A5033292851- Mechanical Circulatory Support Devices
- Anesthesia and Sedative Agents
- Intensive Care Unit Cognitive Disorders
- Healthcare Decision-Making and Restraints
- Acute Kidney Injury Research
- Orthopaedic implants and arthroplasty
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic aneurysm repair treatments
- Renal function and acid-base balance
- Aortic Disease and Treatment Approaches
- Total Knee Arthroplasty Outcomes
- Transplantation: Methods and Outcomes
- Organ Donation and Transplantation
- Cardiac Arrest and Resuscitation
- Cardiac Structural Anomalies and Repair
- Pleural and Pulmonary Diseases
- Membrane-based Ion Separation Techniques
- Renal and Vascular Pathologies
- Cancer survivorship and care
- Orthopedic Infections and Treatments
- Eosinophilic Disorders and Syndromes
- Intraocular Surgery and Lenses
- Nutrition and Health in Aging
- Ocular Infections and Treatments
- Drug-Induced Adverse Reactions
Spectrum Health
2013-2022
Corewell Health Blodgett Hospital
2015-2022
Study Objective Because delirium remains a common consequence of critical illness, and reducing its duration has been shown to have positive impact on patient outcomes during after an intensive care unit ( ICU ) stay, we sought determine whether treatment hypoactive with quetiapine reduces the compared no pharmacologic treatment. Design Retrospective cohort study. Setting Three medical‐surgical s within two main campuses academic tertiary hospital system. Patients A total 113 adults...
Introduction: Evidence surrounding pharmacological treatment of delirium is limited. The negative impact physical restraints on patient outcomes in the intensive care unit (ICU), however, well published. objective this study was to evaluate whether initiating pharmacologic within 24 hours a positive screen reduces number days and improves compared with delayed or no treatment. Methods: Patients from mixed ICU documented score using Intensive Care Delirium Screening Checklist were...
In cases of loop diuretic resistance in the intensive care unit (ICU), recommendations for a specific second-line thiazide agent are lacking.To compare effects intravenous chlorothiazide (CTZ) and enteral metolazone (MET) on urine output (UOP) when added to furosemide monotherapy therapy critically ill adults.This was retrospective cohort study conducted medical, surgical, cardiothoracic ICUs quaternary medical center. The primary outcome change UOP induced by interventions compared with...
Objective: Describe a case of post-pneumonectomy vasoplegia managed with angiotensin II. Plasma renin activity was measured at specific time intervals to describe the relationship between endogenous and exogenous II supplementation. Design: Case report. Setting: Spectrum Health Cardiothoracic Critical Care Unit. Patients: Fifty-seven-year-old male. Interventions: None. Measurements Main Results: five pre-determined points. Angiotensin caused significant increase in mean arterial pressure...
Published literature has described the temporal relationship of dexmedetomidine with elevated temperatures, but there is limited data to quantify incidence fever in ICU patients receiving dexmedetomidine.The primary objective this study was estimate temperature greater than or equal 38.5°C dexmedetomidine.This a retrospective cohort who received propensity-matched subgroup analysis comparing non-fever patients. Patients 18 years age and older admitted between November 2017 August 2018...
Importance. Medication-induced eosinophilia is an acknowledged, often self-limiting occurrence. Glatiramer acetate, a biologic injection used in the management of relapsing-remitting multiple sclerosis, widely regarded as safe and effective medication lists infrequent side effect its package insert. Contrary to reports transient, benign drug-induced eosinophilia, we describe case probable glatiramer acetate-induced that ultimately culminated respiratory distress, shock, eosinophilic...
Background: After stabilization with intravenous (IV) antihypertensives, the impact of speed-of-transition from IV to enteral (PO) medications in intensive care unit (ICU) is unknown. Objective: To assess ICU length stay (LOS) based on transition time PO antihypertensive therapy. Methods: Retrospective study aortic dissection patients admitted June 2013 July 2017 at a tertiary teaching hospital. Patients were grouped achieving full either ≤72 hours or >72 first dose. Secondary end points...
When aortic dissections extend to the renal arteries, reductions in blood flow can cause marked increases renin production. The resultant rise angiotensin II lead difficult‐to‐control pressure, despite normal postdissection antihypertensive agents. We highlight a case of patient with malignant hypertension refractory eight different enteral antihypertensives. Angiotensin‐converting enzyme inhibitors and receptor blockers had been held due postoperative acute kidney injury. A single dose...
Sudyk, Christina; Michaud, Christopher; Hann, Sidney; Parker, Jessica; Gurka, Matthew Author Information
Copyright © 2016 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Introduction: Evidence supports the use of pharmacologic agents for management delirium, yet many patients remain untreated after a positive delirium screen. Current literature also highlights negative impact physical restraints on patient outcomes in Intensive Care Unit (ICU). The objective this study was to evaluate whether initiating treatment within 24 hours screen reduces number days and improves compared with delayed or no treatment. Methods: Patients from mixed ICU documented score...
Abstract: The use of mechanical compression devices to deliver chest compressions in conjunction with veno-arterial extracorporeal membrane oxygenation (VA ECMO) the setting cardiac arrest is growing. Herein, we report a case hypothermic requiring VA ECMO and prolonged an external device. A 38-year-old morbidly obese male (BMI 66.5) was admitted after being found down by river. patient (27.4 °C; outside temperature 4 °C) active asystolic arrest. LUCAS system (Jolife, Lund, Sweden) placed...