Search

Your search keyword '"Lai, Chih-Cheng"' showing total 34 results
Start Over Author "Lai, Chih-Cheng" Journal medicine
34 results on '"Lai, Chih-Cheng"'

15. Multidisciplinary interventions and continuous quality improvement to reduce unplanned extubation in adult intensive care units

Author

Chao, Chien-Ming, Lai, Chih-Cheng, Chan, Khee-Siang, Cheng, Kuo-Chen, Ho, Chung-Han, Chen, Chin-Ming, and Chou, Willy

Subjects
Patient Care Team, Restraint, Physical, Social Responsibility, Critical Care, continuous quality improvement, Communication, unplanned extubation, Observational Study, Models, Theoretical, intensive care unit, Quality Improvement, Tertiary Care Centers, Intensive Care Units, Practice Guidelines as Topic, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, Airway Extubation, Humans, Hypnotics and Sedatives, Treatment Failure, Research Article, Retrospective Studies
Abstract

Supplemental Digital Content is available in the text, We conduct a retrospective study of patients with unplanned extubation (UE) in adult intensive care units (ICU) at a medical center. In 2001, a multidisciplinary team of intensivists, senior residents, nurses, and respiratory therapists was established at Chi Mei Medical Center. The improvement interventions, implemented between 2001 and 2015, were organized around 8 key areas: standardizing procedures, improving communication skills, revising sedation and weaning protocols, changing strategies for restraints, establishing a task force for identifying and managing high-risk patients, using new quality-improvement models as breakthrough series and team resource management, using the strategy of accountability without assigning blame, and changing a new method to secure endotracheal tube. We measured the outcome as the annual event and the rate of UE. During this 15-year period, there were 1404 episodes of UE, with 44,015 episodes of mechanical ventilation (MV) (319,158 ventilator-days). The overall rate of UE was 3.19/100 ventilated patients (4.40/1000 ventilator-days). In 2001, there were 188 episodes of UE and the rate of UE was 6.82/100 ventilated patients or 9.0/1000 ventilator-days. After this continue quality improvement project had been implemented, the annual number of episodes of UE declined to 27, and the rate fell to 0.95/100 ventilated patients or 1.36/1000 ventilator-days in 2015. Overall, the trend analysis showed the change was significant with P

Published
2017

22. Multiple Brain Abscesses Due to Aspergillus Fumigatus in a Patient With Liver Cirrhosis

Author

Tang, Hung-Jen, Liu, Wei-Lun, Chang, Tsung Chain, Li, Ming-Chi, Ko, Wen-Chien, Wu, Chi-Jung, Chuang, Yin-Ching, and Lai, Chih-Cheng

Subjects
Liver Cirrhosis, Male, Antifungal Agents, Antigens, Fungal, Aspergillus fumigatus, Brain Abscess, Middle Aged, Magnetic Resonance Imaging, Fatal Outcome, Amphotericin B, Humans, Clinical Case Report, Research Article, Oligonucleotide Array Sequence Analysis
Abstract

Invasive cerebral aspergillosis always developed in immunocompromised host. Early diagnosis may save life in this critical condition; however, it is difficult to reach. Herein, we presented an unusual case of invasive cerebral aspergillosis in a cirrhotic patient. A 47-year-old man presented with progressive deterioration of consciousness for three days. The patient had a history of alcoholic liver cirrhosis, Child-Pugh class C. Magnetic resonance imaging (MRI) of brain showed multi-focal parenchymal lesions, which was consistent with multiple brain abscesses. The diagnosis of invasive cerebral aspergillosis was made by molecular based laboratory methods including Aspergillus galactomannan antigen assay and oligonucleotide array. Despite treatment with the antifungal agent, Amphotericin B, the patient died at the ninth day of hospitalization. Our findings suggest that liver cirrhosis can be one of risk factors of invasive cerebral aspergillosis, and support the diagnosing usefulness of MRI, Aspergillus galactomannan antigen assay, and oligonucleotide array.

Published
2016

24. The Ratio of Partial Pressure Arterial Oxygen and Fraction of Inspired Oxygen 1 Day After Acute Respiratory Distress Syndrome Onset Can Predict the Outcomes of Involving Patients

Author

Lai, Chih-Cheng, primary, Sung, Mei-I, additional, Liu, Hsiao-Hua, additional, Chen, Chin-Ming, additional, Chiang, Shyh-Ren, additional, Liu, Wei-Lun, additional, Chao, Chien-Ming, additional, Ho, Chung-Han, additional, Weng, Shih-Feng, additional, Hsing, Shu-Chen, additional, and Cheng, Kuo-Chen, additional

Published
2016
Full Text
View/download PDF

31. The Ratio of Partial Pressure Arterial Oxygen and Fraction of Inspired Oxygen 1 Day After Acute Respiratory Distress Syndrome Onset Can Predict the Outcomes of Involving Patients.

Author

Chih-Cheng Lai, Mei-I Sung, Hsiao-Hua Liu, Chin-Ming Chen, Shyh-Ren Chiang, Wei-Lun Liu, Chien-Ming Chao, Chung-Han Ho, Shih-Feng Weng, Shu-Chen Hsing, Kuo-Chen Cheng, Lai, Chih-Cheng, Sung, Mei-I, Liu, Hsiao-Hua, Chen, Chin-Ming, Chiang, Shyh-Ren, Liu, Wei-Lun, Chao, Chien-Ming, Ho, Chung-Han, and Weng, Shih-Feng

Published
2016
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results