Efficacy Of Portable Head Ct Scan In The Neuroscience Intensive Care Unit

1447 words - 6 pages

Portable Computed Tomography (CT) studies are an important component used to manage, assess and diagnose CNS diseases, and acute brain injuries, in the Neuroscience ICU (NICU). The portable device is designed specifically for head and neck scans for critically ill patients that are at risk for complications and increased morbidity during intrahospital transportation. Research has found evidence which substantiates that intrahospital transport of patients with brain injuries can impact their outcomes. Many hospital protocols dictate the use of portable head CT (pHCT) scanners to monitor and assess critically ill patients in the NICU, to decrease negative patient outcomes from intrahospital transportation. This is an important factor in reduction and prevention secondary injuries in critically ill patients. The intention of this paper is to critically analyze a research article entitled Portable Head CT Scan and its Effect on Intracranial Pressure (ICP), Cerebral Perfusion Pressure (CPP), and Brain Oxygen. First, there will be an article synopsis identifying the premise of the study. Second, validity of the study will be described and discussed. Lastly, this paper will discuss applicability to Neuroscience ICU at University of New Mexico (UNM) Hospital.
Article Synopsis:
The authors of this research article were from various Departments at University of Pennsylvania in Philadelphia. The researchers conducted a retrospective study to assess possible detrimental association of a pHCT on ICP, CPP, and brain oxygen in patients with severe brain injury. The retrospective study selected 34 patients (16 males and 18 females), with the mean age of 42 (±15 years), and Glasgow Coma Scores (GCS) ≤ 8 at the time of pHCT scan. Patient demographics were as follows: 15 had closed head injuries, 12 had subarachnoid hemorrhage (SAH), 4 had acute subdural hematoma (SDH), 1 with intracerebral hematoma (ICH), 1 gunshot wound, and 1 myocardial infarct (MI). All participants had a pHCT scan completed, and a minimum of 3 hours of brain oxygen monitoring before and after the scan. These patients were all treated at a NICU Level 1 trauma center at the Hospital of the University of Pennsylvania.
The patients were examined using the CereTom portable 8-scale CT scanner by NeuroLogica Corporation, along with continuous inspection of ICP, CPP, and brain tissue oxygenation. This study examined 57 pHCT scans that were administered to 34 patients. The pHCT scans were indicated as part of routine follow-up, postcraniotomy, suspected cerebral edema, altered mental status, post Licox placement/replacement, suspected stroke, suspected intracranial hemorrhage, ventriculostomy placement, seizure, or suspected carotid artery dissection. Patients had continuous intracranial and physiologic monitoring for the following: brain temperature, brain tissue oxygen pressure (PbtO2), heart rate, mean arterial blood pressure, oxygen saturation (SaO2) and ICP. Researchers...

Find Another Essay On Efficacy of Portable Head CT Scan in the Neuroscience Intensive Care Unit

The Neuroscience of Music Essay

1461 words - 6 pages The Neuroscience of Music One could approach any random stranger on the street and ask for a favorite song of theirs; they’d have it in a few seconds. Everyone knows the tingling feeling that rushes down your spine when your favorite part of a song comes up. And yet, I seriously doubt anyone would be able to explain how they recognize these things so candidly, or why their mind is so responsive to the phenomenon of music. The field of

A literature review on patient transport in Intensive Care units

4856 words - 19 pages to use specifically constructed carts including standard intensive care unit ventilators in a selected group of patients. To further reduce the rate of inadvertent mishaps resulting from transportation, alternative diagnostic modalities or techniques and performing surgical procedures in the intensive care unit should be considered.Introduction:The safest place for the critically ill patient is stationary in the intensive care unit (ICU

Preventing Catheter-Related Bloodstream Infections in Intensive Care Units

2274 words - 9 pages Central venous catheters, usually called CVCs, are extremely important for patients in any type of intensive care unit. It is because of their crucial role in the care of these patients that their troublesome risk of catheter-related bloodstream infections, sometimes referred to as CR-BSIs, has developed into such a problem. There are approximately 80,000 CR-BSIs diagnosed each year in the United States alone. These infections lead to nearly

The Efficacy of DARE

2410 words - 10 pages something, mostly one based on general principles independent of the thing to be explained. You can use theory to explain almost everything in life. Here we will try to use criminological theory to break down the efficacy of DARE. One major theory that I personally believe has a lot to do with drug resistance and diversion programs is Bentham and Beccarias idea of classical theory. Classical theory is based heavily on free will and rational choice. This

Telemedicne: Quality of Care and Efficacy

1609 words - 6 pages makers on health care for the status of telemedicine technology. Twenty-six of the comparative studies covered hospital or clinic based applications in the areas of cardiology, dermatology, geriatric care, infectious disease management, intensive care, mental health, neurology, ophthalmology, radiology, pathology, and sleep studies. Twenty comparative studies dealt with telehomecare applications in the areas of asthma, cardiology, chronic wounds

Sudden Death in Intensive Care - an examination on the bereavement process and counselling in an ITU environment

2759 words - 11 pages family/relatives are in agreement. In the clinical area there has generally been little uptake on this serviceThis assignment has briefly illustrated some of the actions taken immediately following the death of an individual in an intensive care unit. What is evident from the content of the assignment is the relatively insubstantial contact experienced with the family following the death of their relative/loved one in an intensive care unit

Neuroscience: The Study of the Brain

1341 words - 6 pages My literature review is on the topic of neuroscience, or the study of the brain. My first and second paragraphs focus on drugs and their effects on the human brain. My third paragraph involves the human brain and sleep. Most of my article reviews I did reports on this year went with the topic of the brain, or neuroscience. All of the articles I paired together in this review had something in common with the brain, drugs and their effects on the

The Efficacy of Deposit Insurance in the Australian Context

5068 words - 20 pages The Efficacy of Deposit Insurance in the Australian ContextIntroductionIn 2012, the International Monetary Fund (IMF) released their first Financial System Stability Assessment on Australia since the Global Financial Crisis of 2007-09. Despite the positive findings, one high priority recommendation was to convert the current funding arrangements for the Financial Claims Scheme (FCS) to an ex-ante funded scheme. To that end, in August 2013, the

The Role of Self-Efficacy in Behavioural Change

1514 words - 6 pages THE ROLE OF SELF EFFICACY IN BEHAVIOUR CHANGE The Oxford Dictionary has defined behaviour as the way in which one acts or conducts oneself, especially towards others. On the other hand, behavioural change is often a goal for a person to work directly with other people, group of people, population, organizations, or governments.(Glanz,Lewis, & Rimers, 1990, p. 17) Behavioural change can occur when the positive behaviours one wants are

Efficacy of Training in Cricket

886 words - 4 pages EFFICACY OF TRAINING IN CRICKET Mubashir Hassan Cricket is a power-endurance sport played for many hours at a stretch, often on consecutive days in the longer version. Many matches are won in the last minutes of the game by the fitter side. It is all very well to refine skills, but a player will not perform to his true potential unless fit. Gone are the days when it was presumed that playing lot of cricket renders players more powerful or less

Evaluation of common methods used in the study of cognitive neuroscience

1345 words - 5 pages in cognitive neuroscience, the first method to be developed was the PET scan which was introduced in the late 1950’s. It involves a small amount of radioactive glucose (2-deoxyglucose) to be injected into the carotid artery and accumulated in the most active areas of the body, giving off gamma radiation. These signals are then picked up by the computer’s sensors and transcribed into images of the brain, highlighting the most active areas of the

Similar Essays

Continuous Renal Replacement Therapy In The Intensive Care Unit

3235 words - 13 pages that will be used is continuous veno-venous hem filtration (CVVH). Outcome Measure and Analysis: The primary outcome of the trial is the death from any cause in the intensive care and within 90 days after randomization.Seconday outcome are death within 28 days after randomization, death in the intensive care units ,in-hospital death, cessation of renal replacement therapy, duration of intensive care unit stay ,duration of

A Career In Intensive Care Unit

1349 words - 6 pages Intensive care unit my reason for studying this career is because knowing that you can help the patients. Many people out there are really sick. Not only can you help them also you watch them for long periods of times. They make sure the kids are okay and the grown people are doing well. Being there to help really sick people is something I would love to do. It was established in 1964 to help educate nurses working

Does Music Therapy Improve Premature Infants’ Physiologic Outcomes In The Neonatal Intensive Care Unit?

736 words - 3 pages research that had continued on the subject of music therapy in the neonatal intensive care unit (NICU) in the decade since. Thirty studies met the author’s criteria for inclusion and were evaluated by independent variable, dependent variable and results (Standley, 2012). Standley (2012) found that overall there were positive benefits of music therapy with significant effects on heart rate, behavior state, oxygen saturation, sucking or feeding

Shadowing Manager At Washington Adventist University Intensive Care Unit

999 words - 4 pages the patient react, the nurses must follow the principle of “do-no-harm.” The nurse manager also should build a team in the unit. The care provider team as a whole such as nurses, nurse assistants, physicians, physician assistants, secretary, security, janitors all work together to make up a better health care team and a safe environment to work on. Furthermore, in a first-line nurse manager’s goal-profile, the priority is to focus on