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Airway Care Interventions for Invasively Ventilated Critically Ill Adults-A Dutch National Survey

Stilma, Willemke (Faculteit Gezondheid); van der Hoeven, Sophia M.; Scholte op Reimer, Wilma J. M.; Schultz, Marcus J.; Rose, Louise; Paulus, Frederique (Urban Vitality)

Airway care interventions may prevent accumulation of airway secretions and promote their evacuation, but evidence is scarce. Interventions include heated humidification, nebulization of mucolytics and/or bronchodilators, manual hyperinflation and use of mechanical insufflation-exsufflation (MI-E). Our …

2021-08AlgemeenArtikel

Practice of adjunctive treatments in critically ill COVID-19 patients-rational for the multicenter observational PRoAcT-COVID study in The Netherlands

Valk, Christel M. A.; Swart, Pien; Boers, Leonoor S.; Botta, Michela; Bos, Lieuwe D. J,; de Abreu, Marcelo Gama; Hol, Liselotte; Hollmann, Markus W.; Horn, Janneke; Martin-Loeches, Ignacio; Mazzinari, Guido; Myatra, Sheila N.; Nijbroek, Sunny G.; Rosenberg, Neeltje M.; Stilma, Willemke (Faculteit Gezondheid); Tsonas, Anissa M.; van der Ven, Ward H.; Neto, Ary Serpa; Schultz, Marcus J.; Paulus, Frederique

Background: Patients with coronavirus disease 2019 (COVID-19) may need hospitalization for supplemental oxygen, and some need intensive care unit (ICU) admission for escalation of care. Practice of adjunctive and supportive treatments remain uncertain and may vary widely between countries, within countries …

2021-05AlgemeenArtikel

Awake Proning as an Adjunctive Therapy for Refractory Hypoxemia in Non-Intubated Patients with COVID-19 Acute Respiratory Failure: Guidance from an International Group of Healthcare Workers

Stilma, Willemke (Faculteit Gezondheid); Åkerman, Eva; Artigas, Antonio; Bentley, Andrew; Bos, Lieuwe D.; Bosman, Thomas J. C.; de Bruin, Hendrik; Brummaier, Tobias; Buiteman-Kruizinga, Laura A.; Carcò, Francesco; Chesney, Gregg; Chu, Cindy; Dark, Paul; Dondorp, Arjen M.; Gijsbers, Harm J. H.; Gilder, Mary Ellen; Grieco, Domenico L.; Inglis, Rebecca; Laffey, John G.; Landoni, Giovanni; Lu, Weihua; Maduro, Lisa M. N.; McGready, Rose; McNicholas, Bairbre; de Mendoza, Diego; Morales-Quinteros, Luis; Nosten, Francois; Papali, Alfred; Paternoster, Gianluca; Paulus, Frederique (Lectoraat Critical Care); Pisani, Luigi; Prud'homme, Eloi; Ricard, Jean-Damien; Roca, Oriol; Sartini, Chiara; Scaravilli, Vittorio; Schultz, Marcus J.; Sivakorn, Chaisith; Spronk, Peter E.; Sztajnbok, Jaques; Trigui, Youssef; Vollman, Kathleen M.; van der Woude, Margaretha C. E.

Non-intubated patients with acute respiratory failure due to COVID-19 could benefit from awake proning. Awake proning is an attractive intervention in settings with limited resources, as it comes with no additional costs. However, awake proning remains poorly used probably because of unfamiliarity and …

2021AlgemeenArtikel

The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults: a scoping review protocol

Swingwood, Ema; Stilma, Willemke (Urban Vitality); Tume, Lyvonne; Cramp, Fiona; Paulus, Frederique (Urban Vitality); Schultz, Marcus; Scholte Op Reimer, Wilma; Rose, Louise

BACKGROUND: Critically ill patients receiving invasive ventilation are at risk of sputum retention. Mechanical insufflation-exsufflation (MI-E) is a technique used to mobilise sputum and optimise airway clearance. Recently, interest has increased in the use of mechanical insufflation-exsufflation for …

2020-12-08AlgemeenArtikel

Association between organizational characteristics and adequate pain management at the intensive care unit

Roos-Blom, Marie-José; Dongelmans, Dave; Stilma, Willemke (Faculteit Gezondheid); Spijkstra, Jan Jaap; de Jonge, Evert; de Keizer, Nicolette

Purpose Half of the patients experience pain during their ICU stay which is known to influence their outcomes. Nurses and physicians encounter organizational barriers towards pain assessment and treatment. We aimed to evaluate the association between adequate pain management and nurse to patient ratio, …

2020-04AlgemeenArtikel

Reliability and validity of ultrasound to estimate muscles

Nijholt, Willemke; Jager-Wittenaar, Harriët (Malnutrition And Healthy Ageing); Raj, Isaac S.; van der Schans, Cees P.; Hobbelen, Hans (Healthy Ageing, Allied Health Care And Nursing)

BACKGROUND AND AIMS: We aimed to investigate the test-retest reliability and validity of ultrasound for two commonly used types of transducer, using different methods for the estimation of muscle size and echo intensity (EI). METHODS: Fourteen healthy adults were included in this study. Ultrasound images …

2020-02Gezondheid; …Artikel

The added value of ultrasound muscle measurements in patients with COPD

Nijholt, Willemke; ter Beek, Lies; van der Vaart, Hester; Wempe, Johan B.; van der Schans, Cees P.; Jager-Wittenaar, Harriët (Malnutrition And Healthy Ageing); Hobbelen, Johannes (Ageing And Allied Health Care)

BACKGROUND AND AIMS: Malnutrition and sarcopenia are common nutrition (-related) disorders in patients with COPD and are associated with negative health outcomes and mortality. This study aims to correlate ultrasound measured rectus femoris size with fat-free mass and muscle function in patients with …

2019-04-01Gezondheid; …Artikel

Preventing mucus plugging in invasively ventilated intensive care unit patients — routine or personalized care and ‘primum non nocere’

Stilma, Willemke; Schultz, Marcus J.; Paulus, Frederique

2018-12AlgemeenArtikel

Response to: "The use of ultrasound for the estimation of muscle mass: one site fits most?"

Nijholt, Willemke; Jager-Wittenaar, Harriët (Malnutrition And Healthy Ageing); Scafoglieri, Aldo; Hobbelen, Hans (Ageing And Allied Health Care); van der Schans, Cees

The performance of neural electrodes in physiological fluid, especially in chronic use, is critical for the success of functional electrical stimulation devices. Tips of the Utah electrode arrays (UEAs) were coated with sputtered iridium oxide film (SIROF) and activated iridium oxide film (AIROF) to …

2018-06-01Gezondheid; …Artikel

Pain measurement in mechanically ventilated patients after cardiac surgery

Rijkenberg, Saskia; Stilma, Willemke (Faculteit Gezondheid); Bosman, Robert J; van der Meer, Nardo J; van der Voort, Peter H J

OBJECTIVES: The Behavioral Pain Scale (BPS) and Critical-Care Pain Observation Tool (CPOT) are behavioral pain assessment tools for sedated and unconscious critically ill patients. The aim of this study was to compare the reliability, internal consistency, and discriminant validation of the BPS and the …

2017-08AlgemeenArtikel

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