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guidelines for oxygen therapy in hospital

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https://www.readbyqxmd.com/read/27915316/lack-of-screening-underlies-most-stage-5-retinopathy-of-prematurity-among-cases-presenting-to-a-tertiary-eye-center-in-india
#1
Rajvardhan Azad, Parijat Chandra, Anil Gangwe, Vivek Kumar
OBJECTIVE: To study the barriers to effective screening, early detection and treatment of Retinopathy of Prematurity leading to advanced disease. DESIGN: Cross-sectional study. SETTING: Tertiary eye care hospital in northern India. PARTICIPANTS: 115 babies with bilateral stage 5 ROP identified amongst 354 preterm infants examined over a one year period. METHODS: Information regarding gestational age, birthweight, duration of stay in nursery, duration of supplemental oxygen therapy and treatment details were obtained from discharge summary when available, and by interviewing carers...
November 7, 2016: Indian Pediatrics
https://www.readbyqxmd.com/read/27863827/-assessment-of-physicians-and-nurses-knowledge-and-practices-of-aerosol-therapy
#2
N Eychenne, A Jaouadi, D Macquart de Terline, A Fratta, S Laribe-Caget, O Steichen, C Fernandez, M Antignac
INTRODUCTION: Aerosol therapy is an efficient, but complex procedure. National and international practice guidelines are regularly updated. However, only a few studies have assessed the application of guidelines by users. The aim of this study is to assess the knowledge and practices of physicians and nurses regarding these guidelines. METHODS: Two self-administered questionnaires were designed by a working team and presented to physicians and nurses of four university hospitals in Paris...
November 15, 2016: Revue des Maladies Respiratoires
https://www.readbyqxmd.com/read/27852427/monitoring-the-hospital-management-of-acute-asthma-the-italian-pediatric-network-experience
#3
A G Martelli, R Bianchi, B Boldrighini, M Bosoni, A De Vuono, A Flores D'Arcais, G Gargantini, R Longhi, M T Ortisi, E Racchi, L Parola
BACKGROUND: The Study Group on Accreditation and Quality Improvement of the Italian Society of Pediatrics has developed an observational study about the hospital management of pediatric patients affected by severe asthma, in order to evaluate how the Guidelines for severe asthma in childhood are applied in the daily practice. METHODS: This study included patients between 2 and 17 years, hospitalized or under short intensive observation for acute asthma. The data collection was carried out through the compilation of on-line forms...
November 2016: European Annals of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/27767187/management-of-fluoroscopy-induced-radiation-ulcer-one-stage-radical-excision-and-immediate-reconstruction
#4
Kai-Che Wei, Kuo-Chung Yang, Lee-Wei Chen, Wen-Chung Liu, Wen-Chieh Chen, Wen-Yen Chiou, Ping-Chin Lai
With increasing use of cardiac fluoroscopic intervention, the incidence of fluoroscopy-induced radiation ulcer is increasing. Radiation ulcer is difficult to manage and currently there are no treatment guidelines. To identify the optimal treatment approaches for managing cardiac fluoroscopy-induced radiation ulcers, we retrospectively reviewed medical records of 13 patients with fluoroscopy-induced radiation ulcers receiving surgical interventions and following up in our hospital from 2012 to 2015. Conventional wound care and hyperbaric oxygen therapy were of little therapeutic benefit...
October 21, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27754180/ed-08-4-diagnosis-and-treatment-of-hypertensive-emergency-in-children
#5
Lin Shi
According to the seventh report of Joint National Committee (JNC 7), hypertensive emergency (HE), a kind of hypertensive crisis, is defined as a sudden and abrupt elevation in blood pressure so as to cause acute target organ dysfunctions, including central nervous system, cardiovascular system or kidneys. Patients with HE require immediate reduction in markedly elevated blood pressure. Currently, there are no international guidelines for children HE, so the JNC definition is commonly used. Hypertensive emergency in children is rare but a life-threatening emergency...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27723012/poorly-designed-research-does-not-help-clarify-the-role-of-hyperbaric-oxygen-in-the-treatment-of-chronic-diabetic-foot-ulcers
#6
Mesut Mutluoglu, Gunalp Uzun, Michael Bennett, Peter Germonpré, David Smart, Daniel Mathieu
Diabetic foot ulcers (DFUs) are one of the most common indications for hyperbaric oxygen treatment (HBOT). The role of HBOT in DFUs is often debated. Recent evidence based guidelines, while recommending its use, urge further studies to identify the patient subgroups most likely to benefit from HBOT. A recent study in Diabetes Care aimed to assess the efficacy of HBOT in reducing the need for major amputation and improving wound healing in patients with chronic DFUs. In this study, patients with Wagner grade 2-4 diabetic foot lesions were randomly assigned to have HBOT (30 sessions/90 min/244 kPa) or sham treatment (30 sessions/90 min/air/125 kPa)...
September 2016: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/27643137/ed-08-4-diagnosis-and-treatment-of-hypertensive-emergency-in-children
#7
Lin Shi
According to the seventh report of Joint National Committee (JNC 7), hypertensive emergency (HE), a kind of hypertensive crisis, is defined as a sudden and abrupt elevation in blood pressure so as to cause acute target organ dysfunctions, including central nervous system, cardiovascular system or kidneys. Patients with HE require immediate reduction in markedly elevated blood pressure. Currently, there are no international guidelines for children HE, so the JNC definition is commonly used. Hypertensive emergency in children is rare but a life-threatening emergency...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27599869/impact-of-stewardship-on-inhaled-nitric-oxide-utilization-in-a-neonatal-icu
#8
Amir Elmekkawi, Kiran More, Jennifer Shea, Christina Sperling, Zelia Da Silva, Michael Finelli, Asaph Rolnitsky, Robert P Jankov
OBJECTIVES: Inhaled nitric oxide (iNO) remains the "gold standard" therapy for hypoxemic respiratory failure in newborns. Despite good quality evidence to guide iNO use in this population, we observed considerable practice variation, particularly in timing and rate of weaning. To promote evidence-based practice, we launched an iNO stewardship program in April 2013. Our objective was to determine whether iNO stewardship led to changes in iNO utilization and weaning. METHODS: We conducted a quality improvement project in an outborn quaternary NICU, targeting improved iNO guideline compliance...
October 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27598679/transvenous-neurostimulation-for-central-sleep-apnoea-a-randomised-controlled-trial
#9
RANDOMIZED CONTROLLED TRIAL
Maria Rosa Costanzo, Piotr Ponikowski, Shahrokh Javaheri, Ralph Augostini, Lee Goldberg, Richard Holcomb, Andrew Kao, Rami N Khayat, Olaf Oldenburg, Christoph Stellbrink, William T Abraham
BACKGROUND: Central sleep apnoea is a serious breathing disorder associated with poor outcomes. The remedé system (Respicardia Inc, Minnetonka, MN, USA) is an implantable device which transvenously stimulates a nerve causing diaphragmatic contraction similar to normal breathing. We evaluated the safety and effectiveness of unilateral neurostimulation in patients with central sleep apnoea. METHODS: We recruited patients from 31 hospital-based centres in Germany, Poland, and the USA in this prospective, multicentre, randomised trial...
September 3, 2016: Lancet
https://www.readbyqxmd.com/read/27366076/prescription-of-antibiotics-in-community-acquired-pneumonia-in-children-are-we-following-the-recommendations
#10
Eduardo Jorge da Fonseca Lima, Débora Ellen Pessoa Lima, George Henrique Cordeiro Serra, Maria Anaide Zacche S Abreu E Lima, Maria Júlia Gonçalves de Mello
OBJECTIVE: To assess the adequacy of antibiotic prescription in children hospitalized for pneumonia in a reference pediatric hospital in Brazil. METHODS: This was a cross-sectional study involving children aged between 1 month and 5 years who were hospitalized between October 2010 and September 2013. The classification of community-acquired pneumonia (CAP) was based on the clinical and radiological criteria of the World Health Organization (WHO). The analysis of antibiotic adequacy was performed according to the main guidelines on CAP treatment, which include the WHO guidelines, Brazilian Society of Pediatrics guidelines, and international guidelines (Pediatrics Infectious Diseases Society, the Infectious Disease Society of America, British Thoracic Society, and Consenso de la Sociedad latinoamericana de Infectología)...
2016: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/27283891/heated-humidified-high-flow-nasal-oxygen-usage-in-the-adult-emergency-department
#11
James Hughes, Ammara Doolabh
OBJECTIVE: The aim of this study was to determine the role that heated, humidified high-flow nasal oxygen (HHHFNO) plays in the adult ED with particular focus on the indications and outcomes of use. METHODS: An explorative study was undertaken using retrospective chart review to identify characteristics of adult patients who received HHHFNO in a tertiary adult ED between January and December 2014. RESULTS: Thirty-nine patients were identified as having received HHHFNO during the study period with a range of indications for this use...
June 6, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27255954/endotracheal-suction-in-term-non-vigorous-meconium-stained-neonates-a-pilot-study
#12
Sushma Nangia, Shyam Sunder, Ratna Biswas, Arvind Saili
AIM: To evaluate the effect of 'No endotracheal suction' on occurrence of meconium aspiration syndrome (MAS) and/or all-cause mortality in non-vigorous neonates born through meconium stained amniotic fluid (MSAF). METHODS: This pilot randomized controlled trial enrolled term non-vigorous neonates (≥37 weeks) born through MSAF. Neonates randomized to 'No Endotracheal suction group' ('No ET' Group; n=88) did not undergo endotracheal suction before the definitive steps of resuscitation...
August 2016: Resuscitation
https://www.readbyqxmd.com/read/27132457/-improvement-effect-of-early-goal-directed-therapy-on-the-prognosis-in-patients-with-septic-shock
#13
Chang Li, Dong Yun
OBJECTIVE: To evaluate the effect of the early goal-directed therapy (EGDT) on mortality in patients with septic shock, and to analyze the risk factors of mortality. METHODS: A retrospective controlled study was conducted. Complete clinical data of patients with septic shock admitted to emergency intensive care unit (EICU) of Sichuan Provincial People's Hospital from May 1994 to December 2014 were recorded and analyzed. According to the International Guidelines for Management of Severe Sepsis and Septic Shock ( SSC ) with the time of promulgation as dividing point, the patients were divided into two groups as before and after the publication of the guideline, i...
November 2015: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/26837434/assessment-of-the-appropriateness-of-naloxone-administration-to-patients-receiving-long-term-opioid-therapy
#14
Caroline Facey, David Brooks, Jason W Boland
BACKGROUND: The most dangerous adverse effect of opioids is respiratory depression. Naloxone is used to reverse this, although in patients receiving long-term opioid therapy it can cause acute opioid withdrawal and opioid-refractory pain. OBJECTIVE: To determine if naloxone is appropriately administered to patients receiving long-term opioid therapy. METHODS: This retrospective case series based on chart reviews systematically identified patients over one year in a district general hospital...
2016: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/26722156/frequency-of-fluid-overload-and-usefulness-of-bioimpedance-in-patients-requiring-intensive-care-for-sepsis-syndromes
#15
Timothy R Larsen, Gurbir Singh, Victor Velocci, Mohamed Nasser, Peter A McCullough
Guideline-directed therapy for sepsis calls for early fluid resuscitation. Often patients receive large volumes of intravenous fluids. Bioimpedance vector analysis (BIVA) is a noninvasive technique useful for measuring total body water. In this prospective observational study, we enrolled 18 patients admitted to the intensive care unit for the treatment of sepsis syndromes. Laboratory data, clinical parameters, and BIVA were recorded daily. All but one patient experienced volume overload during the course of treatment...
January 2016: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/26684164/combination-therapy-in-pulmonary-arterial-hypertension-single-centre-long-term-experience
#16
G Taçoy, A Çengel, Y Alsancak, S Ünlü, S Turkoğlu
BACKGROUND: Pulmonary arterial hypertension (PAH) is a progressive disease of the pulmonary vascular bed and causes right heart failure and death. Combination therapy which targets three different pathways is necessary due to the progressive nature of the disease. In patients with PAH, there are two approaches in combination therapy: "first-line, up-front" and "sequential add-on" treatment. In "first-line, up-front" treatment, patients receive double or triple drug therapy from the start...
May 12, 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/26568325/load-distributing-band-cardiopulmonary-resuscitation-for-out-of-hospital-cardiac-arrest-increases-regional-cerebral-oxygenation-a-single-center-prospective-pilot-study
#17
COMPARATIVE STUDY
Yoshihito Ogawa, Tadahiko Shiozaki, Tomoya Hirose, Mitsuo Ohnishi, Yasushi Nakamori, Hiroshi Ogura, Takeshi Shimazu
BACKGROUND: Despite advances in therapeutic strategies and improved guidelines, morbidity and mortality rates for out-of-hospital cardiac arrest (OHCA) remain high. Especially, neurological prognosis is one of the most important problems even though brain protection therapy for patients with OHCA has improved greatly in recent years due to the development of emergency post-cardiac arrest interventions such as mild therapeutic hypothermia, early percutaneous coronary intervention, and extracorporeal cardiopulmonary resuscitation (CPR)...
November 14, 2015: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/26562347/effectiveness-and-clinical-outcomes-of-a-two-step-implementation-of-conservative-oxygenation-targets-in-critically-ill-patients-a-before-and-after-trial
#18
Hendrik J F Helmerhorst, Marcus J Schultz, Peter H J van der Voort, Robert J Bosman, Nicole P Juffermans, Rob B P de Wilde, M Elske van den Akker-van Marle, Leti van Bodegom-Vos, Marieke de Vries, Saeid Eslami, Nicolette F de Keizer, Ameen Abu-Hanna, David J van Westerloo, Evert de Jonge
OBJECTIVES: Conservative oxygen therapy is aimed at the prevention of harm by iatrogenic hyperoxia while preserving adequate tissue oxygenation. Our aim was to study the effectiveness and clinical outcomes of a two-step implementation of conservative oxygenation targets in the ICU. DESIGN: This was a before and after stepwise implementation study of conservative oxygenation targets, between July 2011 and July 2014. The primary endpoint was the proportion of PaO2 values within the target range...
March 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/26486092/thoracic-society-of-australia-and-new-zealand-oxygen-guidelines-for-acute-oxygen-use-in-adults-swimming-between-the-flags
#19
Richard Beasley, Jimmy Chien, James Douglas, Leonie Eastlake, Claude Farah, Gregory King, Rosemary Moore, Janine Pilcher, Michael Richards, Sheree Smith, Haydn Walters
The purpose of the Thoracic Society of Australia and New Zealand guidelines is to provide simple, practical evidence-based recommendations for the acute use of oxygen in adults in clinical practice. The intended users are all health professionals responsible for the administration and/or monitoring of oxygen therapy in the management of acute medical patients in the community and hospital settings (excluding perioperative and intensive care patients), those responsible for the training of such health professionals, and both public and private health care organizations that deliver oxygen therapy...
November 2015: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/26454927/-clinical-guidelines-for-management-of-patients-with-acute-chronic-obstructive-pulmonary-disease
#20
A A Zaitsev, Yu V Ovchinnikov, A V Bezlepko
The treatment of acute chronic obstructive pulmonary disease is aimed at minimizing the manifestations of this aggravation and prevention of its progression. This article covers the information about the etiology of acute illness and its diagnosis criteria, recommendations about methods of assessing of exacerbations, place of treatment of this pathology and definition of treatment policy. The data about preferrable means of pharmacotherapy--bronchial spasmolytics, corticosteroids and antibacterial drugs, is given...
March 2015: Voenno-medit︠s︡inskiĭ Zhurnal
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