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Icu liaison

Zeinab Tabanejad, Marzieh Pazokian, Abbas Ebadi
Introduction: Recent studies suggest that liaison nurse intervention might be effective to solve the gap between intensive care unit and wards, but little studies are known about the effect of this intervention. The aim of this study was to investigate the effect of liaison nurse service on patient outcomes after discharging from intensive care unit. Methods: In this single blinded randomized controlled trial, a total of 80 patients were selected by convenience sampling method from two teaching hospitals located in Tehran, Iran...
September 2016: Journal of Caring Sciences
Stacie C Bennett, Neil Finer, Louis P Halamek, Nick Mickas, Mihoko V Bennett, Courtney C Nisbet, Paul J Sharek
BACKGROUND: The 2015 American Academy of Pediatrics Neonatal Resuscitation Program (NRP) and International Liaison Committee on Resuscitation (ILCOR) resuscitation guidelines state, "It is still suggested that briefing and debriefing techniques be used whenever possible for neonatal resuscitation." Effective communication and reliable delivery of evidence-based best practices are critical aspects of the 2015 NRP guidelines. To promote optimal communication and best practice-focused checklists use during active neonatal resuscitation, the Readiness Bundle (RB) was integrated within the larger change package deployed in the California Perinatal Quality Care Collaborative's (CPQCC) 12-month Delivery Room Management Quality Improvement Collaborative...
August 2016: Joint Commission Journal on Quality and Patient Safety
Laura Alberto, Brigid M Gillespie, Anna Green, Maria Del Carmen Martínez, Angel Cañete, Haydee Zotarez, Carlos Alberto Díaz, Marcelino Enriquez, Mario Gerónimo, Wendy Chaboyer
BACKGROUND: The Intensive Care Unit Liaison Nurse (ICULN), also known as an outreach nurse, is an advanced practice nursing role that emerged in the late 1990s in Australia and the United Kingdom (UK). Little is known about this role in less developed economies. OBJECTIVE: To describe the activities undertaken by ICULNs in Argentina. METHODS: Prospective, descriptive, observational, single site study in an Argentinean metropolitan tertiary referral hospital...
July 19, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Anna Green, Daryl Jones, Tammie McIntyre, Carmel Taylor, Wendy Chaboyer, Michael Bailey
BACKGROUND: Intensive care unit liaison nurse (ICU LN) services are one strategy to manage deteriorating hospital patients. Studies on the characteristics and outcomes of patients reviewed by ICU LNs have been from single centres and surveys. OBJECTIVES AND METHODS: To conduct a 20-hospital, prospective observational study on the characteristics and outcomes of patients reviewed by Australian ICU LNs over 2 months. PARTICIPANTS AND OUTCOME MEASURES: All patients screened by ICU LNs over the study period were included...
December 2015: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
Vaios Peritogiannis, Maria Bolosi, Charalampos Lixouriotis, Dimitrios V Rizos
Delirium is a complex neuropsychiatric syndrome which is common in all medical settings. It often goes unrecognized due to difficulties in the detection of its hypoactive variant. This review aims to provide an up-to-date account on recent research on hypoactive delirium (HD). Thirty-eight studies, which were conducted in various clinical settings, including the Intensive Care Unit (ICU), were included in this review. Those studies involved recent research that has been published during the last 6 years. Prevalence of HD was found to vary considerably among different settings...
2015: Behavioural Neurology
Muhammad Asim Rana, Ahmed Fouad Mady, Basheer Abdel Rehman, Abdulrahman Alharthy, Basim Huwait, Asim Riaz, Waleed Tharwat Aletreby
Timolol Maleate (also called Timolol) is a nonselective beta-adrenergic blocker and a class II antiarrhythmic drug, which is used to treat intraocular hypertension. It has been reported to cause systemic side effects especially in elderly patients with other comorbidities. These side effects are due to systemic absorption of the drug and it is known that Timolol is measurable in the serum following ophthalmic use. Chances of life threatening side effects increase if these are coprescribed with other cardiodepressant drugs like calcium channel or systemic beta blockers...
2015: Case Reports in Critical Care
Damoon Entesari-Tatafi, Neil Orford, Michael J Bailey, Martina N I Chonghaile, Jill Lamb-Jenkins, Eugene Athan
OBJECTIVE: To determine the effectiveness of a care bundle, with a novel line maintenance procedure, in reducing the rate of central line-associated bloodstream infection (CLABSI) in the intensive care unit (ICU). DESIGN, PARTICIPANTS AND SETTING: Before-and-after study using CLABSI data reported to the Victorian Healthcare Associated Infection Surveillance System (VICNISS), in adult patients admitted to a tertiary adult ICU in regional Victoria between 1 July 2006 and 30 June 2014...
March 16, 2015: Medical Journal of Australia
Nelleke van Sluisveld, Gijs Hesselink, Johannes Gerardus van der Hoeven, Gert Westert, Hub Wollersheim, Marieke Zegers
PURPOSE: To systematically review and evaluate the effectiveness of interventions in order to improve the safety and efficiency of patient handover between intensive care unit (ICU) and general ward healthcare professionals at ICU discharge. METHODS: PubMed, CINAHL, PsycINFO, EMBASE, Web of Science, and the Cochrane Library were searched for intervention studies with the aim to improve clinical handover between ICU and general ward healthcare professionals that had been published up to and including June 2013...
April 2015: Intensive Care Medicine
K A Penny, S H Friedman, G M Halstead
OBJECTIVE: This study describes mental health treatment and follow-up for mothers of infants in a Neonatal Intensive Care Unit (NICU). STUDY DESIGN: Data were collected retrospectively about 204 mothers referred to a Level 3 NICU Psychiatric Consult Liaison Team over 2 years. This included medical, demographic and treatment information about both mother and infant. RESULT: Most mothers (69%) were referred within a week of birth, and 100 (49%) of the referred mothers received a psychiatric diagnosis...
June 2015: Journal of Perinatology: Official Journal of the California Perinatal Association
Zeinab Tabanejad, Marzieh Pazokian, Abbas Ebadi
BACKGROUND: This review focuses on the impact of liaison nurse in nursing care of patient after ICU discharge on patient's outcomes, compared with patients that are not taken care of by liaison nurses. The role of the ICU liaison nurse has transpired to solve the gap between intensive care unit and wards. Therefore, we aimed to review the outcomes of all studies in this field. METHODS: A systematic review of intervention studies between 2004 and 2013 was undertaken using standard and sensitive keywords such as liaison nurse, intensive care unit, and patient outcomes in the following databases: Science direct, PubMed, Scopus, Ovid, Oxford, Wiley, Scholar, and Mosby...
October 2014: International Journal of Community Based Nursing and Midwifery
C Thomas, A Mishra
AIMS: To evaluate the use of the Cerebral Function Monitor (CFM) on the Neonatal Intensive Care Unit (NICU) at the Royal Bolton Hospital (RBH). METHODS: Recordings from the 72 infants that were placed on the CFM over a 21 month period were retrospectively analysed, along with their Badger discharge letters and last clinic follow up letters. RESULTS: The use of the CFM machine has more than doubled since its introduction in September 2011. We also identified some training issues with recognition of high impedance in some traces, use of markers on some traces and interpretation of CFM traces as documented in the badger summary...
June 2014: Archives of Disease in Childhood. Fetal and Neonatal Edition
Sandeep Grover, Natasha Kate, Surendra Kumar Mattoo, Subho Chakrabarti, Savita Malhotra, Ajit Avasthi, Parmanand Kulhara, Debasish Basu
OBJECTIVE: To evaluate the predictors of delay in psychiatry referral for patients with delirium. MATERIALS AND METHODS: The consultation liaison psychiatry registry and case notes of 461 patients referred to psychiatry consultation liaison services and diagnosed as having delirium were reviewed. Data pertaining to sociodemographic variables, clinical variables, Delirium Rating Scale-Revised 98 version, etiologies associated with delirium were extracted. RESULTS: Older age, presence of and higher severity of sleep disturbance, presence of and higher severity of motor retardation, presence of visuospatial disturbances, presence of fluctuation of symptoms, being admitted to medical ward/medical intensive care units, and absence of comorbid axis-1 psychiatry diagnoses were associated with longer duration of psychiatric referral after the onset of delirium...
April 2014: Indian Journal of Psychiatry
C David Simpson, Judith Hawes, Andrew G James, Kyong-Soon Lee
BACKGROUND: A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE: To determine whether the use of bundled interventions that include a checklist during central-line insertions reduces catheter-related bloodstream infections in intensive care unit patients. METHODS: A literature review was performed using methodology adapted from the American Heart Association's International Liaison Committee on Resuscitation...
April 2014: Paediatrics & Child Health
C David Simpson, Judith Hawes, Andrew G James, Kyong-Soon Lee
BACKGROUND: A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE: To determine whether the use of bundled interventions that include a checklist during central-line insertions reduces catheter-related bloodstream infections in intensive care unit patients. METHODS: A literature review was performed using methodology adapted from the American Heart Association's International Liaison Committee on Resuscitation...
April 2014: Paediatrics & Child Health
Malcolm Elliott, Karen Page, Linda Worrall-Carter
BACKGROUND: Many patients discharged from intensive care units (ICU) have complex care needs, placing them at risk of an adverse event in a ward environment. Currently, there is limited understanding of factors associated with these events in the post-intensive care population. A recent study explored intensive care liaison nurses' opinions on factors associated with these events; 25 factors were identified, highlighting the multifaceted nature of post-intensive care adverse events. AIM: This study aimed to clinically validate 25 factors intensive care liaison nurses believe are associated with post-intensive care adverse events, to determine the factors' relevance and importance to clinical practice...
September 2014: Nursing in Critical Care
Priyanka Tejashwani Pichala, Bharani Mukkillapati Kumar, Seeba Zachariah, Dixon Thomas, Laura Saunchez, Alvarez-Uria Gerardo
BACKGROUND: Intensive care unit is a potential area for drug-related problems. As many of the patients treated are complex patients, clinical pharmacy intervention could find drug therapy problems. MATERIALS AND METHODS: Drug information liaisons daily attended ward rounds with intensivists and screened the patient for drug therapy assessment using the American Society for Health-System Pharmacists clinical skills competition DTA format. This was a prospective study done for 6 months from August 2012 to January 2013...
June 2013: Journal of Basic and Clinical Pharmacy
M Margaret Knudson, Thomas W Evans, Raymond Fang, Kathleen D Martin, Warren Dorlac, David L Gillespie, Kenneth J Cherry, Todd E Rasmussen
BACKGROUND: The Senior Visiting Surgeon (SVS) program at Landstuhl Regional Medical Center (LRMC), Germany, was developed during the wars in Afghanistan and Iraq as a measure to build military-civilian interaction in trauma care and research. The objective of this study was to provide a summary of the program including workload and experiences. An additional objective was to identify factors needed for sustainment of this program during an interwar period. METHODS: An electronic, 34-question survey was distributed to 192 surgeons who participated in the SVS program at LRMC, either through the American Association for the Surgery of Trauma or the Society of Vascular Surgery between 2005 and 2012...
March 2014: Journal of Trauma and Acute Care Surgery
Christine Johannes, Kimberly Dow
BACKGROUND: Retinopathy of prematurity (ROP) can result in significant morbidity in preterm infants. Light exposure has been suggested to be a contributing factor. OBJECTIVE: A systematic review was performed to determine whether reducing light exposure in the neonatal intensive care unit decreased the incidence of ROP in preterm infants. METHODS: The literature was reviewed using the methodology for systematic reviews recommended by the Consensus on Resuscitation Science, adapted from the American Heart Association's International Liaison Committee on Resuscitation...
June 2013: Paediatrics & Child Health
Maria Fernanda Branco de Almeida, Ruth Guinsburg, Guilherme Assis Sancho, Izilda Rodrigues Machado Rosa, Zeni Carvalho Lamy, Francisco Eulógio Martinez, Regina Paula Guimarães Vieira Cavalcante da Silva, Lígia Silvana Lopes Ferrari, Ligia Maria Suppo de Souza Rugolo, Vânia Olivetti Steffen Abdallah, Rita de Cássia Silveira
OBJECTIVE: To evaluate intervention practices associated with hypothermia at both 5 minutes after birth and at neonatal intensive care unit (NICU) admission and to determine whether hypothermia at NICU admission is associated with early neonatal death in preterm infants. STUDY DESIGN: This prospective cohort included 1764 inborn neonates of 22-33 weeks without malformations admitted to 9 university NICUs from August 2010 through April 2012. All centers followed neonatal International Liaison Committee on Resuscitation recommendations for the stabilization and resuscitation in the delivery room (DR)...
February 2014: Journal of Pediatrics
Scott R Beach, Donna T Chen, Jeff C Huffman
OBJECTIVE: Despite high rates and increased risk of mortality, delirium remains underdiagnosed and a minimal focus of formal medical education. This is the first study to examine the educational impact of a psychiatric liaison on beliefs and knowledge about delirium among both nurses and residents. METHOD: One psychiatrist spent 9 months rounding weekly in the medical intensive care unit, interacting with critical care nurses and internal medicine residents. Preintervention and postintervention surveys were distributed in July 2009 and June 2010, respectively, to staff (critical care nurses: n = 23 and n = 25, respectively; internal medicine residents: n = 31 and n = 23, respectively) and a comparison group (psychiatry residents: n = 29 and n = 23, respectively)...
2013: Primary Care Companion to CNS Disorders
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