Saskia Rijkenberg

OLVG · Department of Geriatrics

Background: We assessed the association of intravenous insulin and glucose infusion with intensive care unit (ICU) and hospital mortality. Methods: For this retrospective association study, we used data from all patients admitted to a medical-surgical ICU between January 2012 and September 2017. We excluded patients admitted < 24 h, patients wit...

Background: The long-term ecological effects on the emergence of antimicrobial resistance at the ICU level during selective decontamination of the digestive tract (SDD) are unknown. We determined the incidence of newly acquired antimicrobial resistance of aerobic gram-negative potentially pathogenic bacteria (AGNB) during SDD. Methods: In a sing...

Objectives: An early diagnosis of intensive care unit-acquired weakness (ICU-AW) is often not possible due to impaired consciousness. To avoid a diagnostic delay, we previously developed a prediction model, based on single-center data from 212 patients (development cohort), to predict ICU-AW at 2 days after ICU admission. The objective of this stu...

Subcutaneous continuous glucose monitoring (CGM) may have benefits in achieving glycemic control in critically ill patients. The aim of this study was to assess the accuracy and reliability of the FreeStyle Navigator I in critically ill patients and to assess patient related factors influencing the accuracy and reliability. This study is a retrospe...

Citation: van der Voort PH, Bosman RJ, Franssen EJ, Rijkenberg S (2017) Opening the Microcirculation with Ketanserin I.V. Improves Peripheral Temperature: An Observational Cohort Study. Enliven: J Anesthesiol Crit Care Med 4(1): 003. Abstract Objectives Skin mottling and an increased delta temperature (deltaT) between core and peripheral sides as m...

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 CPOT simultaneously in mechanically ventilate...

Continuous Glucose Monitoring (CGM) systems could improve glycemic control in critically ill patients. We aimed to identify the evidence on the clinical benefits and accuracy of CGM systems in these patients. For this, we performed a systematic search in Ovid MEDLINE, from inception to 26 July 2016. Outcomes were efficacy, accuracy, safety, workloa...

During resuscitation in severe sepsis and septic shock, several goals are set. However, usually not all goals are equally met. The aim of this study is to determine the relative importance of the different goals, such as mean arterial pressure (MAP), lactate, central venous oxygen saturation (ScvO 2 ) and central to forefoot temperature (delta-T),...

Purpose: Readmission rate is frequently proposed as a quality indicator because it is related to both patient outcome and organizational efficiency. Currently available studies are not clear about modifiable factors as tools to reduce readmission rate. Material and methods: In a 14year retrospective cohort study of 19,750 ICU admissions we ident...

A772 Effects of lipid emulsions based on n-3 polyunsaturated fatty acids on metabolic and infectious complications compared with MCT/LCT lipid emulsion in critically ill patients receiving parenteral nutrition R. del Olmo1, M.J. Esteban2, C. Vaquerizo3, R. Carreño3, V. Gálvez3, G. Kaminsky3, B. Nieto3, M. Fuentes3, M.A. De la Torre3, E. Torres3, A...

Background: Systematic assessment of pain is necessary for adequate treatment of pain. Patient self-reported pain is a superior assessment but is of limited use for intubated patients in the intensive care unit. For these patients, the critical-care pain observation tool (CPOT) has been developed. Aim: To perform a validation of the Dutch CPOT....

Introduction: Prolongation of the corrected QT interval (QTc) can lead to torsades de pointes. This study is designed to determine the validity of the continuous QTc (cQTc) measurement in critically ill patients. Methods: In a retrospective cohort study, QTc analysis was performed with manual measurements on a single selected lead from a 12-lead...

Background The purpose of this study was to determine the one-year mortality rate and its predictors regarding long-term intensive care-treated patients together with their health-related quality of life (HRQL), place of living, healthcare use and long-term complication characteristics after intensive care unit (ICU) discharge. Methods A retrospec...

Tele-intensive care (teleIC) can be used to increase the level of care in the intensive care unit (ICU) with the tele-intensivist being at a remote site. In this study we describe the implementation and outcomes, including patient and family satisfaction, of the first Dutch teleIC. In a retrospective analysis the patient characteristics are describ...

The prognostic value of biochemical tests in critically ill patients with multiple organ failure and suspected bowel ischemia is unknown. In a prospective observational cohort study intensive care patients were included when the attending intensivist considered intestinal ischemia in the diagnostic workup at any time during intensive care stay. Pat...

Purpose: The Behavioral Pain Scale (BPS) and Critical-Care Pain Observation Tool (CPOT) are behavioral pain assessment tools for uncommunicative and sedated intensive care unit (ICU) patients. This study compares the discriminant validation and reliability of the CPOT and the BPS, simultaneously, in mechanically ventilated patients on a mixed-adul...

Introduction: Glucose measurement in intensive care medicine is performed intermittently with the risk of undetected hypoglycemia. The workload for the ICU nursing staff is substantial. Subcutaneous continuous glucose monitoring (CGM) systems are available and may be able to solve some of these issues in critically ill patients. Methods: In a ra...

Op de intensive care (ic) in het OLVG kwam vanuit het team het initiatief interventies te implementeren om de slaap van ic-patiënten te bevorderen. Dit leidde tot een inventarisatie van het beschikbare bewijs naar de belangrijkste factoren voor slaapstoornissen op de ic, methoden om slaap te evalueren en twee interventies (oordoppen en aanpassingen...

Poster presentation: http://ccforum.com/search/results?drpField1=&txtSearch1=&drpPhrase1=&drpField2=[TI]&txtSearch2=&drpPhrase2=&drpField3=[AU]&txtSearch3=endeman&drpPhrase3=&drpField4=&txtSearch4=&drpPhrase4=&excludeField1=&excludeSearchText1=&excludePhrase1=&drpAddedInLast=&drpFromDate=&drpToDate=&drpOrderBy=by+date&itemsPerPage=25&articleType=&...

Background: Unconscious survivors of out-of-hospital cardiac arrest have a high risk of death or poor neurologic function. Therapeutic hypothermia is recommended by international guidelines, but the supporting evidence is limited, and the target temperature associated with the best outcome is unknown. Our objective was to compare two target temper...

To develop a clinical prediction rule based on 3D reconstruction of coronary arteries that would prospectively identify lesions that are difficult to cross and could benefit from magnetic navigation. The coronary anatomy of a cohort of 120 lesions that had undergone percutaneous coronary intervention (derivation set) was analysed using 3D reconstru...