1
40
12
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/01.ju.0000179386.31422.1a" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/01.ju.0000179386.31422.1a</a>
Pages
1661–1662; discussion 1662
Issue
4
Volume
174
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Automated bladder scan urine volumes are not reliable in complex neonatal cases.
Publisher
An entity responsible for making the resource available
The Journal of urology
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-10
Subject
The topic of the resource
Automation; Humans; Infant; Intensive Care Units; Neonatal; Newborn; Predictive Value of Tests; Ultrasonography/*instrumentation; Urinary Bladder/*diagnostic imaging; Urinary Catheterization; Urodynamics
Creator
An entity primarily responsible for making the resource
Wyneski Holly K; McMahon Daniel R; Androulakakis Voula; Nasrallah Phillip F
Description
An account of the resource
PURPOSE: We investigate the accuracy of urine volumes obtained by an automated bladder scan in complex neonatal cases. MATERIALS AND METHODS: Automated bladder scan determinations of urine volumes were obtained by neonatal intensive care unit nursing staff in 10 patients with myelodysplasia and cloacal exstrophy. Urine volumes were then immediately obtained by straight catheterization. Correlation between the scan and catheter volumes was then evaluated across and within cases. RESULTS: There was low correlation between automated bladder scan volume and catheter volume across and within cases (0.037 +/- 0.37) and (0.188 +/- 0.12), respectively. Using a cutoff of 20 cc 25% of significant volumes were missed. The 95% confidence interval from these data indicates that a significant volume is missed 7% to 25% of the time. CONCLUSIONS: We urge clinicians to exercise caution in the use of automated bladder scanners for determination of urine volumes in complex neonatal intensive care unit cases.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/01.ju.0000179386.31422.1a" target="_blank" rel="noreferrer noopener">10.1097/01.ju.0000179386.31422.1a</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2005
Androulakakis Voula
Automation
Humans
Infant
Intensive Care Units
McMahon Daniel R
Nasrallah Phillip F
Neonatal
Newborn
Predictive Value of Tests
The Journal of urology
Ultrasonography/*instrumentation
Urinary Bladder/*diagnostic imaging
Urinary Catheterization
Urodynamics
Wyneski Holly K
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/CCM.0000000000002202" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/CCM.0000000000002202</a>
Pages
e337–e338
Issue
3
Volume
45
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
A Gap, and Opportunity, in the ICU Admission, Discharge, and Triage Guidelines.
Publisher
An entity responsible for making the resource available
Critical care medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-03
Subject
The topic of the resource
*Patient Discharge; *Triage; Hospitalization; Humans; Intensive Care Units; Patient Admission; Patient Discharge; Scales; Triage
Creator
An entity primarily responsible for making the resource
Frakes Michael A; Wilcox Susan R; Bigham Michael T; Angelotti Timothy; Marcolini Evie G; Cohen Jason
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/CCM.0000000000002202" target="_blank" rel="noreferrer noopener">10.1097/CCM.0000000000002202</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Patient Discharge
*Triage
2017
Angelotti Timothy
Bigham Michael T
Cohen Jason
Critical care medicine
Frakes Michael A
Hospitalization
Humans
Intensive Care Units
Marcolini Evie G
Patient Admission
Patient Discharge
Scales
Triage
Wilcox Susan R
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.4037/ajcc2015335" target="_blank" rel="noreferrer noopener">http://doi.org/10.4037/ajcc2015335</a>
Pages
440–445
Issue
5
Volume
24
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Mechanical Ventilation Antioxidant Trial.
Publisher
An entity responsible for making the resource available
American journal of critical care : an official publication, American Association of Critical-Care Nurses
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-09
Subject
The topic of the resource
Adult; Female; Humans; Male; Middle Aged; Time Factors; Aged; Length of Stay; Treatment Outcome; Prospective Studies; Oxidative Stress; Double-Blind Method; Intensive Care Units; Antioxidants/*therapeutic use; Antioxidants; Oxidative Stress/*drug effects; Critical Care/*methods; Human; Chi Square Test; Funding Source; Data Analysis Software; Middle Age; T-Tests; Ascorbic Acid/therapeutic use; Critical Illness; Cystine/analogs & derivatives/therapeutic use; Inflammation/*drug therapy/*etiology; Vitamin E/therapeutic use; Vitamins/therapeutic use; 80 and over; Artificial; Respiration; Artificial/*adverse effects; Randomized Controlled Trials; Double-Blind Studies; Acetylcysteine; Critically Ill Patients; Dietary Supplementation; Log-Rank Test; Mantel-Haenszel Test; Ventilator Weaning; Vitamin E; 80 and Over; Ascorbic Acid – Administration and Dosage
Creator
An entity primarily responsible for making the resource
Howe Kimberly P; Clochesy John M; Goldstein Lawrence S; Owen Hugh
Description
An account of the resource
BACKGROUND: Many patients each year require prolonged mechanical ventilation. Inflammatory processes may prevent successful weaning, and evidence indicates that mechanical ventilation induces oxidative stress in the diaphragm, resulting in atrophy and contractile dysfunction of diaphragmatic myofibers. Antioxidant supplementation might mitigate the harmful effects of the oxidative stress induced by mechanical ventilation. OBJECTIVE: To test the clinical effectiveness of antioxidant supplementation in reducing the duration of mechanical ventilation. METHODS: A randomized, prospective, placebo-controlled double-blind design was used to test whether enterally administered antioxidant supplementation would decrease the duration of mechanical ventilation, all-cause mortality, and length of stay in the intensive care unit and hospital. Patients received vitamin C 1000 mg plus vitamin E 1000 IU, vitamin C 1000 mg plus vitamin E 1000 IU plus N-acetylcysteine 400 mg, or placebo solution as a bolus injection via their enteral feeding tube every 8 hours. RESULTS: Clinical and statistically significant differences in duration of mechanical ventilation were seen among the 3 groups (Mantel-Cox log rank statistic = 5.69, df = 1, P = .017). The 3 groups did not differ significantly in all-cause mortality during hospitalization or in the length of stay in the intensive care unit or hospital. CONCLUSIONS: Enteral administration of antioxidants is a simple, safe, inexpensive, and effective intervention that decreases the duration of mechanical ventilation in critically ill adults.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.4037/ajcc2015335" target="_blank" rel="noreferrer noopener">10.4037/ajcc2015335</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
80 and over
Acetylcysteine
Adult
Aged
American journal of critical care : an official publication, American Association of Critical-Care Nurses
Antioxidants
Antioxidants/*therapeutic use
Artificial
Artificial/*adverse effects
Ascorbic Acid – Administration and Dosage
Ascorbic Acid/therapeutic use
Chi Square Test
Clochesy John M
Critical Care/*methods
Critical Illness
Critically Ill Patients
Cystine/analogs & derivatives/therapeutic use
Data Analysis Software
Department of Internal Medicine
Dietary Supplementation
Double-Blind Method
Double-Blind Studies
Female
Funding Source
Goldstein Lawrence S
Howe Kimberly P
Human
Humans
Inflammation/*drug therapy/*etiology
Intensive Care Units
Length of Stay
Log-Rank Test
Male
Mantel-Haenszel Test
Middle Age
Middle Aged
NEOMED College of Medicine
Owen Hugh
Oxidative Stress
Oxidative Stress/*drug effects
Prospective Studies
RANDOMIZED controlled trials
Respiration
T-Tests
Time Factors
Treatment Outcome
Ventilator Weaning
Vitamin E
Vitamin E/therapeutic use
Vitamins/therapeutic use
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.4187/respcare.06024" target="_blank" rel="noreferrer noopener">http://doi.org/10.4187/respcare.06024</a>
Pages
1111–1117
Issue
9
Volume
63
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Adherence to Endotracheal Tube Depth Guidelines and Incidence of Malposition in Infants and Children.
Publisher
An entity responsible for making the resource available
Respiratory Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-09
Subject
The topic of the resource
Female; Humans; pediatrics; Male; Ohio; Random Allocation; Incidence; Chi-Square Distribution; Child; Guideline Adherence/*statistics & numerical data; Infant; intubation; Medical Errors/*statistics & numerical data; NRP; PALS; Radiography/*statistics & numerical data; Trachea/diagnostic imaging; tracheal tube malposition; United States; Odds Ratio; Intensive Care Units; Hospitals; Guideline Adherence; Radiography; Intubation; ROC Curve; Confidence Intervals; Inpatients; Human; Chi Square Test; Descriptive Statistics; P-Value; Data Analysis Software; Practice Guidelines; Retrospective Design; Preschool; Thoracic; Intratracheal/adverse effects/standards/*statistics & numerical data; Intratracheal – Standards – United States; Pediatric – Ohio
Creator
An entity primarily responsible for making the resource
Volsko Teresa A; McNinch Neil L; Prough Donald S; Bigham Michael T
Description
An account of the resource
BACKGROUND: Adherence to guidelines for endotracheal tube (ETT) insertion depth may not be sufficient to prevent malposition or harm to the patient. To obtain an estimate of ETT malpositioning, we evaluated initial postintubation chest radiographs and hypothesized that many ETTs in multiple intubation settings would be malpositioned despite adherence to Pediatric Advanced Life Support and Neonatal Resuscitation Program guidelines. METHODS: In a random subset (randomization table) of 2,000 initial chest radiographs obtained from January 1, 2009, to May 5, 2012, we recorded height, weight, age, sex, ETT inner diameter, and cm marking at the lip from the electronic health record. Chest radiographs of poor quality and with spinal or skeletal deformities were excluded. We defined adherence to Pediatric Advanced Life Support or Neonatal Resuscitation Program guidelines as the difference between predicted and actual ETT markings at the lip as +/- 0.25, +/- 0.50, or +/- 1.0 cm for ETTs of 2.5-4, 4.5-6.0, or \textgreater6.5 mm inner diameter, respectively. We defined the proper position as the ETT tip being below the thoracic inlet (superior border of the clavicular heads) and \textgreater/=1 cm above the carina. Descriptive statistics reported demographics, guideline adherence, and malposition incidence. The chi-square test was used to assess relationships among intubation setting, malposition, and depth guideline adherence (P \textless .05, significant). RESULTS: We reviewed 507 records, 477 of which met inclusion criteria and had sufficient data for analysis. Fifty-six percent of the subjects were male, with median (interquartile range) age 15.2 (3.4-59.4) months, and 330 ETTs (69%) were malpositioned: 39 above the thoracic inlet, and 291 \textless 1 cm above the carina. Of 79 ETTS (17%) that adhered to depth guidelines, 56 (74%) were malpositioned. Three-hundred seventy-three ETTs (83%) did not meet guidelines. Two-hundred sixty-four (68%) were malpositioned. The intubation setting did not influence malposition or guideline adherence (P = .54). CONCLUSIONS: In infants and children, a high proportion of ETTs were malpositioned on the first postintubation chest radiograph, with little influence of guideline adherence.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.4187/respcare.06024" target="_blank" rel="noreferrer noopener">10.4187/respcare.06024</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Bigham Michael T
Chi Square Test
Chi-Square Distribution
Child
Confidence Intervals
Data Analysis Software
Descriptive Statistics
Female
Guideline Adherence
Guideline Adherence/*statistics & numerical data
Hospitals
Human
Humans
Incidence
Infant
Inpatients
Intensive Care Units
Intratracheal – Standards – United States
Intratracheal/adverse effects/standards/*statistics & numerical data
Intubation
Male
McNinch Neil L
Medical Errors/*statistics & numerical data
NRP
Odds Ratio
Ohio
P-Value
PALS
Pediatric – Ohio
Pediatrics
Practice Guidelines
Preschool
Prough Donald S
Radiography
Radiography/*statistics & numerical data
Random Allocation
Respiratory care
Retrospective Design
ROC Curve
Thoracic
Trachea/diagnostic imaging
tracheal tube malposition
United States
Volsko Teresa A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
30–37
Volume
16 Suppl2
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
[Clinical impact of appropriate use of antibiotic in hospital according to CARAT criteria].
Publisher
An entity responsible for making the resource available
Le infezioni in medicina : rivista periodica di eziologia, epidemiologia, diagnostica, clinica e terapia delle patologie infettive
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-04
Subject
The topic of the resource
Humans; *Practice Guidelines as Topic; Intensive Care Units; Anti-Bacterial Agents/pharmacology/*therapeutic use; Evidence-Based Medicine; Organizational Policy; Europe/epidemiology; Clinical Trials as Topic; *Guideline Adherence; Bacterial Infections/drug therapy/epidemiology; Drug Utilization; Hospitals/*standards; Patients' Rooms; *Drug Resistance; Multiple; Bacterial
Creator
An entity primarily responsible for making the resource
File Thomas M Jr
Description
An account of the resource
In response to the overuse and misuse of antibiotics, leading to increasing bacterial resistance and the decreasing development of new antibiotics, the Council for Appropriate and Rational Antibiotic Therapy (an independent, interdisciplinary panel of healthcare professionals established to advocate the appropriate use of antibiotics) has developed criteria to guide proper antibiotic selection. These criteria include: establishment of a need to justify use of antibiotics (e.g., colonization versus disease); evidence-based results; therapeutic benefits; safety; use of pharmacodynamic indices for optimal drug and optimal duration; cost-effectiveness. Promoting the appropriate use of antibiotics should provide for optimal outcomes for our patients.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Drug Resistance
*Guideline Adherence
*Practice Guidelines as Topic
2008
Anti-Bacterial Agents/pharmacology/*therapeutic use
Bacterial
Bacterial Infections/drug therapy/epidemiology
Clinical Trials as Topic
Department of Internal Medicine
Drug Utilization
Europe/epidemiology
Evidence-Based Medicine
File Thomas M Jr
Hospitals/*standards
Humans
Intensive Care Units
Le infezioni in medicina : rivista periodica di eziologia, epidemiologia, diagnostica, clinica e terapia delle patologie infettive
Multiple
NEOMED College of Medicine
Organizational Policy
Patients' Rooms
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
277–279
Issue
2
Volume
90
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Randomized comparison of gastric pH control with intermittent and continuous intravenous infusion of famotidine in ICU patients.
Publisher
An entity responsible for making the resource available
The American journal of gastroenterology
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
1995-02
Subject
The topic of the resource
Female; Humans; Male; Middle Aged; Aged; Treatment Outcome; Prospective Studies; Analysis of Variance; Double-Blind Method; Hydrogen-Ion Concentration; Intensive Care Units; Drug Administration Schedule; Famotidine/administration & dosage/*therapeutic use; Stomach Ulcer/blood/etiology/*prevention & control; Stomach/*drug effects/physiopathology; Infusions; Intravenous
Creator
An entity primarily responsible for making the resource
Heiselman D E; Hulisz D T; Fricker R; Bredle D L; Black L D
Description
An account of the resource
OBJECTIVE: To compare gastric pH control using intravenous famotidine as a primed, continuous infusion versus intermittent infusion. METHODS: In a prospective, double-blind study, 40 ICU patients at risk for stress ulceration were randomly assigned to receive either famotidine 20 mg intravenous bolus followed by 1.67 mg/h infusion or famotidine 20 mg intravenously every 12 h. Intraluminal gastric pH was recorded at baseline and every 4 h using a glass electrode. Clinical outcome indicators were also monitored. Subjects were studied for a minimum of 24 h and a maximum of 6 days. Continuous variables were analyzed by ANOVA and nominal variables by Fisher's exact test (alpha = 0.05). RESULTS: Nineteen patients were randomized to the continuous infusion group, and 21 were randomized to the intermittent group. Using gastric pH greater than 4.0 as an endpoint, the continuous group exhibited better pH control, both in terms of percentage of total measurements (83% versus 63%, p \textless 0.001) and time spent above pH 4.0 (91% versus 76%, p \textless 0.01). Similar results were found at pH greater than 5.0 (78% versus 56% for all measurements for the continuous and bolus groups, respectively (p \textless 0.001), and 88% versus 72% for the time spent above pH 5.0 (p \textless 0.01). Clinical outcomes, including evidence for gastrointestinal bleeding and hospital mortality, did not differ significantly between groups. CONCLUSION: Famotidine infusion at 1.67 mg/h, when preceded by a bolus dose of 20 mg, provides a greater and more sustained increase in gastric pH than intermittent administration of famotidine 20 mg every 12 h.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
1995
Aged
Analysis of Variance
Black L D
Bredle D L
Department of Internal Medicine
Double-Blind Method
Drug Administration Schedule
Famotidine/administration & dosage/*therapeutic use
Female
Fricker R
Heiselman D E
Hulisz D T
Humans
Hydrogen-Ion Concentration
Infusions
Intensive Care Units
Intravenous
Male
Middle Aged
NEOMED College of Medicine
Prospective Studies
Stomach Ulcer/blood/etiology/*prevention & control
Stomach/*drug effects/physiopathology
The American journal of gastroenterology
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
222–228
Issue
3
Volume
15
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Delays in immunizations of high-risk infants during the first two years of life: special care for the high-risk infant should not mean special immunization schedules.
Publisher
An entity responsible for making the resource available
Journal of perinatology : official journal of the California Perinatal Association
Date
A point or period of time associated with an event in the lifecycle of the resource
1995
1995-06
Subject
The topic of the resource
Female; Humans; Male; Time Factors; Infant; Gestational Age; Follow-Up Studies; Risk Factors; Intensive Care Units; Physicians; Family; Parents/psychology; *Immunization Schedule; Immunization/*statistics & numerical data; Infant Care/*standards; Primary Health Care/*standards; Newborn; Practice Patterns; Physicians'; Premature; Neonatal
Creator
An entity primarily responsible for making the resource
Magoon M W; Belardo L J; Caldito G
Description
An account of the resource
Because experience in our newborn intensive care unit follow-up clinic since 1982 suggested that immunizations of newborn intensive care unit graduates in the first 2 years of life were inappropriately delayed, questionnaires were sent to families and to the four categories of primary care providers (family practitioners, pediatricians, local health clinics, and neonatalogists) in our region to assess immunization rates and practices. Delays in the first diphtheria, tetanus, and pertussis immunization and the polio vaccine were greater the less the birth weight and less the gestational age of the infant. Delays in subsequent immunizations were considerable and did not correlate with gestational age. A substantial proportion of primary care providers are not immunizing infants in compliance with the American Academy of Pediatrics recommendation, but some improvement is seen when the time period 1982 to 1986 is compared with 1987 to 1991.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Immunization Schedule
1995
Belardo L J
Caldito G
Family
Female
Follow-Up Studies
Gestational Age
Humans
Immunization/*statistics & numerical data
Infant
Infant Care/*standards
Intensive Care Units
Journal of perinatology : official journal of the California Perinatal Association
Magoon M W
Male
Neonatal
Newborn
Parents/psychology
Physicians
Physicians'
Practice Patterns
Premature
Primary Health Care/*standards
Risk Factors
Time Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
684–686
Issue
7
Volume
67
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Cyanide toxicity in the surgical intensive care unit: a case report.
Publisher
An entity responsible for making the resource available
The American surgeon
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-07
Subject
The topic of the resource
Female; Humans; Aged; Intensive Care Units; Cyanides/*poisoning; Hypertension/complications/*drug therapy; Nitroprusside/administration & dosage/pharmacokinetics/*poisoning; Poisoning/diagnosis/therapy; Wounds and Injuries/complications/therapy
Creator
An entity primarily responsible for making the resource
Sipe E K; Trienski T L; Porter J M
Description
An account of the resource
Hypertension is a widespread entity in the surgical intensive care unit. Not only is the clinical spectrum varied, but the armamentarium available to the clinician is also wide-ranging. Sodium nitroprusside, a potent vasodilator with a short half-life, is often used for hypertensive crisis and to deliberately maintain a low blood in certain clinical conditions. Cyanide toxicity is a known complication of sodium nitroprusside use. Herein is reported a case of probable cyanide toxicity in an elderly trauma patient. The pharmacology of sodium nitroprusside and the pitfalls of making the diagnosis of cyanide toxicity are discussed.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2001
Aged
Cyanides/*poisoning
Female
Humans
Hypertension/complications/*drug therapy
Intensive Care Units
Nitroprusside/administration & dosage/pharmacokinetics/*poisoning
Poisoning/diagnosis/therapy
Porter J M
Sipe E K
The American surgeon
Trienski T L
Wounds and Injuries/complications/therapy
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.paed.2017.01.008" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.paed.2017.01.008</a>
Pages
233–237
Issue
5
Volume
27
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Acute kidney injury (AKI) in paediatric critical care.
Publisher
An entity responsible for making the resource available
Paediatrics & Child Health
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-05
Subject
The topic of the resource
Dialysis; Child; Intensive Care Units; Kidney Function Tests; Pediatric; Kidney Failure; Creatinine; Acute – In Infancy and Childhood; Critical Care – In Infancy and Childhood
Creator
An entity primarily responsible for making the resource
Raina Rupesh; Chauvin Abigail; Deep Akash
Description
An account of the resource
Incidence of acute kidney injury (AKI) is gradually increasing in children admitted to critical care units partly because of increased awareness of this entity. Though serum creatinine has been used in most definitions, its inability to accurately reflect kidney function has resulted in problems for clinical research in paediatric AKI. This has resulted in the use of more than 35 definitions of AKI in clinical studies, ranging from small changes in serum creatinine to requirement for dialysis. Therefore, comparisons among studies are difficult, resulting in a wide range of quoted epidemiology, morbidity, and mortality rates in the AKI paediatric literature. Acute kidney injury may be precipitated by critical illness, pre-existing medical conditions, and treatments received both before and during ICU admission. In this review we have attempted to outline the current definitions used for AKI, presence of AKI in various critical care conditions (bone marrow transplant, liver, sepsis, cardiac, primary renal conditions leading to glomerulonephritis) and outline the basic management.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.paed.2017.01.008" target="_blank" rel="noreferrer noopener">10.1016/j.paed.2017.01.008</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Acute – In Infancy and Childhood
Chauvin Abigail
Child
Creatinine
Critical Care – In Infancy and Childhood
Deep Akash
Department of Internal Medicine
Dialysis
Intensive Care Units
Kidney Failure
Kidney Function Tests
NEOMED College of Medicine
Paediatrics & Child Health
Pediatric
Raina Rupesh
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/ccm.0b013e3182372bd4" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/ccm.0b013e3182372bd4</a>
Pages
699–700
Issue
2
Volume
40
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Lean Six Sigma: Trimming the fat! Effectively managing precious resources*.
Publisher
An entity responsible for making the resource available
Critical care medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
2012-02
Subject
The topic of the resource
Female; Male; Intensive Care Units; Critical Care; Human; Outcome Assessment; Pediatric; Systems Analysis; Patient Rounds – Administration
Creator
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Besunder JB; Super DM
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<a href="http://doi.org/10.1097/ccm.0b013e3182372bd4" target="_blank" rel="noreferrer noopener">10.1097/ccm.0b013e3182372bd4</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2012
Besunder JB
Critical Care
Critical care medicine
Female
Human
Intensive Care Units
Male
Outcome Assessment
Patient Rounds – Administration
Pediatric
Super DM
Systems Analysis
-
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URL
https://doi.org/10.5863/1551-6776-27.6.524
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Title
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Evaluation of Inpatient Starter Parenteral Nutrition Use in the Neonatal Intensive Care Unit
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Kayla Novick
M Petrea Cober
Date
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2022
Description
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Objective: Parenteral nutrition (PN) promotes growth and development in neonatal patients while avoiding malnutrition and metabolic derangements. Very low birth weight premature infants should be started on PN within 24 to 48 hours after birth. The objective of this study was to compare starter PN solution use at a freestanding children's hospital health care system before and after the development of a standard starter PN protocol. The secondary objective was to evaluate the estimated annual cost savings due to a standard protocol.
Methods: A single-center, retrospective chart review of neonates who received starter PN in the NICU setting from October through December 2020 after the implementation of the protocol was conducted. The protocol was developed based on usage trends from October through December 2019. Starter PN use was compared within neonatology groups before and after the development of a standardized protocol.
Results: In 2019, 108 neonates weighing <1.8 kg were admitted to the NICUs, while 101 were admitted in 2020. However, 170 neonates received starter PN in 2019, while only 94 neonates received starter PN in 2020. Overall, protocol adherence was 88%. The mean gestational age for patients who were initiated on starter PN decreased from 31 weeks in the pre-protocol group to 28 weeks in the post-protocol group (p < 0.001). The mean birth weight pre-protocol was 1.61 kg, which decreased to a mean of 1.23 kg in the post-protocol group (p < 0.001). The estimated annual cost savings for the inpatient pharmacy department was approximately $13,000 with the initiation of a standard protocol.
Conclusions: The implementation of a standard starter PN protocol decreased usage and variability in NICU practice and aligned more with the American Society for Parenteral and Enteral Nutrition recommendations.
Source
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J Pediatr Pharmacol Ther
. 2022;27(6):524-528. doi: 10.5863/1551-6776-27.6.524. Epub 2022 Aug 19.
Language
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English
2022
Infant
Intensive Care Units
Neonatal
neonatology
parenteral nutrition
Premature
-
Hyperlink
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URL
https://doi.org/10.1002/jpen.2305
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Bolus gastric feeds improve nutrition delivery to mechanically ventilated pediatric medical patients: Results of the COntinuous vs BOlus multicenter trial
Creator
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Ann-Marie Brown
Sharon Y Irving
Charlene Pringle
Christine Allen
Miraides F Brown
Sholeen Nett
Marcy N Singleton
Theresa A Mikhailov
Erik Madsen
Vijay Srinivasan
Heather Anthony
Michael L Forbes
The NutriNet and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network
Date
A point or period of time associated with an event in the lifecycle of the resource
2022
Description
An account of the resource
Background: Comparison of bolus gastric feeding (BGF) vs continuous gastric feeding (CGF) with respect to timing and delivery of energy and protein in mechanically ventilated (MV) pediatric patients has not been investigated. We hypothesized that bolus delivery would shorten time to goal nutrition and increase the percentage of goal feeds delivered.
Methods: Multicenter, prospective, randomized comparative effectiveness trial conducted in seven pediatric intensive care units (PICUs). Eligibility criteria included patients aged 1 month to 12 years who were intubated within 24 h of PICU admission, with expected duration of ventilation at least 48 h, and who were eligible to begin enteral nutrition within 48 h. Exclusion criteria included patients with acute or chronic gastrointestinal pathology or acute surgery.
Results: We enrolled 158 MV children between October 2015 and April 2018; 147 patients were included in the analysis (BGF = 72, CGF = 75). Children in the BGF group were slightly older than those in the CGF; otherwise, the two groups had similar demographic characteristics. There was no difference in the percentage of patients in each group who achieved goal feeds. Time to goal feeds was shorter in the BGF group (hazard ratio 1.5 [CI 1.02-2.33]; P = 0.0387). Median percentage of target kilocalories (median kcal 0.78 vs 0.59; P ≤ 0.0001) and median percentage of protein delivered (median protein 0.77 vs 0.59; P ≤ 0.0001) was higher for BGF patients. There was no difference in serial oxygen saturation index between groups.
Conclusion: Our study demonstrated shorter time to achieve goal nutrition via BGF compared with CGF in MV pediatric patients. This resulted in increased delivery of target energy and nutrition. Further study is needed in other PICU populations.
Source
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JPEN J Parenter Enteral Nutr
. 2022 Jul;46(5):1011-1021. doi: 10.1002/jpen.2305. Epub 2022 Jan 27.
Language
A language of the resource
English
2022
Critical Care
enteral nutrition
Intensive Care Units
life cycle
nutrition
Pediatric
Pediatrics
research and diseases
tube feeding