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Items 1 - 8 of 8 |
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[Controlled mild-to-moderate hypothermia in the intensive care unit.]
[Article in German]
Brux A, Girbes AR, Polderman KH.
Abteilung Intensivmedizin, Freie Universitat Medisch Centrum Amsterdam, .
Controlled hypothermia is used as a therapeutic intervention to provide neuroprotection and (more recently) cardioprotection. The growing insight into the underlying pathophysiology of apoptosis and destructive processes at the cellular level, and the mechanisms underlying the protective effects of hypothermia, have led to improved application and to a widening of the range of potential indications. In many centres hypothermia has now become part of the standard therapy for post-anoxic coma in certain patients, but for other indications its use still remains controversial. The negative findings of some studies may be partly explained by inadequate protocols for the application of hypothermia and insufficient attention to the prevention of potential side effects. This review deals with some of the concepts underlying hypothermia-associated neuroprotection and cardioprotection, and discusses some potential clinical indications as well as reasons why some clinical trials may have produced conflicting results. Practical aspects such as methods to induce hypothermia, as well as the side effects of cooling are also discussed.
PMID: 15742173 [PubMed - as supplied by publisher]
[Professional activity of fellows in French pediatric intensive care units. North American fellowship programs: a comparative study]
[Article in French]
Mandel R, Maheux B, Chalvon Demersay A.
Service de pediatrie et de neonatologie, centre hospitalier de Lagny-Marne-la-Vallee, 31, avenue du General-Leclerc, 77400 Lagny-sur-Marne, France. rmandel@ch-lagny77.fr
OBJECTIVES: The study of fellows professional activity in French pediatric intensive care units monitors: their workload, their distribution between bedside care and academic activities, their scientific papers production and at knowing perceptual impact their workload had on their professional and personal lives. METHODS: The 2000 survey according to all 31 fellows of these units obtained a response rate of 94%. RESULTS: Fellows of these units reported spending an average of 76 hours in the hospital per week. The bedside care took up 80% of their total professional activity. Impact of the workload was perceived as negative on themselves, on patient, their parents, on the care team. Fellows suggested a larger time needed to be dedicated to research, the support of a research mentor and the increase of medical staff, to favor their academic activity and improve unit functioning. CONCLUSION: The workload reported seemed to affect the patient bedside care and diminished the implication of the fellows of French pediatric intensive care unit for the research activity. An increase of medical staff, a protected time for research would contribute to balancing professional activity of these medical doctors and would maintain the objective of training good clinicians.
Publication Types:
PMID: 15596328 [PubMed - indexed for MEDLINE]
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[Function of French fellows in pediatric and neonatal intensive care units: a paradoxical organisation]
[Article in French]
Floret D, Claris O.
Publication Types:
PMID: 15596327 [PubMed - indexed for MEDLINE]
Second International Symposium on Intensive Care and Emergency Medicine for Latin America. Sao Paulo, Brazil, 25-28 June 2003. Abstracts.
[No authors listed]
PMID: 15743463 [PubMed - as supplied by publisher]
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Regulations of education and training of intensive care medicine in Germany and their structural consequences.
Burchardi H.
, Am Weinberge 18, 37120, Bovenden, Germany, hburcha@gwdg.de.
PMID: 15742176 [PubMed - in process]
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European Society of Intensive Care Medicine, 17th Annual Congress. Berlin, Germany, 10-13 October 2004. Abstracts.
[No authors listed]
Publication Types:
PMID: 15480550 [PubMed - indexed for MEDLINE]
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The use of patient diaries in an intensive care unit.
Combe D.
Diploma Critical Care, Critical care, West Suffolk Hospital, Suffolk. denise.combe@wsh.nhs.uk
Many patients experience posttraumatic stress disorder following a stay in intensive care; this can be due to a lack of recall of their stay. Retrospective patient diaries (n = 8) with follow-up have been used to try and help patients' recovery but have been found to be impersonal. Prospective diaries (n= 35) were implemented and trialled with follow-up at 2, 6 and 12 months postdischarge. Patients' and relatives' initial feedback regarding diaries is extremely positive. Benefits included better understanding of the events of the critical illness, helping with more realistic goal setting during the recovery period, improving communication within families through discussion of the diary and providing a source of comfort for the bereaved. More formal audit of these diaries is required and is currently being undertaken.
PMID: 15739637 [PubMed - in process]
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The identification of family members' contribution to patients' care in the intensive care unit: a naturalistic inquiry.
Williams CM.
Queen Alexandra's Royal Naval Nursing Service, Edgbaston, Birmingham, UK. caroline.williams@uce.ac.uk
The admission of a patient to an intensive care unit (ICU) is recognized as being a stressful experience for their families. Many studies have focused on the needs of families within ICU, but few have highlighted the unique contribution that family members make towards patient care and recovery. Using a naturalistic approach, data were collected through observation, video recording, in-depth interviewing and reflective video analysis to explore the processes and factors underpinning families' contribution to patient care. The findings can be grouped into three themes: getting to know the patient through the family, family contribution to care and the nurses' role in supporting families of ICU patients. Families can have a very positive influence on the patient's care and recovery from ICU, but both the family members, and in turn the nursing staff, need to be supported appropriately if this valuable contribution to patient care is to be maximized and maintained.
PMID: 15739634 [PubMed - in process]
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