Division Of Critical Care Research Articles

INVISIBLE STRUGGLES: EXPLORING CHALLENGES FACED BY WOMEN WITH AMPUTATION IN INDIA

Women in India, particularly those with amputation, face significant challenges, including but not limited to, unequal prosthetic access and satisfaction, societal discrimination, and the physical and emotional consequences of amputation. These challenges are further exacerbated by gender biases towards access to education and socioeconomic factors, which increases their vulnerability to unemployment and mental health issues. This article emphasizes the urgent need for affordable and customizable prosthetic options tailored to the unique needs of women with amputation, particularly those from low-income backgrounds who often face neglect. Thus, addressing these disparities would significantly enhance their overall well-being and independence. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/44002/33160 How To Cite: Alam J, Joshi A, Mir N, Chawla N, Sagar S. Invisible struggles: Exploring challenges faced by women with amputation in India. Canadian Prosthetics & Orthotics Journal. 2024; Volume 7, Issue 1, No.5. https://doi.org/10.33137/cpoj.v7i1.44002 Corresponding Author: Professor Sushma Sagar,Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India.E-Mails: sagar.sushma@gmail.com; dr.sushma@aiims.gov.inORCID ID: https://orcid.org/0000-0002-4700-9868

Three-PointUltrasonography for Confirmation of Endotracheal Tube Position in Children (TRUCE Study).

To investigate the diagnostic accuracy of three-point ultrasonography for confirmation of endotracheal tube (ETT) position among children undergoing endotracheal intubation (ETI) with chest radiograph as reference standard. This prospective observational study was conducted from January 2021 through December 2021 (12 mo) in the pediatric emergency room (PER) and pediatric intensive care unit (PICU), Division of Pediatric Critical Care, Advanced Pediatrics Centre (APC), Post-Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Children aged 3 mo to 12 y, undergoing ETI in PER or PICU were included. Three-point ultrasonography (suprasternal notch and bilateral anterior chest) was done following ETI for confirmation of correct ETT position. Chest radiograph was used as a reference standard. Interobserver agreement between two investigators (IG and SKA) (kappa statistic) was determined for three-point ultrasonography to confirm the correct ETT position. One hundred fifty-five children with median (IQR) age of 4.5 (1-7) y were enrolled; 60% (n = 94) were males. On neck ultrasound, bilaminar sign was present in 100% of children. On lung ultrasound, bilateral and unilateral pleural sliding were present in 97.4% and 2.6% children, respectively. Three-point ultrasonography identified the correct position of ETT in 97.4% children as compared to 83.2% on chest radiograph. Sensitivity of three-point ultrasonography to identify the correct position of ETT was 98%. The interobserver agreement between two examiners was 96.8% (kappa of 0.53, p = 0.000). Three-point ultrasonography is an effective, sensitive, safe, and reproducible bedside method for identification of correct placement of ETT in children admitted to PER and PICU.

Groote Schuur Hospital neurosurgical intensive care unit: A 2-year review of admission characteristics.

At Groote Schuur Hospital (GSH), the neurosurgical intensive care unit (NsICU) is a 6-bed unit headed by a specialist neurosurgeon with extensive experience in neurocritical care, working in close collaboration with intensivists from the Division of Critical Care. There is currently no detailed analysis of the demographics, diagnosis and management of patients admitted to the NsICU at GSH. To provide a detailed descriptive analysis of the demographics, diagnosis and management of patients admitted to the NsICU at GSH from 1 January 2020 to 31 December 2021. A retrospective descriptive analysis was done of patients who received treatment in the NsICU from 1 January 2020 to 31 December 2021. A total of 685 patients were admitted to the unit over a 2-year period, with a male preponderance (68.2%). The average age was 42.5 (standard deviation (SD) 17.2) years. The most common neurosurgical diagnoses were traumatic brain injuries (39.6%), brain tumours (22.6%) and aneurysmal subarachnoid haemorrhages (9.9%). Emergency admissions comprised 76.6% of the total and 86.7% of patients were admitted postoperatively. Three hundred and seventy-two patients (54.3%) required mechanical ventilation, 132 (19.3%) required both an intracranial pressure (ICP) monitor and brain tissue oxygenation monitor, 86 (12.5%) needed placement of an external ventricular drain, 50 (7.3%) needed placement of a tracheostomy tube and 16 (2.3%) needed placement of an ICP monitor only. The average duration of stay was 5.5 (1.3) days and NsICU mortality over 2 years was 11.1%. The NsICU at GSH manages predominantly male trauma patients and a significant number of admitted patients require specialised invasive intracranial monitoring. This is the first in-depth analysis of patients managed in a dedicated neurosurgical intensive care unit in South Africa. The work defines the patient population, neurosurgical pathologies and service level requirements that would likely be encountered by teams building a similar service.

The long-term impact of COVID-19 pneumonia on pulmonary function and exercise capacity.

The sequelae of post-coronavirus disease 2019 (COVID-19) have been widely reported. However, the time point of the follow-up time in the previous studies varied ranging from 3-24 months and the interval time of the follow-up time was too long (6 or 12 months). Thus, a shorter interval time during recovery for assessment of the sequelae of post COVID-19 on lung function and exercise capacity is still required. Therefore, this study aims to explore the long-term impact of COVID-19 pneumonia on pulmonary function and exercise capacity. A prospective observational study was conducted on post COVID-19 pneumonia at the Lung Health Center, Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand between May 2021 and April 2022. Spirometry, impulse oscillometry (IOS), and fractional exhaled nitric oxide (FeNO) were assessed at 1-, 6-, 9-, and 12-month post-hospital discharge when compared to healthy controls. The six-minute walk test (6-MWT) was also assessed. Thirty-eight post COVID-19 pneumonia with ages 41.1±14.8 years (52.6% male) and twenty-five healthy controls were enrolled. The %predicted of forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1) were significantly lower in post COVID-19 pneumonia compared to healthy controls at month 1 and month 9. The improvement of %predicted FVC and FEV1 was observed in post COVID-19 pneumonia. The six-minute walk distance (6-MWD) was significantly lower in post COVID-19 pneumonia compared to healthy controls in all visits, while the 6-MWD improved overtime in post COVID-19 pneumonia. The long term sequelae of post COVID-19 pneumonia on lung function and exercise capacity were observed. Pulmonary function tests and six-minutes walk test are useful tools for detection of long term sequelae of post COVID-19 pneumonia.

Therapy With Inhaled Treprostinil, Macitentan, and Tadalafil/Riociguat in High-Risk Pulmonary Arterial Hypertension.

Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Nebraska Medical Center, Omaha, NE K. El-Kersh provided consultative services to Acceleron, served on advisory boards for J&J Actelion, and United Therapeutics, received institutional research funding from J&J Actelion and United Therapeutics and participated in United Therapeutics speaker bureau (2018–2021).

Building Career Paths for Ph.D., Basic and Translational Scientists in Clinical Departments in the United States: An Official American Thoracic Society Workshop Report.

Rationale: To identify barriers and opportunities for Ph.D., basic and translational scientists to be fully integrated into clinical units. Objectives: In 2022, an ad hoc committee of the American Thoracic Society developed a project proposal and workshop to identify opportunities and barriers for scientists who do not practice medicine to develop successful careers and achieve tenure-track faculty positions in clinical departments and divisions within academic medical centers (AMCs) in the United States. Methods: This document focuses on results from a survey of adult and pediatric pulmonary, critical care, and sleep medicine division chiefs as well as a survey of workshop participants, including faculty in departmental and school leadership roles in both basic science and clinical units within U.S. AMCs. Results: We conclude that full integration of non-clinically practicing basic and translational scientists into the clinical units, in addition to their traditional placements in basic science units, best serves the tripartite mission of AMCs to provide care, perform research, and educate the next generation. Evidence suggests clinical units do employ Ph.D. scientists in large numbers, but these faculty are often hired into non-tenure track positions, which do not provide the salary support, start-up funds, research independence, or space often associated with hiring in basic science units within the same institution. These barriers to success of Ph.D. faculty in clinical units are largely financial. Conclusions: Our recommendation is for AMCs to consider and explore some of our proposed strategies to accomplish the goal of integrating basic and translational scientists into clinical units in a meaningful way.

Low Tidal Volume Strategy: What Else?

Both authors: Division of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN. *See also p. 797. The authors have disclosed that they do not have any potential conflicts of interest.

Same-Day Discharge for Thyroidectomy: Why the Holdup?

Clinical ThyroidologyVol. 35, No. 4 Thyroid SurgerySame-Day Discharge for Thyroidectomy: Why the Holdup?Eric Walser and Jesse D. PasternakEric Walser Division of General Surgery, Division of Critical Care, Western University Schulich School of Medicine, London Health Sciences Center, London, Ontario, Canada. Section of Endocrine Surgery, Department of Surgery, University of Toronto, University Health Network, Toronto, Ontario, Canada.Search for more papers by this author and Jesse D. Pasternak Division of General Surgery, Division of Critical Care, Western University Schulich School of Medicine, London Health Sciences Center, London, Ontario, Canada. Section of Endocrine Surgery, Department of Surgery, University of Toronto, University Health Network, Toronto, Ontario, Canada.Search for more papers by this authorPublished Online:11 Apr 2023https://doi.org/10.1089/ct.2023;35.167-169AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetails Volume 35Issue 4Apr 2023 Information© Copyright 2023, Mary Ann Liebert, Inc.To cite this article:Eric Walser and Jesse D. Pasternak.Same-Day Discharge for Thyroidectomy: Why the Holdup?.Clinical Thyroidology.Apr 2023.167-169.http://doi.org/10.1089/ct.2023;35.167-169Published in Volume: 35 Issue 4: April 11, 2023PDF download

Preselected Choices

1 University of Tennessee Health Science Center, Memphis, TN. 2 Division of Critical Care, Lebonheur Children’s Hospital, Memphis, TN. Dr. Spentzas has disclosed that he does not have any potential conflicts of interest.

Editorial introductions.

Current Opinion in Anesthesiology was launched in 1988. It is one of a successful series of review journals whose unique format is designed to provide a systematic and critical assessment of the literature as presented in the many primary journals. The field of anesthesiology is divided into 16 sections that are reviewed once a year. Each section is assigned a Section Editor, a leading authority in the area, who identifies the most important topics at that time. Here we are pleased to introduce the Journal's Section Editors for this issue. SECTION EDITORS Catherine M. KuzaCatherine M. KuzaDr Catherine M. Kuza, MD, FASA is an Associate Professor of Anesthesiology in the Department of Anesthesiology, Division of Critical Care at the Keck School of Medicine of the University of Southern California (KSOM USC), Los Angeles, USA. She completed her anesthesiology residency training at the University of Massachusetts School of Medicine in Worcester, MA, USA and went on to complete a critical care fellowship at Brigham and Women's Hospital in Boston, MA, USA. She has been faculty at KSOM USC since 2016, where she served as the Director of Resident Research and Quality Improvement from 2017–2019, and in 2019 became the Director of Trauma Researcher. In 2021 she was appointed Associate Director of the Surgical Intensive Care Unit. Her areas of research include trauma anesthesiology, emergency preparedness and mass casualties, burns, critical care delirium, and post-intensive care unit syndrome. She enjoys teaching and has served as a mentor in research, anesthesiology, and critical care to numerous medical students, residents, and fellows. She has published a number of journal articles and book chapters related to trauma, burns, critical care, and emergency preparedness. She is an active member of numerous professional societies including the American Society of Anesthesiologists (ASA). While serving on the ASA Committee of Trauma and Emergency Preparedness, she has spearheaded several multicentre trauma studies. Edoardo De RobertisEdoardo De RobertisEdoardo De Robertis is Professor of Anaesthesiology at the University of Perugia, Italy, where he coordinates the Division of Anaesthesia, Analgesia, and Intensive Care. He is the Director of the clinical university department of Anaesthesia and Intensive Care and director of the Residency Program and School in Anaesthesia, Intensive Care and Pain. He is President of the European Society of Anaesthesia and Intensive Care (ESAIC) for the two years term 2022–23. Prof Edoardo De Robertis graduated with honour in Medicine and Surgery at the University of Napoli Federico II, Italy, where he completed his anaesthesiology residency. At the University of Lund, Sweden he received his PhD. Leader of a research group at the University Federico II, Italy, and more recently at the University of Perugia, Italy, Prof De Robertis has been involved in the planning, management and coordination of experimental studies in complex animal models and clinical studies on mechanical ventilation. An innovative system of ventilation aimed at the reduction of airway dead space (ASPIDS) was developed. Prof De Robertis has been actively involved in numerous collaboration and research projects with European partners and in the drafting of guidelines of the European Society of Anesthesiology (ESA/IC). He coordinated for Italy the ESA multicentric study PROVHILO and the ESICM consensus study WELPICUS. Prof De Robertis has focused his research activity on mechanical ventilation in critically ill patients and on the management of peri-operative massive bleeding, with particular attention to postpartum haemorrhage. He is also interested in the preoperative evaluation of the obstetric patient, and in the management of neuromuscular block in pelvic laparoscopic surgery.

Doing more with less.

Subscription RequiredCommentaryDoing more with less Ann M. Romaker, MD, Jennifer L. Cook, MD Ann M. Romaker, MD Division of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH Search for more papers by this author , Jennifer L. Cook, MD Division of Cardiology, University of Cincinnati, Cincinnati, OH Search for more papers by this author Published Online:March 31, 2023https://doi.org/10.5664/jcsm.10602

A Call for Defining Pediatric Chronic Critical Illness: Moving Beyond I Know It When I See It.

Both authors: Division of Critical Care, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children’s Hospital, Boston, MA *See also p. e91. The authors have disclosed that they do not have any potential conflicts of interest.

Ralph L. Sacco, 65, Dies: Stroke Expert With a Talent for Architectural Design.

Ralph L. Sacco, 65, Dies: Stroke Expert With a Talent for Architectural Design.

Ralph L. Sacco, 65, Dies: Stroke Expert With a Talent for Architectural Design.

Ralph L. Sacco, 65, Dies: Stroke Expert With a Talent for Architectural Design.

An Ornithologist's Dying Wish.

1 Division of Cardiac Critical Care, Department of Critical Care, The Hospital for Sick Children, Toronto, ON, Canada. 2 Department of Bioethics, The Hospital for Sick Children, Toronto, ON, Canada. 3 Department of Pediatrics, The University of Toronto, Toronto, ON, Canada. Dr. Kirsch has disclosed that she does not have any potential conflicts of interest. For information regarding this article, E-mail: [email protected]

Serious games as an innovative learning tool at a medical conference to teach medical knowledge and crisis resource management: A narrative report.

From the Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, Affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Correspondence to Dana Karol, MD, Tel Aviv Ichilov-Sourasky Medical Center: Tel Aviv Sourasky Medical Center, Tel Aviv, Israel E-mail: [email protected]

Lessons From a Negative Clinical Trial: Novel Immunological Targets for COVID-19 and Beyond.

1 Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA 2 Cardiovascular Research Institute, Departments of Medicine and Anesthesia, University of California San Francisco, San Francisco, CA *See also p. 103. Dr. Matthay’s institution received funding from Roche-Genentech; he received funding from Cellenkos Pharmaceutical. Dr. Sullivan has disclosed that she does not have any potential conflicts of interest.

Crisis Triage in the Era of COVID-19: Old Tools, New Approaches, and Unanswered Questions.

1 Division of Pulmonary, Allergy, Critical Care Medicine and Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA 2 Emory Critical Care Center, Emory University, Atlanta, GA 3 Acute Care Surgery Division, Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA 4 Critical Care Institute, Keck Hospital of USC, Los Angeles, CA 5 Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Washington, Seattle, WA *See also p. 57. Dr. Cobb’s institution received funding from the Centers for Disease Control and Prevention Foundation; he received funding from Akido Labs, BauHealth, and GibLib. The remaining authors have disclosed that they do not have any potential conflicts of interest.

Take an OSA pill and call me in the morning.

Take an OSA pill and call me in the morning.

PP363 [Combined Organ Systems » Other]: HEMODYNAMIC ANALYSIS OF PEDIATRIC SEPTIC SHOCK USING PRESSURE RECORDING ANALYTICAL METHOD IN PEDIATRIC INTENSIVE CARE UNIT

1Department of Child Health, Division of Pediatric Emergency and Critical Care, Faculty of Medicine, Universitas Airlangga-Soetomo Hospital, Surabaya, Indonesia 2Department of Child Health, Division of Pediatric Emergency and Critical Care, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia