ICU COVID-19 News

ICU Management

Early vs. Late Awake Prone Positioning in COVID-19

2021 21 Sep

Approximately 25 to 30% of COVID-19 patients develop signs of acute respiratory distress that require higher respiratory support in terms of oxygen therapy, and noninvasive and invasive positive pressure ventilation. Since the beginning of the COVID-19 pandemic, the use of awake prone positioning has increased in the management of patients with COVID-19.... Read more

ICU Management

#ISICEM21: COV-BARRIER Study - Baricitinib for COVID-19

2021 03 Sep

A study was conducted to evaluate the efficacy and safety of baricitinib, an oral selective Janus kinase 1/2 inhibitor, in combination with standard of care for the treatment of hospitalised patients with COVID-19. A total of 1525 participants were enrolled from 101 centres across 12 countries in Asia, Europe, North America and South America. COVID-19... Read more

ICU Management

#ISICEM21: Awake Prone Positioning for COVID-19 Acute Hypoxaemic Respiratory Failure

2021 02 Sep

Results from the awake prone positioning for COVID-19 acute hypoxaemic respiratory failure meta-trial were presented by Oriol Roca, Critical Care Specialist, Vall d'Hebron University Hospital, Barcelona, Spain, at the 40th ISICEM International Symposium on Intensive Care & Emergency Medicine in Brussels.   Awake prone positioning has been shown to... Read more

ICU Management

#ISICEM21 - ECMO for COVID-19

2021 01 Sep

At the 40th ISICEM International Symposium on Intensive Care & Emergency Medicine this week, Professor Alain Combes of Sorbonne University, Paris, talked about treating COVID-19 patients with the most severe forms of cardiac and respiratory failure.   Prof Combes talked about his experience during the pandemic and presented his research that compared... Read more

ICU Management

Gender in the ICU

2021 24 Aug

G ender inequity in critical care medicine remains a pressing issue as the representation of women and minorities continues to be lowest in this specialty. Women continue to be underrepresented in leadership roles and senior positions. Whether it is overall compensation, lucrative opportunities, recipients of research funding, lead authors and editors,... Read more

ICU Management

Diversity and Equality During COVID-19: The World Series

2021 24 Aug

Looking at gender, bias and equality through the lens of the COVID-19 crisis and its potential for broad and lasting effects and addressing how this unprecedented situation can be a chance for interaction, learning and the development of best practices, such as developing work structures that could be continued in our post-pandemic future.... Read more

ICU Management

Sex, Lies and COVID-19

2021 24 Aug

An overview of the impact of gender on the severity of illness, impact and outcomes of COVID-19. T he human coronaviruses (HCoVs) includ e two alpha-CoVs (HCoV-229E and HCoV-NL63) and five beta-coronaviruses (HCoV-OC43, HCoV-HKU1, severe acute respiratory syndrome CoV [SARS-CoV], Middle East respiratory syndrome CoV [MERS-CoV], and most recently ... Read more

ICU Management

Should Families Be Allowed To Visit Dying COVID-19 Patients in the ICU?

2021 24 Aug

COVID-19 has drastically changed how end-of-life care is practiced in the intensive care unit. Safety concerns for society limits family visitation but is contrary to patient and family-oriented care. This article provides an ethical analysis of the pros and cons of having family members present at the death of a COVID-19 positive ICU patient and... Read more

ICU Management

Children With COVID-19: Characteristics and Outcomes

2021 23 Aug

Severe COVID-19 in adults is characterised by severe pneumonia followed by systemic inflammation that could result in death. In adults, age, comorbidities and multiple organ failure are associated with increased in-hospital mortality. However, initial reports of COVID-19 in children suggest a milder course of illness compared to adults. Reports from... Read more

ICU Management

Insights from the PRoVENT-COVID Study

2021 23 Aug

Mortality in patients with COVID-19 is much higher in patients who need invasive ventilation for acute respiratory distress syndrome (ARDS). COVID-19 patients with ARDS are a heterogeneous group with diverse evolutions that could be due to different phenotypes and response to care, including invasive ventilation strategies.   The Practice of VENTilation... Read more

ICU Management

AKI in Critically Ill Patients With COVID-19

2021 17 Aug

Acute kidney injury is highly prevalent among severely ill COVID-19 patients. However, there is very limited data on the progression of AKI and long-term outcomes in these patients.   In this study, researchers aimed to describe the prevalence and risk factors for the development of acute kidney injury, its clinical course and progression and renal... Read more

ICU Management

Outcomes of Mechanically Ventilated COVID-19 Patients

2021 17 Aug

Millions of people worldwide have been infected with COVID-19, with many requiring hospitalisation. Approximately 30% of hospitalisaed patients with COVID-19 are started on invasive ventilation for several pneumonia. Invasive ventilation portend a poor prognosis as approximately 40% of these patients do not survive hospitalisation. Even those who survive... Read more

ICU Management

Mental Disorders and Risk of Severe COVID-19

2021 20 Jul

Over the last few months, several risk factors have been identified for severe COVID-19 illness and mortality. These include age, male sex, obesity and cardiovascular disease. Recent evidence from a meta-analysis also demonstrates an increased risk of severe or fatal COVID-19 among patients with a pre-existing mental disorder.  Since then, several... Read more

ICU Management

Critically Ill COVID-19 Patient on ECMO Successfully Survived Lung Transplant

2021 02 Jul

As a cardiac surgeon with extensive experience of lung transplantations, Dr. Wojciech Karolak is used to performing complicated procedures. However, a recent case involving a critically ill female COVID-19 patient on Extracorporeal Membrane Oxygenation (ECMO) became an extraordinary lifesaving experience. “The lung transplant cured the patient,... Read more

ICU Management

Intubation Timing and COVID-19 ARDS Outcomes

2021 29 Jun

COVID-19 associated ARDS is associated with high mortality risk. Many patients with COVID-19 have been admitted with pneumonia and arterial hypoxaemia, increased work of breathing or impending fatigue. It is a common clinical practice to intubate patients with severe hypoxaemia. However, during the pandemic, there was a high demand for ICU beds. Therefore,... Read more

ICU Management

Human Connection in the Time of COVID-19

2021 28 Jun

Human connection has suffered quite significantly during the COVID-19 pandemic. While physical distancing is necessary for our wellbeing, restricting family presence in the ICU has been challenging.   There is recent data that show the negative consequences of these policies and restrictions. Moral distress has been reported due to restrictive family... Read more

ICU Management

Oxygen Therapy

2021 24 Jun

S upplemental oxygen is an essential component of intensive care and is a commonly used therapy worldwide. The primary goal of oxygen therapy is to prevent hypoxaemia. Since oxygen is usually widely available (except in special circumstances such as during the COVID-19 pandemic) and is relatively inexpensive, it is frequently used in patients with... Read more

ICU Management

Oxygen Therapy in COVID-19 Patients: The Role of HFNC and CPAP

2021 24 Jun

Oxygen therapy and mechanical ventilation in patients with COVID-19 and steps to choose the right therapeutic strategy for each patient. Introduction Severe acute respiratory syndrome coronavirus CoV-2 is the highly contagious viral agent responsible for the ongoing COVID-19 pandemic. COVID-19 is the name of the syndrome caused by SARS-CoV-2... Read more

ICU Management

New Applications of Pulse Oximetry

2021 24 Jun

The clinical applications of pulse oximetry go far beyond the mere monitoring of SpO 2 . From home to ICUs, pulse oximeters may help to improve quality of care in patients with respiratory and circulatory disorders, in particular those with the coronavirus disease 2019 (COVID-19). P ulse oximetry was developed in the 1970’s to monitor... Read more

ICU Management

Practical Strategies in Mechanical Ventilation for Patients With COVID-19 Acute Respiratory Failure

2021 24 Jun

COVID-19 represents a challenge in respiratory therapy. Evidence-guided protective mechanical ventilation is essential to reduce mortality. “Only a set of well-directed strategies can combat a formidable enemy.” Introduction The SARS-CoV-2 virus responsible for the COVID-19 pandemic has a wide variety of clinical presentations. Age... Read more