Publications by authors named "Yael Haviv"
Article Synopsis
- The study examines the prevalence of heparin-induced thrombocytopenia (HIT) in critically ill COVID-19 patients, finding a significant association with severe clinical outcomes.
- Out of 107 patients, over half experienced thrombocytopenia, leading to complications such as increased ventilation needs, disseminated intravascular coagulation (DIC), and higher mortality rates.
- The research suggests that understanding HIT's role in COVID-19 is crucial due to its impact on immune response and coagulopathy, highlighting the need for precise treatment protocols.
Objectives: To evaluate the outcomes of hospitalized patients in two intensive care units (ICU) treated with intravenous immunoglobulin (IVIg) added to standard-of-care therapy. The indications for IVIg therapy were sepsis or autoimmune disease.
Methods: We conducted a retrospective study involving adult patients with sepsis and autoimmune diseases, who received IVIg in the ICU at Wolfson and Sheba Medical Centers.
Background: The coronavirus disease 2019 (COVID-19) pandemic resulted in repeated surges of patients, sometimes challenging triage protocols and appropriate control of patient flow. Available models, such as the National Early Warning Score (NEWS), have shown significant limitations. Still, they are used by some centers to triage COVID-19 patients due to the lack of better tools.
View Article and Find Full Text PDFArticle Synopsis
- - The text discusses the establishment of a specialized liver surgery program at a university hospital aimed at addressing the increasing demand for liver operations and training future surgeons.
- - The program led to a significant rise in liver resections (up 36%) and complex cases, as well as improvements in opportunities for residents and young faculty, notably a 5.5-fold increase in highly complex resections and a 6-fold rise in academic publications.
- - While the program increased surgical complexity and morbidity, it did not raise mortality rates, indicating its effectiveness in meeting community needs and enhancing surgical training.
Sink traps as the source of transmission of OXA-48-producing Serratia marcescens in an intensive care unit.
Infect Control Hosp Epidemiol
November 2018
Background: Carbapenemase-producing Enterobacteriaceae (CPE) outbreaks are mostly attributed to patient-to-patient transmission via healthcare workers.
Objective: We describe successful containment of a prolonged OXA-48-producing S. marcescens outbreak after recognizing the sink traps as the source of transmission.
Background: Vasculitides are a group of disorders characterized by inflammation of vessels. Vasculitides may have life-threatening complications with significant morbidity and mortality; however, information regarding the outcome and prognosis of patients with vasculitides requiring intensive care unit (ICU) is scarce.
Methods: Data of patients with vasculitides admitted to the ICU of the Sheba Medical Center between the years 2000 and 2014 were retrieved retrospectively.
Exertional heat stroke (EHS) is a clinical syndrome of hyperthermia, encephalopathy and multi-organ dysfunction that can be irreversible and fatal. Prompt recognition and immediate, aggressive total body cooling can prevent progression of the clinical syndrome, but even a short delay can exacerbate the effects of hyperthermic-induced changes. EHS is linked to an inflammatory response that is akin to the systemic inflammatory response syndrome (SIRS).
View Article and Find Full Text PDFAirway management practices in adult intensive care units in Israel: a national survey.
J Clin Monit Comput
December 2012
Timely and adequate management of normal and compromised airway is a crucial task facing medical teams taking care of patients in intensive care units. We investigated the airway management practices in the Israeli intensive care units (ICUs). A postal survey was sent to the 20 main ICUs in Israel.
View Article and Find Full Text PDFBackground: A patient admitted to the medical step-down unit experienced severe hypoglycemia due to an infusion of a higher-than-ordered insulin dose. The event could have been prevented if the insulin syringe pump was checked during the nursing shift handoff.
Methods: Risk management exploration included direct observations of nursing shift handoffs, which highlighted common deficiencies in the process.
Patients having systemic rheumatic diseases constitute a small percentage of admissions to the medical intensive care units (ICUs). Dermatomyositis (DM) is one of the rheumatic diseases that have secondary complications that may lead to a critical illness requiring hospitalization in the ICU. Herein, we present the features, clinical course, and outcome of critically ill patients having DM who were admitted to the ICU.
View Article and Find Full Text PDFEffect of enoxaparin on homocysteine concentration in warfarin-treated patients.
Ann Pharmacother
September 2002
Background: Elevated plasma total homocysteine (tHcy) concentration is an emerging independent risk factor for hypercoagulability states and cardiovascular diseases. Many disease states and various drug treatment regimens are known to affect plasma tHcy concentration.
Objective: To examine the effect of short-term treatment with the low-molecular-weight heparin enoxaparin on plasma tHcy concentrations.