BACKGROUND Improvements in hospital-based care have reduced early mortality in congenital heart disease. Later adverse outcomes may be reducible by focusing on care at or after discharge. We aimed to identify risk factors for such events within 1 year of discharge after intervention in infancy and, separately, to identify subgroups that might benefit from different forms of intervention. METH...

OBJECTIVE Hyperglycemia in intensive care unit patients has been associated with an increased mortality rate, and institutions have already begun tight glucose control programs based on a limited number of clinical trials in restricted populations. This study aimed to assess the generalizability of the association between hyperglycemia and in-hospital mortality in different intensive care unit ...

emergencies that can develop into rapidly evolving life-threatening situations requiring efficient and rapid interventions. In its original concept, the CCU was designed for arrhythmia monitoring and treatment of patients with acute coronary syndromes. In present scenario, the CCU has evolved into a critical care environment that delivers care both to patients with acute single-system cardiovas...

Introduction Prolonged stay in intensive care unit (ICU) after cardiac surgery may increase the long-term risk of readmission. Preoperative risk factors, surgical complications, infections and organ failure may need specific intensive support, increasing costs of reimbursement mainly for ICU interventions. Readmission costs over months after discharge may be a dependant of the need of intensive...

OBJECTIVE Inotrope score has been proposed as a marker of illness severity after pediatric cardiac surgery despite a lack of data to support its use as such. The goal of this study was to determine the association between inotropic/vasoactive support and clinical outcome in infants after cardiac surgery. DESIGN Retrospective chart review. SETTING Dedicated pediatric cardiothoracic intensive...

Dr Chris Aps has been involved, since the early 1980s, with the impact of the surgical patient on critical care provision. At that time, he established clinical techniques to lower patient dependency after cardiac surgery. This allowed for the postoperative management of such patients in a general recovery facility rather than in the formal Intensive Care Unit (ICU). This became known as cardia...

AIM In an effort to help alleviate the lack of an adequate pediatric cardiac surgical service that existed in Croatia following 1991 the International Childrens Heart Foundation (ICHF) was asked to provide the necessary surgery. Initially, this project was undertaken as a humanitarian program to provide pediatric cardiac operations. After 5 years, the Republic of Croatia financially sponsored t...

Background & Aims: Many complications could follow the operation as one of many treatments for cardiac problems. Anxiety is one of these complications, which could be perilous for patients affecting their hemodynamics before surgery. This research aimed to determine the effect of virtual tour training and orientation by nurses on patients' anxiety levels. Materials & Methods: This study is a p...

Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK Anaesthesia and Intensive Care Medicine, Southmead Hospital, North Bristol NHS Trust, Bristol, UK Imperial College Healthcare NHS Trust, London, UK Paediatric Intensive Care and Emergency Medicine, Université Libre de Bruxelles, Queen Fabiola Children’s University Hospital, Brussels, Belgium Cardiology and Intensive Care, ...