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For stroke patients, hospital bed position is a delicate balancing act
During the first 24 hours after a stroke, attention to detail – such as hospital bed positioning – is critical to patient outcomes.
Most strokes are caused by blood clots that block blood flow to the brain. Sitting upright can harm the patient because it decreases blood flow and oxygen to the brain just when the brain needs more blood.
Thus it
Hold your breath to protect your Heart
Women who have breast cancer on their left side present a particular challenge to radiation oncologists. Studies have shown that the risk of heart disease is higher in this group of women after radiation treatment because it can be difficult to ensure that a sufficient dose of radiation is delivered to the left breast while adequately shielding the heart from exposure. New research shows a woman who holds her breath during radiation pulses can greatly reduce exposure to the heart.
?Big data? approach helps pinpoint possible new stent drug to prevent heart attacks
Stanford University School of Medicine researchers hunting for a better drug coating for coronary stents, the small mesh tubes used to prop open plaque-filled arteries, have pinpointed a cancer drug as a possible candidate.
In mice, crizotinib helped to prevent stent disease, the often-serious medical problem caused by stents themselves, without affecting the blood vessel lining. The medication has already been approved by the U.S. Food and Drug Administration for chemotherapy.
Proper dental care linked to reduced risk of respiratory infections in ICU patients
New research shows vulnerable patients in the Intensive Care Unit (ICU) who received enhanced oral care from a dentist were at significantly less risk for developing a lower respiratory tract infection (LRTI), like ventilator-associated pneumonia, during their stay.
‘Bacteria causing healthcare-associated infections often start in the oral cavity,’ said Fernando Bellissimo-Rodrigues, MD, lead author of the study. ‘This study suggests that having a dentist provide weekly care as part the ICU team may improve outcomes for vulnerable patients in this setting.’
Brazilian researchers utilised an observer-blind randomized clinical trial design to analyse data from 254 adult patients who stayed in a general ICU for at least 48 hours. Patients were randomized to receive enhanced dental care provided by a dentist, or to receive routine oral hygiene performed by the ICU nurse staff.
Enhanced dental care included teeth brushing, tongue scraping, removal of calculus, atraumatic restorative treatment of caries, tooth extraction and topical application of chlorhexidine corresponding to each patients’ needs four to five times a week. Comparatively, regular treatment consisted of mechanical cleansing using gauze followed by topical application of chlorhexidine three times a day.
Patients provided enhanced dental care were 56 percent less likely to develop a respiratory tract infection during their ICU stay compared to the control patient group. Researchers note that enhanced dental treatment, including oral antisepsis routinely performed in ICUs could be more effective in reducing the oral bacteria and help prevent migration of these bacteria into the lungs. SHEA
Infection control experts outline guidance for animal visitations in hospitals
New expert guidance by the Society for Healthcare Epidemiology of America (SHEA) outlines recommendations for developing policies regarding the use of animals in healthcare facilities, including animal-assisted activities, service animals, research animals and personal pet visitation in acute care hospitals.
‘Animals have had an increasing presence in healthcare facilities,’ said David Weber, MD, MPH, a lead author of the recommendations. ‘While there may be benefits to patient care, the role of animals in the spread of bacteria is not well understood. We have developed standard infection prevention and control guidance to help protect patients and healthcare providers via animal-to-human transmission in healthcare settings.’
Since evidence on the role animals play in the transmission of pathogens in healthcare facilities is largely unknown, the SHEA Guidelines Committee comprised of experts in infection control and prevention developed the recommendations based on available evidence, practical considerations, a SURVEY of SHEA members, writing group opinion and consideration of potential harm where applicable. The guidance was also endorsed by the Association for Professionals in Infection Control and Epidemiology (APIC), a professional association of more than 15,000 infection preventionists.
Guidance is grouped by the role of animals
MSC Cruises benefit from collaborative agreement between Carestream Health and Italy?s Gaslini Institute
MSC Cruises has become the first cruise line to offer a 24/7, multilingual pediatric telemedicine service on board its entire fleet thanks to an agreement with the renowned Instituto Giannina Gaslini Children
Glucose control in intensive care
The Space GlucoseControl system (SGC) is a nurse-driven, computer-assisted device for glycemic control combining infusion pumps with the enhanced Model Predictive Control algorithm. The authors aimed to investigate the performance of the SGC in medical critically ill patients.
Two open clinical investigations in tertiary centres in Graz, Austria and Zurich, Switzerland were performed. Efficacy was assessed by percentage of time within the target range (4.4
MRI machine provides in-depth analysis of strokes
New research conducted at the National High Magnetic Field Laboratory has revealed a new, innovative way to classify the severity of a stroke, aid in diagnosis and evaluate potential treatments.