Mayo Registry for Telemetry Efficacy in Arrest Study: An Assessment of the Utility of Telemetry in Predicting Clinical Decompensation

2016 ◽  
Vol 33 (3) ◽  
pp. 166-175 ◽  
Author(s):  
David Snipelisky ◽  
Jordan Ray ◽  
Gautam Matcha ◽  
Archana Roy ◽  
Dana Harris ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Review ◽  
American Heart Association ◽  
American Heart ◽  
Cardiopulmonary Arrest ◽  
Heart Association ◽  
Inpatient Setting ◽  
Icu Patients ◽  
Time Periods

Introduction: Our study assesses the utility of telemetry in identifying decompensation in patients with documented cardiopulmonary arrest. Methods: A retrospective review of inpatients who experienced a cardiopulmonary arrest from May 1, 2008, until June 30, 2014, was performed. Telemetry records 24 hours prior to and immediately preceding cardiopulmonary arrest were reviewed. Patient subanalyses based on clinical demographics were made as well as analyses of survival comparing patients with identifiable rhythm changes in telemetry to those without. Results: Of 242 patients included in the study, 75 (31.0%) and 110 (45.5%) experienced telemetry changes at the 24-hour and immediately preceding time periods, respectively. Of the telemetry changes, the majority were classified as nonmalignant (n = 50, 66.7% and n = 66, 55.5% at 24 hours prior and immediately preceding, respectively). There was no difference in telemetry changes between intensive care unit (ICU) and non-ICU patients and among patients stratified according to the American Heart Association telemetry indications. There was no difference in survival when comparing patients with telemetry changes immediately preceding and at 24 hours prior to an event (n = 30, 27.3% and n = 15, 20.0%) to those without telemetry changes during the same periods (n = 27, 20.5% and n = 42, 25.2%; P = .22 and .39). Conclusion: Telemetry has limited utility in predicting clinical decompensation in the inpatient setting.

scholarly journals Post out-of-hospital cardiac arrest care in a tertiary care center in southern Thailand: From emergency department to intensive care unit

2019 ◽  
Vol 27 (3) ◽  
pp. 155-161 ◽  
Author(s):  
Veerapong Vattanavanit ◽  
Supattra Uppanisakorn ◽  
Thanapon Nilmoje
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Arrest ◽  
Intensive Care ◽  
American Heart Association ◽  
American Heart ◽  
Medical Intensive Care Unit ◽  
Heart Association ◽  
Temperature Management ◽  
Medical Intensive Care ◽  
Hospital Cardiac Arrest

Background: Out-of-hospital cardiac arrest results in a high mortality rate. The 2015 American Heart Association guideline for post-cardiac arrest was launched and adopted into our institutional policy. Objectives: We aimed to evaluate post-cardiac arrest care and compare the results with the 2015 American Heart Association guideline and clinical outcomes of out-of-hospital cardiac arrest patients. Methods Included in this study were all adult patients who survived out-of-hospital cardiac arrest and were admitted to the Medical Intensive Care Unit of Songklanagarind Hospital, Thailand. The retrospective review was from 1 January 2016 to 31 December 2017. Results: From a total of 161 post-cardiac arrest patients admitted to the medical intensive care unit, 69 out-of-hospital cardiac arrest patients were identified. The most common cause of arrest was presumed cardiac in origin (45.0%) in which the majority was acute myocardial infarction (67.8%). Coronary intervention and targeted temperature management were performed in 27.5% and 13% of all out-of-hospital cardiac arrest patients, respectively. Survival to hospital discharge was 42%. Independent factors associated with survival to discharge were shockable rhythms, lower adrenaline doses, and the absence of hypotension at medical intensive care unit admission. Conclusion: Compliance with the 2015 American Heart Association post-cardiac arrest care guideline was low in our institution, especially in coronary intervention and targeted temperature management.

scholarly journals Care of the Patient With Acute Ischemic Stroke (Endovascular/Intensive Care Unit-Postinterventional Therapy): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association

Stroke ◽  
2021 ◽  
Author(s):  
Mary L. Rodgers ◽  
Elizabeth Fox ◽  
Tamer Abdelhak ◽  
Lauren M. Franker ◽  
Brenda Joyce Johnson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Ischemic Stroke ◽  
Nursing Care ◽  
American Heart Association ◽  
Mechanical Thrombectomy ◽  
American Heart ◽  
Heart Association ◽  
Current Evidence ◽  
Scientific Statement

Ischemic stroke remains the fifth leading cause of death in the United States. Nurses play a pivotal role in the care of patients throughout the continuum. With the advances in stroke care, including mechanical thrombectomy, the American Heart Association/American Stroke Association charged the writing panel to complement the 2009 clinical practice guideline, “Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient,” with current evidence-based nursing care. This update is 1 of a 3-part series focusing on emergency medical services/emergency care, endovascular/intensive care unit care, and postacute care. The aim of this scientific statement is to review and present current evidence, complications, best practices, and clinical practice strategies to provide current comprehensive scientific information for nursing care in the neuroendovascular area and intensive care unit in conjunction with medical treatments, including intravenous thrombolysis and mechanical thrombectomy.

scholarly journals Altering Overuse of Cardiac Telemetry in Non–Intensive Care Unit Settings by Hardwiring the Use of American Heart Association Guidelines

2014 ◽  
Vol 174 (11) ◽  
pp. 1852 ◽  
Author(s):  
Robert Dressler ◽  
Marylou M. Dryer ◽  
Christian Coletti ◽  
Donna Mahoney ◽  
Andrew J. Doorey
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association

What enabled mother and twins to survive 18 minutes after maternal cardiopulmonary arrest?

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Ayumi Matsuoka ◽  
Masaaki Tanaka ◽  
Satoshi Dohi ◽  
Hiromasa Sasaki ◽  
Takumi Taniguchi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
American Heart Association ◽  
American Heart ◽  
Cardiopulmonary Arrest ◽  
Heart Association ◽  
Spontaneous Circulation ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Monochorionic Twins

AbstractA woman carrying monochorionic twins underwent sudden cardiopulmonary arrest at 31 weeks of gestation due to spontaneous coronary artery dissection in the hospital. The resuscitation techniques, with her uterus manually displaced to her left, were initiated immediately and maternal spontaneous circulation was resumed 18 min later. A cesarean section was performed 2 h after the revival and the patient was kept hypothermic for 24 h. Finally, full recovery of both mother and twins was achieved. As in this case, the resuscitation techniques for pregnant women recommended by the American Heart Association, and therapeutic hypothermia, might be effective and contribute much to the survival and recovery of patients.

scholarly journals Physician awareness of patient cardiac telemetry monitoring

2016 ◽  
Vol 5 (3) ◽  
pp. 76
Author(s):  
Poonam Sharma ◽  
Alan Tesson ◽  
Adam Wachter ◽  
Samantha Thomas ◽  
Jonathan G. Bae
Keyword(s):  
Health Systems ◽  
American Heart Association ◽  
American Heart ◽  
Survey Design ◽  
Heart Association ◽  
Inpatient Setting ◽  
Medical Providers ◽  
Alarm Fatigue ◽  
Physician Awareness

Overuse of cardiac telemetry monitoring in the inpatient setting is widespread, contributes to alarm fatigue, and is costly for health systems. We sought to quantify the rates of provider unawareness of ongoing telemetry use and to quantify the rate of appropriate monitoring compared to American Heart Association (AHA) guidelines using a survey design. Inpatient medical providers were questioned about the presence of telemetry for each of their patients. In the 870 inquiries, 47% of patients were receiving telemetry. Providers’ awareness of whether their patient was receiving telemetry was inaccurate in 26% of assessments. A guideline-appropriate indication for telemetry use was provided in only 58% of assessments. Providers are often unaware of ongoing cardiac telemetry use in their patients, and may continue use despite the lack of a guideline-appropriate indication.

scholarly journals Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association

Circulation ◽  
2020 ◽  
Vol 141 (2) ◽  
Author(s):  
Abdulla A. Damluji ◽  
Daniel E. Forman ◽  
Sean van Diepen ◽  
Karen P. Alexander ◽  
Robert L. Page ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Intensive Care ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Assessment Tools ◽  
Age Related ◽  
Geriatric Conditions ◽  
Cardiac Intensive Care

Longevity is increasing, and more adults are living to the stage of life when age-related biological factors determine a higher likelihood of cardiovascular disease in a distinctive context of concurrent geriatric conditions. Older adults with cardiovascular disease are frequently admitted to cardiac intensive care units (CICUs), where care is commensurate with high age-related cardiovascular disease risks but where the associated geriatric conditions (including multimorbidity, polypharmacy, cognitive decline and delirium, and frailty) may be inadvertently exacerbated and destabilized. The CICU environment of procedures, new medications, sensory overload, sleep deprivation, prolonged bed rest, malnourishment, and sleep is usually inherently disruptive to older patients regardless of the excellence of cardiovascular disease care. Given these fundamental and broad challenges of patient aging, CICU management priorities and associated decision-making are particularly complex and in need of enhancements. In this American Heart Association statement, we examine age-related risks and describe some of the distinctive dynamics pertinent to older adults and emerging opportunities to enhance CICU care. Relevant assessment tools are discussed, as well as the need for additional clinical research to best advance CICU care for the already dominating and still expanding population of older adults.

scholarly journals Prevention of Complications in the Cardiac Intensive Care Unit: A Scientific Statement From the American Heart Association

Circulation ◽  
2020 ◽  
Vol 142 (22) ◽  
Author(s):  
Christopher B. Fordyce ◽  
Jason N. Katz ◽  
Carlos L. Alviar ◽  
Cynthia Arslanian-Engoren ◽  
Erin A. Bohula ◽  
...  
Keyword(s):  
Intensive Care ◽  
American Heart Association ◽  
Best Practice ◽  
American Heart ◽  
Heart Association ◽  
Evidence Based ◽  
Cardiac Intensive Care Unit ◽  
Evidence Based Practices ◽  
Scientific Statement ◽  
Cardiac Intensive Care

Contemporary cardiac intensive care units (CICUs) have an increasing prevalence of noncardiovascular comorbidities and multisystem organ dysfunction. However, little guidance exists to support the development of best-practice principles specific to the CICU. This scientific statement evaluates strategies to avoid the potentially preventable complications encountered within contemporary CICUs, focusing on those that are most applicable to the CICU environment. This scientific statement reviews evidence-based practices derived in non–CICU populations, assesses their relevance to CICU practice, and highlights key knowledge gaps warranting further investigation to attenuate patient risk.

Tap Water Colonization With Psmdomonas aeruginosa in a Surgical Intensive Care Unit (ICU) and Relation to Psmdomonas Infections of ICU Patients

2001 ◽  
Vol 22 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Matthias Trautmann ◽  
Thomas Michalsky ◽  
Heidemarie Wiedeck ◽  
Vladan Radosavljevic ◽  
Markus Ruhnke
Keyword(s):  
Intensive Care Unit ◽  
Pseudomonas Aeruginosa ◽  
Intensive Care ◽  
Tap Water ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Icu Patients ◽  
Time Periods ◽  
Care Ward ◽  
Intensive Care Ward

AbstractWater faucets on a surgical intensive care ward were examined prospectively as a source of Pseudomonas aeruginosa infections. All water outlets harbored distinct genotypes of P aeruginosa over prolonged time periods. Over a period of 7 months, 5 (29%) of 17 patients were infected with P aeruginosa genotypes also detectable in tap water.

scholarly journals O conhecimento sobre parada cardiorrespiratória dos enfermeiros que atuam na atenção básica

2012 ◽  
Vol 2 (4) ◽  
pp. 16
Author(s):  
Simone De Lima Tosi Amador ◽  
Kelly Cristina Pinheiro Costa Silva ◽  
Dayanne De Lima Cunha ◽  
Yara Cristina Peres Pissinatti ◽  
Verônica Aparecida dos Santos
Keyword(s):  
American Heart Association ◽  
American Heart ◽  
Cardiopulmonary Arrest ◽  
Family Health ◽  
Heart Association ◽  
Cardiorespiratory Arrest ◽  
Basic Health ◽  
Emergency Situations ◽  
Family Health Program ◽  
La Red

Desenvolveu-se um estudo, transversal, com o objetivo de identificar o conhecimento dos enfermeiros da rede básica, no atendimento a parada cardiorrespiratória. Foram entrevistados 24 enfermeiros da rede básica de saúde do município de Suzano. Situações de emergência, como a parada cardiorrespiratória, requerem habilidades e medidas iniciais que são primordiais no atendimento adequado, porém, foi possível identificar que os enfermeiros que atuam em Unidade Básica de Saúde/Programa de Saúde da Família, não estão atualizados perante a nova preconização da American Heart Association 2010, sendo que a atualização é essencial/primordial para um atendimento rápido e satisfatório.Descritores: Parada Cardiorrespiratória, Atenção Básica, Papel do Enfermeiro. Knowledge of cardiopulmonary arrest of nurses working in primary careAbstract: A cross study has been developed in order to identify the nurse’s knowledge from the basic health assistance while assisting a cardiorespiratory arrest. Twenty four nurses from the basic health assistance of the city of Suzano were interviewed. Emergency situations, such as cardiorespiratory arrest, requires skills and initial steps in the proper care, however, it was possible to identify that nurses, who work at Basic Health Unit/Family Health Program, are not updated before the new 2010 American Heart Association preconization, considering that the update is essential to a satisfactory attendance.Descriptors: Cardiopulmonary Resuscitation, Primary Care, Role of the Nurse. El conocimiento de la parada cardiorrespiratória de los enfermeiros que trabajan en atención primariaResumen: Se desarrolló un estudio transversal con el objetivo de identificar el conocimiento del enfermero en la red básica de salud en la atención a la parada cardiorrespiratoria. Fueron entrevistados veinticuatro enfermeros de la red básica de salud del municipio de Suzano. Situaciones de emergencia, como la PCR, requieren habilidades y medidas iniciales que son primordiales en la atención adecuada, pero, fue posible identificar que los enfermeros que actúan en Unidad Basica de Salud/Programa de Salud Familiar, no están actualizados ante la nueva preconización de la American Heart Association 2010, siendo que la actualización es esencial/primordial para una atención rápida y satisfactoria.Descriptores: Resucitación Cardiopulmonar, Atención Primaria, Rol de lo Enfermero.

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