Clinical Intensive Care and Acute Medicine

Hillman, Ken; Bishop, Gillian

doi:10.1017/cbo9780511544576

Cited by 2 publications

(2 citation statements)

References 196 publications

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“…For example, sodium and water retention is frequently observed in chronic heart failure patients but not in acute heart failure patients, due to the actions of the compensatory mechanisms involved in regulating the CO. In addition, cardiomegaly (enlarged heart) occurs in chronic heart failure conditions but not necessarily in patients with acute heart failure (21). Therefore, further experimental studies using animals with induced chronic heart failure should be carried out to more accurately represent the actual clinical scenario.…”

Section: Discussionmentioning

confidence: 99%

Numerical Optimization Studies of Cardiovascular–Rotary Blood Pump Interaction

et al. 2012

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A heart-pump interaction model has been developed based on animal experimental measurements obtained with a rotary blood pump in situ. Five canine experiments were performed to investigate the interaction between the cardiovascular system and the implantable rotary blood pump over a wide range of operating conditions, including variations in cardiac contractility and heart rate, systemic vascular resistance (SVR), and total blood volume (V(total) ). It was observed in our experiments that SVR decreased with increasing mean pump speed under the healthy condition, but was relatively constant during the speed ramp study under reduced cardiac contractility conditions. Furthermore, we also found a significant increase in pulmonary vascular resistance with increasing mean pump speed and decreasing total blood volume, despite a relatively constant SVR. Least squares parameter estimation methods were utilized to fit a subset of model parameters in order to achieve better agreement with the experimental data and to evaluate the robustness and validity of the model under various operating conditions. The fitted model produced reasonable agreement with the experimental measurements, both in terms of mean values and steady-state waveforms. In addition, all the optimized parameters were within physiological limits.

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Section: Discussionmentioning

confidence: 99%

Numerical Optimization Studies of Cardiovascular–Rotary Blood Pump Interaction

et al. 2012

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“…Regarding ‘complete, responsive and personalized service’ (see Figure 2), the patients and carers recognized the RDC-B as comprehensive, with the capacity to accommodate their diverse range of changing needs and preferences. Given their varied experiences with different health services, they had grown accustomed to ‘single organ medicine’ (Hillman & Bishop, 2004: 2), whereby a health service or clinician solely attended to the matter of primary interest to them , rather than to that which was of primary interest to the patient or carer. However, the RDC-B was different – it was cross-functional.…”

Section: Discussionmentioning

confidence: 99%

Brilliant renal care: A really positive study of patient, carer, and staff experiences within an Australian health service

Kippist

Fulop

Smyth³

2019

Journal of Management & Organization

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Drawing on a positive organizational scholarship (POS) approach, this paper presents findings from the first of a two-part study exploring user experiences of brilliant renal care within the Regional Dialysis Centre in Blacktown (RDC-B). A world café method was used engaging patients, carers, and staff in conversations about brilliance. Practitioners led the study, seeking to validate their claims that the RDC-B is an exemplar of brilliant care. Pragmatics dominated the fieldwork. Researchers and practitioners collaborated throughout the study, including hosting two world cafés. Key findings from the study are that the RDC-B is completely patient and relationally-centred, with high-quality connections, dedicated and competent staff providing a complete, responsive, and personalized service that is also like being in a family. Drawing on POS, we suggest that relational-centred care requires at the very least high-quality connections and relational coordination to build and sustain the levels of positivity identified in the RDC-B.

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Clinical Intensive Care and Acute Medicine

Cited by 2 publications

References 196 publications

Numerical Optimization Studies of Cardiovascular–Rotary Blood Pump Interaction

Numerical Optimization Studies of Cardiovascular–Rotary Blood Pump Interaction

Brilliant renal care: A really positive study of patient, carer, and staff experiences within an Australian health service

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