Severe Pneumonia In Intensive Care Unit Research Articles

Effects of nursing team communication and collaboration on treatment outcomes in intensive care unit patients with severe pneumonia.

Severe pneumonia is a common severe respiratory infection worldwide, and its treatment is challenging, especially for patients in the intensive care unit (ICU). To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU. We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1, 2021 and December 31, 2023. We compared and analyzed the respiratory mechanical indexes [airway resistance (Raw), mean airway pressure (mPaw), peak pressure (PIP)], blood gas analysis indexes (arterial oxygen saturation, arterial oxygen partial pressure, and oxygenation index), and serum inflammatory factor levels [C-reactive protein (CRP), procalcitonin (PCT), cortisol (COR), and high mobility group protein B1 (HMGB1)] of all patients before and after treatment. Before treatment, there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups (P > 0.05). However, after treatment, the respiratory mechanical indexes of patients in both groups were significantly improved, and the improvement of Raw, mPaw, plateau pressure, PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group (P < 0.05). The serum CRP and PCT levels of patients were significantly decreased, and the difference was statistically significant compared with that of nursing group alone (P < 0.05). The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups. The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators, blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.

The effect of hierarchical management on the early activity of ICU patients with severe pneumonia

Objective To explore the effect of hierarchical management on the early activity of severe pneumonia patients in intensive care unit (ICU). Methods A total of 100 patients with severe pneumonia in ICU admitted to Guangdong Agricultural Cultivation Central Hospital from June 2017 to May 2018 were selected. The patients were divided into observation group and control group with 50 patients in each group according to the odd and even number of inpatient beds.The control group used routine methods to judge the patients' activity ability and perform routine activities on a daily basis.The observation group divided the activity ability of ICU patients into levels A, B, C, and D according to the factors affecting the early activities of ICU patients with severe pneumonia, and developed the corresponding level of activity programs. By daily assessment of the level of patients, the corresponding activity programs were adopted for activities.The Barthel index was used to judge the activity ability of daily life, and the differences between the two groups were compared.Meanwhile, the use time of ventilator, blood oxygen saturation at the time of discharge, average length of stay in ICU, and patients' satisfaction with nursing work were compared between the two groups. Results There was no significant difference in Barthel index score between the two groups(P>0.05). There was a statistically significant difference between the Barthel index score at the time of discharge and that at the time of admission(P<0.05). The duration of ventilator use and average length of stay in ICU in the observation group were significantly shorter than those in the control group, blood oxygen saturation was significantly better than that in the control group, and nursing work satisfaction was significantly higher than that in the control group, with statistically significant differences(P<0.05). Conclusions The implementation of hierarchical management can further improve the daily living ability of ICU patients with severe pneumonia, accelerate the recovery process of patients, and improve the treatment effect and nursing satisfaction of patients. Key words: Hierarchical management; Severe pneumonia in ICU; Average length of stay in ICU; Nursing

Acute respiratory distress syndrome secondary to human metapneumovirus infection in a young healthy adult

Dear Editor, There is growing interest in human metapneumovirus (hMPV) lung infection in intensive care unit (ICU). hMPV is a respiratory pathogen first discovered 10 years ago [1], but despite increasing data, the complete epidemiological features of hMPV remain largely unknown. In your journal, Vanspauwen et al. [2] reported six cases of hMPV detection in critically ill patients suspected of having hospital-acquired pneumonia. Recently, a case of severe hMPV lung infection in a pregnant woman was reported [3], and hMPV was identified in 18 % of patients hospitalized for severe pneumonia in ICU [4]. It is generally known that adults with underlying cardiopulmonary disease or immunocompromised patients are susceptible to hMPV infection [5]. However, we report a case of acute respiratory distress syndrome (ARDS) secondary to hMPV in a healthy woman. A 59-year-old woman without relevant medical history was admitted to the ICU for acute dyspnea. Vital signs on admission were: heart rate 96/min, blood pressure 105/73 mmHg, Glasgow Coma Scale 15, tympanic temperature 40 C, respiratory rate 40/min, and oxygen saturation 83 % on room air. Physical examination revealed bilateral crackles and right bronchial breath sounds. Blood gases were pH 7.60, PaCO2 23 mmHg, PaO2 43 mmHg, and HCO3 -

Clinical study on myocardial enzymes change of patients with severe pneumonia in ICU

Objective To observe the clinical significance of myocardial enzymes change of patients with severe pneumonia in intensive care unit (ICU). Methods 60 patients with severe pneumonia ( severe pneumonia group) and 58 patients with ordinary pneumonia( pneumonia group) were studied,and 60 healthy subjects were studied as normal control group. The CK-MB,CK,HBDH and AST levels of the research objects were analyzed by automatic chemistry analyzer. Results The enzyme indicators of severe pneumonia group were higher than the pneumonia group and normal control group, compared with the pneumonia group and normal control group, the differences were significant( all P ＜ 0. 05 ); The enzyme indicators of the pneumonia group compared with normal control group the difference was not significant(P ＞ 0. 05). The effective rate of severe pneumonia was 96.7% ,ineffective 2 cases died in the treatment. The effective rate of pneumonia group was 100.0% ,and no deaths occurred. Conclusion There was myocardial damage in patients with severe pneumonia,myocardial enzyme could be used as a valuable indicator for diagnosis, observing tendency, and predicting prognosis of patients with severe pneumonia in ICU. Key words: Intensive care unit; Severe pneumonia; Myocardial enzymes