Emergency Medical Service,
Год журнала:
2023,
Номер
10(4), С. 224 - 228
Опубликована: Янв. 1, 2023
Aim:
The
purpose
of
this
retrospective
observational
study
was
to
compare
peripheral
venous
cannulation
performed
under
ultrasound
guidance
by
expe-rienced
and
inexperienced
nurses.
Material
Methods:
retrospective.
Analysis
done
eighty-seven
charts
successful
ultrasound-guided
cannulations
experienced
operators
over
a
5-month
period.
Results:
In
the
group,
an
average
1.31
puncture
attempts
were
(median=1),
in
group
that
number
1.42
(median=1).
One
attempt
enough
for
76.6%
(n=36)
72.5%
(n=29)
cannulations,
respectively.
Experienced
nurses
needed
statistically
signif
i
cantly
less
time
successfully
vessel
(p=0.003).
Conclusions:
Implementing
procedure
inserting
midline
catheters
should
be
based
on
properly
conducted
training
supervised
clinical
experience.
Performing
adequate
during
reduced
required
decreased
failures.
Completing
20
50
course
makes
it
possible
achieve
high
success
rate
vascular
access
insertion
with
minimum
attempts.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(19), С. 6171 - 6171
Опубликована: Сен. 24, 2023
The
aim
of
this
study
was
to
assess
whether
procalcitonin
levels
is
a
diagnostic
tool
capable
accurately
identifying
sepsis
and
ventilator-associated
pneumonia
(VAP)
even
in
critically
ill
COVID-19
patients.In
retrospective,
observational
study,
all
patients
who
survived
for
≥2
days
single
university
hospital
had
at
least
one
serum
(PCT)
value
associated
blood
culture
and/or
from
lower
respiratory
tract
specimen
available
were
eligible
the
study.Over
research
period,
184
recruited;
67
VAP/BSI
occurred,
with
an
incidence
rate
21.82
episodes
(95%
CI:
17.18-27.73)
per
1000
patient-days
among
included.
At
time
positive
microbiological
culture,
average
PCT
level
1.25-3.2
ng/mL
found.
Moreover,
also
subjects
without
cultures,
altered
21.7%
determinations,
1.04-5.5
ng/mL.
Both
PCT-72
h
not
linked
diagnosis
patients,
according
multivariable
GEE
models
(aOR
1.13,
95%
CI
0.51-2.52
PCT;
aOR
1.32,
0.66-2.64
h).Elevated
might
always
indicate
bacterial
superinfections
or
coinfections
severe
setting.
Epidemiology and Infection,
Год журнала:
2023,
Номер
151
Опубликована: Янв. 1, 2023
Secondary
pneumonia
occurs
in
8-24%
of
patients
with
Coronavirus
2019
(COVID-19)
infection
and
is
associated
increased
morbidity
mortality.
Diagnosis
secondary
can
be
challenging.
The
purpose
this
study
was
to
evaluate
the
use
plasma
microbial
cell
free
DNA
sequencing
(mcfNGS)
evaluation
after
COVID-19.
We
performed
a
single-center
case
series
COVID-19
who
underwent
mcfNGS
reported
organisms
identified,
concordance
available
tests,
clinical
utility,
outcomes.
In
8/13
(61%)
cases,
detected
1-6
organisms,
clinically
significant
identified
4
including
Pneumocystis
jirovecii,
Legionella
spp.
Management
changed
85%
(11/13)
based
on
results,
initiation
targeted
therapy,
de-escalation
empiric
antimicrobials,
avoiding
contingent
escalation
antifungals.
may
helpful
identify
pathogens
causing
pneumonia,
opportunistic
immunocompromised
However,
providers
need
carefully
interpret
test
within
context.
International Journal of Cardiovascular Sciences,
Год журнала:
2023,
Номер
36
Опубликована: Янв. 1, 2023
Background:
Coronavirus
disease
2019
(COVID-19)
mainly
affects
the
respiratory
system,
while
most
common
extrapulmonary
complication
of
COVID-19
is
cardiovascular
involvement.
Objective:
To
identify
frequency
electrocardiographic
changes
and
cardiac
arrhythmias
in
patients
hospitalized
with
infection.
Methods:
This
was
a
cross-sectional
study,
including
aged
>18
years
diagnosis
severe
acute
syndrome
coronavirus
2
infection
high-complexity
hospital
Santiago
de
Cali,
Colombia,
from
March
to
September
2020.
A
descriptive
analysis
an
analytical
[...]
Emergency Medical Service,
Год журнала:
2023,
Номер
10(4), С. 224 - 228
Опубликована: Янв. 1, 2023
Aim:
The
purpose
of
this
retrospective
observational
study
was
to
compare
peripheral
venous
cannulation
performed
under
ultrasound
guidance
by
expe-rienced
and
inexperienced
nurses.
Material
Methods:
retrospective.
Analysis
done
eighty-seven
charts
successful
ultrasound-guided
cannulations
experienced
operators
over
a
5-month
period.
Results:
In
the
group,
an
average
1.31
puncture
attempts
were
(median=1),
in
group
that
number
1.42
(median=1).
One
attempt
enough
for
76.6%
(n=36)
72.5%
(n=29)
cannulations,
respectively.
Experienced
nurses
needed
statistically
signif
i
cantly
less
time
successfully
vessel
(p=0.003).
Conclusions:
Implementing
procedure
inserting
midline
catheters
should
be
based
on
properly
conducted
training
supervised
clinical
experience.
Performing
adequate
during
reduced
required
decreased
failures.
Completing
20
50
course
makes
it
possible
achieve
high
success
rate
vascular
access
insertion
with
minimum
attempts.
