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Tracheostomy Practice in the Italian Intensive Care Units: A Point-Prevalence Survey.
Medicina (Kaunas)
January 2025
Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16126 Genova, Italy.
: A tracheostomy is a frequently performed surgical intervention in intensive care units (ICUs) for patients requiring prolonged mechanical ventilation. This procedure can offer significant benefits, including reduced sedation requirements, improved patient comfort, and enhanced airway management. However, it is also associated with various risks, and the absence of standardized clinical guidelines complicates its implementation.
View Article and Find Full Text PDFPre-injury narcotic drug use in isolated severe traumatic brain injury: effect on outcomes.
Eur J Trauma Emerg Surg
January 2025
Division of Acute Care Surgery, Department of Surgery, University of Southern California, 2051 Marengo Street, Los Angeles, CA, 90033, USA.
Purpose: The aim of this study was to explore the association between pre-injury narcotic drug use (opioids, methadone, and/or oxycodone) and outcomes in isolated severe traumatic brain injury (TBI) patients.
Methods: ACS TQIP study included adult trauma patients (≥ 16 years) with complete drug and alcohol screening. Isolated severe TBI was defined as head trauma with AIS 3-5 and without significant extracranial trauma.
Dose-dependent association of hyperoxia and decreased favorable outcomes in mechanically ventilated patients with traumatic brain injury, a retrospective cohort study.
Eur J Trauma Emerg Surg
January 2025
Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Purpose: In patients with traumatic brain injury (TBI), adequate oxygenation is crucial to optimize survival and neurological outcome. However, supranormal oxygen partial pressure (PaO) only leads to minor increase in cerebral oxygen delivery but can cause numerous pathophysiological disturbances. Therefore, we aimed to study effects of hyperoxia on patient outcome and identify optimum PaO ranges.
View Article and Find Full Text PDFTRIPLE THERAPY COMBINED WITH ACCELERATED RECOVERY STRATEGY CAN IMPROVE THE QUALITY OF LIFE OF ELDERLY PATIENTS WITH MECHANICAL VENTILATION.
Georgian Med News
November 2024
1Department of Nursing, Hangzhou Geriatric Hospital, Gongshu District, Zhejiang, China.
Objective: The integration of physical therapy (PT), occupational therapy (OT), and speech therapy (ST) into a triple therapy approach has gained recognition in the rehabilitation of patients. The integration of PT-OT-ST triple therapy with accelerated recovery strategies in pulmonary rehabilitation for elderly mechanically ventilated patients is anticipated to overcome the limitations of traditional rehabilitation approaches.
Methods: By applying stringent inclusion and exclusion criteria, a total of 60 elderly patients over 60 years old requiring mechanical ventilation were selected.
Integrating respiration into sympathetic transduction to blood pressure.
J Physiol
January 2025
Human Cardiovascular Physiology Laboratory, Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada.
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