Infants born preterm had reduced brain response to gentle touch than those born full-term, and those who underwent more painful medical procedures had the least likelihood of brain response, according to a study in Current Biology. However, the findings, based on data involving 125 babies, showed increased brain responses among those born preterm who had more gentle contact with parents and clinicians in the NICU.
A case study in Pediatrics described a 10-month-old girl brought to the pediatric ICU for sudden onset of movement disorder with recurrent episodes of lethargy, arching and head extension, whose abdominal radiograph showed a 15 mm radiopaque foreign body in the ileocecal valve. The girl achieved recovery after a 1.5 cm by 1 cm rock was spontaneously passed in her stool on the third day of PICU admission.
Medicare patients living in Oregon were more likely to have their end-of-life care preferences followed, including choices for dying at home, limiting ICU admission and enrolling in hospice care, compared with patients living in neighboring Washington state or the rest of the US, a study found. Researchers wrote in The New England Journal of Medicine that while there is increased emphasis on advance directives nationwide, patient wishes must be supported by health systems and state regulations.
Hospitals such as Vanderbilt University Medical Center and PeaceHealth Sacred Heart Medical Center have volunteers who sit with dying patients who do not have family or friends with them at the end of life. The pilot program at Vanderbilt, which began last year, will be expanded from palliative care to the intensive care unit, said registered nurse Rebecca Hixson.
Researchers found that assessments of coma severity done via telemedicine were similar to those made during in-person visits. The findings, published in Telemedicine and e-Health, were based on 100 patients at Mayo Clinic Hospital in Arizona who were assessed by one physician in person and by a second physician through a workstation on another floor.
Nephrologists at Northwell Health in New York developed a point-of-care ultrasound training course for their own group after seeing how ultrasound probes provided immediate answers to questions that arose during physician rounds in the ICU. POC ultrasound can be used to detect issues such as urinary retention, kidney enlargement and hydronephrosis, physicians say.