Articles: intensive-care-units.
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Intensive care medicine · Jan 2023
Circular material flow in the intensive care unit-environmental effects and identification of hotspots.
The healthcare sector is responsible for 6-7% of CO2 emissions. The intensive care unit (ICU) contributes to these CO2 emissions and a shift from a linear system to a circular system is needed. The aim of our research was to perform a material flow analysis (MFA) in an academic ICU. Secondary aims were to obtain information and numbers on mass, carbon footprint, agricultural land occupation and water usage and to determine so-called "environmental hotspots" in the ICU. ⋯ This is the first material flow analysis that identified environmental risks and its magnitude in the intensive care unit.
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Rev Assoc Med Bras (1992) · Jan 2023
Assessment of pain and quality of life in patients undergoing cardiac surgery: a cohort study.
This study aimed to evaluate postoperative pain and quality of life in patients undergoing median sternotomy. ⋯ Proper management of post-sternotomy pain in the Intensive Care Unit may imply better quality of life at out-of-hospital follow-up.
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The end-of-life (EOL) experience in the intensive care unit (ICU) is emotionally challenging, and there are opportunities for improvement. The 3 Wishes Program (3WP) promotes the dignity of dying patients and their families by eliciting and implementing wishes at the EOL. ⋯ The 3WP is a low-cost intervention that may be a feasible strategy for improving the EOL experience.
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Int. J. Clin. Pract. · Jan 2023
What Is the Place of Intermediate Care Unit in Patients with COVID-19? A Single Center Experience.
COVID-19 pandemic has led to an increased rate of intensive care unit (ICU) stays. Intermediate care units (IMCUs) are a useful resource for the management of patients with severe COVID-19 that do not require ICU admission. In this research, we aimed to determine survival outcomes and parameters predicting mortality in patients who have been admitted to IMCU. ⋯ IMCU seems to have a positive effect on survival in patients with severe COVID-19 infection. Close monitoring of these parameters and early intervention may improve survival rates and outcomes.
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Rev Assoc Med Bras (1992) · Jan 2023
Predicting mortality in neonates with gastroschisis in a Southeastern state of Brazil.
This study aimed to verify risk factors associated with gastroschisis mortality in three neonatal intensive care units located in the state of Espírito Santo, Brazil. ⋯ Complex gastroschisis and short bowel syndrome increased the risk of death, with greater birth weight being inversely correlated with the risk of mortality. The findings of this research can contribute to the formulation of protocols to improve the quality and safety of care in order to reduce neonatal mortality associated with gastroschisis.