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  1. Article ; Online: Optimal head rotation angle for safe right internal jugular vein catheterization using out-of-plane approach: an ultrasonography study.

    Vosylius, Saulius / Sabestinaite, Akvile / Stasiunaitis, Raimundas

    Medical ultrasonography

    2019  Volume 21, Issue 4, Page(s) 435–440

    Abstract: Aim: The most common complication following internal jugular vein catheterization is the puncture of the common carotidartery. We aimed to find an optimal head rotation angle for safe vein catheter insertion while minimizing the risk of arterypuncture.!# ...

    Abstract Aim: The most common complication following internal jugular vein catheterization is the puncture of the common carotidartery. We aimed to find an optimal head rotation angle for safe vein catheter insertion while minimizing the risk of arterypuncture.
    Materials and methods: Eighty-two patients admitted to the intensive care unit were included in the prospective study. Ultrasound examination of the neck vessels on the right side was performed in the neutral position and at a head rotation of 15°, 30°, 45° and 60° to the left. Internal jugular vein and common carotid artery puncture angle, overlapping angle of vein by artery and vein safe puncture angle were evaluated.
    Results: The internal jugular vein puncture angle increased with head rotation from the neutral position to 30° and 45° and was largest at 60° (p<0.001 for all). The overlapping angle increased significantly at 45° and 60° rotation compared with the neutral position (p<0.001 for all). The vein safe puncture angle was highest at 30° and significantly different from the neutral position and 60° (p=0.003 and p=0.013, respectively).
    Conclusions: When performing right internal jugular vein catheterization without ultrasound guidance by using an out-of-plane technique, the head should be rotated at 30°, because the overlapping angle increases with further head rotation and can increase the risk of artery puncture.
    MeSH term(s) Aged ; Aged, 80 and over ; Catheterization, Central Venous/methods ; Female ; Head ; Humans ; Jugular Veins ; Male ; Middle Aged ; Neck/diagnostic imaging ; Patient Positioning ; Postoperative Complications/prevention & control ; Prospective Studies ; Ultrasonography, Interventional
    Language English
    Publishing date 2019-11-22
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 2529623-1
    ISSN 2066-8643 ; 1844-4172
    ISSN (online) 2066-8643
    ISSN 1844-4172
    DOI 10.11152/mu-2019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Outcomes and Risk Factors of Critically Ill Patients with Hematological Malignancy. Prospective Single-Centre Observational Study.

    Judickas, Šarūnas / Stasiūnaitis, Raimundas / Žučenka, Andrius / Žvirblis, Tadas / Šerpytis, Mindaugas / Šipylaitė, Jūratė

    Medicina (Kaunas, Lithuania)

    2021  Volume 57, Issue 12

    Abstract: Background and ... ...

    Abstract Background and Objectives
    MeSH term(s) Adolescent ; Critical Illness ; Hematologic Neoplasms/therapy ; Humans ; Intensive Care Units ; Prognosis ; Prospective Studies ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2021-11-30
    Publishing country Switzerland
    Document type Journal Article ; Observational Study
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina57121317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6270: Show issues Location:
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  3. Article: Impact of enteral nutrition interruptions on underfeeding in intensive care unit

    Salciute-Simene, Erika / Stasiunaitis, Raimundas / Ambrasas, Eduardas / Tutkus, Jonas / Milkevicius, Ignas / Sostakaite, Gintare / Klimasauskas, Andrius / Kekstas, Gintautas

    Clinical nutrition. 2020 Aug. 15,

    2020  

    Abstract: Malnutrition leads to poor outcomes for critically ill patients; however, underfeeding remains a prevalent issue in the intensive care unit (ICU). One of the reasons for underfeeding is enteral nutrition interruption (ENI). Our aim was to investigate the ...

    Abstract Malnutrition leads to poor outcomes for critically ill patients; however, underfeeding remains a prevalent issue in the intensive care unit (ICU). One of the reasons for underfeeding is enteral nutrition interruption (ENI). Our aim was to investigate the causes, frequency, and duration of ENIs and their association with underfeeding in critical care.This was a prospective observational study conducted at the Vilnius University Hospital Santaros Clinics, Lithuania, between December 2017 and February 2018. It included adult medical and surgical ICU patients who received enteral nutrition (EN). Data on ENIs and caloric, as well as protein intake were collected during the entire ICU stay. Nutritional goals were assessed using indirect calorimetry, where available.In total 73 patients were enrolled in the study. Data from 1023 trial days and 131 ENI episodes were collected; 68% of the patients experienced ENI during the ICU stay, and EN was interrupted during 35% of the trial days. The main reasons for ENIs were haemodynamic instability (20%), high gastric residual volume (GRV) (17%), tracheostomy (16%), or other surgical interventions (16%). The median duration of ENI was 12 [6–24] h, and the longest ENIs were due to patient-related factors (22 [12–42] h). The rate of underfeeding was 54% vs. 15% in the trial days with and without ENI (p < 0.001), respectively. Feeding goal was achieved in 26% of the days with ENI vs. 45% of days without ENI (p < 0.001). The daily average caloric provision was 77 ± 36% vs. 106 ± 29% in the trial days with and without ENI (p < 0.001) and protein provision was 0.96 ± 0.5 vs. 1.3 ± 0.5 g/kg, respectively (p < 0.001).The episodes of ENI in critically ill patients are frequent and prolonged, often leading to underfeeding. Similar observations have been reported by other studies; however, the causes and duration of ENI vary, mainly because of different practices worldwide. Hence, safe and internationally recognised reduced-fasting guidelines and protocols for critically ill patients are needed in order to minimise ENI-related underfeeding and malnutrition.
    Keywords adults ; calorimetry ; clinical nutrition ; duration ; enteral feeding ; frequency ; hemodynamics ; hospitals ; malnutrition ; objectives ; observational studies ; patients ; protein intake ; protocols ; restricted feeding ; volume ; Lithuania
    Language English
    Dates of publication 2020-0815
    Publishing place Elsevier Ltd
    Document type Article
    Note NAL-light ; Pre-press version
    ZDB-ID 604812-2
    ISSN 1532-1983 ; 0261-5614
    ISSN (online) 1532-1983
    ISSN 0261-5614
    DOI 10.1016/j.clnu.2020.08.014
    Database NAL-Catalogue (AGRICOLA)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1774: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Impact of enteral nutrition interruptions on underfeeding in intensive care unit.

    Salciute-Simene, Erika / Stasiunaitis, Raimundas / Ambrasas, Eduardas / Tutkus, Jonas / Milkevicius, Ignas / Sostakaite, Gintare / Klimasauskas, Andrius / Kekstas, Gintautas

    Clinical nutrition (Edinburgh, Scotland)

    2020  Volume 40, Issue 3, Page(s) 1310–1317

    Abstract: Background & aims: Malnutrition leads to poor outcomes for critically ill patients; however, underfeeding remains a prevalent issue in the intensive care unit (ICU). One of the reasons for underfeeding is enteral nutrition interruption (ENI). Our aim ... ...

    Abstract Background & aims: Malnutrition leads to poor outcomes for critically ill patients; however, underfeeding remains a prevalent issue in the intensive care unit (ICU). One of the reasons for underfeeding is enteral nutrition interruption (ENI). Our aim was to investigate the causes, frequency, and duration of ENIs and their association with underfeeding in critical care.
    Methods: This was a prospective observational study conducted at the Vilnius University Hospital Santaros Clinics, Lithuania, between December 2017 and February 2018. It included adult medical and surgical ICU patients who received enteral nutrition (EN). Data on ENIs and caloric, as well as protein intake were collected during the entire ICU stay. Nutritional goals were assessed using indirect calorimetry, where available.
    Results: In total 73 patients were enrolled in the study. Data from 1023 trial days and 131 ENI episodes were collected; 68% of the patients experienced ENI during the ICU stay, and EN was interrupted during 35% of the trial days. The main reasons for ENIs were haemodynamic instability (20%), high gastric residual volume (GRV) (17%), tracheostomy (16%), or other surgical interventions (16%). The median duration of ENI was 12 [6-24] h, and the longest ENIs were due to patient-related factors (22 [12-42] h). The rate of underfeeding was 54% vs. 15% in the trial days with and without ENI (p < 0.001), respectively. Feeding goal was achieved in 26% of the days with ENI vs. 45% of days without ENI (p < 0.001). The daily average caloric provision was 77 ± 36% vs. 106 ± 29% in the trial days with and without ENI (p < 0.001) and protein provision was 0.96 ± 0.5 vs. 1.3 ± 0.5 g/kg, respectively (p < 0.001).
    Conclusions: The episodes of ENI in critically ill patients are frequent and prolonged, often leading to underfeeding. Similar observations have been reported by other studies; however, the causes and duration of ENI vary, mainly because of different practices worldwide. Hence, safe and internationally recognised reduced-fasting guidelines and protocols for critically ill patients are needed in order to minimise ENI-related underfeeding and malnutrition.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Critical Care/methods ; Critical Illness/therapy ; Energy Intake/physiology ; Enteral Nutrition/methods ; Female ; Humans ; Intensive Care Units ; Lithuania ; Male ; Malnutrition/etiology ; Middle Aged ; Nutritional Requirements ; Prospective Studies
    Language English
    Publishing date 2020-08-27
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 604812-2
    ISSN 1532-1983 ; 0261-5614
    ISSN (online) 1532-1983
    ISSN 0261-5614
    DOI 10.1016/j.clnu.2020.08.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1774: 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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