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Proning
Proning or prone positioning is the placement of patients into a prone position so that they are lying on their front. This is used in the treatment of patients in intensive care with acute respiratory distress syndrome (ARDS). It has been especially tried and studied for patients on ventilators but, during the COVID-19 pandemic, it is being used for patients with oxygen masks and CPAP as an alternative to ventilation. Intensive care Prone positioning may be used for people suffering from acute respiratory distress syndrome (ARDS) to improve their breathing. If the patient is undergoing intensive care and sedated then this is a difficult procedure because lifting and turning the unconscious patient requires many staff or special equipment. If they are intubated then care has to be taken to manage the tangle of associated lines and tubes. A 2011 meta-analysis of 48 studies found that there were no negative effects on mortality for patients in intensive care but that a sig ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Acute Respiratory Distress Syndrome
Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. Symptoms include shortness of breath (dyspnea), rapid breathing (tachypnea), and bluish skin coloration (cyanosis). For those who survive, a decreased quality of life is common. Causes may include sepsis, pancreatitis, trauma, pneumonia, and aspiration. The underlying mechanism involves diffuse injury to cells which form the barrier of the microscopic air sacs of the lungs, surfactant dysfunction, activation of the immune system, and dysfunction of the body's regulation of blood clotting. In effect, ARDS impairs the lungs' ability to exchange oxygen and carbon dioxide. Adult diagnosis is based on a PaO2/FiO2 ratio (ratio of partial pressure arterial oxygen and fraction of inspired oxygen) of less than 300 mm Hg despite a positive end-expiratory pressure (PEEP) of more than 5 cm H2O. Cardiogenic pulmonary edema, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Prone Position
Prone position () is a body position in which the person lies flat with the chest down and the back up. In anatomical terms of location, the dorsal side is up, and the ventral side is down. The supine position is the 180° contrast. Etymology The word ', meaning "naturally inclined to something, apt, liable," has been recorded in English since 1382; the meaning "lying face-down" was first recorded in 1578, but is also referred to as "lying down" or "going prone." ''Prone'' derives from the Latin ', meaning "bent forward, inclined to," from the adverbial form of the prefix ''pro-'' "forward." Both the original, literal, and the derived figurative sense were used in Latin, but the figurative is older in English. Anatomy In anatomy, the prone position is a position of the human body lying face down. It is opposed to the supine position which is face up. Using the terms defined in the anatomical position, the ventral side is down, and the dorsal side is up. Concerning the forea ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Neonate With Electrical Impedance Tomography Electrodes
In common terminology, a baby is the very young offspring of adult human beings, while infant (from the Latin word ''infans'', meaning 'baby' or 'child') is a formal or specialised synonym. The terms may also be used to refer to Juvenile (organism), juveniles of other organisms. A newborn is, in colloquial use, a baby who is only hours, days, or weeks old; while in medical contexts, a newborn or neonate (from Latin, ''neonatus'', newborn) is an infant in the first 28 days after Human birth, birth (the term applies to Preterm birth, premature, Pregnancy#Term, full term, and Postterm pregnancy, postmature infants). Infants born prior to 37 weeks of gestation are called "premature", those born between 39 and 40 weeks are "full term", those born through 41 weeks are "late term", and anything beyond 42 weeks is considered "post term". Before birth, the offspring is called a fetus. The term ''infant'' is typically applied to very young children under one year of age; however, defini ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intensive Care Society
The Intensive Care Society is the representative body in the United Kingdom for intensive care professionals and patients and the oldest society for critical care medicine in the world. The Society is dedicated to the delivery of the highest quality of critical care to patients in the United Kingdom. It performs many functions for the intensive care community in the United Kingdom such as the production of guidelines and standards, staging national meetings, training courses and focus groups. It represents Intensive Care in wide-ranging organisations from the Royal Colleges to the Department of Health and other organisations and societies with a stake or interest in intensive care. It was previously an organisation responsible for promoting and maintaining intensive care and critical care medicine in the United Kingdom. It was represented on the Intercollegiate Board for Training in Intensive Care until responsibility for design and accreditation of training in Intensive Care Med ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
The Times
''The Times'' is a British Newspaper#Daily, daily Newspaper#National, national newspaper based in London. It began in 1785 under the title ''The Daily Universal Register'', adopting its modern name on 1 January 1788. ''The Times'' and its sister paper ''The Sunday Times'' (founded in 1821), are published by Times Media, since 1981 a subsidiary of News UK, in turn wholly owned by News Corp. ''The Times'' and ''The Sunday Times'' were founded independently and have had common ownership only since 1966. It is considered a newspaper of record in the UK. ''The Times'' was the first newspaper to bear that name, inspiring numerous other papers around the world. In countries where these other titles are popular, the newspaper is often referred to as or , although the newspaper is of national scope and distribution. ''The Times'' had an average daily circulation of 365,880 in March 2020; in the same period, ''The Sunday Times'' had an average weekly circulation of 647,622. The two ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Critical Care Medicine (journal)
''Critical Care Medicine'' is a peer-reviewed monthly medical journal that focuses on intensive care medicine. Founded in 1973 by William C. Shoemaker, the journal serves as the official publication of the Society of Critical Care Medicine. It is published by Lippincott Williams & Wilkins and led by editor-in-chief Timothy G. Buchman. Abstracting and indexing The journal is abstracted and indexed in: According to the ''Journal Citation Reports'', the journal has a 2020 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a type of journal ranking. Journals with higher impact factor values are considered more prestigious or important within their field. The Impact Factor of a journa ... of 7.598, ranking it 5th out of 82 journals in the category "'Critical Care and Intensive Care Medicine". Editors * William C. Shoemaker, 1972-1991 * Bart Chernow, 1991-1997 * Joseph E. Parrillo, 1997-2014 * Timothy G. Buchman, 2015–present Ref ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intensive Care Medicine (journal)
''Intensive Care Medicine'' is a monthly peer-reviewed medical journal covering intensive care medicine, intensive care or critical care and emergency medicine. It was established in 1975 as the ''European Journal of Intensive Care Medicine'' and obtained its current name in 1977. It is the official journal of thEuropean Society of Intensive Care Medicine The editor-in-chief iGiuseppe Citerio(University of Milano Bicocca). It is published by Springer Science+Business Media. "Intensive Care Medicine" is the publication platform for communicating and exchanging current work and ideas in intensive care medicine. It is intended for all those who are involved in intensive medical care, physicians, anaesthetists, surgeons, paediatricians, as well as those concerned with pre-clinical subjects and medical sciences basic to these disciplines. The journal publishes: review articles reflecting the present state of knowledge in special areas or summarizing limited themes in which discussion has ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Supine Position
The supine position () means lying horizontally, with the face and torso facing up, as opposed to the prone position, which is face down. When used in surgical procedures, it grants access to the peritoneal, thoracic, and pericardium, pericardial regions; as well as the head, neck, and extremities. Using anatomical terms of location, the dorsal side is down, and the ventral side is up, when supine. Semi-supine In scientific literature "semi-supine" commonly refers to positions where the upper body is tilted (at 45° or variations) and not completely horizontal. Relation to sudden infant death syndrome The decline in death due to sudden infant death syndrome (SIDS) is said to be attributable to having babies sleep in the supine position. The realization that infants sleeping face down, or in a prone position, had an increased mortality rate re-emerged into medical awareness at the end of the 1980s when two researchers, Susan Beal in Australia and Gus De Jonge in the Nether ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Recovery Position
In first aid, the recovery position (also called semi-prone) is one of a series of variations on a lateral recumbent or three-quarters prone position of the body, often used for unconscious but breathing casualties. An unconscious person, a person who is assessed on the Glasgow Coma Scale (GCS) at eight or below, in a supine position (on the back) may not be able to maintain an open airway as a conscious person would. This can lead to an obstruction of the airway, restricting the flow of air and preventing gaseous exchange, which then causes hypoxia, which is life-threatening. Thousands of fatalities occur every year in casualties where the cause of unconsciousness was not fatal, but where airway obstruction caused the patient to suffocate. This is especially true for unconscious pregnant women; once turned on to their left side, pressure is relieved on the inferior vena cava, and venous return is not restricted. The cause of unconsciousness can be any reason from trauma ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Positional Asphyxia
Positional asphyxia, also known as postural asphyxia, is a form of asphyxia which occurs when someone's position prevents the person from breathing adequately. People may die from positional asphyxia accidentally, when the mouth and nose are blocked, or where the chest may be unable to fully expand. Background A 1992 article in ''The American Journal of Forensic Medicine and Pathology'' and a 2000 article in ''The American Journal of Forensic Medicine and Pathology'' said that multiple cases have been associated with the hogtie or hobble prone restraint position. The New York Police Department's guidelines, explaining protocols for mitigating in-custody deaths, were published in a 1995 Department of Justice bulletin on "positional asphyxia." The NYPD recommended that, " soon as the subject is handcuffed, get him off his stomach. Turn him on his side or place him in a seated position." A 1996 FBI bulletin said that many law enforcement and health personnel were being taught ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ventilator-associated Pneumonia
Ventilator-associated pneumonia (VAP) is a type of lung infection that occurs in people who are on mechanical ventilation breathing machines in hospitals. As such, VAP typically affects critically ill persons that are in an intensive care unit (ICU) and have been on a mechanical ventilator for at least 48 hours. VAP is a major source of increased illness and death. Persons with VAP have increased lengths of ICU hospitalization and have up to a 20–30% death rate. The diagnosis of VAP varies among hospitals and providers but usually requires a new infiltrate on chest x-ray plus two or more other factors. These factors include temperatures of >38 °C or 12 billion/mL, purulent secretions from the airways in the lung, and/or reduction in gas exchange. A different less studied infection found in mechanically ventilated people is ventilator-associated tracheobronchitis (VAT). As with VAP, tracheobronchial infection can colonise the trachea and travel to the bronchi. VAT may be ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
