data ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional ◽  
Clinical Scenarios

Objective To provide current data on ventilation practices and use of volume-targeted ventilation (VTV) in neonatal intensive care units of the United States and Canada, to identify the perceived barriers to the implementation of VTV, and to assess the knowledge base of appropriate initial tidal volume (VT ) settings for different hypothetical clinical scenarios. Study Design This was a cross-sectional online survey of individual neonatologists practicing in the United States and Canada. Results We received 387 responses (estimated response rate: ∼20%). Use of VTV was much higher in Canada (81%) compared with 39% in the United States. In the United States, VTV use is highest in the Northwest at 77% and lowest in the Northeast at 32.5%. The chief barrier to use of VTV was lack of knowledge about VTV and lack of appropriate equipment. The five clinical scenarios revealed that the majority of responders failed to select appropriate evidence-based VT for the specific scenario. Conclusion Pressure-controlled ventilation remains the predominant approach to neonatal ventilation in the United States, while VTV is the preferred mode in Canada. Despite available data and important pathophysiological differences between patients, there is insufficient understanding of how to choose an appropriate VT in a variety of common clinical scenarios among users of VTV.

scholarly journals Variations in Antibiotic Use and Sepsis Management in Neonatal Intensive Care Units: A European Survey

Antibiotics ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1046
Author(s):  
Felipe Garrido ◽  
Karel Allegaert ◽  
Cristina Arribas ◽  
Eduardo Villamor ◽  
Genny Raffaeli ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Sepsis ◽  
Clinical Guidelines ◽  
Neonatal Intensive Care ◽  
Online Survey ◽  
Late Onset ◽  
Antibiotic Use ◽  
Neonatal Intensive Care Units ◽  
Sepsis Management

Management of neonatal sepsis and the use of antimicrobials have an important impact on morbidity and mortality. However, there is no recent background on which antibiotic regimens are used in different European neonatal intensive care units (NICUs). Our study aimed to describe the use of antibiotics and other aspects of early- and late-onset sepsis (EOS and LOS, respectively) management by European NICUs. We conducted an online survey among NICUs throughout Europe to collect information about antibiotic stewardship, antibiotic regimens, and general aspects of managing neonatal infections. NICUs from up to 38 European countries responded, with 271 valid responses. Most units had written clinical guidelines for EOS (92.2%) and LOS (81.1%) management. For EOS, ampicillin, penicillin, gentamicin, and amikacin were the most commonly used antibiotics. Analysis of the combinations of EOS regimens showed that the most frequently used was ampicillin plus gentamicin (54.6%). For LOS, the most frequently used antibiotics were vancomycin (52.4%), gentamicin (33.9%), cefotaxime (28%), and meropenem (15.5%). Other aspects of the general management of sepsis have also been analyzed. The management of neonatal sepsis in European NICUs is diverse. There was high self-reported adherence to the local clinical guidelines. There was homogeneity in the combination of antibiotics in EOS but less in LOS.

scholarly journals Prevention of ventilator-associated pneumonia in intensive care units: an international online survey

2013 ◽  
Vol 2 (1) ◽  
pp. 9 ◽  
Author(s):  
Marie-Laurence Lambert ◽  
Mercedes Palomar ◽  
Antonella Agodi ◽  
Michael Hiesmayr ◽  
Alain Lepape ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Online Survey ◽  
Ventilator Associated Pneumonia

scholarly journals Olfactory Dysfunction in Frontline Health Care Professionals During COVID-19 Pandemic in Brazil

2021 ◽  
Vol 12 ◽  
Author(s):  
Mariana Ferreira Sbrana ◽  
Marco Aurélio Fornazieri ◽  
Alexandre Bruni-Cardoso ◽  
Vivian I. Avelino-Silva ◽  
Deborah Schechtman ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Online Survey ◽  
Olfactory Dysfunction ◽  
Outpatient Clinics ◽  
Emergency Rooms ◽  
Cross Sectional

Upper respiratory viral infections can decrease the sense of smell either by inflammatory restriction of nasal airflow that carries the odorant molecules or through interference in olfactory sensory neuron function. During the coronavirus disease 2019 (COVID-19) pandemic, triggered by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), worldwide reports of severe smell loss (anosmia/hyposmia) revealed a different type of olfactory dysfunction associated with respiratory virus infection. Since self-reported perception of smell is subjective and SARS-CoV-2 exposure is variable in the general population, we aimed to study a population that would be more homogeneously exposed to the virus. Here, we investigated the prevalence of olfactory loss in frontline health professionals diagnosed with COVID-19 in Brazil, one of the major epicenters of the disease. We also analyzed the rate of olfactory function recovery and the particular characteristics of olfactory deficit in this population. A widely disclosed cross-sectional online survey directed to health care workers was developed by a group of researchers to collect data concerning demographic information, general symptoms, otolaryngological symptoms, comorbidities, and COVID-19 test results. Of the 1,376 health professionals who completed the questionnaire, 795 (57.8%) were working directly with COVID-19 patients, either in intensive care units, emergency rooms, wards, outpatient clinics, or other areas. Five-hundred forty-one (39.3%) participants tested positive for SARS-CoV-2, and 509 (37%) were not tested. Prevalence of olfactory dysfunction in COVID-19-positive subjects was 83.9% (454 of 541) compared to 12.9% (42 of 326) of those who tested negative and to 14.9% (76 of 509) of those not tested. Olfactory dysfunction incidence was higher in those working in wards, emergency rooms, and intensive care units compared to professionals in outpatient clinics. In general, remission from olfactory symptoms was frequent by the time of responses. Taste disturbances were present in 74.1% of infected participants and were significantly associated with hyposmia. In conclusion, olfactory dysfunction is highly correlated with exposure to SARS-CoV-2 in health care professionals, and remission rates up to 2 weeks are high.

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