Dharmanand Ramnarain
A5078785735- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- COVID-19 Clinical Research Studies
- Family and Patient Care in Intensive Care Units
- Machine Learning in Healthcare
- Anesthesia and Sedative Agents
- COVID-19 and healthcare impacts
- Palliative Care and End-of-Life Issues
- Nosocomial Infections in ICU
- Emergency and Acute Care Studies
- Intracranial Aneurysms: Treatment and Complications
- Grief, Bereavement, and Mental Health
- Long-Term Effects of COVID-19
- Anesthesia and Neurotoxicity Research
- Facial Nerve Paralysis Treatment and Research
- Bariatric Surgery and Outcomes
- Airway Management and Intubation Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Trigeminal Neuralgia and Treatments
- Clinical Nutrition and Gastroenterology
- Social Media in Health Education
- Chronic Disease Management Strategies
- Posttraumatic Stress Disorder Research
- Heart Rate Variability and Autonomic Control
Elisabeth-TweeSteden Ziekenhuis
2011-2024
University Medical Center Utrecht
2002-2024
Utrecht University
2024
Heidelberg University
2024
University Hospital Heidelberg
2024
Tilburg University
2021-2023
Amsterdam University Medical Centers
2023
University of Amsterdam
2023
Helios Klinikum Krefeld
2023
Admiraal De Ruyter Ziekenhuis
2023
Abstract Background Previously, we reported a decreased mortality rate among patients with COVID-19 who were admitted at the ICU during final upsurge of second wave (February–June 2021) in Netherlands. We examined whether this decrease persisted third and phases decreasing incidence thereafter brought up to date information on patient characteristics. Methods Data from National Intensive Care Evaluation (NICE)-registry all an Netherlands used. Patient characteristics rates in-hospital (the...
Post-intensive care syndrome (PICS) has only recently been recognized as a new clinical entity in patients surviving their intensive unit (ICU) stay due to critical illness. With increasing survival rates of ICU worldwide, there is rising interest regarding post-ICU recovery.First, based on the current literature definition provided PICS, including domains impairments that comprise PICS along with etiology and risk factors. Second, preventive measures possible treatment strategies integrated...
Rationale: Delirium is common in critically ill patients and associated with deleterious outcomes. Nonpharmacological interventions are recommended current delirium guidelines, but their effects have not been unequivocally established. Objectives: To determine the of a multicomponent nursing intervention program on ICU. Methods: A stepped-wedge cluster-randomized controlled trial was conducted ICUs 10 centers. Adult surgical, medical, or trauma at high risk developing were included. focusing...
The Coronavirus disease 2019 (COVID-19) pandemic has underlined the urgent need for reliable, multicenter, and full-admission intensive care data to advance our understanding of course investigate potential treatment strategies. In this study, we present Dutch Data Warehouse (DDW), first multicenter electronic health record (EHR) database with from critically ill COVID-19 patients.
Determining the optimal timing for extubation can be challenging in intensive care. In this study, we aim to identify predictors failure critically ill patients with COVID-19.We used highly granular data from 3464 adult COVID multicenter Dutch Data Warehouse, including demographics, clinical observations, medications, fluid balance, laboratory values, vital signs, and life support devices. All intubated at least one attempt were eligible analysis. Transferred patients, admitted less than 24...
The aim of this study was to investigate the association between obesity and 28-day mortality, duration invasive mechanical ventilation length stay at Intensive Care Unit (ICU) hospital in patients admitted ICU for SARS-CoV-2 pneumonia.
Objective prognostic information is essential for good clinical decision making. In case of unknown diseases, scarcity evidence and limited tacit knowledge prevent obtaining this information. Prediction models can be useful, but need to not only evaluated on how well they predict, also stable these are under fast changing circumstances with respect development the disease corresponding response. This study aims provide interpretable actionable insights, particularly clinicians. We developed...
Predatory journals and conferences are an emerging problem in scientific literature as they have financial motives, without guaranteeing quality exposure. The main objective of the ASGLOS project is to investigate predatory e-email characteristics, management, possible consequences analyse extent current at each academic level. To collect personal experiences physicians' mailboxes on publishing, a Google Form® survey was designed disseminated from September 2021 April 2022. A total 978...
For mechanically ventilated critically ill COVID-19 patients, prone positioning has quickly become an important treatment strategy, however, is labor intensive and comes with potential adverse effects. Therefore, identifying which intubated patients will benefit may help allocate resources. From the multi-center Dutch Data Warehouse of ICU from 25 hospitals, we selected all 3619 episodes in 1142 invasively patients. We excluded longer than 24 h. Berlin ARDS criteria were not formally...
Despite reduced mortality and increasing survival rate of ICU treatment, a large group patients surviving the have variety complaints. Survivors critical illness can undergo dramatic changes in their lives as result experience, with many having some form deficit one or more domains physical, psychological cognitive functioning. There is still much to learn about magnitude so-called Post Syndrome (PICS) ICU.
Purpose To describe clinical characteristics and outcomes of ICU patients with COVID-19 to investigate differences between survivors non-survivors. Methods Demographics, symptoms, laboratory values, comorbidities were extracted retrospectively from the medical records confirmed pneumonia Elisabeth-TweeSteden Hospital in Tilburg, Netherlands March until June 2020. Primary outcome was 28-day mortality secondary Results Between 1 4, 2020, 114 admitted ICU. There 83 (72.8%) 31 (27.2%)...
To assess, validate and compare the predictive performance of models for in-hospital mortality COVID-19 patients admitted to intensive care unit (ICU) over two different waves infections. Our were built with high-granular Electronic Health Records (EHR) data versus less-granular registry data. Observational study all 19 Dutch ICUs participating in both national quality National Intensive Care Evaluation (NICE) EHR-based Data Warehouse (hereafter EHR). Multiple developed on from first 24 h...