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https://www.readbyqxmd.com/read/27206707/-specialized-neurological-neurosurgical-intensive-care-medicine
#1
J B Kuramatsu, H B Huttner, S Schwab
In Germany dedicated neurological-neurosurgical critical care (NCC) is the fastest growing specialty and one of the five big disciplines integrated within the German critical care society (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin; DIVI). High-quality investigations based on resilient evidence have underlined the need for technical advances, timely optimization of therapeutic procedures, and multidisciplinary team-work to treat those critically ill patients. This evolution has repeatedly raised questions, whether NCC-units should be run independently or better be incorporated within multidisciplinary critical care units, whether treatment variations exist that impact clinical outcome, and whether nowadays NCC-units can operate cost-efficiently? Stroke is the most frequent disease entity treated on NCC-units, one of the most common causes of death in Germany leading to a great socio-economic burden due to long-term disabled patients...
June 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/25169182/cardiac-intensivism-a-view-from-a-fellow-in-training
#2
EDITORIAL
Vimal Ramjee
No abstract text is available yet for this article.
September 2, 2014: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/24493011/-quality-management-in-intensive-care-medicine
#3
REVIEW
J Martin, J-P Braun
Treatment of critical ill patients in the intensive care unit is tantamount to well-designed risk or quality management. Several tools of quality management and quality assurance have been developed in intensive care medicine. In addition to external quality assurance by benchmarking with regard to the intensive care medicine, peer review procedures have been established for external quality assurance in recent years. In the process of peer review of an intensive care unit (ICU), external physicians and nurses visit the ICU, evaluate on-site proceedings, and discuss with the managing team of the ICU possibilities for optimization...
February 2014: Der Anaesthesist
https://www.readbyqxmd.com/read/23865132/a-prospective-observational-study-of-paediatric-cardiac-surgery-outcomes-in-a-postoperative-intensive-care-unit-in-iran
#4
Shahla Roodpeyma, Manuchehr Hekmat, Maryam Dordkhar, Sima Rafieyian, Arash Hashemi
OBJECTIVE: To evaluate the incidence of complications, morbidity and mortality, and the associated risk factors with mortality at a Paediatric Cardiology Intensiv Care Unit of a developing country. METHODS: The prospective observational study was conducted at Shahid Modarres Hospital, Tehran, Iran, from August 2009 to July 2010. A total of 202 patients were monitored from the time they entered the Paediatric Cardiology Intensive Care Unit till their final discharge...
January 2013: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/23846174/-quality-management-in-intensive-care-medicine
#5
J Martin, J-P Braun
Treatment of critical ill patients in the intensive care unit is tantamount to well-designed risk or quality management. Several tools of quality management and quality assurance have been developed in intensive care medicine. In addition to extern quality assurance by benchmarking with regard to the intensive care medicine, peer review procedures have been established for external quality assurance in recent years. In the process of peer review of an intensive care unit (ICU), external physicians and nurses visit the ICU, evaluate on-site proceedings, and discuss with the managing team of the ICU possibilities for optimization...
September 2013: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/23120863/emergency-medicine-in-slovenia-emergency-center-prehospital-emergency-medicine-and-academic-emergency-medicine
#6
Stefek Grmec, Stefan Mally
Public health service is organized in such a manner so as to ensure all the inhabitants of the Republic of Slovenia the emergency medical assistance available at all times, including emergency transport and provision of emergency medicinal products as soon as possible and as close to the date of their manufacture as possible and during transport. Emergency medical assistance means the implementation of necessary measures by doctors and their teams with persons whose life is imminently threatened due to illness or injury and persons, respectively, who could be affected by such a risk in a short period of time according to the symptoms...
2009: Lijec̆nic̆ki Vjesnik
https://www.readbyqxmd.com/read/21894588/-icu-delirium-consequences-for-management-of-analgesia-and-sedation-in-the-critically-ill
#7
REVIEW
Alawi Lütz, Claudia Spies
Monitoring and protocolized management for analgesia, sedation and delirium are key indicators for an evidence-based treatment of critically ill patients. Through the dissemination of these guidelines in 2006, use of monitoring was shown to have improved from 8 to 51% and the use of protocol-based approaches increased to 46% (from 21%). From 2006-2009, the existing guidelines from the DGAI (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin) and DIVI (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin) were developed into 3rd Generation Guidelines for the securing and optimization of quality of analgesia, sedation and delirium management in the intensive care unit (ICU)...
September 2011: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/21812227/-elevated-blood-glucose-level-as-a-risk-factor-of-hospital-acquired-pneumonia-among-patients-treated-in-the-intensiv-care-unit-icu
#8
Aldona Kubisz, Jan Kulig, Antoni M Szczepanik, Rafał Solecki
Hospital acquired-pneumonia is the most frequently occurring hospital-acquired infection in intensive care units (ICU). The study group consisted of 233 patients treated over 12 months in the ICU of the 1st Department of General Surgery and Gastroenterological Surgery Clinics, University Hospital in Krakow. Patients were divided in two groups: experimental--consisting of 92 patients with hospital-acquired pneumonia, and control--consisting of 141 patients without the disease. The following risk factors of hospital-acquired pneumonia risk were analysed for both groups: length of stay in the ICU, duration of mechanical ventilation, kind of treatment applied, presence of a gastrointestinal tube, blood glucose levels...
2011: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/20652527/-prevention-and-follow-up-care-of-sepsis-1st-revision-of-s2k-guidelines-of-the-german-sepsis-society-deutsche-sepsis-gesellschaft-e-v-dsg-and-the-german-interdisciplinary-association-of-intensive-care-and-emergency-medicine-deutsche-interdisziplin%C3%A3-re-vereinigung
#9
F M Brunkhorst, P Gastmeier, W Kern, W Krüger, K Mayer, A Weimann, T Welte, C Putensen, K Werdan, K Reinhart
The 1st revision of the S2k guideline on the prevention and follow-up care of sepsis, provided by the German Sepsis Society in collaboration with 17 German medical scientific societies and one self-help group provides state-of-the-art information on the effective and appropriate medical care of critically ill patients with severe sepsis or septic shock. The guideline recommendations may not be applied under all circumstances. It rests with the clinician to decide whether a certain recommendation should be adopted or not, taking into consideration the unique set of clinical facts presented in connection with each individual patient as well as the available resources...
July 2010: Der Internist
https://www.readbyqxmd.com/read/20628653/prevention-diagnosis-therapy-and-follow-up-care-of-sepsis-1st-revision-of-s-2k-guidelines-of-the-german-sepsis-society-deutsche-sepsis-gesellschaft-e-v-dsg-and-the-german-interdisciplinary-association-of-intensive-care-and-emergency-medicine-deutsche-interdisziplin%C3%A3
#10
K Reinhart, F M Brunkhorst, H-G Bone, J Bardutzky, C-E Dempfle, H Forst, P Gastmeier, H Gerlach, M Gründling, S John, W Kern, G Kreymann, W Krüger, P Kujath, G Marggraf, J Martin, K Mayer, A Meier-Hellmann, M Oppert, C Putensen, M Quintel, M Ragaller, R Rossaint, H Seifert, C Spies, F Stüber, N Weiler, A Weimann, K Werdan, T Welte
Practice guidelines are systematically developed statements and recommendations that assist the physicians and patients in making decisions about appropriate health care measures for specific clinical circumstances taking into account specific national health care structures. The 1(st) revision of the S-2k guideline of the German Sepsis Society in collaboration with 17 German medical scientific societies and one self-help group provides state-of-the-art information (results of controlled clinical trials and expert knowledge) on the effective and appropriate medical care (prevention, diagnosis, therapy and follow-up care) of critically ill patients with severe sepsis or septic shock...
2010: German Medical Science: GMS E-journal
https://www.readbyqxmd.com/read/20446189/-a-comparison-of-multimodal-programmes-of-patient-education-in-the-rehabilitation-of-chronic-low-back-pain
#11
COMPARATIVE STUDY
M Morfeld, D Küch, B Greitemann, S Dibbelt, C Salewski, G H Franke, A Liebenau
There is growing evidence for the effectiveness of multimodal intervention concepts for chronic low back pain in the international literature, and accordingly several German rehabilitation programmes for the treatment of chronic low back pain patients have been developed. Focus of this paper is to describe and compare frequently used German multimodal intervention programmes for in- and outpatient rehabilitation of patients with chronic low back pain. Programmes were chosen by searching the most relevant online resources as well as the online pages of Deutsche Rentenversicherung and Zentrum Patientenschulung during September 2008...
April 2010: Die Rehabilitation
https://www.readbyqxmd.com/read/20200655/evidence-and-consensus-based-german-guidelines-for-the-management-of-analgesia-sedation-and-delirium-in-intensive-care-short-version
#12
Jörg Martin, Anja Heymann, Katrin Bäsell, Ralf Baron, Rolf Biniek, Hartmut Bürkle, Peter Dall, Christine Dictus, Verena Eggers, Ingolf Eichler, Lothar Engelmann, Lars Garten, Wolfgang Hartl, Ulrike Haase, Ralf Huth, Paul Kessler, Stefan Kleinschmidt, Wolfgang Koppert, Franz-Josef Kretz, Heinz Laubenthal, Guenter Marggraf, Andreas Meiser, Edmund Neugebauer, Ulrike Neuhaus, Christian Putensen, Michael Quintel, Alexander Reske, Bernard Roth, Jens Scholz, Stefan Schröder, Dierk Schreiter, Jürgen Schüttler, Gerhard Schwarzmann, Robert Stingele, Peter Tonner, Philip Tränkle, Rolf Detlef Treede, Tomislav Trupkovic, Michael Tryba, Frank Wappler, Christian Waydhas, Claudia Spies
Targeted monitoring of analgesia, sedation and delirium, as well as their appropriate management in critically ill patients is a standard of care in intensive care medicine. With the undisputed advantages of goal-oriented therapy established, there was a need to develop our own guidelines on analgesia and sedation in intensive care in Germany and these were published as 2(nd) Generation Guidelines in 2005. Through the dissemination of these guidelines in 2006, use of monitoring was shown to have improved from 8 to 51% and the use of protocol-based approaches increased to 46% (from 21%)...
2010: German Medical Science: GMS E-journal
https://www.readbyqxmd.com/read/18563387/understanding-international-differences-in-terminology-for-delirium-and-other-types-of-acute-brain-dysfunction-in-critically-ill-patients
#13
A Morandi, P Pandharipande, M Trabucchi, R Rozzini, G Mistraletti, A C Trompeo, C Gregoretti, L Gattinoni, M V Ranieri, L Brochard, D Annane, C Putensen, U Guenther, P Fuentes, E Tobar, A R Anzueto, A Esteban, Y Skrobik, J I F Salluh, M Soares, C Granja, A Stubhaug, S E de Rooij, E Wesley Ely
BACKGROUND: Delirium (acute brain dysfunction) is a potentially life threatening disturbance in brain function that frequently occurs in critically ill patients. While this area of brain dysfunction in critical care is rapidly advancing, striking limitations in use of terminology related to delirium internationally are hindering cross-talk and collaborative research. In the English literature, synonyms of delirium such as the Intensive Care Unit syndrome, acute brain dysfunction, acute brain failure, psychosis, confusion, and encephalopathy are widely used...
October 2008: Intensive Care Medicine
https://www.readbyqxmd.com/read/18397652/-the-sepsis-campaign-increased-survival-with-sepsis-bundles-the-danish-society-for-intensive-care
#14
Jens Schierbeck, Lone Musaeus Poulsen, Kim Michael Larsen et al.
No abstract text is available yet for this article.
March 17, 2008: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/17394821/-the-sepsis-campaign-an-international-initiative-the-danish-society-for-intensive-care
#15
Jens Schierbeck, Lone Musaeus Poulsen, Kim Michael Larsen et al.
No abstract text is available yet for this article.
March 19, 2007: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/17394807/-ultrasound-guided-peripheral-nerve-block-the-danish-society-of-anesthesiology-and-intensive-care-medicine
#16
Thomas Fichtner Bendtsen, Zbigniew J Koscielniak-Nielsen et al.
No abstract text is available yet for this article.
March 19, 2007: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/17313924/-capacity-in-danish-intensive-care-units-a-national-survey-of-capacity-cancellations-and-transfers-of-critically-ill-patients
#17
Anne Lippert, Kurt Espersen, Kristian Antonsen, Henning Joensen, Tina E Waldau, Kim Michael Larsen, et al.
INTRODUCTION: A shortage of intensive care beds and fully-booked intensive care units has a range of undesirable consequences for patients and personnel, eg. transfer to other intensive care units, cancellation of operations, tighter visitation criteria and an increase in the work-load. The problem is illustrated in a national survey. MATERIALS AND METHODS: The survey was undertaken in 3 parts and comprised all 50 adult intensive care units in Denmark. Part 1 was a questionnaire encompassing demographic data, the number of open intensive care beds and how often under or over capacity was experienced in the department...
February 19, 2007: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/16789521/-diagnostics-of-viral-respiratory-infections-in-hospitalized-patients-and-ambulatory-patients-from-sentinel-program-during-2004-05-season-in-poland
#18
Lidia B Brydak, Grazyna Lietzau, Magdalena Machała
The aim of the study was to evaluate an impact of respiratory infections on the study population, type/subtype of influenza viruses circulating during 2004/05 season within the groups of hospitalised (n=35) and ambulatory patients (n=420) and to determine antigenic affinity of isolated viral strains. Laboratory diagnostics of influenza A and B type, RSV, adenovirus and parainfluenzavirus (type 1, 2 and 3) was performed using direct immunofluorescence test (DIFA), virus isolation on MDCK cell line and RT-PCR assay...
October 2005: Polskie Archiwum Medycyny Wewnętrznej
https://www.readbyqxmd.com/read/16532281/-diagnosis-and-therapy-of-sepsis-guidelines-of-the-german-sepsis-society-inc-and-the-german-interdisciplinary-society-for-intensive-and-emergency-medicine
#19
REVIEW
K Reinhart, F Brunkhorst, H Bone, H Gerlach, M Gründling, G Kreymann, P Kujath, G Marggraf, K Mayer, A Meier-Hellmann, C Peckelsen, C Putensen, M Quintel, M Ragaller, R Rossaint, F Stüber, N Weiler, T Welte, K Werdan
A recent survey conducted by the publicly funded Competence Network Sepsis (SepNet) reveals that severe sepsis and/or septic shock occurs in 75,000 inhabitants (110 out of 100,000) and sepsis in 79,000 inhabitants (116 out of 100,000) in Germany annually. This illness is responsible for approximately 60,000 deaths and ranges as the third most frequent cause of death after acute myocardial infarction. Direct costs for the intensive care of patients with severe sepsis alone amount to approximately 1.77 billion euros, which means that about 30% of the budget in intensive care is used to treat severe sepsis...
April 2006: Der Internist
https://www.readbyqxmd.com/read/9792018/-value-of-the-hannover-intensive-score-his-in-internal-medicine-intensive-care
#20
COMPARATIVE STUDY
A von Bierbrauer, C Burchardt, H H Müller, P von Wichert
BACKGROUND AND OBJECTIVES: Scoring systems are important tools for quality control and stratification of study populations in intensive care medicine. The study aims to systematically evaluate predictive ability and severity classification ability of the combined physiologic-therapeutic Hannover Intensiv Score (HIS). Such data are not existing regarding medical intensive care medicine. METHODS: 1060 consecutive patients (ICU stay > 4 hours) being admitted to a medical ICU were prospectively investigated...
September 15, 1998: Medizinische Klinik
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