B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE最新文献

Incidence and Risk Factors of Acute CVA Associated With ARDS Secondary to SARS-CoV-2 SARS-CoV-2继发性急性呼吸窘迫综合征(ARDS)相关急性CVA的发病率及危险因素

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3463

K. Krolikowski, C. Barnett, J. Yang, B. Gordon, H. Shah, P. Pamar, I. Atandi, D. Collazo, A. Lehr, L. Segal, S. Brosnahan

引用次数: 0

Increased Alpha Power in the Frontal Lobes With Diaphragm Neurostimulation in ARDS Patients 膈神经刺激增加ARDS患者额叶α功率

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3474

T. Bassi, E. Rohrs, M. Parfait, S. Reynolds, J. Mayaux, M. Decavèle, T. Similowski, A. Demoule, M. Dres

引用次数: 0

Does Thromboelastography in Non-trauma Critical Care Patients Promote the Judicious Use of Blood Products? 非创伤重症监护患者的血栓弹性成像是否能促进血液制品的明智使用?

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3461

S. Yu, O. Lin, T. Miller, W. Fang, G. Perkowski, C. Gates, B. Balakrishnan

{"title":"Does Thromboelastography in Non-trauma Critical Care Patients Promote the Judicious Use of Blood Products?","authors":"S. Yu, O. Lin, T. Miller, W. Fang, G. Perkowski, C. Gates, B. Balakrishnan","doi":"10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3461","DOIUrl":"https://doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3461","url":null,"abstract":"Background: Thromboelastography (TEG) revolutionized the resuscitation of critically ill trauma and cirrhotic patients by improving blood product utilization and survival outcomes. There is limited data on the application and outcomes of non-trauma critical care (NTCC) patients with TEG use. This study compares the blood product utilization, mortality, and other outcomes of NTCC patients using TEG or CCT-guided transfusion. Methods: This is a single-center retrospective observational exploratory study of adult NTCC patients admitted to the medical intensive care unit in a rural academic center. Eligible patients received transfusion of blood products (BPs) guided by CCT or TEG studies. The primary outcome compared BPs transfused. Secondary outcomes included methods to achieve hemostasis, 28-day readmission rate after discharge, and 28-day survival. Results: TEG was used in 80 (70.8%) patients. The TEG group received 4.5 more units of BPs than the CCT group (p=0.003). A clinically significant difference in BPs transfused was seen in packed red blood cells (p=0.064), platelets (p=0.003), and fresh frozen plasma (p=0.020). The methods to achieve hemostasis between the groups were statistically significant (p=0.021). The 28-day readmission-free rate was similar (42.5% vs. 54.5%, TEG vs. CCT, p=0.301), as was the 28-day survival after discharge (p=0.078) in both groups. Conclusions: TEG-guided transfusion increased the number of BPs transfused compared to CCT in NTCC patients. No difference between the two groups in achieving hemostasis, 28-day readmission rate, or 28-day mortality was observed. This study highlights the need to further analyze TEGguided resuscitation prior to adopting TEG into routine practice in NTCC settings.","PeriodicalId":309531,"journal":{"name":"B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132879659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors for Stroke Development After Thoracic Aortic Surgery 胸主动脉手术后卒中发生的危险因素

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3478

S. Pothapragada, L. Ayers, J. Chang, X. Geng, C. Shults, A. Zaaqoq

引用次数: 0

Neutrophil to Lymphocyte Ratio Is Associated With Mortality in Patients Undergoing Treatment for Hemato-oncologic Malignancies and Admitted for COVID 19 中性粒细胞与淋巴细胞比率与接受血液肿瘤恶性肿瘤治疗并因COVID - 19入院的患者死亡率相关

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3459

C. Wakefield, N. Yun, J. Borgia, A. Varma, C. Seder, T. M. Kuzel

引用次数: 0

Utilizing Renal Micropuncture to Understand Ventilator Induced Kidney Injury 应用肾微穿刺了解呼吸机所致肾损伤

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3470

A.J. Kumar, S. Thomson, M. Hepokoski

引用次数: 0

Multi-omics Analyses Reveal the Mechanisms of Ultra-early Stage Kidney Toxicity by Diquat 多组学分析揭示地奎特超早期肾毒性机制

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3471

H. Zhang, J. Zhang, J. Li, Z. Mao, J. Qian, C. Zong, H. Sun, B. Yuan

引用次数: 0

Increased Parasympathetic Activity in the Brain Vessels With Diaphragm Neurostimulation 膈神经刺激增加脑血管副交感神经活动

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3475

T. Bassi, E. Rohrs, M. Parfait, S. Reynolds, J. Mayaux, M. Decavèle, T. Similowski, A. Demoule, M. Dres

引用次数: 0

Measuring Changes in Respiratory Effort Using Central Venous Pressure in Patients on Non-invasive Ventilation After Extubation 用中心静脉压测量拔管后无创通气患者呼吸力的变化

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3477

P. Biselli, R. S. Nóbrega

引用次数: 0

Volumetric Patterns and Prognosis of Neurogenic Pulmonary Edema After Subarachnoid Hemorrhage 蛛网膜下腔出血后神经源性肺水肿的体积模式和预后

B46. OTHER SPECIALTIES IN THE ICU: TOPICS IN NEPHROLOGY, HEMATOLOGY/ONCOLOGY, AND MORE Pub Date : 2023-05-01 DOI: 10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a3465

T. Mutoh, K. Sasaki, J. Moroi, T. Ishikawa

引用次数: 0