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Heart & Lung: the Journal of Critical Care

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https://www.readbyqxmd.com/read/30227993/the-value-of-stanford-integrated-psychosocial-assessment-for-transplantation-sipat-in-prediction-of-clinical-outcomes-following-left-ventricular-assist-device-lvad-implantation
#1
Quan M Bui, Oscar O Braun, Michela Brambatti, Yan K Gernhofer, Holly Hernandez, Victor Pretorius, Eric Adler
BACKGROUND: The Stanford integrated psychosocial assessment for transplantation (SIPAT) is a validated psychosocial evaluation tool in the transplant population. OBJECTIVE: We evaluated SIPAT in predicting post-left ventricular assist device (LVAD) outcomes, including cumulative re-admissions, driveline infections, pump malfunction, pump thrombosis, gastrointestinal bleeding, major bleeding, stroke and right ventricular failure. METHODS: This retrospective study included 50 LVAD patients at an academic institution in the United States who had a pre-implant SIPAT score during the years 2015-2017...
September 15, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30227992/age-of-transfused-red-blood-cells-and-health-outcomes-in-two-surgical-cohorts
#2
Sikandar H Khan, Rohit Devnani, Michelle LaPradd, Matt Landrigan, Alan Gray, Andrea Kelley, George J Eckert, Xiaochun Li, Babar A Khan
RATIONALE: Red blood cells (RBC) undergo morphologic and biochemical changes during storage which may lead to adverse health risks upon transfusion. In prior studies, the effect of RBC age on health outcomes has been conflicting. We designed the study to assess the effects of RBC units' storage duration on health outcomes specifically for hospitalized patients undergoing hip fracture surgery or coronary artery bypass grafting (CABG) surgery. METHODS: Using International Classification of Diseases (ICD) 9 codes, hip fracture surgery and CABG surgery patients, who received RBC transfusions between 2008 and 2013, were retrospectively identified from the electronic medical records system...
September 15, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30220431/surfactant-and-lung-function-following-cardiac-surgery
#3
Mogeshni Govender, Shailesh Bihari, Andrew D Bersten, Carmine G De Pasquale, Mark D Lawrence, Robert A Baker, Jayme Bennetts, Dani-Louise Dixon
No abstract text is available yet for this article.
September 14, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30219593/complete-white-out-of-a-single-transplanted-lung-in-the-immediate-postoperative-period
#4
Jared W Davis, Gilbert J Perry, Arka Chatterjee
Vascular complications are rare but serious events following lung transplantation. Of the potential adverse events post lung transplant, pulmonary vein thrombosis is rare but often fatal. Our case describes a 54 year-old male who underwent single left lung transplantation and suddenly became hemodynamically unstable shortly after the procedure. The diagnosis of acute pulmonary vein thrombosis was made with the use of trans-esophageal echocardiography identifying complete occlusion of the left upper pulmonary vein which led to successful surgical thrombectomy and revision of the anastomosis...
September 12, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30217655/unforeseen-challenges-of-living-with-an-lvad
#5
John Sharp, Hannah Miller, Nawwar Al-Attar
BACKGROUND: The implantable left ventricular assist device (LVAD) is being used more commonly, and is associated with improved outcomes physically but can be related to psychological distress. KEY POINTS: A 28-year-old male of Asian ethnicity who received LVAD implantation for advanced heart failure. Incidents are described wherein the external battery pack for his LVAD was misidentified as an explosive device, and he a security threat. These impacted on the patient's psychological wellbeing...
September 12, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30201226/serial-changes-in-exercise-capacity-quality-of-life-and-cardiopulmonary-responses-after-pulmonary-rehabilitation-in-patients-with-chronic-obstructive-pulmonary-disease
#6
Chou-Chin Lan, Mei-Chen Yang, Hui-Chuan Huang, Chih-Wei Wu, Wen-Lin Su, I-Shiang Tzeng, Yao-Kuang Wu
BACKGROUND AND OBJECTIVES: Patients with chronic obstructive pulmonary disease (COPD) often have poor health-related quality of life (HRQL), exercise capacity and cardiopulmonary function. Pulmonary rehabilitation (PR) is beneficial to improve exercise capacity and HRQL. However, series changes of these parameters remain unclear. METHODS: Forty-three subjects participated in a 3-months PR program. Subjects were evaluated at baseline and at 8, 16, and 24 sessions after PR...
September 7, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30185391/spontaneous-pneumothorax-as-a-complication-of-chronic-jet-propulsion-fuel-8-exposure
#7
Justin Poon, Moh'd Al-Halawani, Gangacharan Dubey
Jet Propulsion Fuel 8 (JP-8) is a kerosene based fuel commonly used in aviation. Occupational exposure to JP-8 may lead to negative health outcomes, which were described in a small number of studies. We report a case of 33-year-old Caucasian male veteran with a history of JP-8 exposure who presented with chronic dyspnea and recurrent spontaneous pneumothorax. To our knowledge, this is the first case of chronic inhalation injury from JP-8 exposure complicated with recurrent secondary spontaneous pneumothorax...
September 2, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30173952/the-lived-experiences-of-the-parents-of-children-admitted-to-a-paediatric-cardiac-intensive-care-unit
#8
Silvio Simeone, Gianluca Pucciarelli, Marco Perrone, Grazia Dell Angelo, Rea Teresa, Assunta Guillari, Gianpaolo Gargiulo, Giuseppe Comentale, Gaetano Palma
BACKGROUND: Congenital heart disease is a common birth defect rather than a paediatric disease. Parents often discover this disease after their children's birth and then often learn that cardiac surgery is the only solution. A child's admission to a paediatric cardiac intensive care unit (PCICU) may lead to high levels of stress, anxiety and depression in parents. OBJECTIVES: To describe the lived experiences of mothers and fathers during their children's confinement in a PCICU...
August 31, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30172414/effect-of-digitalis-level-on-readmission-and-mortality-rate-among-heart-failure-reduced-ejection-fraction-patients
#9
Hassan Alkhawam, Elsayed Abo-Salem, Feras Zaiem, James Ampadu, Aleef Rahman, Samian Sulaiman, Anwar Zaitoun, Tarek Helmy, Timothy J Vittorio
INTRODUCTION: Digitalis has been used for over 200 years to treat patients with heart failure, and evidence supports its use to improve clinical symptoms and quality of life, but not survival. The objective of this retrospective study was to evaluate the effects of digitalis on readmission and mortality in patients with heart failure with reduced ejection fraction (HFrEF) who were receiving current guideline recommended medical therapy. METHODS: We reviewed medical record data from a retrospective cohort study of 1047 patients admitted to the hospital from 2005 to 2014 with decompensated HFrEF...
August 29, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30170778/the-diagnostic-challenge-takotsubo-cardiomyopathy-vs-acute-myocarditis
#10
LETTER
Gurbet Özge Mert, Ferhad Radi, Kadir Uğur Mert
No abstract text is available yet for this article.
August 28, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30166066/incidence-of-nosocomial-infections-in-adult-patients-undergoing-extracorporeal-membrane-oxygenation
#11
Biren K Juthani, Jennifer Macfarlan, James Wu, Timothy S Misselbeck
INTRODUCTION: Critically ill patients requiring extracorporeal membrane oxygenation (ECMO) are at increased risk for developing nosocomial infections owing to their underlying disease process along with numerous invasive monitoring devices. METHODS: We retrospectively analyzed the rate, type, pathogens, outcomes, and risk factors of nosocomial infections that developed during adult patients on ECMO at our institution from 2012-2015. RESULTS: Compared to current ELSO reported adult nosocomial infections rate of 20...
August 27, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30149956/analysis-of-risk-factors-and-establishment-of-a-risk-prediction-model-for-cardiothoracic-surgical-intensive-care-unit-readmission-after-heart-valve-surgery-in-china-a-single-center-study
#12
Si Li, Bai-Yun Tang, Bao Zhang, Cui-Ping Wang, Wen-Bo Zhang, Song Yang, Jia-Bin Chen
BACKGROUND: Valvular heart disease is one of the most frequent and challenging heart diseases worldwide. The incidence of complications and cardiothoracic surgical intensive care unit (CSICU) readmission after cardiac valve surgery is high. Because CSICU readmission is costly and adversely impacts the quality life, reducing the risk of CSICU readmission has become one of the main focuses of health care. OBJECTIVE: To explore the risk factors for CSICU readmission and to establish a risk prediction model for CSICU readmission in heart valve surgical patients...
August 24, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30146430/personalizing-care-in-cardiogenic-shock-searching-for-a-common-hemodynamic-language
#13
EDITORIAL
Fotis N Katsikeris, Evan Lau, Daniel T Engelman, Jaime A Hernandez-Montfort
The increased availability and utilization of acute mechanical circulatory support use in cardiogenic shock has led to an increased need for multidisciplinary communication with specialized shock centers. The wide variability of hemodynamic data and local expertise raises a unique communication problem in capturing and documenting necessary information to guide decision making.
August 24, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30143362/non-circadian-signals-in-the-intensive-care-unit-point-prevalence-morning-noon-and-night
#14
Marcus T Altman, Catherine Pulaski, Francis Mburu, Margaret A Pisani, Melissa P Knauert
BACKGROUND: Intensive care unit (ICU) sleep disturbance is severe and potentially related to abnormal light and sound exposure. OBJECTIVES: To assess the prevalence of measures of light and sound disturbance in ICU patient rooms, and whether these could be modified by a sleep-promotion intervention. METHODS: This observational study with a before and after design for a quality improvement initiative surveyed environmental factors in ICU rooms at 01:00 08:00, and 12:00...
August 22, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30143364/cognitive-impairment-predicts-mortality-in-outpatient-veterans-with-heart-failure
#15
Howard Lan, Lee Ann Hawkins, Michael Kashner, Elena Perez, Christopher J Firek, Helme Silvet
BACKGROUND: In our prior study of 250 outpatient veterans with heart failure (HF), 58% had unrecognized cognitive impairment (CI) which was linked to worsened medication adherence. Literature suggests HF patients with CI have poorer clinical outcomes including higher mortality. OBJECTIVE: The study is to examine mortality rates in outpatients with HF and undiagnosed CI compared to their cognitively intact peers. METHODS: This is a retrospective study for all-cause mortality...
August 21, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30143363/protocol-driven-palliative-care-consultation-outcomes-of-the-enable-chf-pc-pilot-study
#16
Rachel Wells, Deborah Ejem, J Nicholas Dionne-Odom, Gulcan Bagcivan, Konda Keebler, Jennifer Frost, Andres Azuero, Alan Kono, Keith M Swetz, Marie Bakitas
BACKGROUND: Little has been reported about protocol-driven outpatient palliative care consultation (OPCC) for advanced heart failure (HF). OBJECTIVES: To describe evaluation practices and treatment recommendations made during protocol-driven OPCCs for advanced HF. METHODS: We performed content analysis of OPCCs completed as part of ENABLE CHF-PC, an early palliative care HF intervention, conducted at sites in the Northeast and Southeast. T-tests, Fisher's exact, and Chi-square tests were used to evaluate sociodemographic, outcome measures, and site content differences...
August 21, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30139509/the-minimal-important-difference-of-the-icu-mobility-scale
#17
Claire J Tipping, Anne E Holland, Meg Harrold, Tom Crawford, Nick Halliburton, Carol L Hodgson
BACKGROUND: The intensive care unit mobility scale (IMS) is reliable, valid and responsive. Establishing the minimal important difference (MID) of the IMS is important in order to detect clinically significant changes in mobilization. OBJECTIVE: To calculate the MID of the IMS in intensive care unit patients. METHODS: Prospective multi center observational study. The IMS was collected from admission and discharge physiotherapy assessments...
August 20, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30122549/challenges-of-customizing-electrocardiography-alarms-in-intensive-care-units-a-mixed-methods-study
#18
Halley Ruppel, Marjorie Funk, Holly Powell Kennedy, Christopher P Bonafide, Shu-Fen Wung, Robin Whittemore
BACKGROUND: Customizing monitor alarm settings to individual patients can reduce alarm fatigue in intensive care units (ICUs), but has not been widely studied. OBJECTIVES: To understand ICU nurses' approaches to customization of electrocardiographic (ECG) monitor alarms. METHODS: A convergent mixed methods study was conducted in 3 ICUs in 1 hospital. Data on the type and frequency of ECG alarm customization were collected from patient monitors (n=298)...
August 17, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30121120/renal-arterial-atherothrombosis-due-to-catheter-induced-dissection-necessity-of-urgent-intervention-in-a-patient-with-a-solitary-functioning-kidney
#19
Tufan Çınar, Ibrahim Rencüzoğulları, Yavuz Karabağ, Metin Çağdaş
BACKGROUND: Renal artery stenosis (RAS) is a leading cause of hypertension, renal failure, pulmonary edema, and loss of renal mass. Atherothrombotic renal disease is a well-described entity, known primarily for its high mortality rate. CASE: Here, we present a case of acute unrecognized atherothrombosis of RAS due to catheter-induced dissection in a patient with a limited functioning renal artery and solitary kidney. A fifty-two-year-old patient recently diagnosed with hypertension was admitted to our cardiology clinic showing symptoms of uncontrolled hypertension...
August 15, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/30119843/predictors-of-survival-and-favorable-neurological-outcome-in-patients-treated-with-targeted-temperature-management-after-cardiac-arrest-a-systematic-review-and-meta-analysis
#20
REVIEW
Qiang Zhang, Zhijiang Qi, Bo Liu, Chunsheng Li
This study was aimed at a serial evaluation of the prognostic values of initial shockable rhythm, bystander cardiopulmonary resuscitation (CPR) and gender for neurological outcome and survival in adults treated with targeted temperature management (TTM) following cardiac arrest (CA). PubMed, Embase and the Cochrane Library were searched for eligible studies. Pooled odds ratio (OR) with 95% confidence intervals (CIs) was calculated to evaluate prognostic values using RevMan 5.3. The outcomes were favorable neurological outcome (defined as cerebral performance category of 1 and 2) and survival...
August 14, 2018: Heart & Lung: the Journal of Critical Care
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