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  1. Article ; Online: Critical Care Nursing in the Philippines: Historical Past, Current Practices, and Future Directions.

    Martinez, Rudolf Cymorr Kirby P / Rogado, Maria Isabelita C / Serondo, Diana Jean F / Soriano, Gil P / Ilano, Karen Czarina S

    Critical care nursing clinics of North America

    2020  Volume 33, Issue 1, Page(s) 75–87

    Abstract: This article provides a brief background on critical care nursing in the Philippines, its trend on current practice, and its implication and future direction. An overview is given on the milieu and processes inherent in the critical care unit with the ... ...

    Abstract This article provides a brief background on critical care nursing in the Philippines, its trend on current practice, and its implication and future direction. An overview is given on the milieu and processes inherent in the critical care unit with the intensive care unit setup taken as its exemplar. The roles and responsibilities of critical care nurses within these units and nature of common issues within their practice is explored. The need for training in communication skills, conflict resolution, and palliative care is implied for these nurses to fully fulfill their roles as collaborative clinician and active patient advocate.
    MeSH term(s) Critical Care Nursing/standards ; Forecasting ; Humans ; Intensive Care Units ; Interdisciplinary Communication ; Palliative Care ; Patient Care Team/organization & administration ; Philippines
    Language English
    Publishing date 2020-12-23
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1313997-6
    ISSN 1558-3481 ; 0899-5885
    ISSN (online) 1558-3481
    ISSN 0899-5885
    DOI 10.1016/j.cnc.2020.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Dabigatran Reversal With Idarucizumab Preceding Thrombolysis in an Octogenarian Patient with Chronic Kidney Disease and Acute Stroke: A Case Report.

    Laxamana, Lina C / Co, Christian Oliver C / Yu, Jeryl Ritzi T / Mojica, Christianne V / Iboleon-Dy, Maria Adelaida M / Domingo, Alyssa Mae C / Ilano, Karen Czarina S / Macrohon-Valdez, Ma Cristina Z

    Clinical therapeutics

    2020  Volume 42, Issue 9, Page(s) 1840–1845

    Abstract: Background and purpose: Reversing the effect of dabigatran among patients with atrial fibrillation is important to normalize coagulation profile among patients who develop serious hemorrhage from any source. However, such intervention always has the ... ...

    Abstract Background and purpose: Reversing the effect of dabigatran among patients with atrial fibrillation is important to normalize coagulation profile among patients who develop serious hemorrhage from any source. However, such intervention always has the potential to cause a prothrombotic state. Among patients suspected of ischemic stroke, Idarucizumab, may be administered preceding thrombolysis. This is a considerable option when given during the critical phase of revascularization.
    Methods: We report the case of an 84-year old, male, banker, known hypertensive with chronic renal disease. He has non valvular atrial fibrillation receiving Dabigatran at 75 mg twice daily and presented with symptoms of right-sided weakness, right hemisensory loss, facial asymmetry, and slurring of speech equating to National Institute of Health Stroke Scale (NIHSS) of 5. After coming into the hospital for a suspected stroke, 3 hours and 25 minutes after symptoms, complete reversal of Dabigatran with Idarucizumab was administered and intravenous thrombolysis was initiated 271 minutes post ictus. There was immediate improvement of the right upper extremity weakness and dysarthria 30 minutes post infusion. At 13 days post ictus, the patient was discharged with minimal right central facial palsy and right arm drift (NIHSS 2). Brain CT scan post revascularization did not reveal any hemorrhage and anticoagulant Apixaban 2.5 mg twice daily was started and maintained thereafter. Brain Magnetic Resonance Angiogram (MRA) showed complete recanalization of the left proximal MCA after 52 days.
    Conclusion: Our case showed the effectiveness and safety of giving Idarucizumab followed by thrombolysis in Dabigatran-treated atrial fibrillation with ischemic stroke. Based on this case, the procedure can be performed in an elderly population with chronic kidney disease when administered close to the limit of threshold for thrombolysis.
    MeSH term(s) Administration, Intravenous ; Aged, 80 and over ; Antibodies, Monoclonal, Humanized/administration & dosage ; Antithrombins/administration & dosage ; Antithrombins/adverse effects ; Atrial Fibrillation/drug therapy ; Dabigatran/adverse effects ; Dabigatran/therapeutic use ; Humans ; Hypertension/drug therapy ; Male ; Renal Insufficiency, Chronic/drug therapy ; Stroke/drug therapy ; Thrombolytic Therapy/adverse effects ; Thrombolytic Therapy/methods
    Chemical Substances Antibodies, Monoclonal, Humanized ; Antithrombins ; idarucizumab (97RWB5S1U6) ; Dabigatran (I0VM4M70GC)
    Language English
    Publishing date 2020-08-07
    Publishing country United States
    Document type Case Reports
    ZDB-ID 603113-4
    ISSN 1879-114X ; 0149-2918
    ISSN (online) 1879-114X
    ISSN 0149-2918
    DOI 10.1016/j.clinthera.2020.07.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Cultural Perspectives on Pain Assessment and Opioid Use: International Neuroscience Nursing Research Symposium Conference Proceedings.

    Bautista, Cynthia / Amatangelo, Mary P / Baby, Priya / Cassier-Woidasky, Anne-Kathrin / Dycus, Kaleigh / Edoh, Esther I / Green, Theresa / Ilano, Karen Czarina S / Kemboi, Mary / Littlejohns, Linda / Martinez, Rudolf Cymorr Kirby P / Mastamet, Gladys / Perera, Anjali / Ramazanu, Sheena / Ribeiro, Rennan Martins / Serondo, Diana Jean F / Sila, Faith / Strayer, Andrea / Soriano, Gil P /
    Wessol, Jennifer L

    The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses

    2021  Volume 53, Issue 3, Page(s) 149–156

    Abstract: Abstract: INTRODUCTION: In August of 2020, the 4th International Neuroscience Nursing Research Symposium was held. The purpose of the symposium was to share neuroscience nursing research from around the world. One of the topics thought most notable that ...

    Abstract Abstract: INTRODUCTION: In August of 2020, the 4th International Neuroscience Nursing Research Symposium was held. The purpose of the symposium was to share neuroscience nursing research from around the world. One of the topics thought most notable that stimulated a crucial conversation was how different countries assessed pain and their use of opioids for pain management. BACKGROUND: Neuroscience nurses are global. What is not known is their experience with and what challenges exist with pain management for human beings in their country. Crossing geographic and cultural boundaries, pain affects all human beings. Each culture has unique values and beliefs regarding pain. Patient barriers, pivotal in this article, included poverty, poor health literacy, opioid phobia, and cultural as well as social beliefs. RESULTS: Neuroscience nurses from Australia, Brazil, Germany, Singapore, India, Ghana, Kenya, Philippines, South Africa, and the United States each collaborated to provide a short summary of assessing pain and use of opioids for pain management for the neuroscience patient. CONCLUSION: Neuroscience patients have varying degrees of pain based on many factors. Various countries have religious, spiritual, and cultural traditions that influence the reporting and management of pain. Pain assessment and management can be challenging, especially for the neuroscience nurses around the world.
    MeSH term(s) Humans ; Analgesics, Opioid/therapeutic use ; Neuroscience Nursing ; Nursing Research ; Pain/drug therapy ; Pain Measurement ; United States
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2021-05-02
    Publishing country United States
    Document type Congress
    ZDB-ID 632790-4
    ISSN 1945-2810 ; 0888-0395
    ISSN (online) 1945-2810
    ISSN 0888-0395
    DOI 10.1097/JNN.0000000000000585
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Acute stroke care algorithm in a private tertiary hospital in the Philippines during the COVID-19 pandemic: A third world country experience.

    Co, Christian Oliver C / Yu, Jeryl Ritzi T / Macrohon-Valdez, Ma Cristina / Laxamana, Lina C / De Guzman, Vincent Paul E / Berroya-Moreno, Remy Margarette M / Mariano, Manuel M / Rivera, Peter Paul Dela Paz / Racpan-Cauntay, Joana Lyn M / Ilano, Karen Czarina S / Trias, Evita C / Domingo, Alyssa Mae C / Marcelo, Alvin Valeriano De Borja / Pineda-Franks, Maria Carissa C

    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

    2020  Volume 29, Issue 9, Page(s) 105059

    Abstract: Background and purpose: Since the declaration of the Novel Coronavirus Disease (COVID-19) pandemic, ensuring the safety of our medical team while delivering timely management has been a challenge. Acute stroke patients continue to present to the ... ...

    Abstract Background and purpose: Since the declaration of the Novel Coronavirus Disease (COVID-19) pandemic, ensuring the safety of our medical team while delivering timely management has been a challenge. Acute stroke patients continue to present to the emergency department and they may not have the usual symptoms of COVID-19 infection. Stroke team response and management must be done within the shortest possible time to minimize worsening of the functional outcome without compromising safety of the medical team.
    Methods: Infection control recommendations, emergency department protocols and stroke response pathways utilized prior to the COVID 19 pandemic within our institution were evaluated by our stroke team in collaboration with the multidisciplinary healthcare services. Challenges during the COVID-19 scenario were identified, from which a revised acute stroke care algorithm was formulated to adapt to this pandemic.
    Results: We formulated an algorithm that incorporates practices from internationally devised protocols while tailoring certain aspects to suit the available resources in our system locally. We highlighted the significance of the following: team role designation, coordination among different subspecialties and departments, proper use of personal protective equipment and resources, and telemedicine use during this pandemic.
    Conclusions: This pandemic has shaped the stroke team's approach in the management of acute stroke patients. Our algorithm ensures proper resource management while optimizing acute stroke care during the COVID-19 pandemic in our local setting. This algorithm may be utilized and adapted for local practice and other third world countries who face similar constraints.
    MeSH term(s) Algorithms ; COVID-19 ; Cooperative Behavior ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Coronavirus Infections/transmission ; Critical Pathways/organization & administration ; Delivery of Health Care, Integrated/organization & administration ; Developing Countries ; Hospitals, Private/organization & administration ; Humans ; Infection Control/organization & administration ; Interdisciplinary Communication ; Occupational Health ; Pandemics ; Patient Care Team/organization & administration ; Patient Safety ; Philippines/epidemiology ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Pneumonia, Viral/transmission ; Risk Factors ; Stroke/diagnosis ; Stroke/epidemiology ; Stroke/therapy ; Tertiary Care Centers/organization & administration ; Treatment Outcome ; Workflow
    Keywords covid19
    Language English
    Publishing date 2020-06-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1131675-5
    ISSN 1532-8511 ; 1052-3057
    ISSN (online) 1532-8511
    ISSN 1052-3057
    DOI 10.1016/j.jstrokecerebrovasdis.2020.105059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Acute stroke care algorithm in a private tertiary hospital in the Philippines during the COVID-19 pandemic: A third world country experience

    Co, Christian Oliver C / Yu, Jeryl Ritzi T / Macrohon-Valdez, Ma Cristina / Laxamana, Lina C / De Guzman, Vincent Paul E / Berroya-Moreno, Remy Margarette M / Mariano, Manuel M / Rivera, Peter Paul Dela Paz / Racpan-Cauntay, Joana Lyn M / Ilano, Karen Czarina S / Trias, Evita C / Domingo, Alyssa Mae C / Marcelo, Alvin Valeriano De Borja / Pineda-Franks, Maria Carissa C

    J Stroke Cerebrovasc Dis

    Abstract: BACKGROUND AND PURPOSE: Since the declaration of the Novel Coronavirus Disease (COVID-19) pandemic, ensuring the safety of our medical team while delivering timely management has been a challenge. Acute stroke patients continue to present to the ... ...

    Abstract BACKGROUND AND PURPOSE: Since the declaration of the Novel Coronavirus Disease (COVID-19) pandemic, ensuring the safety of our medical team while delivering timely management has been a challenge. Acute stroke patients continue to present to the emergency department and they may not have the usual symptoms of COVID-19 infection. Stroke team response and management must be done within the shortest possible time to minimize worsening of the functional outcome without compromising safety of the medical team. METHODS: Infection control recommendations, emergency department protocols and stroke response pathways utilized prior to the COVID 19 pandemic within our institution were evaluated by our stroke team in collaboration with the multidisciplinary healthcare services. Challenges during the COVID-19 scenario were identified, from which a revised acute stroke care algorithm was formulated to adapt to this pandemic. RESULTS: We formulated an algorithm that incorporates practices from internationally devised protocols while tailoring certain aspects to suit the available resources in our system locally. We highlighted the significance of the following: team role designation, coordination among different subspecialties and departments, proper use of personal protective equipment and resources, and telemedicine use during this pandemic. CONCLUSIONS: This pandemic has shaped the stroke team's approach in the management of acute stroke patients. Our algorithm ensures proper resource management while optimizing acute stroke care during the COVID-19 pandemic in our local setting. This algorithm may be utilized and adapted for local practice and other third world countries who face similar constraints.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #609437
    Database COVID19

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  6. Article ; Online: Acute stroke care algorithm in a private tertiary hospital in the Philippines during the COVID-19 pandemic

    Co, Christian Oliver C. / Yu, Jeryl Ritzi T. / Macrohon-Valdez, Ma. Cristina / Laxamana, Lina C. / De Guzman, Vincent Paul E. / Berroya-Moreno, Remy Margarette M. / Mariano, Manuel M. / Rivera, Peter Paul Dela Paz / Racpan-Cauntay, Joana Lyn M. / Ilano, Karen Czarina S. / Trias, Evita C. / Domingo, Alyssa Mae C. / Marcelo, Alvin Valeriano De Borja / Pineda-Franks, Maria Carissa C.

    Journal of Stroke and Cerebrovascular Diseases

    A third world country experience

    2020  Volume 29, Issue 9, Page(s) 105059

    Keywords Surgery ; Rehabilitation ; Clinical Neurology ; Cardiology and Cardiovascular Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1131675-5
    ISSN 1052-3057
    ISSN 1052-3057
    DOI 10.1016/j.jstrokecerebrovasdis.2020.105059
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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