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Heart & Lung: the Journal of Critical Care

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https://www.readbyqxmd.com/read/29779705/an-investigation-into-the-use-of-ultrasound-as-a-surrogate-measure-of-diaphragm-function
#1
Samantha Holtzhausen, Marianne Unger, Alison Lupton-Smith, Susan Hanekom
PURPOSE: Sonographic assessment of the diaphragm may be a surrogate for interpretation of diaphragm function in mechanically ventilated patients. This study aimed to determine the correlation between respiratory muscle function and diaphragm thickness in a healthy population. METHODS: A descriptive study was conducted. Diaphragm thickness was determined by sonographic measurement. Respiratory muscle strength, fatigue and endurance was determined using a mouth pressure manometer...
May 17, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29779704/perceptions-related-to-cardiovascular-disease-and-physical-activity-behavior-in-arab-men-a-qualitative-study
#2
Zyad T Saleh, Rami A Elshatarat, Abdullah S Alhurani, Mahmoud Maharmeh, Ibrahim Salami, Hamza Alduraidi, Jafar Alasad
OBJECTIVES: To describe the daily physical activity of Arab men living in the United States and to understand how perceptions of cardiovascular disease (CVD) risk influence their inclusion of physical activity into their daily routine. METHODS: A qualitative descriptive method using a semi-structured face-to-face interview with each participant was conducted. Twenty young college males (age 26 ± 4 years) were recruited from Arab American community centers. RESULTS: The qualitative inductive content analysis revealed three main themes: impact of perceived CVD risk on physical activity behavior and perceived barriers and motivators to be physically active...
May 17, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29779703/idiopathic-systemic-capillary-leak-syndrome-presenting-as-septic-shock-a-case-report
#3
Eamon P Raith, Joshua F Ihle, Jennifer Jamieson, Anna Kalff, Julian Bosco
BACKGROUND: Idiopathic capillary leak syndrome (Clarkson's Disease) is a rare angiopathy with a heterogenous phenotype that may present as distributive shock refractory to resuscitative management. OBJECTIVE: We report a case of idiopathic systemic capillary leak syndrome presenting as septic shock. METHODS: Structured case report and review of the literature. RESULTS: A 27-year old man admitted to our institution with coryzal symptoms rapidly deteriorated with presumed sepsis, leading to intensive care unit admission...
May 17, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29778252/social-support-mastery-sleep-related-problems-and-their-association-with-functional-status-in-untreated-obstructive-sleep-apnoea-patients
#4
Vladimira Timkova, Iveta Nagyova, Sijmen A Reijneveld, Ruzena Tkacova, Jitse P van Dijk, Ute Bültmann
BACKGROUND: Social support and mastery are important aspects in the treatment of chronic diseases, however their role in connection with Obstructive Sleep Apnoea (OSA) remains unclear. OBJECTIVES: The study examined the associations between social support, mastery, sleep-related problems and functional status in untreated OSA patients. METHODS: All patients in this cross-sectional study completed the Multidimensional Scale of Perceived Social Support, the Pearlin Mastery Scale, the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale and the Functional Outcomes of Sleep Questionnaire...
May 16, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29778251/the-impact-of-group-based-tai-chi-on-health-status-outcomes-among-community-dwelling-older-adults-with-hypertension
#5
Chunhua Ma, Wei Zhou, Qiubo Tang, Shuling Huang
OBJECTIVES: To test the effects of group-based Tai chi on health-status outcomes among older adults with hypertension. BACKGROUND: A high-quality study exploring the effects of Tai chi on physical and psychosocial health for older adults with hypertension is needed in China. The long-term effects of group-based Tai chi in Chinese older adults with hypertension remain unclear. METHODS: A randomized controlled trial was conducted. The group-based Tai chi training and practice were implemented in older adults over six-month...
May 16, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29751986/delirium-after-cardiac-surgery-incidence-phenotypes-predisposing-and-precipitating-risk-factors-and-effects
#6
Gianfranco Sanson, Yuliya Khlopenyuk, Sara Milocco, Massimiliano Sartori, Lorella Dreas, Adam Fabiani
BACKGROUND: In cardiac surgical patients little is known about different phenotypes of delirium and how the symptoms fluctuate over time. OBJECTIVES: Evaluate risk factors, incidence, fluctuations, phenotypic characteristics and impact on patients' outcomes of delirium. METHODS: Prospective longitudinal study. In postoperative intensive care unit 199 patient were assessed three-times a day through an adapted versions of the Intensive Care Delirium Screening Checklist...
May 8, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29748138/defining-new-barriers-to-mobilisation-in-a-highly-active-intensive-care-unit-have-we-found-the-ceiling-an-observational-study
#7
Christopher Brock, Vince Marzano, Margot Green, Jiali Wang, Teresa Neeman, Imogen Mitchell, Bernie Bissett
BACKGROUND: Mobilisation of intensive care (ICU) patients attenuates ICU-acquired weakness, but the prevalence is low (12-54%). Better understanding of barriers and enablers may inform practice. OBJECTIVES: To identify barriers to mobilisation and factors associated with successful mobilisation in our medical /surgical /trauma ICU where mobilisation is well-established. METHODS: 4-week prospective study of frequency and intensity of mobilisation, clinical factors and barriers (extracted from electronic database)...
May 7, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29731146/home-discharge-following-critical-illness-a-qualitative-analysis-of-family-caregiver-experience
#8
JiYeon Choi, Jennifer H Lingler, Michael P Donahoe, Mary Beth Happ, Leslie A Hoffman, Judith A Tate
BACKGROUND: Few studies have longitudinally explored the experience and needs of family caregivers of ICU survivors after patients' home discharge. METHODS: Qualitative content analysis of interviews drawn from a parent study that followed family caregivers of adults ICU survivors for 4 months post-ICU discharge. RESULTS: Family caregivers (n = 20, all white, 80% woman) viewed home discharge as positive progress, but reported having insufficient time to transition from family visitor to the active caregiver role...
May 3, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29724613/perceptions-of-singaporean-patients-living-with-implantable-cardioverter-defibrillators-an-exploratory-qualitative-study
#9
Sim Leng Ooi, Betsy Seah, Vivien Xi Wu, Karen Wei Ling Koh, Nana Jiao, Hong-Gu He, Wenru Wang
BACKGROUND: Despite the increasing use of implantable cardioverter defibrillators (ICDs) as a preventive approach for high-risk patients with arrhythmias, little is known about the perceptions of ICD recipients regarding these devices and their impact on quality of life. OBJECTIVES: To explore perceptions towards quality of life, coping strategies, and learning needs of patients living with ICDs in Singapore. METHODS: 16 participants (age ranges 52 to 84 years old) were purposively recruited and interviewed individually for this exploratory qualitative study...
April 30, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29724612/letter-to-the-editor-regarding-recent-heart-and-lung-the-journal-of-acute-and-critical-care-article-intramural-atrial-hematoma-complicating-transesophageal-echocardiography-during-cardiac-arrest-by-marchandot-et-al
#10
LETTER
https://www.readbyqxmd.com/read/29709318/allergic-myocardial-infarction-following-recombinant-human-insulin
#11
Bülent Özlek, Eda Özlek, Oğuzhan Çelik, Cem Çil, Volkan Doğan, Murat Biteker
BACKGROUND: Allergic myocardial infarction is a rare clinical entity. OBJECTIVES: Although a few number of case reports with severe anaphylactic reactions to recombinant human insulin have been reported, allergic myocardial infarction, known as Kounis Syndrome, has not been reported before. METHODS: Herein, we report a 57-year-old woman with myocardial infarction, referred for urticarial rash, chest pain, and palpitations developed after the first subcutaneous dose of recombinant human insulin...
April 27, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29699706/heart-failure-self-management-and-normalizing-symptoms-an-exploration-of-decision-making-in-the-community
#12
Connie Schumacher, Leslie Hussey, Vincent Hall
OBJECTIVE: To explore the decision making processes undertaken by community-dwelling individuals with heart failure as they experience symptom changes. BACKGROUND: Heart failure patients are responsible for daily self-management that includes responding to symptom fluctuations between exacerbations. Despite education, some patients fail to seek timely medical intervention when symptoms change. METHODS: Semi-structured interviews were conducted with homecare patients after receiving self-management education...
April 23, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29685331/patient-activation-with-respect-to-advanced-heart-failure-therapy-in-patients-over-age-65-years
#13
Sandra A Carey, Kristen M Tecson, Kyle Bass, Joost Felius, Shelley A Hall
BACKGROUND: Clinical and ethical issues persist in determining candidacy for advanced heart failure (HF) therapies in elderly patients. Selection takes many factors into account, including "activation" (engagement and ability to self-manage). OBJECTIVE: To investigate effects of age, activation, and depression/anxiety on selection and 6-month survival of participants considered for therapy. METHODS: Consecutive people referred for advanced HF therapy completed the Patient Activation Measure and Hospital Anxiety and Depression Scale...
April 20, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29681395/chugging-in-patients-on-veno-venous-extracorporeal-membrane-oxygenation-an-under-recognized-driver-of-intravenous-fluid-administration-in-patients-with-acute-respiratory-distress-syndrome
#14
James M Walter, Chitaru Kurihara, Thomas C Corbridge, Ankit Bharat
BACKGROUND: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is increasingly utilized in the management of severe acute respiratory distress syndrome (ARDS). Providers who care for patients on VV-ECMO should be familiar with common circuit complications. OBJECTIVES: To provide an example of a common complication, circuit "chugging," and suggest a management algorithm which aims to avoid excessive fluid administration to patients with ARDS. METHODS: We use a clinical case to illustrate chugging and discuss potential management strategies...
April 19, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29656961/in-hospital-outcomes-of-percutaneous-ventricular-assist-devices-versus-intra-aortic-balloon-pumps-in-non-ischemia-related-cardiogenic-shock
#15
Gbolahan O Ogunbayo, Le Dung Ha, Qamar Ahmad, Naoki Misumida, Ayman Elbadawi, Odunayo Olorunfemi, Andrew Kolodziej, Adrian W Messerli, Ahmed Abdel-Latif, Claude S Elayi, Maya Guglin
INTRODUCTION: This study compared inpatient outcomes related to the use of these two devices among patients who developed cardiogenic shock not due to acute myocardial infarction or coronary revascularization. METHODS: We extracted admission-level records of patients with a diagnosis of cardiogenic shock who underwent either PVAD or IABP implantation from the National Inpatient Sample (NIS) database from 2010 to 2014. Our outcomes of interest were mortality and length of stay...
April 12, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29628146/finding-your-voice
#16
EDITORIAL
Carolyn Miller Reilly
No abstract text is available yet for this article.
April 5, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29628145/percutaneous-biventricular-impella-support-in-therapy-refractory-cardiogenic-shock
#17
Cheng-Ying Chiu, Robert Hättasch, Damaris Praeger, Fabian Knebel, Karl Stangl, Ivan Diaz Ramirez, Henryk Dreger
INTRODUCTION: Percutaneous mechanical circulatory support systems have increasingly been adopted as a bail out strategy in patients with cardiogenic shock. Since studies showed mostly mixed results, however, the use of support systems remains a case by case decision. CASE: Here, we report on a case of therapy-refractory cardiogenic shock due to acute myocardial infarction treated with percutaneous right and left ventricular assist devices (Impella RP and CP). CONCLUSION: Due to myocardial stunning, even patients with fulminant cardiogenic shock have the potential for full recovery...
April 5, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29627074/risk-profile-of-myocardial-infarction-in-young-versus-older-adults
#18
Mona A Abed, Nidal F Eshah, Debra K Moser
BACKGROUND: In developing countries, the number of adults who develop myocardial infarction (MI) at a young age is high. The popularity of waterpipe smoking (WPS) has increased among the same age group. It is unknown if WPS contributes to the incidence of early-onset MI. OBJECTIVE: To study the association of WPS with early-onset MI, which is defined as first MI occurring in individuals 18 ≥ age ≤ 45 years compared to those older than 45 years. METHODS: This was a cross-sectional study...
April 4, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29627073/stress-cognitive-appraisal-coping-and-event-free-survival-in-patients-with-heart-failure
#19
Abdullah S Alhurani, Rebecca Dekker, Muayyad Ahmad, Jennifer Miller, Khalil M Yousef, Basel Abdulqader, Ibrahim Salami, Terry A Lennie, David C Randall, Debra K Moser
OBJECTIVES: To describe self-reported stress level, cognitive appraisal and coping among patients with heart failure (HF), and to examine the association of cognitive appraisal and coping strategies with event-free survival. METHODS: This was a prospective, longitudinal, descriptive study of patients with chronic HF. Assessment of stress, cognitive appraisal, and coping was performed using Perceived Stress Scale, Cognitive Appraisal Health Scale, and Brief COPE scale, respectively...
April 4, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29627072/burden-resilience-and-coping-in-caregivers-of-patients-with-interstitial-lung-disease
#20
R J Shah, H R Collard, J Morisset
RATIONALE: Prior work has described the experience of caregiving in idiopathic pulmonary fibrosis, but the effect on caregivers in interstitial lung disease (ILD) has not been explored. OBJECTIVES: Describe the burden, resilience, and health related quality of life (HRQoL) of caregivers of people with ILD. METHODS: In a mixed methods study, ILD caregivers completed questionnaires and participated in focus groups. A qualitative thematic analysis of the focus group transcripts was conducted...
April 4, 2018: Heart & Lung: the Journal of Critical Care
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