Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

3 results

  • Parental holding of infants improves haemodynamics in the cardiac ICU

  • Justin J. Elhoff, Sebastian Acosta, Saul Flores, Julie LaSalle, Rohit Loomba, Molly McGetrick, Christy McKinney, Megan Ostrom, Chetna K. Pande, Robin Schlosser, Sarah Schwab, Fabio Savorgnan
  • Journal:
    Cardiology in the Young , First View
    Published online by Cambridge University Press:
    28 November 2023, pp. 1-6
    • Article
      • You have access
      • Open access
    • PDF
    • HTML
    • Export citation

  • We performed a single-centre, retrospective study to assess physiologic changes of infants in the cardiac ICU while being held by their parent. Continuous data streaming of vital signs were collected for infants included in the study from January 2021 to March 2022. Demographic and clinical characteristics were collected from the electronic medical record. The physiologic streaming data were analysed using mixed-effects models to account for repeated measures and quantify the effect of parental holding. Comparison analysis was also performed controlling for intubation, pre-operative versus post-operative status, and whether the holding was skin-to-skin or not. Ninety-five patients with complete physiologic data were included in the study. There were no immediate adverse events associated with holding. Heart rate decreased during the response time compared to its baseline value (p = 0.01), and this decrease was more pronounced for the non-intubated and pre-operative patients. The near-infrared spectroscopy-based venous saturation increased overall (p = 0.02) in patients while being held. We conclude that parental holding of infants in the cardiac ICU can be safely accomplished, and the haemodynamic and oximetric profile during the holding is favourable compared to the infants’ baseline prior to holding.

  • Implementation Lessons Learned From the Benefits of Enhanced Terminal Room (BETR) Disinfection Study: Process and Perceptions of Enhanced Disinfection with Ultraviolet Disinfection Devices

  • Deverick J. Anderson, Lauren P. Knelson, Rebekah W. Moehring, Sarah S. Lewis, David J. Weber, Luke F. Chen, Patricia F. Triplett, Michael Blocker, R. Marty Cooney, J. Conrad Schwab, Yuliya Lokhnygina, William A. Rutala, Daniel J. Sexton, for the CDC Prevention Epicenters Program
  • Journal:
    Infection Control & Hospital Epidemiology / Volume 39 / Issue 2 / February 2018
    Published online by Cambridge University Press:
    14 January 2018, pp. 157-163
    Print publication:
    February 2018
  • OBJECTIVE

    To summarize and discuss logistic and administrative challenges we encountered during the Benefits of Enhanced Terminal Room (BETR) Disinfection Study and lessons learned that are pertinent to future utilization of ultraviolet (UV) disinfection devices in other hospitals

    DESIGN

    Multicenter cluster randomized trial

    SETTING AND PARTICIPANTS

    Nine hospitals in the southeastern United States

    METHODS

    All participating hospitals developed systems to implement 4 different strategies for terminal room disinfection. We measured compliance with disinfection strategy, barriers to implementation, and perceptions from nurse managers and environmental services (EVS) supervisors throughout the 28-month trial.

    RESULTS

    Implementation of enhanced terminal disinfection with UV disinfection devices provides unique challenges, including time pressures from bed control personnel, efficient room identification, negative perceptions from nurse managers, and discharge volume. In the course of the BETR Disinfection Study, we utilized several strategies to overcome these barriers: (1) establishing safety as the priority; (2) improving communication between EVS, bed control, and hospital administration; (3) ensuring availability of necessary resources; and (4) tracking and providing feedback on compliance. Using these strategies, we deployed ultraviolet (UV) disinfection devices in 16,220 (88%) of 18,411 eligible rooms during our trial (median per hospital, 89%; IQR, 86%–92%).

    CONCLUSIONS

    Implementation of enhanced terminal room disinfection strategies using UV devices requires recognition and mitigation of 2 key barriers: (1) timely and accurate identification of rooms that would benefit from enhanced terminal disinfection and (2) overcoming time constraints to allow EVS cleaning staff sufficient time to properly employ enhanced terminal disinfection methods.

    TRIAL REGISTRATION

    Clinical trials identifier: NCT01579370

    Infect Control Hosp Epidemiol 2018;39:157–163