scholarly journals Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR)

2020 ◽  
Vol 90 (1) ◽  
Author(s):  
Marta Lazzeri ◽  
Andrea Lanza ◽  
Raffaella Bellini ◽  
Angela Bellofiore ◽  
Simone Cecchetto ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Healthcare System ◽  
Exponential Growth ◽  
Position Paper ◽  
Acute Setting ◽  
Italian Association ◽  
Northern Regions ◽  
Respiratory Physiotherapy ◽  
Short Time

Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR) On February 2020, Italy, especially the northern regions, was hit by an epidemic of the new SARS-Cov-2 coronavirus that spread from China between December 2019 and January 2020. The entire healthcare system had to respond promptly in a very short time to an exponential growth of the number of subjects affected by COVID-19 (Coronavirus disease 2019) with the need of semi-intensive and intensive care units.

scholarly journals Otolaryngology activity in two hospitals in northern and central Italy differently affected by COVID-19 pandemic

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042199848
Author(s):  
Antonio Minni ◽  
Francesco Pilolli ◽  
Massimo Ralli ◽  
Niccolò Mevio ◽  
Luca Roncoroni ◽  
...  
Keyword(s):  
Intensive Care ◽  
Severe Acute Respiratory Syndrome ◽  
Intensive Care Units ◽  
Healthcare System ◽  
Central Italy ◽  
Northern Italy ◽  
Public Hospitals ◽  
Geographical Differences ◽  
Italian Regions

The Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic had a significant impact on the Italian healthcare system, although geographical differences were present; regions in northern Italy have been the most severely affected while regions in the south of the country were relatively spared. Otolaryngologists were actively involved in the management of the pandemic. In this work, we analyzed and compared the otolaryngology surgical activity performed during the pandemic in two large public hospitals located in different Italian regions. In northern Italy, otolaryngologists were mainly involved in performing surgical tracheotomies in COVID-19 positive patients and contributed to the management of these patients in intensive care units. In central Italy, where the burden of the infection was significantly lower, otolaryngologists focused on diagnosis and treatment of emergency and oncology patients. This analysis confirms the important role of the otolaryngology specialists during the pandemic, but also highlights specific differences between two large hospitals in different Italian regions.

Presence of Respiratory Physiotherapy in Spanish pediatric Intensive Care Units

2021 ◽  
Author(s):  
Ana Lista-Paz ◽  
Laura Torreiro Diéguez ◽  
Daní Martí Romeu ◽  
Sonia Souto Camba ◽  
Luz González Doniz ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Respiratory Physiotherapy

scholarly journals The ‘ephemeral’ intensive care units that saved the French healthcare system, a new concept to be preserved

2020 ◽  
Vol 38 (4) ◽  
pp. 441-442
Author(s):  
Franck Verdonk ◽  
Marc Garnier ◽  
Francis Bonnet ◽  
Matthieu Jabaudon
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Healthcare System ◽  
System A

scholarly journals A scaling approach to estimate the COVID-19 infection fatality ratio from incomplete data

2020 ◽  
Author(s):  
Beatriz Seoane
Keyword(s):  
Intensive Care ◽  
Mortality Rate ◽  
Intensive Care Units ◽  
Exponential Growth ◽  
Incomplete Data ◽  
Death Certificates ◽  
Antibody Prevalence ◽  
The World ◽  
Official Records ◽  
Similar Growth

AbstractSARS-CoV-2 has disrupted the life of billions of people around the world since the first outbreak was officially declared in China at the beginning of 2020. Yet, important questions such as how deadly it is or its degree of spread within different countries remain unanswered. In this work, we exploit the ‘universal’ growth of the mortality rate with age observed in different countries since the beginning of their respective outbreaks, combined with the results of the antibody prevalence tests in the population of Spain, to unveil both unknowns. We validate these results with an analogous antibody rate survey in the canton of Geneva, Switzerland. We also argue that the official number of deaths over 70 years old is importantly underestimated in most of the countries, and we use the comparison between the official records with the number of deaths mentioning COVID-19 in the death certificates to quantify by how much. Using this information, we estimate the fatality infection ratio (IFR) for the different age segments and the fraction of the population infected in different countries assuming a uniform exposure to the virus in all age segments. We also give estimations for the non-uniform IFR using the sero-epidemiological results of Spain, showing a very similar growth of the fatality ratio with age. Only for Spain, we estimate the probability (if infected) of being identified as a case, being hospitalized or admitted in the intensive care units as function of age. In general, we observe a nearly exponential growth of the fatality ratio with age, which anticipates large differences in total IFR in countries with different demographic distributions, with numbers that range from 1.82% in Italy, to 0.62% in China or even 0.14% in middle Africa.

Respiratory physiotherapy practice in intensive care units: a survey study

2017 ◽  
Author(s):  
Aslihan Cakmak ◽  
Deniz Inal Ince ◽  
Melda Saglam ◽  
Naciye Vardar Yagli ◽  
Cemile Bozdemir Ozel ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Survey Study ◽  
Physiotherapy Practice ◽  
Respiratory Physiotherapy

scholarly journals Forecasting the CoViD–19 Diffusion in Italy and the Related Occupancy of Intensive Care Units

2020 ◽  
Author(s):  
Livio Fenga
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Time Horizon ◽  
Forecast Period ◽  
Model Based ◽  
Italian Regions ◽  
Northern Regions

AbstractThis paper provides a model–based method for the forecast of the total number of currently CoVoD-19 positive individuals and of the occupancy of the available Intensive Care Units in Italy. The predictions obtained – for a time horizon of 10 days starting from March 29th – will be provided at a national as well as at a more disaggregate levels, following a criterion based on the magnitude of the phenomenon. While the Regions which have been hit the most by the pandemic have been kept separated, the less affected ones have been aggregated into homogeneous macro-areas. Results show that – within the forecast period considered (March 29th - April 7th) – all of the Italian regions will show a decreasing number of CoViD-19 positive people. Same for the number of people who will need to be hospitalized in a Intensive Care Unit (ICU). These estimates are valid under constancy of the Government’s current containment policies. In this scenario, Northern Regions will remain the most affected ones and no significant outbreak are foreseen in the southern regions.

scholarly journals Current Challenges Lack of the legality of Nurse Prescribing in Intensive Care Units: A Qualitative Study

2021 ◽  
Author(s):  
Azam Naderi ◽  
Abbas Abbaszadeh ◽  
Rostam Jalali ◽  
Marzieh Pazokian ◽  
Camelia Rohani
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Units ◽  
Healthcare System ◽  
Main Theme ◽  
Face To Face ◽  
Nurse Prescribing ◽  
Content Analysis Method ◽  
Successful Innovation

Abstract Background Nurse prescribing is a successful innovation in the role of nurses in the world. It is crucial to assess the challenges of nurse prescribing roles in the Intensive Care Units (ICU), due to the needs of the patients in these units. This qualitative study aimed was to explore the experts’ experiences regarding lack of the legality of nurse prescribing in ICU in the healthcare system of Iran. Methods Data were collected through semi structured face-to-face interviews with 33 experts chosen according to purposive and snowballing sampling with maximum variation. The interviews were analysed using Graneheim and Lundman's conventional content analysis method. After overviewing the interviews, semantic units, codes, subcategories, categories and themes were extracted. The qualitative data were analysed using MAXQDA software version 10. Results The main theme of the study was “The current challenges due to the illegality of nurse prescribing” with five categories and 12 subcategories. The five categories included the "current reality of illegal prescribing", "patient safety threat", "current conflicts", "physician as an autocratic group," and "prescribing demands." Conclusion Despite the nurse prescribing role has been legalized and implemented in many countries, there is still no law in the ICU and other places in Iran, and this lack of legality has led to the conflicts and challenges for the patients, nurses and healthcare system. The legality of nurse prescribing in the ICU can prevent medication errors and endangering patient safety.

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