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Related Concept Videos

Pneumonia IV: Management01:28

Pneumonia IV: Management

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The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Endocarditis III: Medical Management01:18

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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

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Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
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Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
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ECMO for Neonatal Sepsis in 2019.

Warwick Wolf Butt1,2,3, Roberto Chiletti1,2

  • 1Paediatric Intensive Care Unit, Royal Children's Hospital, Melbourne, VIC, Australia.

Frontiers in Pediatrics
|March 11, 2020
PubMed
Summary

Sepsis in newborns can be fatal. Extracorporeal membrane oxygenation (ECMO) offers vital cardiorespiratory support, improving survival rates when initiated early and aggressively alongside other treatments.

Keywords:
ECMOinfectionneonatesepsisshock

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Area of Science:

  • Neonatal medicine
  • Pediatric critical care
  • Cardiopulmonary support

Background:

  • Sepsis and septic shock are significant causes of mortality and morbidity in newborns.
  • Outcomes depend on the causative organism and the primary infection site.
  • Effective management requires timely intervention and organ support.

Purpose of the Study:

  • To highlight the role of Extracorporeal Membrane Oxygenation (ECMO) in managing neonatal sepsis.
  • To emphasize the benefits of early and aggressive ECMO implementation.
  • To discuss factors influencing ECMO strategy in neonatal septic patients.

Main Methods:

  • Review of ECMO application in neonatal sepsis cases.
  • Analysis of ECMO modes and cannulation strategies.
  • Correlation of ECMO timing with patient outcomes.

Main Results:

  • ECMO provides essential cardiorespiratory support, ensuring adequate organ perfusion.
  • This support facilitates the administration of antibiotics and necessary surgical interventions.
  • Variable ECMO modes and cannulation sites are utilized based on clinical needs and institutional practices.

Conclusions:

  • Early and aggressive utilization of ECMO can significantly improve survival rates in neonatal sepsis.
  • ECMO is a critical tool for supporting neonates with severe sepsis and septic shock.
  • Tailoring ECMO strategy to individual patient requirements is crucial for optimal outcomes.