Abstract
The management of ICU patients following heart surgery can be hustling when coping with severe left ventricular (LV) dysfunction. Single beat (Sb) measurements of ventriculo- arterial coupling (VAc) can be used by the intensivist when dealing with altered hemodynamic states [1]. LV elastance (Ees) and arterial elastance (Ea) can be measured by trasthoracic echocardiography (TTE) in a Sb fashion [2], so allowing quick assessment of VAc. PEEP application is common practice in the ICU but can have hemodynamic consequences and lead to instability. Speckle tracking analysis by TTE has been recently reported to help titrating PEEP in critically ill patients [3]. However, this can be demanding and require specific ultrasound tools. In this study we aimed to assess whether standard TTE can be useful in evaluating the effect of respiratory treatment with PEEP on cardiovascular efficiency by measuring VAc after coronary artery bypass surgery (CABG).
Highlights
We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety
Pediatric pharmacists have been an integral part of the PICU rounds since 2002, their role has evolved over the course of years
From 1 January 2003 through 31 December 2012 pharmacists made 24,207 clinical interventions in the PICU and 19,252 of those interventions resulted in changes in medication therapy or therapy monitoring
Summary
We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety. The objective of our study was to implement a Post Arrest Consult Team (PACT) and improve the quality of care for admitted OHCA patients This retrospective audit evaluated adult patients who suffered in-hospital cardiac arrest (IHCA) against the recent National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report [1]. It looked at the recognition of the acutely unwell, the interventions made, the decisions taken from admission through to the post-arrest period and the outcomes following cardiopulmonary resuscitation (CPR). Methods We conducted a chart review of all patients admitted to the Department of Critical Care (DCC) at our hospital following cardiac arrest over 2 years in 2010 to 2012 (Group 1). Methods A retrospective review was conducted looking at SICU patients managed with a normothermia protocol, with particular
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