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https://www.readbyqxmd.com/read/27850792/1155-design-of-cvicu-surgical-rounding-process-with-quality-function-deployment
#1
Sandeep Tripathi, Lamonica Henrekin, Ann Neavor, Karl Welke
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849743/63-lower-blood-glucose-target-is-associated-with-decreased-mortality-in-cvicu-and-cticu-patients
#2
Andrew Hersh, Ellie Hirshberg, James Orme, Michael Lanspa
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27474228/the-long-term-effect-of-bundle-care-for-catheter-related-blood-stream-infection-5-year-follow-up
#3
Ho-Tsung Hsin, Meng-Shiuan Hsu, Jiann-Shing Shieh
OBJECTIVE: To address the importance of bundle care for catheter-related infection (CRBSI) on the basis of long-term observation in a catheter-abundant cardiovascular intensive care unit (CVICU). DESIGN: Prospective longitudinal cohort study. SETTING: CVICU of a tertiary referring medical centre in northern Taiwan. PARTICIPANTS: Around 1400 critically ill patients annually for 5 years in the CVICU (from January 2010 to June 2015)...
July 29, 2016: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27134303/implementation-of-a-multidisciplinary-bleeding-and-transfusion-protocol-significantly-decreases-perioperative-blood-product-utilization-and-improves-some-bleeding-outcomes
#4
Joseph G Timpa, L Carlisle O'Meara, Kellen G Goldberg, Jay P Phillips, Jack H Crawford, Kimberly W Jackson, Jeffrey A Alten
Perioperative transfusion of blood products is associated with increased morbidity and mortality after pediatric cardiac surgery. We report the results of a quality improvement project aimed at decreasing perioperative blood product administration and bleeding after pediatric cardiopulmonary bypass (CPB) surgery. A multidisciplinary team evaluated baseline data from 99 consecutive CPB patients, focusing on the variability in transfusion management and bleeding outcomes, to create a standardized bleeding and transfusion management protocol...
March 2016: Journal of Extra-corporeal Technology
https://www.readbyqxmd.com/read/27107409/laryngeal-ultrasound-and-vocal-fold-movement-in-the-pediatric-cardiovascular-intensive-care-unit
#5
Julina Ongkasuwan, Elena Ocampo, Brandon Tran
OBJECTIVES/HYPOTHESIS: Vocal fold motion impairment (VFMI) is a known sequela of cardiovascular surgery. The gold standard for the evaluation of vocal fold movement is flexible nasolaryngoscopy (FNL). Although safe, FNL does cause measurable physiologic changes. Noxious stimuli in cardiovascular intensive care unit (CVICU) neonates may cause imbalance between the pulmonary and systemic circulations and potentially circulatory collapse. The goals of this project were to determine the accuracy of laryngeal ultrasound (LUS) compared to FNL to identify VFMI in CVICU neonates and compare their physiologic impact...
April 23, 2016: Laryngoscope
https://www.readbyqxmd.com/read/26961569/pediatric-cardiology-boot-camp-description-and-evaluation-of-a-novel-intensive-training-program-for-pediatric-cardiology-trainees
#6
Scott R Ceresnak, David M Axelrod, Kara S Motonaga, Emily R Johnson, Catherine D Krawczeski
The transition from residency to subspecialty fellowship in a procedurally driven field such as pediatric cardiology is challenging for trainees. We describe and assess the educational value of a pediatric cardiology "boot camp" educational tool designed to help prepare trainees for cardiology fellowship. A two-day intensive training program was provided for pediatric cardiology fellows in July 2015 at a large fellowship training program. Hands-on experiences and simulations were provided in: anatomy, auscultation, echocardiography, catheterization, cardiovascular intensive care (CVICU), electrophysiology (EP), heart failure, and cardiac surgery...
June 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/26681782/use-of-a-checklist-and-clinical-decision-support-tool-reduces-laboratory-use-and-improves-cost
#7
Claudia A Algaze, Matthew Wood, Natalie M Pageler, Paul J Sharek, Christopher A Longhurst, Andrew Y Shin
OBJECTIVE: We hypothesized that a daily rounding checklist and a computerized order entry (CPOE) rule that limited the scheduling of complete blood cell counts and chemistry and coagulation panels to a 24-hour interval would reduce laboratory utilization and associated costs. METHODS: We performed a retrospective analysis of these initiatives in a pediatric cardiovascular ICU (CVICU) that included all patients with congenital or acquired heart disease admitted to the cardiovascular ICU from September 1, 2008, until April 1, 2011...
January 2016: Pediatrics
https://www.readbyqxmd.com/read/26162227/the-relationship-between-interruption-content-and-interrupted-task-severity-in-intensive-care-nursing-an-observational-study
#8
Farzan Sasangohar, Birsen Donmez, Anthony C Easty, Patricia L Trbovich
BACKGROUND: In a previous study, we observed that the majority of interruptions experienced by nurses in a cardiovascular intensive care unit (CVICU) carried information directly related to their patient or other aspects of work affecting other patients or indirectly affecting their patient. Further, the proportion of interruptions with personal content was significantly higher during low-severity (in case of an error as defined by nurses) tasks compared to medium- and high-severity tasks suggesting that other personnel may have evaluated the criticality of the nurses' tasks before interrupting...
October 2015: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/25135601/incidence-predictors-and-outcomes-of-extubation-failure-in-children-after-orthotopic-heart-transplantation-a-single-center-experience
#9
Punkaj Gupta, Vinca Chow, Jeffrey M Gossett, Justin C Yeh, Stephen J Roth
The objective of this study is to describe the incidence, etiologies, predictors, and outcomes of extubation failure in children undergoing orthotopic heart transplantation (OHT). A Retrospective, observational study was designed to evaluate clinical outcomes. . The study was conducted in a cardiovascular intensive care unit (CVICU) setting at a single, tertiary care, academic children's hospital. We collected demographic, pre-operative, intra-operative, post-operative and peri-extubation data in a retrospective, observational format from patients who underwent OHT at our institution...
February 2015: Pediatric Cardiology
https://www.readbyqxmd.com/read/25038018/impact-of-preoperative-location-on-outcomes-in-congenital-heart-surgery
#10
MULTICENTER STUDY
Punkaj Gupta, Brandon W Beam, Tommy R Noel, Igor Dvorchik, Han Yin, Janet M Simsic, Joseph D Tobias
BACKGROUND: Little is known about the impact of preoperative location on outcomes in infants undergoing cardiac surgery for congenital heart disease. This study was designed to evaluate the morbidity and mortality among infants who were cared for in a neonatal ICU (NICU) versus dedicated cardiovascular intensive care unit (CVICU) prior to cardiac surgery in a multi-institutional population. METHODS: Data were obtained from a multicenter, administrative, national dataset, Pediatric Health Information System (PHIS)...
September 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/24746336/implementing-goal-directed-protocols-reduces-length-of-stay-after-cardiac-surgery
#11
Anne Miller, Chad E Wagner, Yanna Song, Kathleen Burns, Rashid Ahmad, C Lee Parmley, Matthew B Weinger
OBJECTIVE: To test the effect of a high reliability organization (HRO) intervention on patient lengths of stay in the CVICU and hospital. The authors proposed that (1) higher safety related evidence based protocol (SREBP) team compliance scores and (2) lower SREBP milestone scores are associated with shorter lengths of CVICU and hospital stay. DESIGN: A prospective, longitudinal observational evaluation was used to assess the effects of SREBP-focused rounding processes and a milestone-tracking tool...
June 2014: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/24488037/comparison-of-positive-end-expiratory-pressure-of-8-versus-5-cm-h2o-on-outcome-after-cardiac-operations
#12
COMPARATIVE STUDY
Jennifer K Hansen, David G Anthony, Liang Li, David Wheeler, Daniel I Sessler, C Allen Bashour
PURPOSE: Postoperative positive end-expiratory pressure (PEEP) selection in patients who are mechanically ventilated after cardiac operations often seems random. The aim of this investigation was to compare the 2 most common postoperative initial PEEP settings at our institution, 8 and 5 cm H2O, on postoperative initial tracheal intubation time (primary outcome); cardiovascular intensive care unit (CVICU); hospital length of stay (LOS); occurrence of pneumonia; and hospital mortality (secondary outcomes)...
September 2015: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/23897603/depression-as-a-predictor-of-length-of-stay-in-patients-admitted-to-the-cardiovascular-intensive-care-unit-at-a-university-medical-center
#13
Jennifer Rude, Komola Azimova, Cristina Dominguez, Jerzy Sarosiek, Stanley Edlavitch, Debabrata Mukherjee
Depression is a predictor of length of stay (LOS) and adverse outcomes in patients with cardiac disease. Our objective was to assess the impact of depression on LOS in a Hispanic population admitted to a cardiovascular intensive care unit (CVICU). This was a prospective study of 151 consecutive patients admitted to the CVICU. Patients were administered the Center for Epidemiologic Studies Depression (CES-D) scale survey within 24 hours of admission. Patients were followed until discharge to determine LOS and adverse outcomes...
August 2014: Angiology
https://www.readbyqxmd.com/read/23847172/the-influence-of-quiet-time-for-patients-in-critical-care
#14
Carolyn A Maidl, Jane S Leske, Annette E Garcia
The primary aim was to examine the influence of "quiet time" in critical care. A dual-unit, nonrandomized, uncontrolled trial of a quiet time (QT) protocol was completed. A sample of adult patients from the Neurosciences Intensive Care Unit (NICU) and Cardiovascular Intensive Care Unit (CVICU) participated. Environmental stressors were reduced and patient rest promoted prior to QT. One hundred twenty-nine patients participated in 205 QTs. A one-way, repeated measure analysis of covariance (ANCOVA) was calculated comparing Richards-Campbell Sleep Questionnaire scores, pain and anxiety over three consecutive QTs...
October 2014: Clinical Nursing Research
https://www.readbyqxmd.com/read/23773504/prescribing-errors-in-adult-congenital-heart-disease-patients-admitted-to-a-pediatric-cardiovascular-intensive-care-unit
#15
COMPARATIVE STUDY
Genevieve Echeta, Brady S Moffett, Paul Checchia, Mary Kay Benton, Leda Klouda, Fred H Rodriguez, Wayne Franklin
BACKGROUND: Adults with congenital heart disease (CHD) are often cared for at pediatric hospitals. There are no data describing the incidence or type of medication prescribing errors in adult patients admitted to a pediatric cardiovascular intensive care unit (CVICU). METHODS: A review of patients >18 years of age admitted to the pediatric CVICU at our institution from 2009 to 2011 occurred. A comparator group <18 years of age but >70 kg (a typical adult weight) was identified...
March 2014: Congenital Heart Disease
https://www.readbyqxmd.com/read/23649204/inappropriate-and-cloned-clinical-histories-on-radiology-request-forms-for-sick-children
#16
Chetan Chandulal Shah, Leann Linam, S Bruce Greenberg
BACKGROUND: An appropriate clinical history improves the perception and interpretation of radiographic examinations in children and adults. However, clinical history provided on radiology request has not been studied for its appropriateness and frequency of cloned clinical history. OBJECTIVE: The purpose of this study was to determine the frequency of inappropriate histories and cloned histories at a tertiary-care children's hospital. MATERIALS AND METHODS: We analyzed radiology request forms of 388 outpatient and inpatient radiographic examinations obtained on 3 days during the same month at a tertiary-care children's hospital...
October 2013: Pediatric Radiology
https://www.readbyqxmd.com/read/23602045/perioperative-nutritional-support-and-malnutrition-in-infants-and-children-with-congenital-heart-disease
#17
Benjamin J Toole, Lindsay E Toole, Ursula G Kyle, Antonio G Cabrera, Renán A Orellana, Jorge A Coss-Bu
OBJECTIVE: To assess the effect of nutritional status and cardiovascular risk on hospital outcomes after congenital heart surgery in infants and children. DESIGN: Retrospective study. SETTING: Cardiac intensive care unit in a tertiary-care children's hospital. PATIENTS: One hundred twenty-one patients <24 months of age admitted to the cardiovascular intensive care unit (CVICU) for >48 hours following cardiac surgery...
January 2014: Congenital Heart Disease
https://www.readbyqxmd.com/read/23196891/efficacy-and-predictors-of-success-of-noninvasive-ventilation-for-prevention-of-extubation-failure-in-critically-ill-children-with-heart-disease
#18
Punkaj Gupta, Jacob E Kuperstock, Sana Hashmi, Vickie Arnolde, Jeffrey M Gossett, Parthak Prodhan, Shekhar Venkataraman, Stephen J Roth
The study aimed primarily to evaluate the efficacy of noninvasive ventilation (NIV) and to identify possible predictors for success of NIV therapy in preventing extubation failure in critically ill children with heart disease. The secondary objectives of this study were to assess the efficacy of prophylactic NIV therapy initiated immediately after tracheal extubation and to determine the characteristics, outcomes, and complications associated with NIV therapy in pediatric cardiac patients. A retrospective review examined the medical records of all children between the ages 1 day and 18 years who sustained acute respiratory failure (ARF) that required NIV in the cardiovascular intensive care unit (CVICU) at Lucile Packard Children's Hospital between January 2008 and June 2010...
April 2013: Pediatric Cardiology
https://www.readbyqxmd.com/read/23052677/safety-and-efficacy-of-dexmedetomidine-in-children-with-heart-failure
#19
Francis Lam, Chase Ransom, Jeffrey M Gossett, Aaron Kelkhoff, Paul M Seib, Michael L Schmitz, Janet C Bryant, Elizabeth A Frazier, Punkaj Gupta
This retrospective observational study aimed to evaluate the safety and efficacy of dexmedetomidine (DEX) for children with heart failure. The study was conducted in the cardiovascular intensive care unit (CVICU) of a single, tertiary care, academic children's hospital. A retrospective review of the charts for all children (up to 18 years of age) with signs and symptoms consistent with congestive heart failure who received DEX in our CVICU between April 2006 and April 2011 was performed. The patients were divided into two groups for study purposes: the DEX group of 21 patients, who received a DEX infusion together with other conventional sedation agents, and the control group of 23 patients, who received conventional sedation agents without the use of DEX...
April 2013: Pediatric Cardiology
https://www.readbyqxmd.com/read/22440994/risk-of-postoperative-hypoglycemia-in-cardiovascular-surgical-patients-receiving-computer-based-versus-paper-based-insulin-therapy
#20
COMPARATIVE STUDY
Samuel E Crockett, Jorge Suarez-Cavelier, Kevin D Accola, Lori A Hadas, Darcey L Harnage, Paul R Garrett, Kathy A Butler, Zuber D Mulla
OBJECTIVE: To evaluate the safety and efficacy of replacing a paper-based protocol with a computer-guided glucose management system (CGMS) for the treatment of postoperative hyperglycemia in the cardiovascular intensive care unit (CVICU). METHODS: With use of a before-and-after analysis, adult patients (≥18 years) discharged from the CVICU and treated with the paper protocol were compared with patients discharged from the CVICU and treated with the CGMS. Of the 1,648 patients analyzed, 991 were in the CGMS group...
July 2012: Endocrine Practice
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