Relevant bibliographies by topics / Ultrasonography and Intensive Care Unit

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Academic literature on the topic 'Ultrasonography and Intensive Care Unit'

Author: Grafiati
Published: 5 June 2025
Last updated: 24 June 2025

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Journal articles on the topic "Ultrasonography and Intensive Care Unit"

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Pelosi, Paolo, and Francesco Corradi. "Ultrasonography in the Intensive Care Unit." Anesthesiology 117, no. 4 (2012): 696–98. http://dx.doi.org/10.1097/aln.0b013e318264c663.

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Manno, Emilpaolo, Mauro Navarra, Luciana Faccio, et al. "Deep Impact of Ultrasound in the Intensive Care Unit." Anesthesiology 117, no. 4 (2012): 801–9. http://dx.doi.org/10.1097/aln.0b013e318264c621.

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Background Ultrasound can influence the diagnosis and impact the treatment plan in critical patients. The aim of this study was to determine whether, without encountering major environment- or patient-related limitations, ultrasound examination under a critical care ultrasonography protocol can be performed to detect occult anomalies, to prompt urgent changes in therapy or induce further testing or interventions, and to confirm or modify diagnosis. Methods One hundred and twenty-five consecutive patients admitted to a general intensive care unit were assessed under a critical care ultrasonography protocol, and the data were analyzed prospectively. Systematic ultrasound examination of the optic nerve, thorax, heart, abdomen, and venous system was performed at the bedside. Results Environmental conditions hampered the examination slightly in 101/125 patients (80.8%), moderately in 20/125 patients (16%), and strongly in 4/125 patients (3.2%). Ultrasonographic findings modified the admitting diagnosis in 32/125 patients (25.6%), confirmed it in 73/125 patients (58.4%), were not effective in confirming or modifying it in 17/125 patients (13.6%), and missed it in 3/125 patients (2.4%). Ultrasonographic findings prompted further testing in 23/125 patients (18.4%), led to changes in medical therapy in 22/125 patients (17.6%), and to invasive procedures in 27/125 patients (21.6%). Conclusions In this series of patients consecutively admitted to an intensive care unit, ultrasound examination revealed a high prevalence of unsuspected clinical abnormalities, with the highest number of new ultrasound abnormalities detected in patients with septic shock. As part of rapid global assessment of the patient on admission, our ultrasound protocol holds potential for improving healthcare quality.
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Gayen, Shameek, Jin Sun Kim, and Parag Desai. "Pulmonary Point-of-Care Ultrasonography in the Intensive Care Unit." AACN Advanced Critical Care 34, no. 2 (2023): 113–18. http://dx.doi.org/10.4037/aacnacc2023550.

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Pulmonary point-of-care ultrasonography (POCUS) is a quick and essential tool in the diagnosis of various pulmonary pathologies. Pulmonary POCUS can aid in the detection of pneumothorax, pleural effusion, pulmonary edema, and pneumonia, with sensitivity and specificity comparable, if not superior, to those of chest radiograph and chest computed tomography. Knowledge of anatomy and scanning of both lungs in multiple positions is essential for effective pulmonary POCUS. In addition to identifying pertinent anatomic structures such as the diaphragm, liver, spleen, and pleura and identifying specific ultrasonography findings such as A-lines, B-lines, lung sliding, and dynamic air bronchograms, POCUS helps detect pleural and parenchymal abnormalities. Proficiency in pulmonary POCUS is an attainable and essential skill in the care and management of the critically ill patient.
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Peng, Xijuan, Tao Luo, Linong Yao, et al. "Ultrasonography in the intensive care unit: a bibliometrics analysis." Journal of Thoracic Disease 16, no. 1 (2024): 623–31. http://dx.doi.org/10.21037/jtd-23-1190.

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Cho, Hye Jung, Eun Jin Kim, and Dong Woo Son. "Neonatologist-Performed Cranial Ultrasonography in the Neonatal Intensive Care Unit." Neonatal Medicine 29, no. 2 (2022): 57–67. http://dx.doi.org/10.5385/nm.2022.29.2.57.

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Cranial ultrasound (CUS) is an initial screening imaging tool used to evaluate the neonatal brain. It is an accessible, inexpensive, and harmless technique that can be used at bedside as frequently as required. Timely focused CUS in the neonatal care unit can play a major role in the diagnosis, follow-up, and management of brain damage. Despite the increasing use of point-of-care ultrasonography by intensive care physicians, neonatologist-performed CUS remains unusual. This review aims to provide an overview of neonatal CUS to neonatologists, focusing on the optimal settings, standard planes of the brain, and main pathologies in preterm infants. Adding Doppler studies allows evaluation of the patency of intracranial arteries and veins, flow velocities, and indices. This may provide an opportunity for earlier targeted circulatory support to prevent brain injury and improve long-term neurodevelopmental outcomes.
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Lisciandro, Gregory R. "Cageside Ultrasonography in the Emergency Room and Intensive Care Unit." Veterinary Clinics of North America: Small Animal Practice 50, no. 6 (2020): 1445–67. http://dx.doi.org/10.1016/j.cvsm.2020.07.013.

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Shiloh, Ariel L., Lewis A. Eisen, and Richard H. Savel. "Goal-directed ultrasonography in the intensive care unit: No more excuses!*." Critical Care Medicine 39, no. 4 (2011): 879–80. http://dx.doi.org/10.1097/ccm.0b013e318208e393.

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Lammers, Stephen, and Cara D. Dolin. "Point-of-Care Ultrasonography in the Intensive Care Unit for the Obstetric Patient." AACN Advanced Critical Care 34, no. 3 (2023): 207–15. http://dx.doi.org/10.4037/aacnacc2023934.

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Point-of-care ultrasonography (POCUS) is a tool that can be used to evaluate critically ill obstetric patients, in the same way as for nonpregnant patients. With knowledge of the physiology and anatomical changes of pregnancy, POCUS can provide meaningful information to help guide clinical management. A POCUS cardiothoracic evaluation for left and right ventricular function, pulmonary edema, pleural effusion, and pneumothorax can be performed in pregnancy. A Focused Assessment with Sonography in Trauma examination in pregnancy is performed similarly to that in nonpregnant patients, and the information obtained can guide decision-making regarding operative versus nonoperative management of trauma. POCUS is also used to glean important obstetric information in the setting of critical illness and trauma, such as fetal status, gestational age, and placental location. These obstetric evaluations should be performed rapidly to minimize delay and enable pregnant patients to receive the same care for critical illness and trauma as nonpregnant patients.
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Kalchiem-Dekel, Or, Saamia Hossain, Cosmin Gauran, et al. "An evolving role for endobronchial ultrasonography in the intensive care unit." Journal of Thoracic Disease 13, no. 8 (2021): 5183–94. http://dx.doi.org/10.21037/jtd-2019-ipicu-09.

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Chen, Shui-Wen, Wei Fu, Jing Liu, and Yan Wang. "Routine application of lung ultrasonography in the neonatal intensive care unit." Medicine 96, no. 2 (2017): e5826. http://dx.doi.org/10.1097/md.0000000000005826.

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Dissertations / Theses on the topic "Ultrasonography and Intensive Care Unit"

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Borges, Rodrigo Cerqueira. "Associação entre a degradação muscular e a força muscular em pacientes que desenvolveram sepse grave e choque séptico." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5165/tde-03072018-093342/.

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INTRODUÇÂO: A sepse representa aproximadamente 25% dos pacientes internados em Unidades de Terapia Intensiva (UTI) e com taxas de mortalidade de 20 a 40%. Além disso, os pacientes sépticos podem apresentar aguda e tardiamente disfunções de órgãos e alterações da musculatura esquelética comprometendo a recuperação na UTI e, posteriormente, a sua saúde relacionada à qualidade de vida. Atualmente, a ultrassonografia tem demonstrado ser uma ferramenta capaz de avaliar a degradação da musculatura esquelética em pacientes críticos. Em pacientes sépticos não se estudou a relação de degradação muscular com testes clínicos de força muscular e aferições bioquímicas. OBJETIVOS: Quantificar a área de secção transversa do reto femoral e a força muscular a beira leito em pacientes que desenvolveram sepse grave e choque séptico. Avaliar associação entre a área de secção transversa do reto femoral e a força muscular em pacientes sépticos. MÉTODOS: Coorte prospectiva que avaliou 37 pacientes na UTI com sepse grave ou choque séptico. A medida da área de secção transversa do reto femoral foi realizada através da ultrassonografia no dia seguinte ao início da sepse e acompanhada durante a internação. Os pacientes foram submetidos a testes clínicos de força muscular (escala do Medical Research Council e a força de preensão palmar) à medida que pudessem compreender comandos verbais. Amostras de sangue foram coletadas para análise de enzimas e hormônio após a admissão no estudo e durante a internação. RESULTADOS: Houve um declínio da área de secção transversa do reto femoral de 5,1 (4,4-5,9)cm2 no 2° dia de UTI para 4,4 (3,6-5,0)cm2 e 4,3 (3,7-5,0)cm2 na alta da UTI e na alta hospitalar, respectivamente (p<0,05). Por outro lado, os testes clínicos de força apresentaram um aumento na escala do Medical Research Council de 48,0 (36,0-56,0) pontos para 60,0 (48,0-60,0) pontos na alta da UTI, este aumento foi mantido até a alta hospitalar em 60,0 (52,0-60,0) pontos (p < 0,05). Em relação à força de preenssão palmar os pacientes apresentavam média de 42,1±21,9 % do predito no 1° dia de avaliação e este valor aumentou para 65,9±20,3 % do predito no dia da alta hospitalar (p < 0,05). Houve uma associação da área de secção transversa do reto femoral e das avaliações clínicas de força muscular durante a permanência na UTI. Aumentos no escore de lesão orgânica (SOFA) no 3° dia e ser do sexo masculino apresentaram-se como fatores independentes para a degradação muscular, assim como, o SOFA do 3° dia com a fraqueza muscular. CONCLUSÃO: O estudo demonstrou que a sepse pode levar a uma degradação muscular em apenas alguns dias de UTI, associada há uma recuperação incompleta da força muscular ao longo da internação. Além disso, testes clínicos de força muscular se associaram com a degradação muscular durante a internação hospitalar<br>INTRODUCTION: Sepsis represents 25% of patients in the intensive care unit (ICU) with mortality rate of 20 to 40%. In addition, septic patients can present early or lately organ dysfunction and skeletal muscles alterations that reduce patient recovery and compromises health-related to quality of life. Currently, ultrasound has been shown to be a tool capable of evaluating skeletal muscle degradation in critical patients. There are no studies in septic patients about the relation of muscle degradation with clinical tests and blood biochemistry analysis. OBJECTIVES: To quantify the rectus femoris cross-sectional area and muscle strength at the bedside in patients who developed severe sepsis and septic shock. To assess the association between the rectus femoris cross-sectional area and muscle strength in septic patients. METHODS: Prospective cohort who evaluated 37 patients in the intensive care unit with severe sepsis or septic shock. The measurement of rectus femoris cross-sectional area was performed by ultrasonography on the day after the onset of sepsis and followed up during hospitalization. Patients underwent clinical tests of muscle strength (Medical Research Council scale and handgrip strength) as they could understand verbal commands. Blood samples were collected for enzyme and hormone analysis after admission to the study and during hospitalization. RESULTS: There was a decline in rectus femoris cross-sectional area from 5.1 (4.4-5.9) cm2 on the 2nd day of ICU to 4.4 (3.6-5.0) cm2 and 4.3 (3.7-5.0) cm2 at ICU discharge and at hospital discharge, respectively (p < 0.05). In contrast, strength tests showed an increase in the scale of the Medical Research Council from 48.0 (36.0-56.0) to 60.0 (48.0-60.0) points in ICU discharge, this increase was maintained until hospital discharge reaching 60.0 (52.0-60.0) points (p < 0.05). In relation to the handgrip strength, patients presented a mean of 42.1 ± 21.9% of predicted on the 1st day of evaluation and this value increased to 65.9 ± 20.3% of predicted on the day of hospital discharge ( p < 0.05). There was an association between the rectus femoris cross-sectional area and clinical assessments of muscle strength during ICU stay. Increases in the organic lesion score (SOFA) on the 3rd day and being male presented as independent factors for muscle degradation, as well as the SOFA of the 3rd day with muscle weakness. CONCLUSION: The study demonstrated that sepsis can lead to muscle degradation in only a few days of ICU, associated with an incomplete recovery of muscle strength throughout hospitalization. In addition, clinical trials of muscle strength were associated with muscle degradation during hospital stay
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Oliveira, Raphael Augusto Gomes de. "Influência das alterações bioquímicas urinárias e séricas sobre o índice de resistividade renal em pacientes críticos e evolução durante injúria renal aguda." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-14122017-132039/.

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Objetivos: Nesta tese, a influência de fatores laboratoriais, sistêmicos e renais sobre o índice de resistividade renal ao Doppler (IR renal) em pacientes críticos foi avaliada. Da mesma forma, a acurácia do IR renal na predição da ocorrência e da reversibilidade da injúria renal aguda em pacientes críticos também foi analisada. Métodos: Estudo prospectivo observacional realizado entre Novembro de 2013 e Outubro de 2014, numa unidade de terapia intensiva (UTI) de 14 leitos. Dados clínicos, IR renal, exames laboratoriais de sangue e de urina foram coletados. Injúria renal aguda foi avaliada quanto a sua reversibilidade, e categorizada em transitória (normalização da função renal em 3 dias) e persistente (ausência de normalização da função renal em 3 dias ou necessidade de terapia de substituição renal). Um modelo linear misto foi realizado para avaliar a influência das variáveis de interesse no IR renal, a saber: presença de sepse, Simplified Acute Physiology Score 3 (SAPS 3), idade, cloreto sérico, uso de drogas vasoativas, pressão de pulso, frequência cardíaca, lactato, presença de injúria renal aguda de acordo com sua reversibilidade (transitória ou persistente). Resultados: 83 pacientes foram incluídos. 65% eram do sexo masculino e 51% apresentavam diagnósticos clínicos como causa de internação hospitalar. SAPS 3 foi de 47 ± 16. Não foram observadas diferenças significantes em relação a idade, gênero, necessidade de vasopressor e de ventilação mecânica entre as diferentes categorias de IRA à admissão na UTI. 53 pacientes já apresentavam critérios de IRA na admissão na UTI. A presença de choque circulatório foi o fator de risco para desenvolvimento de IRA mais prevalente (41%). Os valores de pressão de pulso, lactato e cloreto séricos não foram diferentes entre as categorias de IRA durante o período de observação. Os valores de IR renal foram estatisticamente superiores nos pacientes com IRA persistente (0,70 ± 0,08), quando comparados aos pacientes com IRA transitória (0,64 ± 0,07) ou sem IRA (0,64 ± 0,06; p < 0,01). O IR renal também revelou uma boa acurácia em predizer IRA persistente nos pacientes com diagnóstico de IRA na admissão na UTI (AUC= 0,78; IC 95% 0,65-0,91). As variáveis identificadas no modelo linear misto associadas a variações de IR renal foram idade, pressão de pulso, lactato sérico e categoria de IRA (IRA persistente) (p < 0,05). Conclusão: O IR renal apresentou uma boa acurácia em predizer a reversibilidade da IRA em pacientes críticos. Contudo, uma série de fatores sistêmicos e renais (idade, pressão de pulso, lactato sérico e a categoria da IRA) podem influenciar seus resultados<br>Introduction: In the present thesis, the influence of systemic, biochemical and renal factors on renal Doppler resistive index (RI) was evaluated. The accuracy of RI to predict acute kidney injury (AKI) and its reversibility was also appraised. Methods: Prospective observational study performed at medical-surgical ICU from November 2013 to October 2014. Information regarding clinical data, doppler RI, blood and urinary laboratory data was obtained during the observation period. AKI\'s reversibility was categorized into transient (normalization of renal function within 3 days of AKI onset) and persistent (nonresolution of AKI within 3 days of onset or need for renal replacement therapy). Linear mixed model was performed to evaluate the factors that could influence RI analysis. The variables evaluated on model were presence of sepsis, Simplified Acute Physiology Score 3 (SAPS 3), age, serum chloride, vasoactive drugs requirement, pulse pressure, heart rate, serum lactate and AKI categories (transient or persistent). Results: Eighty-three consecutive patients were included. 65% were male and 51% were admitted due to medical reasons. SAPS 3 were 47 ± 16. No differences were observed in age, gender, mechanical ventilation requirement and vasopressor therapy requirement between AKI groups at ICU admission. 53 patients had already AKI at ICU admission. Circulatory shock was the most common factor associated with AKI (41%). Serum lactate, pulse pressure and serum chloride was not different between groups during observation period. Doppler RI was statistically different between no-AKI (0.64 ± 0.06), transient AKI (0.64 ± 0.07) and persistent AKI patients (0.70 ± 0.08, p < 0.01). RI also showed a good accuracy to predict persistent AKI on patients with AKI at ICU admission (AUC= 0.78, 95% CI 0.65- 0.91). Variables associated with RI variations were pulse pressure, lactate, age, and AKI category (persistent AKI) (p < 0.05). Conclusions: Although renal resistive index had showed good accuracy to predict AKI reversibility in critically ill patients, several factors (age, pulse pressure, lactate levels and AKI category) could influence its values
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Freitas, Rogério Caixeta Moraes de. "Estudo do volume pulmonar fetal na predição da morbidade neonatal em pacientes com lesão pulmonar congênita." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/5/5139/tde-24102016-160727/.

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Introdução: A maioria dos fetos com lesão pulmonar congênita (LPC) são assintomáticos e apresentam baixa morbidade ao nascimento. No entanto, alguns neonatos apresentam desconforto respiratório e necessitam receber de cuidados especiais neste período. Decidir quais casos com LPC precisam nascer em um centro de referência é um desafio. Objetivo: O objetivo deste estudo foi predizer a morbidade neonatal em fetos com LCP sem hidropisia avaliados pela ultrassonografia tridimensional (US3D). Método: Estudo observacional, entre janeiro de 2005 e janeiro de 2016, com fetos com LPC e sem hidropisia. Os volumes pulmonares foram mensurados pela US3D, técnica VOCAL, em dois períodos: entre 20 e 28 semanas (1o momento) e entre 29 e 34 semanas (2o momento). A variação intra e inter-operador foi analisada para os volumes pulmonares. As relações volumétricas testadas foram: volume pulmonar observado / esperado (VPTo/e); volume da lesão pulmonar / circunferência cefálica (LVR) e volume da lesão / volume pulmonar observado (VL/VPTo). As relações volumétricas foram usadas na predição da morbidade neonatal (admissão em unidade de terapia intensiva neonatal (UTI), necessidade de intubação (IOT); necessidade de cirurgia no período neonatal por sintomatologia respiratória). Regressão logística múltipla e curva ROC foram aplicadas para determinar a acurácia na predição dos resultados. Resultados: Dos 45 fetos não hidrópicos com LPC incluídos no estudo, 18 (40%) foram admitidos na UTI, 14 (31,1%) necessitaram de IOT, e sete (15,6%) cirurgia neonatal. A variação intra e inter-operador para os volumes pulmonares apresentou boa reprodutibilidade e não houve diferença estatística (p > 0,05). No 1o momento (IG: 20 - 28 semanas) observou-se que todas as relações volumétricas (1oVPTo/e, 1oLVR e 1oVL/VPTo) foram preditoras para admissão na UTI e necessidade de IOT. No 2o momento (IG: 29 - 34 semanas), apenas o 2oVPTo/e, e, 2oVL/VPTo foram preditores para IOT. Nenhuma das razões volumétricas (VPTo/e, LVR e VL/VPTo) foram preditoras para a cirurgia neonatal. No 1º momento, o melhor preditor para UTI foi 1º VPTo/e (ASC 0,86; p < 0,001) e para IOT foi 1º VL/VPTo (ASC 0,94; p < 0,001). Os cut-off escolhidos para a admissão na UTI foi 1º VPTo/e<0,53 (s:91,7%; e:70,8%; a:77,8%); e para IOT foi 1º VL/VPTo > 1,18 (s:91,7%; e:62,5%, a:72%). Para o 2o momento, a melhor relação volumétrica preditora para admissão na UTI foi 2º VL/VPTo (ASC 0,92; p < 0,001) e para necessidade de IOT foi 2º VPTo/e (ASC 0,87; p < 0,001). O cutoff escolhido foi 2ºVL/VPTo > 0,42 para a admissão na UTI (s:94,1%; e:82,3%; a:88%); e 2ºVPTo/e < 0,50 para IOT (s:92,9%; e:75%; a:82,3%). Conclusão: As relações volumétricas pulmonares mensuradas pela US3D podem predizer as morbidades neonatais em fetos não hidrópicos com LPC. O VPTo/e e VL/VPTo foram os melhores preditores da morbidade neonatal. Esses dados podem auxiliar no aconselhamento aos pais e na escolha do local mais adequado para o parto<br>Introduction: Most fetuses with congenital lung malformation (CLM) are asymptomatic and have low morbidity. However, some newborns present respiratory discomfort and need special care. Therefore, decide which cases need to be delivered in a referring center is challenging. Objectives: The purpose of this study was to predict neonatal morbidity in non-hydropic fetuses with CLM assessed by threedimensional ultrasonography (3DUS). Method: Observational study, between January 2005 and January 2016, involving non-hydropic fetuses with CLM. The fetal lung volumes were assessed by 3DUS, by VOCAL technique, in two moments: between 20 and 28 weeks (1st moment) and between 29 and 34 weeks (2nd moment). Intra- and inter-operator variabilities were also evaluated in estimating fetal lung volumes by 3DUS. The following volumetric ratios were assessed: observed / expected normal fetal lung volume (oeTLV), fetal lung lesion volume ratio (LVR), and lesion-to-lung volume ratio (LLV). The lung volumetric ratios were used for the prediction of neonatal morbidity (admission to NICU, need of orotracheal intubation (OTI), or need for lung surgery in neonatal period due to respiratory symptoms). Multivariate regression analyses and receiver operator characteristic curve (ROC) were applied to determine the best volumetric ratio to predict the neonatal morbidity. Results: Forty-five non-hydropic fetuses with CLM were selected for the study. Eighteen (40%) were admitted to the NICU, 14 (31.1%) needed intubation and seven (15.6%) needed neonatal surgery. The variation intra and inter-operator for lung volumes showed good reproducibility and no statistical difference (p>0.05). In the 1st moment (GA: 20 - 28 weeks), all 3DUS ratios (1st oeTLV, 1st LVR, and 1st LLV) demonstrated strong prediction for NICU admission and need of intubation. In the 2nd moment (GA: 29 - 34 weeks), only 2nd oeTLV and 2nd LLV correlated with need of intubation. None of the volumetric ratios (oeTLV, LVR and LLV) were predictive of neonatal surgery. In the 1st moment the best volume ratio for the prediction of NICU admission was 1st oeTLV (AUC 0.86, p < 0.001) and for the need of intubation was 1st LLV (AUC 0.94, p < 0.001). The cut-off chosen for NICU admission was 1st oeTLV < 0.53 (sensitivity 91.7%, specificity 70.8%, accuracy 77.8%); and for the prediction of the need of intubation was 1st LLV > 1.18 (sensitivity 91.7%, specificity 62.5%, accuracy 72%). In the 2nd moment, the best volume ratio for the prediction of NICU admission was 2nd LLV (AUC 0.92, p < 0.001) and the prediction of the need of intubation was 2nd oeTLV (AUC 0.87, p < 0.001). The cut-off chosen for the prediction of NICU admission was 2ndLLV > 0.42 (sensitivity 94.1%, specificity 82.3%, accuracy 88%); and for the prediction of the need of intubation was 2nd oeTLV < 0.50 (sensitivity 92.9%, specificity 75%, accuracy 82.3%). Conclusion: Lung volume ratio measured by 3DUS can predict neonatal morbidity in nonhydropic fetuses with CLM. The oeTLV and LLV were the best predictors of neonatal morbidity. These findings can be useful in counseling parents and in choosing the most appropriate place for delivery
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Goldsborough, Jennifer. "Palliative Care Integration in the Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4787.

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Palliative health care is offered to any patient experiencing a life limiting or life changing illness. The palliative approach includes goals of care, expert symptom management, and advance care planning in order to reduce patient suffering. Complex care can be provided by palliative care specialists while primary palliative care can be given by educated staff nurses. However, according to the literature, intensive care unit (ICU) nurses have demonstrated a lack of knowledge in the provision of primary care as well as experiencing moral distress from that lack of knowledge. In this doctor of nursing practice staff education project, the problem of ICU nurses' lack of knowledge was addressed. Framed within Rosswurm and Larrabee's model for evidence-based practice, the purpose of this project was to develop an evidence-based staff education plan. The outcomes included a literature review matrix, an educational curriculum plan, and a pretest and posttest of questions based on the evidence in the curriculum plan. A physician and a master's prepared social worker, both certified in palliative care, and a hospital nurse educator served as content experts. They evaluated the curriculum plan using a dichotomous 6-item format and concluded that the items met the intent of the objectives. They also conducted content validation on each of the pretest/posttest items using a Likert-type scale ranging from 1 (not relevant) to 4 (very relevant). The content validation index was 0.82 indicating that test items were relevant to the educational curriculum objectives. Primary palliative care by educated ICU nurses can result in positive social change by facilitating empowerment of patients and their families in personal goal-directed care and reduction of suffering.
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郭子琪 and Chi-ki Priscilla Kwok. "Nurse-controlled intensive insulin infusion in adult intensive care unit." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720858.

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Kwok, Chi-ki Priscilla. "Nurse-controlled intensive insulin infusion in adult intensive care unit." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40720858.

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Stadd, Karen. "Initiating Kangaroo Care in the Neonatal Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5267.

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Kangaroo care (KC) is a cost-efficient method to increase infant-parent bonding and neonatal health outcomes worldwide. Despite evidence supporting KC in critically ill infants, nursing perceptions regarding patient safety and interrupted work flow continued to impede practice in the local high-tech neonatal intensive care unit (NICU). Their current policy failed to address the 2-person transfer method recommended for safe practice. In addition, both staff and parents lacked training and education regarding the benefits and feasibility of KC. This doctoral project aimed to decrease practice barriers and promote earlier and more frequent KC by developing and integrating an evidence-based clinical pathway within a multifaceted champion-based simulated educational training program for NICU staff and parents. Published outcomes and generated organizational data for program synthesis connected the gap in practice. Kolcaba's comfort theory served as the guiding framework to ensure a partnership in care. This quasi-experimental quantitative study used the generalized liner model for data analysis. Study findings indicated that KC occurred 2.4 more times after the intervention compared to before (p = 0.001). Descriptive data revealed that KC episodes for intubated patients nearly doubled after implementation (11.1% from 6.2%). Post-survey scores for nursing knowledge and comfort level also improved after the intervention. Although earlier KC practice was non-conclusive (p = 0.082), future trials should control groups for day of life since admission. Disseminating the KC pathway can have a positive social change on family-centered care by increasing NICU nurses' knowledge, comfort, and adoption of this evidence-based practice as an expected routine standard of care.
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Saab, Emile. "A database for an intensive care unit." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23376.

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The rapid growth of medical sciences and technologies created the need to manage data generated by sophisticated medical equipment (e.g. lab results, vital signs, etc.). This class of equipment, especially in the modern Intensive Care Unit (ICU), emits large quantities of latient data which medical staff usually records on log sheets.<br>This thesis presents a database design that allows abstract definition of data types, and offers a unified view of data during the development phase, distinct levels of data management and a higher degree of system flexibility. This database model is an implementation of a database for a Patient Data Management System (PDMS) developed for use in the ICU of the Montreal Children's Hospital. The PDMS has a variety of application modules that handle and process various types of data according to functionality requirements.
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Price-Lloyd, Naomi. "Stochastic models for an intensive care unit." Thesis, Cardiff University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.434007.

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Sheikhalishahi, Seyedmostafa. "Machine learning applications in Intensive Care Unit." Doctoral thesis, Università degli studi di Trento, 2022. http://hdl.handle.net/11572/339274.

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The rapid digitalization of the healthcare domain in recent years highlighted the need for advanced predictive methods particularly based upon deep learning methods. Deep learning methods which are capable of dealing with time- series data have recently emerged in various fields such as natural language processing, machine translation, and the Intensive Care Unit (ICU). The recent applications of deep learning in ICU have increasingly received attention, and it has shown promising results for different clinical tasks; however, there is still a need for the benchmark models as far as a handful of public datasets are available in ICU. In this thesis, a novel benchmark model of four clinical tasks on a multi-center publicly available dataset is presented; we employed deep learning models to predict clinical studies. We believe this benchmark model can facilitate and accelerate the research in ICU by allowing other researchers to build on top of it. Moreover, we investigated the effectiveness of the proposed method to predict the risk of delirium in the varying observation and prediction windows, the variable ranking is provided to ease the implementation of a screening tool for helping caregivers at the bedside. Ultimately, an attention-based interpretable neural network is proposed to predict the outcome and rank the most influential variables in the model predictions’ outcome. Our experimental findings show the effectiveness of the proposed approaches in improving the application of deep learning models in daily ICU practice.
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Books on the topic "Ultrasonography and Intensive Care Unit"

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Arroliga, Alejandro C. Intensive care unit complications. W.B. Saunders, 1999.

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C, Arroliga Alejandro, ed. Intensive care unit complications. Saunders, 1999.

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Netzer, Giora, ed. Families in the Intensive Care Unit. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-94337-4.

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Jankowich, Matthew, and Eric Gartman, eds. Ultrasound in the Intensive Care Unit. Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-1723-5.

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Esquinas, Antonio Matías, ed. Humidification in the Intensive Care Unit. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-02974-5.

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Juffermans, Nicole P., and Timothy S. Walsh, eds. Transfusion in the Intensive Care Unit. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08735-1.

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Wuderink, Richard G. Pneumonia in the intensive care unit. Saunders, 1995.

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Patti, Eisenberg, and Quinn Andrea D'Amato, eds. Nutrition in the intensive care unit. Saunders, 1993.

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Esquinas, Antonio M., ed. Humidification in the Intensive Care Unit. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-23953-3.

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Esquinas, Antonio M., Lucia Spicuzza, and Raffaele Scala, eds. Noninvasive Ventilation Outside Intensive Care Unit. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-37796-9.

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Book chapters on the topic "Ultrasonography and Intensive Care Unit"

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Wang, Jessica S., and Peter Doelken. "Pleural Ultrasonography in the Intensive Care Unit." In Clinical Chest Ultrasound. KARGER, 2009. http://dx.doi.org/10.1159/000210413.

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Lichtenstein, Daniel A. "Critical Ultrasound Outside the Intensive Care Unit." In Whole Body Ultrasonography in the Critically Ill. Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-642-05328-3_28.

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Glaser, Jacob J., Bianca Conti, and Sarah B. Murthi. "Cardiac Ultrasound in the Intensive Care Unit: Point-of-Care Transthoracic and Transesophageal Echocardiography." In Ultrasonography in the ICU. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-11876-5_3.

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Lichtenstein, Daniel A. "Ultrasound in the Surgical Intensive Care Unit: Some Peculiarities." In Whole Body Ultrasonography in the Critically Ill. Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-642-05328-3_27.

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Dias, Thayse Zerger Gonçalves, A. M. W. Stadnik, F. S. Barros, and L. Ulbricht. "Muscle Evaluation by Ultrasonography in the Diagnosis of Muscular Weakness Acquired in the Intensive Care Unit." In XXVII Brazilian Congress on Biomedical Engineering. Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-70601-2_348.

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Xirouchaki, Nektaria, Dimitrios Georgopoulos, Keith Boniface, et al. "Ultrasonography." In Encyclopedia of Intensive Care Medicine. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_2354.

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Chaubey, Vikas P., Kevin B. Laupland, Christopher B. Colwell, et al. "Bedside Ultrasonography." In Encyclopedia of Intensive Care Medicine. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1202.

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Davis, James W., Dana Forman, La Scienya M. Jackson, et al. "Lung Ultrasonography." In Encyclopedia of Intensive Care Medicine. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1858.

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Lefebvre, Cedric W., Jay P. Babich, James H. Grendell, et al. "Pleural Ultrasonography." In Encyclopedia of Intensive Care Medicine. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_2056.

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Sirio, Carl A., G. Daniel Martich, and Andrew B. Peitzman. "Intensive Care Unit." In Trauma Informatics. Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-1636-0_6.

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Conference papers on the topic "Ultrasonography and Intensive Care Unit"

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Khan, M., M. Lakhdir, H. Majid, I. Azam, G. Adnan, and M. Kadir. "Prediction of extubation failure via diaphragmatic ultrasonography among mechanically ventilated adult patients admitted in intensive care unit of a tertiary care hospital, Karachi, Pakistan: a prospective cohort." In ERS International Congress 2022 abstracts. European Respiratory Society, 2022. http://dx.doi.org/10.1183/13993003.congress-2022.3492.

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See, Kay Choong, Amartya Mukhopadhyay, Jason Phua, Hwee Seng Yip, Patricia Leong, and Chew Lai Sum. "A Novel Noninvasive Ultrasonographic Method For The Measurement Of Intra-abdominal Pressure In The Intensive Care Unit." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4574.

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Alves, Emily Tainara Miranda, Lessandra Esper Abdala Gomes, Marine Warmling, and Marcella Beghini Mendes Vieira. "Miller Fisher syndrome secondary to Epstein-Baar virus mononucleosis Emily Tainara Miranda Alves1 , L." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.517.

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Miller Fisher syndrome is a rare variant of Guillain-Barre syndrome and usually presents with at least two of the following features: ataxia, areflexia, and ophthalmoplegia. Male patient, 16 years old, without comorbidities. Odynophagia began, followed by diarrhea and asthenia. Prescribed antibiotic therapy for tonsillitis. After one week hospital admission with neurological examination with mild dysarthria, global grade 5 strength, bilateral naso-index dysmetria, walking gait, positive romberg and areflexia. Tomography and magnetic resonance imaging of normal. Liquor with protein cytological dissociation. Electroneuromyography with absence of H reflex bilaterally, suggestive of demyelinating neuropathy. Abdominal ultrasound with homogeneous splenomegaly. Cervical ultrasonography with prominent reactive looking lymphnodes. Epstein Barr virus Reactive IgM and non-reactive IGG. A diagnostic hypothesis of Miller Fischer syndrome secondary to mononucleosis was raised, despite a negative anti-GQ1B antibody. Immunoglobulin at a dose of 0.4 kg/kg/day was requested. Patient followed immunoglobulin infusion in intensive care unit bed. He was discharged from the hospital, maintaining only mild gait ataxia. Miller Fisher syndrome within the spectrum of Guillain-Barré syndrome occurs due to an aberrant acute autoimmune response to a previous infection, such as the Epstein-Barr virus. Approximately two-thirds of cases are preceded by symptoms of an upper respiratory tract infection or diarrhea. Miller Fisher syndrome is mainly associated with dysfunction of the cranial nerves, but as exemplified in our case, it can occur in its absence. Several studies have suggested that antibodies against gangliosides, anti-GQ1b, are a specific feature, but the absence of antibodies does not exclude the disease. Cerebrospinal fluid shows proteincytological dissociation. Electroneuromyography may show reduced or absent sensory responses. Imaging may be normal or show thickening and enhancement of the spinal nerve roots. Treatment is aimed at supportive care and the therapy of choice is IV immunoglobulin or plasmaphere. Assertive diagnosis associated with early treatment contributes to a favorable clinical response.
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V, Ramya. "Embedded Intensive Patient Care Unit." In First International Conference on Artificial Intelligence, Soft Computing and Applications. Academy & Industry Research Collaboration Center (AIRCC), 2011. http://dx.doi.org/10.5121/csit.2011.1315.

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Monsalve, Mauricio, Sriram Pemmaraju, and Philip M. Polgreen. "Interactions in an intensive care unit." In the 4th Conference. ACM Press, 2013. http://dx.doi.org/10.1145/2534088.2534105.

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Shioleno, A. M., and K. Rajwani. "Medical Intensive Care Unit Intern Curriculum." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4787.

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thangaraj, arthi, pam branson, and Eric Bensadoun. "Candidemia In The Intensive Care Unit." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a4558.

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Mccrary, M. L., S. L. Link, M. Lokender, and R. Farhat. "Thrombocytopenia in the Intensive Care Unit." In American Thoracic Society 2023 International Conference, May 19-24, 2023 - Washington, DC. American Thoracic Society, 2023. http://dx.doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a5235.

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Das, Jagadish. "Neonatal Intensive Care Unit: Ethical Dilemmas." In World Conference on Gynecology, Obstetrics, and Pediatrics. Eurasia Conferences, 2025. https://doi.org/10.62422/978-81-981865-0-8-010.

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Sustainable Development Goal (SDG) is targeted for neonatal mortality. For Bangladesh, it is 12 per 1000 live births. Emphasis is being given on neonatal service at community as well as in facility level. Development of Special Care Newborn Unit (SCANU) and Neonatal Intensive Care Unit (NICU) is emphasized. A NICU is a specialized center for ill or premature newborn infants, typically directed by a neonatologist and staffed by nurses, resident physicians and other supporting staffs. The American Academy of Pediatrics (AAP) updated their policy statement of neonatal care into level-1, level-II (SCANU) and level-III (NICU) care. The care is intensified by advancement in NICU. But it is challenging from very premature, congenitally malformed and critically ill newborn infant. Parents smile from favorable outcome of sick infant from promising treatment in NICU. But sometimes it may invite unwanted sufferings and push parents into expensive financial burden. It is difficult to decide whether to do nothing or to do everything for a critically ill infant. Numerous ethical issues and conflicts in decision-making in such service are existent. The issues are related to dependent neonate, uncertain outcome, potential trauma, prolonged support, absence of established guidelines, increasing costs, organization of SCANU and emotional aspect. Basic principles of biomedical ethics in terms of autonomy, beneficence, nonmaleficence and justice need to be addressed. Decision for the best interest of newborn infant is based on perception of parents, medical staff and related others. Help from established guidelines and policies in case of unclear decision are crucial. Rational process and staff-friendly environment in NICU is essential for ethical decision making by the ethical team. Key words: Ethical Dilemma, Decision Making, Neonate, Intensive Care Unit.
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Dian Kurniawati, Ninuk, Suharto Suharto, and Nursalam Nursalam. "Mind-Body-Spiritual Nursing Care in Intensive Care Unit." In 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017). Atlantis Press, 2017. http://dx.doi.org/10.2991/inc-17.2017.59.

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Reports on the topic "Ultrasonography and Intensive Care Unit"

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Zhang, Wei, Yun Tang, Huan Liu, and Li ping Yuan. Risk prediction models for intensive care unit-acquired weakness in intensive care unit patients: A systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2021. http://dx.doi.org/10.37766/inplasy2021.4.0010.

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Gao, Tingting, Yang Wang, and Hong Jiang. A Meta analysis of Hospice care in Chinese intensive care unit. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2020. http://dx.doi.org/10.37766/inplasy2020.12.0007.

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Rodrigues, Joao Alberto Martins ]., Clovis Cechinel, and Tissiane Bona Zomer. APPLICATION OF PERME INTENSIVE CARE UNIT MOBILITY SCORE IN HOSPITALIZED PEOPLE: SCOPING REVIEW. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2023. http://dx.doi.org/10.37766/inplasy2023.10.0031.

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Vawter, Katelyn, Megan Ortiz, and Bobby Bellflower. Food Insecurity Screening of Families in a Level III Neonatal Intensive Care Unit. University of Tennessee Health Science Center, 2024. http://dx.doi.org/10.21007/con.dnp.2024.0083.

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Pamplin, Jeremy. The Phase of Illness Paradigm: A Checklist Centric Model to Improve Patient Care in the Burn Intensive Care Unit. Defense Technical Information Center, 2014. http://dx.doi.org/10.21236/ada612755.

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Pamplin, Jeremy. The Phase of Illness Paradigm: A Checklist Centric Model to Improve Patient Care in the Burn Intensive Care Unit. Defense Technical Information Center, 2016. http://dx.doi.org/10.21236/ada632341.

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Malone, Danna. Analysis of a Joint Department of Veterans Affairs and Department of Defense Intensive Care Unit. Defense Technical Information Center, 2004. http://dx.doi.org/10.21236/ada433713.

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Bullard, Paulina, Emma Gadberry, Siham Sherif, Virginia Strawn, Courtney Travis, and Delaney Weller. Effects of Sensory Intervention on Neurological Development in the Neonatal Intensive Care Unit: A Critically Appraised Topic. University of Tennessee Health Science Center, 2022. http://dx.doi.org/10.21007/chp.mot2.2022.0018.

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Tang, Mao Ting, Pinglei Chui, Meichan Chong, and Xianliang Liu. Post-traumatic Stress Disorder in Children after Discharge from the Pediatric Intensive Care Unit: A Scoping Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2023. http://dx.doi.org/10.37766/inplasy2023.11.0068.

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Sharma, Deepesh, Mayank Shukla, Anshu S. S. Kotia, Himanshu Mathur, and Ashutosh Singh. Effect of Physiotherapy in Mitigating incidence of Intensive Care Unit Acquired Weakness: Protocol for a Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2024. http://dx.doi.org/10.37766/inplasy2024.5.0043.

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