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Nursing, Clinical Nutrition, Diagnosis and Treatment of Sepsis in Intensive Care

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (31 December 2022) | Viewed by 6109

Special Issue Editors

Dr. Michał Borys

E-Mail Website
Guest Editor
Second Department of Anesthesia and Intensive Care, Medical University of Lublin, 20-059 Lublin, Poland
Interests: intensive care; extra corporeal membrane oxygenation; the pharmacokinetics of antibiotics; pain treatment; regional anesthesia; clinical nutrition
Dr. Dariusz Onichimowski

E-Mail Website
Guest Editor
Department of Anaesthesia and Intensive Therapy, University of Warmia and Mazury, 42 256 Olsztyn, Poland
Interests: intensive care; nursing; renal replacement therapy; blood purification; regional anesthesia
Dr. Szymon Bialka

E-Mail Website
Guest Editor
Department of Anaesthesiology, Intensive Care and Emergency Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Interests: intensive care; thoracic surgery; mechanical ventilation; regional anesthesia
Dr. Paweł Piwowarczyk

E-Mail Website
Guest Editor
Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, 20-093 Lublin, Poland
Interests: intensive care; clinical nutrition; the pharmacokinetics of antibiotics; extra corporeal membrane oxygenation

Special Issue Information

Dear Colleagues,

I want to invite you to submit your manuscripts to the special issue of "International Journal of Environmental Research and Public Health" titled "Nursing, clinical nutrition, diagnosis and treatment of sepsis in Intensive Care."

This topic covers many aspects of clinical practice. Therefore, the Special Issue is dedicated to physicians and nurses working in Intensive Care Units and other health care practitioners as radiologists, physiotherapists, and laboratory diagnosticians.

All high-quality scientific papers related to diagnosis, treatment, and taking care of patients in Intensive Care will be welcomed. 

Dr. Paweł Piwowarczyk
Dr. Dariusz Onichimowski
Dr. Michał Borys
Dr. Szymon Bialka
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nursing
  • pressure sore
  • physiotherapy
  • malnutrition
  • clinical nutrition
  • cachexia
  • intestinal failure
  • infection
  • sepsis
  • pneumonia

Published Papers (3 papers)

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Research

10 pages, 334 KiB  
Article
Limitation of Futile Therapy in the Opinion of Nursing Staff Employed in Polish Hospitals—Results of a Cross-Sectional Study
by Maria Damps, Maksymilian Gajda, Malgorzata Kowalska and Ewa Kucewicz-Czech
Int. J. Environ. Res. Public Health 2022, 19(24), 16975; https://doi.org/10.3390/ijerph192416975 - 17 Dec 2022
Cited by 1 | Viewed by 1440
Abstract
The debate on limiting futile therapy in the aspect of End of Life (EoL) care has been going on in Poland over the last decade. The growing demand for EoL care resulting from the aging of societies corresponds to the expectation of a [...] Read more.
The debate on limiting futile therapy in the aspect of End of Life (EoL) care has been going on in Poland over the last decade. The growing demand for EoL care resulting from the aging of societies corresponds to the expectation of a satisfactory quality of life and self-determination. The authors designed a cross-sectional study using a newly designed questionnaire to assess the opinions of 190 nurses employed in intensive care units (ICUs) on futile therapy, practices, and the respondents’ approach to the issue. The problem of futile therapy and its clinical implications are known to the nursing community. Among the most common reasons for undertaking futile therapy in adult patients, the respondents declared fear of legal liability for not taking such actions (71.58%), as well as fear of being accused of unethical conduct (56.32%), and fear of talking to the patient/patient’s family and their reaction (43.16%). In the case of adult patients, the respondents believed that discontinuation of futile therapy should be decided by the patient (84.21%), followed by a doctor (64.21%). As for paediatric patients, two-thirds of the respondents mentioned a doctor and a court (64.74% and 64.21%, respectively). Overall, 65.26% of the respondents believe and agree that the comfort of the patient’s last days is more important than the persistent continuation of therapy and prolonging life at all costs. The presented results clearly show the attitude of the respondents who defend the patient’s dignity and autonomy. Full article
(This article belongs to the Special Issue Nursing, Clinical Nutrition, Diagnosis and Treatment of Sepsis in Intensive Care)
11 pages, 711 KiB  
Article
Hematologic System Dysregulation in Critically Ill Septic Patients with Anemia—A Retrospective Cohort Study
by Piotr F. Czempik, Jan Herzyk, Dawid Wilczek and Łukasz J. Krzych
Int. J. Environ. Res. Public Health 2022, 19(11), 6626; https://doi.org/10.3390/ijerph19116626 - 29 May 2022
Cited by 4 | Viewed by 2491
Abstract
Sepsis can affect various organs as well as the hematologic system. Systemic dysregulation, present in sepsis, affects particularly red blood cells (RBCs). One of the widely available RBC indices is RBC distribution width (RDW). Sepsis may also affect hemostasis, with septic patients presenting [...] Read more.
Sepsis can affect various organs as well as the hematologic system. Systemic dysregulation, present in sepsis, affects particularly red blood cells (RBCs). One of the widely available RBC indices is RBC distribution width (RDW). Sepsis may also affect hemostasis, with septic patients presenting with coagulopathy or disseminated intravascular coagulation. The aim of our study was to analyze the impact of sepsis on RBC indices and coagulation parameters on admission to the intensive care unit (ICU) and their association with presence of sepsis and sepsis outcomes in anemic critically ill patients. We performed a retrospective observational study covering consecutive patients admitted to a 10-bed mixed ICU in the years 2020–2021. We found significant differences between septic and non-septic patients for the following parameters: RDW (p = 0.02), INR (p < 0.01), aPTT (p < 0.01), D-dimers (p < 0.01), fibrinogen (p = 0.02), platelets (p = 0.04). International normalized ratio was the only parameter with adequate sepsis predictive value (AUROC = 0.70; 95% CI 0.63–0.76; p < 0.01), with an optimal cut-off value of >1.21. Combination of INR with fibrinogen and a severity of disease score improved INR’s predictive value (AUROC 0.74–0.77). Combination of INR with a severity of disease score was an adequate ICU mortality predictor in septic patients (AUROC 0.70–0.75). Sepsis significantly affects RDW and most coagulation parameters. Increased INR can be used for sepsis screening, whereas combination of INR with a severity of disease score can be a predictor of short-term mortality in septic patients. Full article
(This article belongs to the Special Issue Nursing, Clinical Nutrition, Diagnosis and Treatment of Sepsis in Intensive Care)
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10 pages, 472 KiB  
Article
Serum Ketone Levels May Correspond with Preoperative Body Weight Loss in Patients Undergoing Elective Surgery: A Single-Center, Prospective, Observational Feasibility Study
by Paweł Kutnik, Michał Borys, Grzegorz Buszewicz, Paweł Piwowarczyk, Marcin Osak, Grzegorz Teresiński and Mirosław Czuczwar
Int. J. Environ. Res. Public Health 2022, 19(11), 6573; https://doi.org/10.3390/ijerph19116573 - 27 May 2022
Cited by 3 | Viewed by 1593
Abstract
Although nutritional-risk scoring systems allow the determination of the patient’s malnutrition at admission, additional tools might be useful in some clinical scenarios. Previous medical history could be unavailable in unconscious or demented patients. This study aimed to assess the ketone bodies serum levels [...] Read more.
Although nutritional-risk scoring systems allow the determination of the patient’s malnutrition at admission, additional tools might be useful in some clinical scenarios. Previous medical history could be unavailable in unconscious or demented patients. This study aimed to assess the ketone bodies serum levels in patients undergoing elective surgeries and to determine the possible correlation between ketone bodies serum levels and preoperative body weight loss. The study included 21 patients who underwent elective surgery. Hyperketonemia, defined as ketone bodies over 1 mmol/L, was observed in seven (33.3%) patients. Patients with hyperketonemia had significantly higher preoperative percentage body weight loss (p = 0.04) and higher nutritional risk scores prior to surgery (p = 0.04). Serum glucose and the percentage of body weight loss were associated with increased ketone bodies serum levels (Odds Ratios: 0.978 (0.961–0.996, p = 0.019) and 1.222 (1.0–1.492, p = 0.05), respectively). A significant linear correlation was found between the percentage of body weight loss and both ketones bodies (r2 = 0.25, p = 0.02) and albumin serum levels (r2 = 0.19, p = 0.04). Our study’s results might suggest a positive association between preoperative body weight loss and ketone bodies serum levels. The observation between increased ketone bodies serum levels in patients and preoperative body mass loss merits further research. Full article
(This article belongs to the Special Issue Nursing, Clinical Nutrition, Diagnosis and Treatment of Sepsis in Intensive Care)
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