WordNet
- an individual or group or structure or other entity regarded as a structural or functional constituent of a whole; "the reduced the number of units and installations"; "the word is a basic linguistic unit"
- a single undivided natural thing occurring in the composition of something else; "units of nucleic acids" (同)building_block
- an organization regarded as part of a larger social group; "the coach said the offensive unit did a good job"; "after the battle the soldier had trouble rejoining his unit" (同)social unit
- a single undivided whole; "an idea is not a unit that can be moved from one brain to another"
- feel concern or interest; "I really care about my work"; "I dont care"
- the work of providing treatment for or attending to someone or something; "no medical care was required"; "the old car needs constant attention" (同)attention, aid, tending
- attention and management implying responsibility for safety; "he is in the care of a bodyguard" (同)charge, tutelage, guardianship
- activity involved in maintaining something in good working order; "he wrote the manual on car care" (同)maintenance, upkeep
- a cause for feeling concern; "his major care was the illness of his wife"
- provide care for; "The nurse was caring for the wounded" (同)give care
- a motor vehicle with four wheels; usually propelled by an internal combustion engine; "he needs a car to get to work" (同)auto, automobile, machine, motorcar
- where passengers ride up and down; "the car was on the top floor" (同)elevator car
- the compartment that is suspended from an airship and that carries personnel and the cargo and the power plant (同)gondola
- a wheeled vehicle adapted to the rails of railroad; "three cars had jumped the rails" (同)railcar, railway car, railroad car
- tending to give force or emphasis; "an intensive adverb"
- characterized by a high degree or intensity; often used as a combining form; "the questioning was intensive"; "intensive care"; "research-intensive"; "a labor-intensive industry"
- of agriculture; intended to increase productivity of a fixed area by expending more capital and labor; "intensive agriculture"; "intensive conditions"
- the branch of medicine concerned with the treatment of infants and children (同)paediatrics, pediatric medicine, pedology
PrepTutorEJDIC
- 《集合的に》『構成単位』;(学習の)『単元』;(全体を構成する)部門,部隊 / (特定用途の)設備[一式],器具[一そろい] / (測定基準としての)『単位』;(…の)単位《+of+名》,(…する)単位《+for doing》 / 正の最小整数(1)
- 〈U〉『心配』,気がかり,悩み / 〈C〉《しばしば複数形で》心配事,苦労の種 / 〈U〉『細心の注意』,十二分の用心 / 〈U〉(…の)『世話』,監督,保護《+『for(of)+名』》 / 〈C〉関心事,気を配るべきこと / 『気にする』,心配する,関心がある / …『したいと思う』,欲する,好む
- 『自動車』(automobile)電車(streetcar) / 《米》(鉄道の)『車両』;客車,貨車 / (気球などの)かご;(エレベーターの)箱
- 『集中的な』,徹底的な,強度の,激しい / (語が)強意の,強調の / =intensifier
- 《単数扱い》小児科学
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/01/05 11:16:57」(JST)
[Wiki en表示]
"PICU" redirects here. PICU may also refer to Psychiatric Intensive Care Unit.
A pediatric intensive care unit (also paediatric), usually abbreviated to PICU //, is an area within a hospital specializing in the care of critically ill infants, children, and teenagers. A PICU is typically directed by one or more pediatric intensivists or PICU consultants[1] and staffed by doctors, nurses, and respiratory therapists who are specially trained and experienced in pediatric intensive care. The unit may also have nurse practitioners, physician assistants, physiotherapists, social workers, child life specialists, and clerks on staff although this varies widely depending on geographic location. The ratio of professionals to patients is generally higher than in other areas of the hospital, reflecting the acuity of PICU patients and the risk of life-threatening complications.[2] Complex technology and equipment is often in use, particularly mechanical ventilators and patient monitoring systems. Consequently, PICUs have a larger operating budget than many other departments within the hospital.[3][4]
Contents
- 1 History
- 2 Levels of care
- 2.1 United States
- 2.1.1 Level 1
- 2.1.2 Level 2
- 3 See also
- 4 References
- 5 External links
History[edit]
Goran Haglund established the first pediatric intensive care unit, which he called a "pediatric emergency ward", in 1955.[5]
Infants were first kept intubated for long periods in the early 1960s.[6] Breathing tubes made out of polyvinyl chloride (PVC) allowed clinicians to avoid performing tracheostomy (surgically inserting a tube into the windpipe) in more children who required prolonged mechanical ventilation.[6]
Levels of care[edit]
United States[edit]
Level 1[edit]
Level I PICUs are variable in size, personnel, physical characteristics, and equipment, and that they differ in the types of specialized care (ie, care following transplantation or cardiac surgery) that they provide. Nurse-to-patient ratios range from 2 nurses to 1 patient to 1 nurse to 3 patients. Registered respiratory therapists are required to be assigned primarily to the Level I PICU in-house 24 hours per day.[7]
Level 2[edit]
Level II PICUs are smaller than level I PICUs and are able to care for less critical patients.
See also[edit]
- Intensive Care Unit
- Intensive Care Medicine
- Neonatal Intensive Care Unit
- Pediatrics
References[edit]
- ^ Frankel, Lorry R; DiCarlo, Joseph V (2003). [ttp://books.google.co.nz/books?id=Wqt2qGdbulIC&pg=PA541 "Pediatric Intensive Care"]. In Bernstein, Daniel; Shelov, Steven P. Pediatrics for Medical Students (2nd ed.). Philadelphia: Lippincott illiams & Wilkins. p. 541. ISBN 978-0-7817-2941-3.
- ^ Pronovost, PJ; Dang, D; Dorman, T et al. (September 2001). "Intensive Care Unit Nurse Staffing and the Risk for Complications after Abdominal Aortic Surgery". Effective Clinical Practice (American College of Physicians–American Society of Internal Medicine) 4 (5): 199–206. PMID 11685977. Retrieved 2009-01-08.
- ^ Moerer O; Plock E; Mgbor U et al. (June 2007). "A German national prevalence study on the cost of intensive care: an evaluation from 51 intensive care units". Critical Care (BioMed Central) 11 (3): R69. doi:10.1186/cc5952. PMC 2206435. PMID 17594475.
- ^ Morton, Neil S (1997). Paediatric Intensive Care. Oxford University Press. ISBN 978-0-19-262511-3.
- ^ Morton 1997: 3
- ^ a b Duke, Trevor; Kissoon, Niranjan;Van Der Voort, Edwin (2008). "Pediatric Intensive Care: a Global Perspective". In David G Nichols. Roger's Textbook of Pediatric Intensive Care (4th ed.). PA: Lippincott Williams & Wilkins. pp. 18–23. ISBN 978-0-7817-8275-3.
- ^ "Guidelines and levels of care for pediatric intensive care units. Committee on Hospital Care of the American Academy of Pediatrics and Pediatric Section of the Society of Critical Care Medicine". Pediatrics 92 (1): 166–75. July 1993. PMID 8516070.
External links[edit]
Intensive care medicine
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- Health science
- Medicine
- Medical specialities
- Respiratory therapy
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General terms |
- Intensive care unit (ICU)
- Neonatal intensive care unit (NICU)
- Pediatric intensive care unit (PICU)
- Coronary care unit (CCU)
- Critical illness insurance
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Conditions |
Organ system failure
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- Shock sequence
- SIRS
- Sepsis
- Severe sepsis
- Septic shock
- Other shock
- Cardiogenic shock
- Distributive shock
- Organ failure
- Acute renal failure
- Acute respiratory distress syndrome
- Acute liver failure
- Respiratory failure
- Multiple organ dysfunction syndrome
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Complications
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- Critical illness polyneuropathy / myopathy
- Critical illness–related corticosteroid insufficiency
- Decubitus ulcers
- Fungemia
- Stress hyperglycemia
- Stress ulcer
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Iatrogenesis
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- Methicillin-resistant Staphylococcus aureus
- Oxygen toxicity
- Refeeding syndrome
- Ventilator-associated lung injury
- Ventilator-associated pneumonia
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Diagnosis |
- Arterial blood gas
- Catheter
- Arterial catheter
- Central venous catheter
- Pulmonary artery catheter
- Blood cultures
- Screening cultures
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Life supporting treatments |
- Airway management
- Chest tube
- Dialysis
- Enteral feeding
- Goal-directed therapy
- Induced coma
- Mechanical ventilation
- Therapeutic hypothermia
- Total parenteral nutrition
- Tracheal intubation
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Drugs |
- Analgesics
- Antibiotics
- Antithrombotics
- Inotropes
- Intravenous fluids
- Neuromuscular-blocking drugs
- Recombinant activated protein C
- Sedatives
- Stress ulcer prevention drugs
- Vasopressors
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ICU scoring systems |
- APACHE II
- Glasgow Coma Scale
- PIM2
- SAPS II
- SAPS III
- SOFA
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Organisations |
- Society of Critical Care Medicine
- Surviving Sepsis Campaign
- European Society of Paediatric and Neonatal Intensive Care
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Related specialties |
- Anesthesia
- Cardiology
- Internal medicine
- Neurology
- Pediatrics
- Pulmonology
- Surgery
- Traumatology
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UpToDate Contents
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English Journal
- Anaesthesiological and intensive care management in craniovertebral junction surgery.
- Genovese O, Tosi F, Piastra M, Chiaretti A, Conti G, Di Rocco C, Visocchi M.SourcePediatric Intensive Care Unit, Institute of Anesthesiology and Intensive Care, Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, Rome, 00168, Italy, hor6505@yahoo.com.
- Advances and technical standards in neurosurgery.Adv Tech Stand Neurosurg.2014;40:171-97. doi: 10.1007/978-3-319-01065-6_5.
- The main factors of modern perioperative care of the craniovertebral junction surgery include a comprehensive approach to the patients, including a thorough cardiorespiratory, neurophysiological, and metabolic assessment, intraoperative monitoring of spinal cord function, safe airway management, and
- PMID 24265046
- Microarray‑based identification of nerve growth‑promoting genes in neurofibromatosis type I.
- Liu Y, Kang D, Li C, Xu G, Tan Y, Wang J.SourceDepartment of Pediatric Intensive Care Unit, The First Affiliated Hospital of Jilin University, Changchun, Jilin 130000, P.R. China.
- Molecular medicine reports.Mol Med Rep.2014 Jan;9(1):192-6. doi: 10.3892/mmr.2013.1785. Epub 2013 Nov 8.
- As a genetic disease, neurofibromatosis type 1 (NF1) is characterized by abnormalities in multiple tissues derived from the neural crest, including neoplasms in the ends of the limbs. The exact mechanism of nerve growth in NF1 is unclear. In the present study, the gene expression profile of nerves
- PMID 24213587
- [Severe allergic reaction due to a rectal enema].
- Raulin-Gaignard H, Berlengi N, Gatin A, Loeb O, Borsa-Dorion A, Monin P.SourceStructure d'urgences pédiatriques Meurthe-et-Moselle, hôpital d'enfants, CHU de Nancy, rue du Morvan, 54000 Nancy, France. Electronic address: helenerau@hotmail.fr.
- Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie.Arch Pediatr.2013 Dec;20(12):1329-32. doi: 10.1016/j.arcped.2013.09.021. Epub 2013 Oct 31.
- Allergic drug reactions must always be considered when prescribing treatment, even in frequent pediatric problems such as acute abdominal pain due to constipation. We describe an original case of anaphylactic shock due to the administration of hypertonic rectal enema in a child. A 9-year-old child a
- PMID 24183833
Japanese Journal
- Thyroid and Brain Natriuretic Peptide Response in Children Undergoing Cardiac Surgery for Congenital Heart Disease:– Age-Related Variations and Prognostic Value –
- Cantinotti Massimiliano,Lorenzoni Valentina,Storti Simona,Moschetti Riccardo,Murzi Bruno,Marotta Marco,Crocetti Maura,Molinaro Sabrina,Clerico Aldo,Portman Michael,Iervasi Giorgio
- Circulation Journal 77(1), 188-197, 2013
- … Background: Interest in hormonal response after pediatric cardiac surgery is growing, but many aspects remain unclear. … Free thyroid hormones (fT3 and fT4), thyrotropin (thyroid-stimulating hormone [TSH]) and BNP were measured preoperatively, daily postoperatively in the intensive care unit and after 15 days. … Conclusions: BNP and thyroid response after pediatric cardiac surgery differs widely according to age. …
- NAID 130001870119
- 前田 浩利
- 障害者問題研究 40(2), 2-9, 2012-08
- 我が国では,医療の進歩により多くの子どもたちの命が助かるようになり,新生児の救命率は世界一と言われている.しかし,それは一方で人工呼吸器や経管栄養などの医療機器が日常的に必要になる子どもたちの急激な増加という問題を引き起こした.これによって,病弱児・重症児の日常生活を支えるためには,従来の福祉のみでなく,医療と福祉の協働が必要になるというパラダイムの転換が起こることになった.必然的に,障がい児教育 …
- NAID 110009432432
- 超低出生体重児に対する"Sutureless Enterostomy"
- 大橋 研介,池田 太郎,古屋 武史,金田 英秀,南郷 容子,井上 幹也,杉藤 公信,越永 従道
- 日本小児外科学会雑誌 48(4), 716-721, 2012-06-20
- 【目的】超低出生体重児(extremely low birth-weight infant: ELBWI)の生存率上昇に伴い,胎便関連性腸閉塞や特発性限局性腸穿孔に対する小腸ストーマ造設の機会が増加している.ELBWIではストーマ造設術後のストーマ関連合併症(壊死,穿孔,狭窄,脱落,腸管脱出,創感染等)が多いと言われ,これらの合併症は発生すると再手術を要することも多く,治療経過に大きく影響する.我 …
- NAID 110009470924
Related Links
- p i c u . i t Pediatric Intensive Care Unit II Surfattante Surfactant I I International chapter of PICU in the world I I I centri italiani di terapia intensiva pediatica Italian PICU database I I Aggiornamento scientifico Scientific ...
- With a total of 40 beds staffed by 12 pediatric intensivists and nearly 200 nursing and ancillary staff, the Sybil B. Harrington Pediatric Intensive Care Unit at Phoenix Children's Hospital is not just the largest pediatric critical care unit in ...
Related Pictures
★リンクテーブル★
[★]
- 英
- pediatric intensive care unit
[★]
アルコールの量 unit
- 1unitの量が国によって違う。純エタノール換算で、1英unitは8g=10ml(英糖尿病協会採用の数値)、1米unitは15g(20ml弱:1drinkとも)で、日本では10~14g程度(代謝熱量80Kcalが基準:食品成分表5訂版,2002)や20ないし23g(日本酒1合分)を1unitとしている。日本の医学界では1unit=20g(体積に換算すると25ml)を採用することが多いので、ここでもそれに従う。この基準(1unit=20g=25ml)で計算すると、40度のウィスキー1ショット(=1オンス:英液量オンスで28.41ml、米液量オンスで29.57ml、日本の1ショットで30ml)が約0.5unitとなる。5度のビールなら500mlでだいたい1unit(この、日本酒1合≒ウィスキーダブル≒ビール500cc≒1unitという関係は、覚えておくと便利かもしれない:ワインなどは日本酒に準じるので、1本750mlがだいたい4unit強である)。 (参考1.より引用)
参考
[★]
- 心配。心配事、煩労、心労、気苦労、気がかり、悩みのたね
- 関心、配慮、注意。世話、保護、介護、ケア。関心事、責任、用事
- care should be taken in combining a beta-blocker with a nondihydropyridine calcium channel blocker.
- 関
- anxiety、anxious、anxiously、attend、attendance、attention、attentional、care for、caregiving、caring、caution、cautiously、concern、cure、curing、fear、heed、nervous、note、notice、nursing、nursing care、practice、precaution、remediation、remedy、therapeutic、therapy、treat、treatment、trouble、uneasy、watch、worrisome、worry
[★]
- 関
- high-potency、high-power、intensively、massive、potent、potentially、potently、powerful、powerfully
[★]
- n.
- 関
- attendance、care、caregiving、compassion、empathy、nursing、nursing care
[★]
- 関
- nil、non、nothing、null