Connecticut medicine
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Connecticut medicine · Apr 2011
Availability and clinical utilization of capnography in the prehospital setting.
Capnography provides a continuous and objective measure of ventilation that can alert a provider immediately to a problem with airway or ventilation. Capnography has been recommended in the monitoring of patients during transport and can be utilized as a measure of ventilation or perfusion in other clinical scenarios. The objective of this study is to determine the current availability and utilization of capnography by Connecticut prehospital providers. ⋯ Capnography is often used to confirm endotracheal intubations, monitor ventilation, and during cardiopulmonary resuscitations. Prehospital providers are using this monitoring device increasingly in the field for critically ill patients. However, it's use could still be increased in other clinical situations.
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Connecticut medicine · Apr 2011
Implementation of therapeutic hypothermia after cardiac arrest--a telephone survey of Connecticut hospitals.
We hypothesize that despite excellent evidence supporting use of therapeutic hypothermia (TH) after cardiac arrest, only some of Connecticut hospitals utilize this technique for cardiac arrest patients. ⋯ Therapeutic hypothermia is underutilized in Connecticut with almost half of all hospitals currently not employing TH. Given the slow adoption rate of TH, state-level leadership may be indicated to accelerate implementation of this life-saving technique.
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Connecticut medicine · Apr 2011
Characteristics of nulliparous women who would consider cesarean delivery on maternal request.
To identify factors that influence nulliparous women to choose cesarean delivery on maternal request (CDMR). ⋯ Few women in our sample desire CDMR. Concern for pelvic-floor problems was low.