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  1. Article: Percutaneous tracheostomy in COVID-19 patients: The Miami model.

    Akkineni, Sisir / Adkinson, Brian Cody / Arias, Sixto

    Respiratory medicine case reports

    2020  Volume 31, Page(s) 101237

    Abstract: The surge in critically ill patients requiring mechanical ventilation fueled by the COVID-19 pandemic has strained healthcare systems globally. With the increasing need for critical care resources, tracheostomy can facilitate weaning from mechanical ... ...

    Abstract The surge in critically ill patients requiring mechanical ventilation fueled by the COVID-19 pandemic has strained healthcare systems globally. With the increasing need for critical care resources, tracheostomy can facilitate weaning from mechanical ventilation and potentially increase availability of critical care resources. In this case series of three patients, we describe our technique for performing bedside percutaneous tracheostomy on patients with persistently positive SARS-CoV-2 real time polymerase chain reaction (RT-PCR). We hope to provide proceduralists with a specific method for percutaneous tracheostomies that is both safe for the patient and provider.
    Keywords covid19
    Language English
    Publishing date 2020-09-28
    Publishing country England
    Document type Case Reports
    ZDB-ID 2666110-X
    ISSN 2213-0071
    ISSN 2213-0071
    DOI 10.1016/j.rmcr.2020.101237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Endobronchial valves: a bridge to definitive surgical management in COVID-19 recurrent pneumothorax.

    Szewczyk, Joanne / Adkinson, Brian Cody / Akkineni, Sisir / Nguyen, Dao M / Arias, Sixto A / Villamizar, Nestor R

    Journal of thoracic disease

    2021  Volume 13, Issue 1, Page(s) 411–413

    Language English
    Publishing date 2021-01-16
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-20-3248
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Percutaneous tracheostomy in COVID-19 patients

    Sisir Akkineni / Brian Cody Adkinson / Sixto Arias

    Respiratory Medicine Case Reports, Vol 31, Iss , Pp 101237- (2020)

    The Miami model

    2020  

    Abstract: The surge in critically ill patients requiring mechanical ventilation fueled by the COVID-19 pandemic has strained healthcare systems globally. With the increasing need for critical care resources, tracheostomy can facilitate weaning from mechanical ... ...

    Abstract The surge in critically ill patients requiring mechanical ventilation fueled by the COVID-19 pandemic has strained healthcare systems globally. With the increasing need for critical care resources, tracheostomy can facilitate weaning from mechanical ventilation and potentially increase availability of critical care resources. In this case series of three patients, we describe our technique for performing bedside percutaneous tracheostomy on patients with persistently positive SARS-CoV-2 real time polymerase chain reaction (RT-PCR). We hope to provide proceduralists with a specific method for percutaneous tracheostomies that is both safe for the patient and provider.
    Keywords Percutaneous tracheostomy ; COVID-19 ; Diseases of the respiratory system ; RC705-779 ; covid19
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Percutaneous tracheostomy in COVID-19 patients

    Akkineni, Sisir / Adkinson, Brian Cody / Arias, Sixto

    Respiratory Medicine Case Reports

    The Miami model

    2020  Volume 31, Page(s) 101237

    Keywords Pulmonary and Respiratory Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2666110-X
    ISSN 2213-0071
    ISSN 2213-0071
    DOI 10.1016/j.rmcr.2020.101237
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  5. Article: Percutaneous Tracheostomy in COVID-19 Patients: The Miami Model

    Akkineni, Sisir / Adkinson, Brian Cody / Arias, Sixto

    Respiratory Medicine Case Reports

    Abstract: The surge in critically ill patients requiring mechanical ventilation fueled by the COVID-19 pandemic has strained healthcare systems globally With the increasing need for critical care resources, tracheostomy can facilitate weaning from mechanical ... ...

    Abstract The surge in critically ill patients requiring mechanical ventilation fueled by the COVID-19 pandemic has strained healthcare systems globally With the increasing need for critical care resources, tracheostomy can facilitate weaning from mechanical ventilation and potentially increase availability of critical care resources In this case series of three patients, we describe our technique for performing bedside percutaneous tracheostomy on patients with persistently positive SARS-CoV-2 real time polymerase chain reaction (RT-PCR) We hope to provide proceduralists with a specific method for percutaneous tracheostomies that is both safe for the patient and provider
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #798865
    Database COVID19

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  6. Article ; Online: Computed Tomography During Bronchoscopic Lung Splinting for Atelectasis.

    Adkinson, Brian Cody / Akkineni, Sisir / Villamizar, Nestor R / Donna, Elio E / Yarmus, Lonny B / Arias, Sixto A

    The Annals of thoracic surgery

    2021  Volume 112, Issue 3, Page(s) e189–e191

    Abstract: A 64-year-old man experienced persistent atelectasis of the right lung after right upper lobectomy. To simultaneously visualize the airways and lung parenchyma in real time, chest computed tomography was performed while pneumatically splinting the lung ... ...

    Abstract A 64-year-old man experienced persistent atelectasis of the right lung after right upper lobectomy. To simultaneously visualize the airways and lung parenchyma in real time, chest computed tomography was performed while pneumatically splinting the lung open via insufflation through the working channel of a bronchoscope. The bronchi were patent but peripheral consolidations within the remaining right lung were visualized, representative of pneumonia. The patient fully recovered with antimicrobial therapy. Computed tomography during bronchoscopic pneumatic lung splinting is an advanced diagnostic for the investigation of persistent atelectasis.
    MeSH term(s) Bronchoscopy/methods ; Humans ; Intraoperative Period ; Male ; Middle Aged ; Pulmonary Atelectasis/diagnostic imaging ; Pulmonary Atelectasis/surgery ; Surgery, Computer-Assisted ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-01-06
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2020.10.069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 252: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Healthcare Utilization by Frail, Community-Dwelling Older Veterans: A 1-Year Follow-up Study.

    Zylberglait Lisigurski, Miriam / Bueno, Yolin A / Karanam, Chandana / Andrade, Allen D / Akkineni, Sisir / Cevallos, Victor / Ruiz, Jorge G

    Southern medical journal

    2017  Volume 110, Issue 11, Page(s) 699–704

    Abstract: Objectives: Frailty is a prevalent clinical syndrome associated with a high risk of adverse health outcomes, including disability, morbidity, and mortality, that has become a major challenge for the healthcare system. The aim of this prospective study ... ...

    Abstract Objectives: Frailty is a prevalent clinical syndrome associated with a high risk of adverse health outcomes, including disability, morbidity, and mortality, that has become a major challenge for the healthcare system. The aim of this prospective study was to determine the level of healthcare utilization in prefrail and frail community-dwelling older military veterans.
    Methods: We studied a cohort of community-dwelling older veterans aged 65 years and older 1 year at the Miami Veterans Affairs Medical Center to determine their levels of healthcare utilization. We administered the 5-item FRAIL (Fatigue, Resistance, Ambulation, Illnesses, & Loss of Weight) scale, from which patients were categorized into three groups: robust, prefrail, and frail. Chart reviews were conducted to confirm weight loss and number of illnesses. One year later, information regarding hospital admissions, emergency department (ED) visits, and primary care visits was obtained.
    Results: We evaluated 291 participants, mean age 74 ± 8 years, 112 (38.5%) of whom were African American, 179 (61.5%) were white, and 40 (13.7%) were Hispanic. Overall, 49 (16.8%) participants were frail, and 161 (55.4%) prefrail. After adjusting for age and Charlson Comorbidity Index, frail status was associated with ED admission (odds ratio [OR] 2.7, 95% confidence interval [CI] 1.2-6.1) and primary care visits (OR 3.4, 95% CI 1.5-7.3); however, it was not significantly associated with hospital admission (OR 2.2, 95% CI 0.9-5.2).
    Conclusions: In a sample of community-dwelling older veterans, frailty was found to be significantly associated with an increased frequency of ED visits and primary care visits, but not with hospital admissions. Identifying patients with frailty may allow for targeted interventions that improve healthcare outcomes and may reduce healthcare utilization.
    Language English
    Publishing date 2017-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 185329-6
    ISSN 1541-8243 ; 0038-4348
    ISSN (online) 1541-8243
    ISSN 0038-4348
    DOI 10.14423/SMJ.0000000000000722
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.117: Show issues Location:
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  8. Article ; Online: The Association of Graph Literacy With Use of and Skills Using an Online Personal Health Record in Outpatient Veterans.

    Ruiz, Jorge G / Andrade, Allen D / Hogue, Christie / Karanam, Chandana / Akkineni, Sisir / Cevallos, David / Anam, Ramanakumar / Sharit, Joseph

    Journal of health communication

    2016  Volume 21, Issue sup2, Page(s) 83–90

    Abstract: Personal health records (PHRs) are intended to increase patients' access to and ownership over their health care information for self-management purposes. The purpose of this study was to determine the association of graph literacy with adoption of an ... ...

    Abstract Personal health records (PHRs) are intended to increase patients' access to and ownership over their health care information for self-management purposes. The purpose of this study was to determine the association of graph literacy with adoption of an online PHR and, among adopters with self-reported skills, the frequency of use and intent to return to use the PHR . We conducted a cross-sectional survey of veterans receiving outpatient care. We measured health literacy, numeracy, graph literacy, and Internet and PHR adoption and use. We compared subgroups of veterans using analyses of covariance. We used hierarchical logistic regression models to estimate the effects of the literacy variables on PHR use. A total of 600 veterans (age = 22-94) participated in the survey. After we adjusted for known covariates, we found that adopters of a PHR were more likely to demonstrate higher health and graph literacy than nonadopters. Among PHR adopters, self-reported frequent and skillful users were more likely to have higher graph literacy than lower frequency and less skillful users. Adopters with higher intentions to return to use the PHR were more likely to show lower graph literacy than those less likely to return to use the PHR. Inadequate graph literacy was associated with lower adoption of a PHR and, among users, with lower self-reported frequent use and skills . As PHR use becomes more widespread, stakeholders will need to consider patients' levels of graph literacy when implementing PHRs.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Health Literacy/statistics & numerical data ; Health Records, Personal ; Humans ; Intention ; Internet/utilization ; Male ; Middle Aged ; Outpatients/psychology ; Outpatients/statistics & numerical data ; Surveys and Questionnaires ; Veterans/psychology ; Veterans/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1427988-5
    ISSN 1087-0415 ; 1081-0730
    ISSN (online) 1087-0415
    ISSN 1081-0730
    DOI 10.1080/10810730.2016.1193915
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5899: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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