scholarly journals Quetiapine-Associated Pancreatitis in a Geriatric Critical Care Patient with Delirium

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Evangelos Potolidis ◽  
Charalampos Mandros ◽  
Dimitrios Karakitsos ◽  
P. M. Kountra
Keyword(s):  
Acute Pancreatitis ◽  
Critical Care ◽  
Critical Care Patient ◽  
Care Patient ◽  
Geriatric Critical Care ◽  
Critical Care Patients

We report the case of a 78-year-old male who developed acute pancreatitis related to quetiapine that was administered for the treatment of delirium. No evidence of hypertriglyceridemia, infection, ischemia, chololithiasis or hypercalcemia could be documented.Clinicians should be alerted when treating critical care patients with antipsychotics, as risks might present and potentially lead to hazardous results.

scholarly journals Augmenting Critical Care Patient Monitoring using Wearable Technology: a Technological Review of Usability & Human Factors (Preprint)

2019 ◽  
Author(s):  
Evismar Almeida ◽  
Leo Quinlan ◽  
Richard Harte ◽  
Dara Byrne ◽  
Enda Fallon ◽  
...  
Keyword(s):  
Critical Care ◽  
Human Factors ◽  
Patient Monitoring ◽  
Vital Signs ◽  
Critical Care Patient ◽  
Wearable Devices ◽  
Care Patient ◽  
Alarm System ◽  
Smart Glasses ◽  
Critical Care Patients

BACKGROUND The continuous monitoring of vital signs of critical care patients is extremely important to ensure the patient’s safety. For this, clinicians use a Patient Monitor (PM) device which conveys the patient vital sign data through a screen and an auditory alarm system. These devices have been in use for decades. However, some limitations with PMs have been identified in the literature, for example the need for visual contact with the PM screen, which could cause decreased focus on the patient in certain scenarios, and the amount of noise generated by the alarm system. With the advance of technology, wearable devices have emerged as a potential solution for these problems. This review presents the findings of a number of studies which focus on the usability and human factors of prototype wearable devices to be used in critical care patient monitoring. OBJECTIVE The objective of this work was to review the use of prototype wearable devices by clinicians to monitor vital signs of critical care patients in hospital settings with a focus on the usability and human factors of the devices. METHODS A comprehensive literature search of relevant databases was carried out and this identified 15 relevant studies which were fully analysed by the authors. RESULTS Two types of wearable devices were identified: tactile and head-mounted/smart glasses displays. In most cases, these devices were intended for use by anaesthesiologists, but nurses and surgeons were also identified as potential users of wearable technology. Although the studies with tactile displays revealed a potential to improve clinical monitoring, usability problems related to comfort need to be overcome before they can be considered for use in clinical practice. The studies of head-mounted displays and smart glasses revealed that these devices can be useful from an ergonomics point of view in reducing the number of times the user has to avert their gaze from the patient to a separate screen, thereby increasing focus and reducing potential repetitive strain. CONCLUSIONS Researchers and designers of new wearable prototypes for critical care should strive not only for the enhanced performance of their users, but should also design for the satisfaction of the user, especially in terms of comfort and ease of use. It was found that wearable displays would serve as an accompaniment to the main PM display, and not as replacement.

Facilitating Factors in the Proper Identification of Acute Skin Failure: A Systematic Review

2021 ◽  
Vol 41 (2) ◽  
pp. 36-42
Author(s):  
Michael Mileski ◽  
Rebecca McClay ◽  
Jessica Natividad
Keyword(s):  
Critical Care ◽  
Research Team ◽  
Critical Care Patient ◽  
Care Patient ◽  
The Body ◽  
Factual Information ◽  
Facilitating Factors ◽  
Prevention And Treatment ◽  
Academic Search ◽  
Critical Care Patients

Background Acute skin failure is a significant medical finding for both the critical care patient and the hospital. Proper identification is key to prevention and treatment, but diagnosis of acute skin failure in critical care patients is often missed. This diagnostic oversight may be due to a lack of knowledge about acute skin failure and its presentation. Objective To investigate the literature for facilitating factors that would ease the identification of acute skin failure for clinicians. Methods The research team conducted a systematic literature review via PubMed, CINAHL, and Academic Search Ultimate to collect data about acute skin failure and how it might be identified. Results Ten common facilitation themes around acute skin failure and its identification were found in the literature. In total, 110 examples of facilitating factors were identified. Conclusions There is little factual information available regarding the identification of acute skin failure, and the literature is lacking in this area overall. Acute skin failure may develop in the body in a number of ways, and understanding commonalities that occur in patients who experience acute skin failure and applying that information to patients in the future may assist identification.

scholarly journals Hydroxychloroquine serum concentrations in non-critical care patients infected with SARS-CoV-2

2020 ◽  
Author(s):  
Alasdair MacGowan ◽  
Fergus Hamilton ◽  
Mark Bayliss ◽  
Liam Read ◽  
Marie Attwood ◽  
...  
Keyword(s):  
Critical Care ◽  
Critical Care Patient ◽  
Care Patient ◽  
Serum Concentrations ◽  
Patient Groups ◽  
Small Cohort ◽  
Critical Care Patients

AbstractHydroxychloroquine(HCQ) has been widely used to treat SARS-CoV-2 infection however HCQ pharmacokinetics in this condition have not been studied in non-critical care patient groups. Here we report the serum concentrations of HCQ in a small cohort of patients treated with HCQ as part of the RECOVERY trial.

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