Pneumonia: Ventilator-associated https://greenmedinfo.com/category/keywords/Pneumonia%3A%20Ventilator-associated en Acute respiratory distress syndrome: Predictors of noninvasive ventilation failure and intensive care unit mortality in clinical practice. https://greenmedinfo.com/article/acute-respiratory-distress-syndrome-predictors-noninvasive-ventilation-failure PMID:  J Crit Care. 2016 Feb ;31(1):26-30. Epub 2015 Oct 30. PMID: 26643859 Abstract Title:  Acute respiratory distress syndrome: Predictors of noninvasive ventilation failure and intensive care unit mortality in clinical practice. Abstract:  PURPOSE: Noninvasive ventilation (NIV) is used as an initial ventilatory support in acute respiratory distress syndrome (ARDS), but its utility is unclear, and persistence in those who do not improve may delay intubation and lead to adverse outcomes. Hence, it becomes imperative to have a clear understanding of selecting patients who will benefit from this modality.METHODS: In this prospective observational study, we included all consecutive adults, over a 3-year period, who fulfilled criteria for ARDS by the Berlin definition. Basic demographics, ventilatory support, intensive care unit course, and outcome were recorded.RESULTS: Of 170 patients, 96 (56.47%) were initially managed with NIV. Noninvasive ventilation failure was seen in 42 (43.75%) of 96, and low baseline PaO2/FIO2, shock, and ARDS severity were associated with NIV failure. Overall intensive care unit mortality was 63 (37.1%) of 170, and high Acute Physiology and Chronic Health Evaluation II score, low PaO2/FIO2, shock, and ARDS severity were associated with increased mortality. Noninvasive ventilation failure and mortality were significantly higher in moderate and severe ARDS.CONCLUSIONS: Noninvasive ventilation maybe useful in selected patients with mild ARDS but should be used with great caution in moderate and severe ARDS, as failure risk is high. In addition, low PaO2/FIO2 and shock are associated with NIV failure. Acute Physiology and Chronic Health Evaluation II score, shock, low PaO2/FIO2, and ARDS severity are associated with increased mortality. <p><a href="https://greenmedinfo.com/article/acute-respiratory-distress-syndrome-predictors-noninvasive-ventilation-failure" target="_blank">read more</a></p> https://greenmedinfo.com/article/acute-respiratory-distress-syndrome-predictors-noninvasive-ventilation-failure#comments Acute Respiratory Distress Syndrome Increased Risk Pneumonia: Ventilator-associated Human Study Thu, 09 Apr 2020 22:52:46 +0000 greenmedinfo 218299 at https://greenmedinfo.com Echinacea solution was more effective in decreasing the oral microbial flora of patients in the intensive care unit. https://greenmedinfo.com/article/echinacea-solution-was-more-effective-decreasing-oral-microbial-flora-patients n/a PMID:  Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):481-485. PMID: 29184589 Abstract Title:  Comparing the Effect of Echinacea and Chlorhexidine Mouthwash on the Microbial Flora of Intubated Patients Admitted to the Intensive Care Unit. Abstract:  Background: Providing intubated patients admitted to the intensive care units with oral healthcare is one of the main tasks of nurses in order to prevent Ventilator-Associated Pneumonia (VAP). This study aimed at comparing the effects of two mouthwash solutions (echinacea and chlorhexidine) on the oral microbial flora of patients hospitalized in the intensive care units. Materials and Methods: In this clinical trial, 70 patients aged between18 and 65 years undergoing tracheal intubation through the mouth in three hospitals in Arak, were selected using simple random sampling and were randomly divided into two groups: the intervention group and the control group. The oral health checklist was used to collect the data (before and after the intervention). The samples were obtained from the orally intubated patients and were then cultured in selective media. Afterwards, the aerobic microbial growth was investigated in all culture media. The data were analyzed using SPSS software. Results: The microbial flora in the echinacea group significantly decreased after the intervention (&lt;0.0001) and it was also the case withmicrobial flora of the patients in the chlorhexidine group (&lt;0.001). After 4 days, the oral microbial flora of the patients in the intervention group was lower than that of the patients in the control group (&lt;0.001). Conclusions: The results showed that the echinacea solution was more effective in decreasing the oral microbial flora of patients in the intensive care unit. Given the benefits of the components of the herb Echinacea, it can be suggested as a viable alternative to chlorhexidine. https://greenmedinfo.com/article/echinacea-solution-was-more-effective-decreasing-oral-microbial-flora-patients#comments Echinacea Pneumonia: Ventilator-associated Antimicrobial Antimicrobial Echinacea Pneumonia: Ventilator-associated Superiority of Natural Substances versus Drugs Human Study Tue, 10 Apr 2018 14:53:41 +0000 greenmedinfo 162400 at https://greenmedinfo.com