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eng STRESS AMONG ANESTHESIOLOGY NURSES/TECHNICIANS WORKING IN THE INTENSIVE CARE UNIT (ICU): EXPERIENCES AND COMPARISONS
Russo, Andrea; Paštar, Anđela; Slišković, Ana; Urlić, Ivan; Škare, Zorana; Mulić, Rosanda
Psychiatria Danubina Vol. 32, No. suppl. 1, 2020
Background: The International Labour Organization (ILO, 2000) has defined stress and exhaustion from working shifts and night work, and psychological and organizational stressors conditions that create health risks for surgical nurses. Among the OR nurses/ technicians 41.9% reported that causes of their stress included inadequate teamwork, ineffective communication, and especially surgeons’ negative attitudes. Subjects and methods: The stuudie has been held in Clinical Hospital Centre Split, the sample consists of a total of 62 out of 109...
Hrčak ID: 262361
eng Centralization of Intensive Care Units: Process Reengineering in a Hospital
Kumar, Arun; Shim, Sung J.
International Journal of Engineering Business Management Vol. 2, No. 1, 2010
Centralization of intensive care units (ICUs) is a concept that has been around for several decades and the OECD countries have led the way in adopting this in their operations. Singapore Hospital was built in 1981, before the concept of centralization of ICUs took off. The hospital’s ICUs were never centralized and were spread out across eight different blocks with the specialization they were associated with. Coupled with the acquisitions of the new concept of centralization and its benefits, the hospital recognizes the importance of having a...
Hrčak ID: 66018
eng Prognostic value of lactate in prehospital care as a predictor of mortality and high-risk patients with trauma
MARTÍN-RODRÍGUEZ, FRANCISCO; LÓPEZ-IZQUIERDO, RAÚL
Signa vitae Vol. 15, No. 1, 2019
Objectives. Major injury is a time-dependent illness in which the quantification of the life prognosis is fundamental for professionals. The objective of this study is to evaluate the capacity of prehospital lactic acid to predict mortality (2, 7 and 30 days) and the admission to the Intensive Care Unit (ICU) from the index event. Methods. This is a longitudinal, prospective observational study, which included patients who were treated by an Advanced Life Support Unit and transferred to the Emergency Department between April 1 and September...
Hrčak ID: 219766
eng Increased plasma zonulin in patients with sepsis
Klaus, Daniel A.; Motal, Michael C.; Burger-Klepp, Ursula; Marschalek, Corinna; Schmidt, Elisabeth M.; Lebherz-Eichinger, Diana; Krenn, Claus G.; Roth, Georg A.
Biochemia Medica Vol. 23, No. 1, 2013
Introduction: Zonulin is a eukaryotic protein structurally similar to Vibrio cholerae’s zonula occludens toxin. It plays an important role in the opening of small intestine tight junctions. The loss of gut wall integrity during sepsis might be pivotal and has been described in various experimental as well as human studies. Increased levels of zonulin could be demonstrated in diseases associated with increased intestinal inflammation, such as celiac disease and type 1 diabetes. We therefore investigated the role of plasma levels of zonulin in pa...
Hrčak ID: 97253
eng Mechanical Ventilation in Chronic Obstructive Pulmonary Disease Patients, Noninvasive vs. Invasive Method (Randomized Prospective Study)
Jurjević, Matija; Matić, Ivo; Šakić-Zdravčević, Katarina; Šakić, Šimun; Đanić, Davorin; Buković, Damir
Collegium antropologicum Vol. 33, No. 3, 2009
Acute respiratory failure due to chronic obstructive pulmonary disease (COPD) presents an increasing problem throughout the world. The aim of this study was to compare invasive and non-invasive mechanical ventilation (MV) for patients with COPD. A prospective, randomized trial was performed in a multidisciplinary intensive care unit for the period of 36 months and included 156 patients with COPD. MV procedure was performed using standard methods, and was applied as either invasive MV (IMV) or noninvasive MV (NIMV). Patients were randomized in t...
Hrčak ID: 41819
eng LIMITS OF VIABILITY: SHOULD WE PLAY GOD?
Psychiatria Danubina Vol. 33, No. suppl 3, 2021
Aim is to show that the definition of the infants born at the limits of viability within the countries is dependent on the social and medical conditions in which the infant is born, and even in one country in which neonatal intensive care is available, it depends on the place of birth and organization of perinatal care. With decreasing gestational age mortality, short- and long-term morbidity of preterm infants are increasing while their survival to discharge is decreasing. It is questionable how to define viability and where the limit of viabi...
Hrčak ID: 257594
eng Hospital-acquired infections in the surgical intensive care unit
Stojčić, Lucija; Rašić, Fran; Bakula, Branko
Liječnički vjesnik Vol. 141, No. suppl.1, 2019
During the hospital stay, patients are exposed to risk factors for nosocomial infections. These risks are particularly increased in patients placed in the ICU, because of their exposure to numerous invasive diagnostic and therapeutic procedures. Some of the most significant risk factors arise from invasive central venous catheters, mechanical ventilators causing pneumonias and urinary catheters causing urinary tract infections. The aim of this study is to determine the frequency of infections related to invasive therapeutic methods and to disco...
Hrčak ID: 225521
eng Risk factors and outcomes for congenital diaphragmatic hernia in neonatal intensive care unit patients
Sun, Wei; Yuan, Tian-Ming; Shi, Li-Ping; Yu, Hui-Min; Du, Li-Zhong
Signa vitae Vol. 5., No. 2., 2010
Objectives. Congenital diaphragmatic hernia (CDH) is one of the most common and serious congenital disorders seen in the neonatal intensive care unit (NICU) and it is associated with a high mortality. In order to determine the risk factors and outcomes of CDH, we summarized data from a 10 year period. Methods. A retrospective study was conducted on 38 CDH patients. Clinical characteristics and risk factors were compared and non-conditional logistic regression analysis was performed to determine independent predictors for mortality. Results...
Hrčak ID: 59928
eng Administration of protein C concentrates in patients without congenital deficit: a systematic review of the literature
LANDONI, GIOVANNI; SILVETTI, SIMONA; CRIVELLARI, MARTINA; MUCCHETTI, MARTA; TADDEO, DAIANA; FRANCO, ANNALISA; ZANGRILLO, ALBERTO
Signa vitae Vol. 8, No. 2, 2013
Endogenous protein C levels are frequently decreased in septic patients, probably due to increased conversion to activated protein C. Protein C levels inversely correlate with morbidity and mortality of septic patients regardless of age, infecting microorganisms, presence of shock, disseminated intravascular coagulation, degree of hypercoagulation, or severity of illness. Taken together, these considerations suggest a strong correlation between protein C pathways and survival from severe sepsis/septic shock, and reinforce the rationale for the...
Hrčak ID: 110163
eng Survival Analysis of 314 Episodes of Sepsis in Medical Intensive Care Unit in University Hospital: Impact of Intensive Care Unit Performance and Antimicrobial Therapy
Degoricija, Vesna; Sharma, Mirella; Legac, Ante; Gradišer, Marina; Šefer, Siniša; Vučičević, Željko
Croatian Medical Journal Vol. 47, No. 3, 2006
Aim: To evaluate epidemiology of sepsis in medical intensive care unit (ICU) in University Hospital, and the impact of ICU performance and appropriate empirical antibiotic therapy on survival of septic patients. Methods: Observational, partly prospective study conducted over 6 years assessed all patients meeting the criteria for sepsis at ICU admission. Clinical presentation of sepsis was defined according to 2001 International Sepsis Definitions Conference. Demographic data, admission category, source of infection, severity of sepsis, ICU or...
Hrčak ID: 4028