检索结果-南通市图书馆

Remimazolam in intensive care unit:Potential applications and considerations

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of critical care Medicine 2024年第3期13卷 25-31页

作者： Praveen Reddy Elmati Teja Nagaradona Gowthami Sai Kogilathota Jagirdhar Salim Surani Department of Anesthesiology Saint Clair HospitalDoverNJ 07801United States School of Medicine St George UniversityGranada SW170BDWest Indies Department of Medicine Saint Michaels Medical CenterNewarkNJ 07107United States Department of Medicine&Pharmacology Texas A&M UniversityCollege StationTX 77843United States

This manuscript explores the potential use of Remimazolam in the intensive care unit(ICU)and critical care units,considering its pharmacological characteristics,clinical applications,advantages,and comparative effectiveness over current sedatives and *** reviewed existing PubMed and Google Scholar literature to find relevant studies on Remimazolam in *** created search criteria using a combination of free text words,including Remimazolam,critical care,intensive care,sedation,anesthesia,pharmacokinetics,and *** articles published in the English language were analyzed and *** is an ultra-short-acting benzodiazepine derivative promising for sedation and *** is a safer option for hemodynamically unstable,elderly,or liver or kidney *** also has comparable deep sedation properties to propofol in the ***,it reduces post-procedural delirium and patient comfort and reduces the need for additional sedatives in pediatric *** conclusion,Remimazolam is an excellent alternative to current sedatives and anesthetics in the *** cost is comparable to that of current *** research on its long-term safety in the ICU and its broader application and incorporation into routine use is necessary.

关键词： Remimazolam Intensive care critical care Anesthesia Sedation Mechanical ventilation Benzodiazepine

Diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients:A mini review for clinicians

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of critical care Medicine 2024年第2期13卷 106-115页

作者： Dominic Ti Ming Tan Kay Choong See Department of Medicine National University HospitalSingapore 119228Singapore

Among critically ill patients,severe pulmonary and extrapulmonary tuberculosis has high morbidity and ***,it is a diagnostic challenge given its nonspecific clinical symptoms and signs in early stages of the *** addition,management of severe pulmonary and extrapulmonary tuberculosis is complicated given the high risk of drug-drug interactions,drug-disease interactions,and adverse drug *** help clinicians acquire an up-to-date approach to severe tuberculosis,this paper will provide a narrative review of contemporary diagnosis and management of severe pulmonary and extrapulmonary tuberculosis in critically ill patients.

关键词： Tuberculosis Severe tuberculosis Mycobaterium tuberculosis critical care Intensive care Diagnosis of tuberculosis Management of tuberculosis

The Value of Modern Information Technology in Nursing Emergencies

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health 2024年第9期16卷 849-855页

作者： Xushan Zhou Ying Li Henglong Xu Chenyan Li Hongling Sun Department of Information Technology Section The First Rehabilitation Hospital of Shandong Linyi China Department of Nursing The First Rehabilitation Hospital of Shandong Linyi China Department of Health Management Center The First Rehabilitation Hospital of Shandong Linyi China Department of Laboratory The Second Affiliated Hospital of Guangxi Medical University Liuzhou Cancer Hospital of Guangxi Liuzhou China

In first aid, traditional information interchange has numerous shortcomings. For example, delayed information and disorganized departmental communication cause patients to miss out on critical rescue time. Information technology is becoming more and more mature, and as a result, its use across numerous industries is now standard. China is still in the early stages of developing its integration of emergency medical services with modern information technology; despite our progress, there are still numerous obstacles and constraints to overcome. Our goal is to integrate information technology into every aspect of emergency patient care, offering robust assistance for both patient rescue and the efforts of medical personnel. Information may be communicated in a fast, multiple, and effective manner by utilizing modern information technology. This study aims to examine the current state of this field’s development, current issues, and the field’s future course of development.

关键词： Modern Information Technology Nursing First Aid critical care

Dosage and utilization of dexamethasone in the management of COVID-19: A critical review

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Virology 2024年第3期13卷 107-114页

作者： Imran Sethi Asim Shaikh Musa Sethi Hira Khalid Chohan Sheraz Younus Syed A Khan Salim Surani Department of critical care Medicine Marion General HospitalMarionIN 46952United States Department of Medicine Aga Khan UniversityKarachi 74200SindhPakistan Department of Medicine Eman SchoolFishersIN 46038United States Department of Internal Medicine Dow University of Health ScienceKarachi 74200SindhPakistan Department of Hospital Medicine Franciscan HealthIndianapolisIN 46237United States Department of critical care Medicine Mayo Clinic Health SystemMankatoMN 56001United States Department of Medicine and Pharmacology Texas A and M UniversityCollege StationTX 77843United States

BACKGROUND The severe respiratory manifestations observed in severe coronavirus disease 2019(COVID-19)cases are often associated with an excessive inflammatory ***,a synthetic glucocorticoid,exerts its anti-inflammatory effects by inhibiting the transcription of pro-inflammatory genes and suppressing the activity of various immune *** mechanism has implications for mitigating the cytokine storm observed in severe COVID-19 *** on in the pandemic,the Recovery Collaborative working group showed a mortality benefit of using dexamethasone in decreasing mortality in patients with COVID-19 requiring respiratory ***,the optimal dosage of corticosteroids remains *** studies that compare different doses of dexamethasone in COVID-19 exist,but the results are *** To review the latest evidence regarding dosage,safety,and efficacy of dexamethasone in severe *** We followed preferred reporting items for systematic reviews and meta-analysis guidelines.A detailed literature search was conducted across PubMed,Google Scholar,and Medline to include publications up to March *** keywords included“COVID-19”“SARS-CoV-2”“dexamethasone”“corticosteroid”“steroid”and“glucocorticoid”-along with their *** employed the Cochrane Risk of Bias Tool and the Newcastle-Ottawa scale to evaluate the integrity and potential of bias in the included studies.A meta-analysis was conducted using a random-effects model,assessing pooled odds ratios and mean differences,with heterogeneity gauged by the I2 statistic and theχ^(2) *** No statistical differences were found in 28-day all-cause mortality[pooled odds ratio(OR)=1.109,95%CI:0.918-1.340],60-day all-cause mortality(OR=0.873,95%CI:0.744-1.024;I2=47.29%),mean length of hospital stay(mean difference=-0.08 days,95%CI:-0.001 to 0.161)and adverse events(OR=0.877,95%CI:0.707-1.087).CONCLUSION Differing doses of corticosteroids have no clinical implication

关键词： COVID-19 Steroids Corticosteroids Steroid dosage critical care Corona virus

Discharging patients home from the intensive care unit:A new trend

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第23期12卷 5313-5319页

作者： Esraa M Hassan Abbas B Jama Ahmed Sharaf Asim Shaikh Mohamad El Labban Salim Surani Syed A Khan Department of critical care Medicine Mayo Clinic Health systemMankatoMN 56001United States Department of Internal Medicine Baptist Hospital of Southeast TexasBeaumontTX 77701United States Department of Medicine Aga Khan UniversityKarachi 74200SindhPakistan Department of Internal Medicine Mayo Clinic Health SystemMankatoMN 56001United States Department of Medicine and Pharmacology Texas A&M UniversityCollege StationTX 77843United States Department of Anaesthesiology Mayo Clinic Health SystemRochesterMN 55905United States

Discharging patients directly to home from the intensive care unit(ICU)is becoming a new *** review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU *** analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare *** practice of direct discharge from the ICU presents both opportunities and *** it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support *** this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the *** critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal *** insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare ***,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.

关键词： Intensive care unit critical care Early discharge Cost effective critical care Patient comfort Early recovery

Unveiling significant risk factors for intensive care unit-acquired weakness:Advancing preventive care

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第18期12卷 3288-3290页

作者： Chun-Yao Cheng Wen-Rui Hao Tzu-Hurng Cheng Department of Medical Education National Taiwan University HospitalTaipei 100225Taiwan Division of Cardiology Department of Internal MedicineShuang Ho HospitalMinistry of Health and WelfareTaipei Medical UniversityNew Taipei 23561Taiwan Division of Cardiology Department of Internal MedicineSchool of MedicineCollege of MedicineTaipei Medical UniversityTaipei 11002Taiwan Department of Biochemistry School of MedicineCollege of MedicineChina Medical UniversityTaichung 404333Taiwan

In this editorial,we discuss an article titled,“Significant risk factors for intensive care unit-acquired weakness:A processing strategy based on repeated machine learning,”published in a recent issue of the World Journal of Clinical *** care unit-acquired weakness(ICU-AW)is a debilitating condition that affects critically ill patients,with significant implications for patient outcomes and their quality of *** study explored the use of artificial intelligence and machine learning techniques to predict ICU-AW occurrence and identify key risk *** from a cohort of 1063 adult intensive care unit(ICU)patients were analyzed,with a particular emphasis on variables such as duration of ICU stay,duration of mechanical ventilation,doses of sedatives and vasopressors,and underlying comorbidities.A multilayer perceptron neural network model was developed,which exhibited a remarkable impressive prediction accuracy of 86.2%on the training set and 85.5%on the test *** study highlights the importance of early prediction and intervention in mitigating ICU-AW risk and improving patient outcomes.

关键词： Intensive care unit-acquired weakness Artificial intelligence Machine learning Neural network Risk factors Prediction critical care

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中国呼吸与危重监护杂志

中国呼吸与危重监护杂志

作者：刘春涛

出版社：四川大学华西医学中心;四川大学华西医院

《中国呼吸与危重监护杂志》办刊宗旨是：尊重学术自由，提倡学术争鸣，鼓励学术创新，促进学术交流。主要以述评、论著、论著摘要、病案报道、临床病理讨论、影像学诊断分析、综述与讲座、学术动态与通讯及国外进展等形式，报道国内外...

《中国呼吸与危重监护杂志》办刊宗旨是：尊重学术自由，提倡学术争鸣，鼓励学术创新，促进学术交流。主要以述评、论著、论著摘要、病案报道、临床病理讨论、影像学诊断分析、综述与讲座、学术动态与通讯及国外进展等形式，报道国内外呼吸与危重医学领域领先的科研成果和临床诊疗经验，以及对临床有指导作用，且与临床密切结合的基础理论研究。每期常设栏目为：慢性阻塞性肺疾病(COPD)，哮喘与气道炎症，急性肺损伤机械通气，睡眠与呼吸，感染性疾病，肿瘤，危重监护等。根据杂志全年报道计划，每期开设l-2个重点栏目。主要读者对象为呼吸与危重医学及相关专业的临床医生、护理工作者及科研工作者。

关键词：

Predictive modeling in neurocritical care using causal artificial intelligence

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of critical care Medicine 2021年第4期10卷 112-119页

作者： Johnny Dang Amos Lal Laure Flurin Amy James Ognjen Gajic Alejandro A Rabinstein Mayo Clinic Alix School of Medicine Mayo ClinicRochesterMN 55905United States Department of Medicine Division of Pulmonary and Critical Care MedicineMultidisciplinary Epidemiology and Translational Research in Intensive CareMayo ClinicRochesterMN 55905United States Division of Clinical Microbiology Mayo ClinicRochesterMN 55905United States Department of Medicine Mayo ClinicRochesterMN 55905United States Department of Medicine Department of NeurologyMayo Clinic College of MedicineRochesterMN 55905United States

Artificial intelligence(AI)and digital twin models of various systems have long been used in industry to test products quickly and *** of digital twins in clinical medicine caught attention with the development of Archimedes,an AI model of diabetes,in *** recently,AI models have been applied to the fields of cardiology,endocrinology,and undergraduate medical *** use of digital twins and AI thus far has focused mainly on chronic disease management,their application in the field of critical care medicine remains much less *** neurocritical care,current AI technology focuses on interpreting electroencephalography,monitoring intracranial pressure,and prognosticating *** models have been developed to interpret electroencephalograms by helping to annotate the tracings,detecting seizures,and identifying brain activation in unresponsive *** this mini-review we describe the challenges and opportunities in building an actionable AI model pertinent to neurocritical care that can be used to educate the newer generation of clinicians and augment clinical decision making.

关键词： Artificial intelligence Digital twin critical care Neurology Causal artificial intelligence Predictive modeling

Inhaled volatile anesthetics in the intensive care unit

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of critical care Medicine 2024年第1期13卷 28-39页

作者： Erin D Wieruszewski Mariam ElSaban Patrick M Wieruszewski Nathan J Smischney Department of Pharmacy Mayo ClinicRochesterMN 55905United States Anesthesiology and Perioperative Medicine Mayo ClinicRochesterMN 55905United States Department of Anesthesiology&Perioperative Medicine Mayo ClinicRochesterMN 55905United States

The discovery and utilization of volatile anesthetics has significantly transformed surgical practices since their inception in the mid-19th ***,a paradigm shift is observed as volatile anesthetics extend beyond traditional confines of the operating theatres,finding diverse applications in intensive care *** the dynamic landscape of intensive care,volatile anesthetics emerge as a promising avenue for addressing complex sedation requirements,managing refractory lung pathologies including acute respiratory distress syndrome and status asthmaticus,conditions of high sedative requirements including burns,high opioid or alcohol use and neurological conditions such as status *** anesthetics can be administered through either inhaled route via anesthetic machines/devices or through extracorporeal membrane oxygenation circuitry,providing intensivists with multiple options to tailor ***,their unique pharmacokinetic profiles render them titratable and empower clinicians to individualize management with heightened accuracy,mitigating risks associated with conventional sedation *** the amounting enthusiasm for the use of these therapies,barriers to widespread utilization include expanding equipment availability,staff familiarity and training of safe *** article delves into the realm of applying inhaled volatile anesthetics in the intensive care unit through discussing their pharmacology,administration considerations in intensive care settings,complication considerations,and listing indications and evidence of the use of volatile anesthetics in the critically ill patient population.

关键词： Anesthesia critical care Mechanical ventilation Sedation Volatile anesthetics Sedative