Article
Surgery
Max A. Schumm, Ivy A. Huang, Kevin J. Blair, Catherine Nameth, Chi-Hong Tseng, Chi Quach, Justin P. Wagner, Catherine E. Lewis, Timothy R. Donahue, Areti Tillou
Summary: This study examines the impact of research timing on the perceived operative autonomy and career satisfaction of general surgery residents. The results show that PostPGY3 residents are more likely to perceive meaningful operative autonomy when starting dedicated research training. However, meaningful operative autonomy declines during dedicated research training, but PostPGY2 residents catch up to PostPGY3 residents by the fourth year. PostPGY3 residents also report higher satisfaction with dedicated research training.
Article
Emergency Medicine
Joseph Inhofer, Anthony Bertasi, Matthew Gangidine, Steven J. Repas, Jasmine Holmes, Micah Harris, Madeline Stull, Catherine Marco
Summary: This study found that there is no significant difference in CLABSI rates following catheter placement between the emergency department and the intensive care unit. Factors such as age, sex, indication, site, location, and type of healthcare professional placing the line did not affect the odds of CLABSI.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Gillian R. Schmitz, Corey McNeilly, Shelby Hoebee, Erik Blutinger, Jessie Fernandez, Christopher Kang, Sandra Schneider
Summary: The study found that the timing of Basic Life Support (BLS) training did not significantly impact the performance of CPR skills among emergency medicine physicians.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Pediatrics
William J. H. Ford, David G. Bundy, Suzette Oyeku, Moonseong Heo, Lisa Saiman, Rebecca E. Rosenberg, Patricia DeLaMora, Barbara Rabin, Philip Zachariah, Parsa Mirhaji, Elizabeth Klein, Oghale Obaro-Best, Michael Drasher, Alexandre Peshansky, Michael L. Rinke
Summary: This study evaluated the salvage of CVC in pediatric patients with ambulatory CLABSI and associated risk factors for treatment failure. The results showed that CVC salvage was frequently attempted and was successful in many cases, with specific factors such as underlying diagnosis, CVC type, and absence of candidemia being associated with attempted and successful salvage.
Article
Surgery
A. Masie Rahimi, Sem F. Hardon, Samuel R. Scholten, H. Jaap Bonjer, Freek Daams
Summary: There has been a significant increase in laparoscopic procedures performed by surgical residents. However, the retention of acquired skills is rarely studied. This study found that laparoscopic technical skills decreased 4 months after completing the basic laparoscopy course. It is recommended to incorporate maintenance training with objective parameters to preserve acquired skills.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Biochemistry & Molecular Biology
Yunliang Zang, Eve Marder, Shimon Marom
Summary: Important Na+ channels responsible for action potentials undergo rapid inactivation while the membrane potential remains depolarized. This rapid inactivation plays a role in millisecond-scale phenomena and affects spike shape and refractory periods. In addition, they also undergo much slower inactivation that has longer-term impacts on excitability. This study focuses on the contribution of slow inactivation to axonal excitability and shows that it is crucial for achieving proper axonal propagation.
Article
Hematology
Helen Havens Clark, Lance Ballester, Hilary Whitworth, Leslie Raffini, Char Witmer
Summary: Children with CVC-VTE are at increased risk for recurrent VTE. Secondary prophylaxis with full-dose anticoagulation was associated with a 65% reduction in odds of thrombotic events.
Article
Critical Care Medicine
Austin Camp, Kate Savoie, Nivedita Prasanna
Summary: We report a case of phlebitis caused by infusion of potassium chloride via a malpositioned central venous catheter, leading to severe and burning left-sided chest pain. The use of malpositioned central venous catheter requires careful consideration, as highlighted by this unique case, calling for additional review before its use for potentially irritating medication infusion.
Article
Nursing
Kent Young Morris, Rita Jakobsen
Summary: This study explores the experiences and perceptions of intensive care nurses in using a standardised central venous catheter procedure. The findings suggest that individualised practice and risk desensitisation pose threats to healthcare quality and patient safety, while professional working culture encourages compliance with the procedure.
INTENSIVE AND CRITICAL CARE NURSING
(2022)
Article
Computer Science, Information Systems
Lorne W. Walker, Andrew J. Nowalk, Shyam Visweswaran
Summary: This study utilized machine learning to predict outcomes of salvage of infected central venous catheters in pediatric CLABSI, showing that the infection recurrence model outperformed the CVC removal model. The research illustrated the variability of predictors over time.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Medicine, General & Internal
Minwoo Kang, Jinkun Bae, Sujin Moon, Tae Nyoung Chung
Summary: This study found that the tip-to-carina (TC) distance on chest X-ray can accurately detect the passage of central venous catheter (CVC) tip into the superior vena cava (SVC) and the right atrium (RA), with suggested cut-off reference values. This simple and precise method can confirm safe placement of the CVC tip and its optimal positioning for accurate hemodynamic monitoring.
Article
Emergency Medicine
Nicholas Pokrajac, Kimberly Schertzer, Kelly N. Roszczynialski, Ashley Rider, Sarah R. Williams, Cori M. Poffenberger, Michael A. Gisondi
Summary: The study suggests that using simulation-based mastery learning can improve emergency medicine faculty physicians' performance in CVC insertion, with recent completion of postgraduate training being a significant predictor of performance. The frequency of CVC insertion does not necessarily predict performance, and some faculty members lack documented experience in CVC insertion within one year.
AEM EDUCATION AND TRAINING
(2021)
Article
Critical Care Medicine
Chunshuang Wu, Mao Zhang, Wenjie Gu, Caimu Wang, Xudong Zheng, Junfeng Zhang, Xingwen Zhang, Shijin Lv, Xuwei He, Xiaoyuan Shen, Wenlong Wei, Guotao Wang, Yingru Lu, Qingli Chen, Renfei Shan, Lingcong Wang, Feng Wu, Ting Shen, Xuebo Shao, Jiming Cai, Fuzheng Tao, Haiying Cai, Qin Lu
Summary: This study evaluated the occurrence and evolution of central venous catheter-related thrombosis (CRT) in critically ill patients. The results showed that CRT is a common complication that can occur during the first week after catheter insertion. Half of the thromboses are small, but one-third are extensive. CRTs are often resolved after catheter removal.
INTENSIVE CARE MEDICINE
(2023)
Article
Oncology
Ceder H. van den Bosch, Judith Spijkerman, Marc H. W. A. Wijnen, Idske C. L. Kremer Hovinga, Friederike A. G. Meyer-Wentrup, Alida F. W. van der Steeg, Marianne D. van de Wetering, Marta Fiocco, Indra E. Morsing, Auke Beishuizen
Summary: The study aimed to determine the most optimal central venous catheter (CVC) for pediatric patients with Hodgkin lymphoma (HL) in terms of complications. The findings suggest that TIVAP is more suitable for pediatric patients with HL compared to PICC, as it reduces complications and early removal.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Pediatrics
Kumar K. Shashi, Michael J. Callahan, Andy Tsai
Summary: Central venous catheters are commonly used for prolonged and direct access to central venous circulation, but they come with a range of complications. There is a lack of standardized methods for conducting contrast-enhanced line studies, and interpretation of these studies can be challenging.
PEDIATRIC RADIOLOGY
(2022)
Article
Anesthesiology
Jaeyoung Park, Xiang Zhong, Yue Dong, Amelia Barwise, Brian W. Pickering
Summary: By developing a quantitative model, this study investigated the association between ICU operational conditions and the cognitive load and quantity of medication orders of the care team. The results highlight the importance of increasing situational awareness of the care team in detecting cognitive overload in the ICU.
BMC ANESTHESIOLOGY
(2022)
Editorial Material
Health Care Sciences & Services
Laure Flurin, Aysun Tekin, Marija Bogojevic, Simon Zec, Yuqiang Sun, Heyi Li, Alexander Finch, Sumera Ahmad, Rahul Kashyap, Ognjen Gajic, Alexander S. Niven, Yue Dong
Summary: The program aims to improve the quality of care in intensive care units through inexpensive virtual simulation training, with a high satisfaction rate of 94.4% among participants. Virtual interactions were found to be engaging and effective, even with simple technology, suggesting potential for broader application beyond critical care medicine.
SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE
(2022)
Review
Surgery
Shivang Bhakta, Young Erben, Devang Sanghavi, Susana Fortich, Yupeng Li, Mohammed M. Hasan, Yue Dong, Tara J. Brigham, Michael A. Edwards, James F. Meschia, Pablo Moreno Franco
Summary: This study conducted a systematic review and meta-analysis to assess the association between race and venous thromboembolism (VTE) in patients hospitalized with COVID-19. The results showed that there were comparable rates of deep vein thrombosis (DVT) and pulmonary embolism (PE) events between Black/African American and White patients.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2022)
Article
Health Care Sciences & Services
Santana Silver, Kayla Christine Jones, Sarah Redmond, Emily George, Sarah Zornes, Amelia Barwise, Aaron Leppin, Yue Dong, Lori A. A. Harmon, Vishakha K. K. Kumar, Christina Kordik, Allan J. J. Walkey, Mari-Lynn Drainoni
Summary: This study aimed to identify factors and strategies that hindered and facilitated the implementation of new critical care practices during the COVID-19 pandemic. Through interviews with critical care leaders in the US, the study found that staff resilience, commitment, and innovation, along with collaborative feedback and decision-making mechanisms between leadership and frontline staff, were important facilitators of implementation. On the other hand, barriers included lack of access to reliable and transferable information, available resources, and uncollaborative leadership and communication styles.
BMC HEALTH SERVICES RESEARCH
(2023)
Article
Critical Care Medicine
Abdul Wahab, Ryan J. Smith, Amos Lal, Laure Flurin, Michael Malinchoc, Yue Dong, Ognjen Gajic
Summary: The objective of this study was to identify and describe characteristics of sepsis patients who could be treated with minimally invasive sepsis (MIS) approach without intensive care unit (ICU) admission and to develop a prediction model for selecting candidates for MIS approach. A secondary analysis was conducted on the electronic database of sepsis patients at Mayo Clinic, Rochester, MN. The results showed that 6% of the patients met the criteria for MIS approach, and a prediction model with 8 variables was established to select candidates for MIS approach.
Review
Health Care Sciences & Services
Svetlana Herasevich, Jalal Soleimani, Chanyan Huang, Yuliya Pinevich, Yue Dong, Brian W. Pickering, Mohammad H. Murad, Amelia K. Barwise
Summary: This systematic review examined the frequency and causes of diagnostic errors in patients presenting to the emergency department with cardiovascular or cerebrovascular/neurological symptoms. The findings showed higher odds of missed acute myocardial infarction/acute coronary syndrome diagnosis among black patients compared to white patients. However, there was no consistent association between demographic groups and diagnostic errors related to cerebrovascular/neurological diagnoses. Standardized approaches to study design and measurement of diagnostic errors are needed in vulnerable populations.
BMJ QUALITY & SAFETY
(2023)
Article
Critical Care Medicine
Yuqiang Sun, Rahul Kashyap, Katherine Heise, Claudia Castillo Zambrano, Alexander Niven, Ognjen Gajic, Yue Dong
Summary: The CERTAIN education program was transformed from a live in-person course to a blended synchronous and asynchronous learning experience during the COVID-19 pandemic. The transition included adopting a flipped classroom model and utilizing virtual simulation. The results showed high learner satisfaction and the importance of overcoming challenges like language barriers and digital access.
Article
Medicine, Research & Experimental
Yuliya Pinevich, Amelia K. Barwise, John Matthew Austin, Jalal Soleimani, Svetlana Herasevich, Sarah Redmond, Yue Dong, Vitaly Herasevich, Ognjen Gajic, Brian W. Pickering
Summary: There is a lack of diagnostic performance measures associated with pulmonary embolism (PE). We explored the concept of time to diagnostic certainty, defined as the time interval between patient presentation and confirmed PE diagnosis. This approach helps identify variability in diagnostic performance and potential factors contributing to diagnostic errors or delays. Our study focused on adult patients with acute saddle PE, and found a range of diagnostic certainty times and treatment delays.
BIOMOLECULES AND BIOMEDICINE
(2023)
Meeting Abstract
Critical Care Medicine
Simon Zec, Anna Masoodi, Aysun Tekin, Dmytro Dziuba, Anna Yelina, Oleg Loskutov, Oleksandr Bugai, Meghan Brown, Lucrezia Rovati, Claudia Castillo Zambrano, Sara Nas-Zec, Linh Vu, Alexey Khavruchenko, Grygorii Khytryi, Roohi Ali, John Litell, Autumn Brogan, Yue Dong, Ognjen Gajic, Alexander Niven
CRITICAL CARE MEDICINE
(2023)
Meeting Abstract
Critical Care Medicine
Svetlana Herasevich, Amelia Barwise, Heidi Lindroth, Kirill Lipatov, Yuliya Pinevich, Yue Dong, Vitaly Herasevich, Brian Pickering
CRITICAL CARE MEDICINE
(2023)
Meeting Abstract
Critical Care Medicine
Meghan Brown, Aysun Tekin, Simon Zec, Anna Masoodi, Dmytro Dziuba, Lucrezia Rovati, Claudia Castillo Zambrano, Roohi Ali, Elissa Hall, Theresa Malin, Yue Dong, Ognjen Gajic, Alexander Niven
CRITICAL CARE MEDICINE
(2023)
Meeting Abstract
Critical Care Medicine
Meghan Brown, Simmy Lahori, Amy Montgomery, Yue Dong, Ognjen Gajic, Alexander Niven
CRITICAL CARE MEDICINE
(2023)
Article
Medicine, Research & Experimental
Santana Silver, Sarah Redmond, Kayla Christine Jones, Emily George, Sarah Zornes, Amelia Barwise, Aaron Leppin, Yue Dong, Lori A. Harmon, Vishakha K. Kumar, Christina Kordik, Mari-Lynn Drainoni, Allan J. Walkey
Summary: This study examined the relationship between implementation determinants and COVID-19 mortality rates. The findings showed that the implementation climate, leadership engagement, and engaging staff were associated with mortality outcomes. An implementation climate characterized by a trial-and-error approach was correlated with high mortality, while leadership engagement and engaging staff were correlated with low mortality. Improving clinical outcomes during future public health emergencies requires reducing barriers associated with high mortality and harnessing facilitators associated with low mortality.
JOURNAL OF CLINICAL AND TRANSLATIONAL SCIENCE
(2023)
Meeting Abstract
Critical Care Medicine
Linh Vu, Sarah Redmond, Yue Dong, Ognjen Gajic, Alexander Niven
CRITICAL CARE MEDICINE
(2023)
Meeting Abstract
Critical Care Medicine
Abdul Wahab, Ryan Smith, Amos Lal, Laure Flurin, Michael Malinchoc, Yue Dong, Ognjen Gajic
CRITICAL CARE MEDICINE
(2023)