Latest Articles in icu
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ICU is a Team Sport
The importance of creating a psychologically safe workplace and the need for a fundamental shift in workforce culture to foster compassionate leadership and collaborative approaches to delivering safe, supported care. I write this almost one year to the day after the UK announced its first coronavirus pandemic lockdown. The next few...
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Compassion and Humanism in the ICU – A Clinical Study
Importance and Objectives To observe the impact and main contributing factors of stress, anxiety and depression among frontline staff in the intensive care units during the COVID-19 pandemic, and to determine if wellness resources are useful. Design Mixed method observational cohort study. Setting and Participants...
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Intensive Care Physiotherapists Should be Using Point of Care Ultrasound (POCUS)
An overview of the potential of POCUS on clinical decision making at the bedside and the need to add it as a new diagnostic tool by intensive care physiotherapists. Introduction Intensive care physiotherapists often rely on standard assessment tools, such as measures of physiological function (arterial blood gases), adequacy/quality...
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Is Videolaryngoscopy the New Gold Standard for Intubation Following the COVID-19 Crisis?
Videolaryngoscopy may be the new gold standard for tracheal intubation following the COVID-19 pandemic onset. Introduction Patients admitted to Intensive Care Units (ICU) often require respiratory support. Orotracheal intubation is one of the most frequent procedures performed in ICU (Lascarrou et al. 2017; Roux et al. 2014; Martin et al....
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Prioritisation: A Physicians’ Problem? An Opinion
In light of harsh criticism regarding physicians’ prioritising scarce resources during the COVID-19 pandemic, the question arises: is prioritising truly a physicians’ problem? The COVID-19 pandemic has led to pronounced discrepancies between the need for medical care and the ability of many health care systems to provide it. Subsequently,...
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How the Pandemic Changed Telemedicine
An overview of the large-scale transition to telemedicine at Mayo Clinic during the COVID-19 pandemic and how it happened in a matter of days and represented one of the most rapid transformations of healthcare in history. Impact of the Pandemic on Society The 2019 Coronavirus Disease (COVID-19) pandemic has affected nearly all aspects...
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Prone Position in Awake, Non-Intubated Patients with ARDS: From Physiology to the Bedside
Prone position (PP) in awake, non-intubated patients with respiratory failure is a physiology-based ventilatory strategy that improves oxygenation and may decrease the need for intubation and invasive mechanical ventilation (IMV). Introduction During the pandemic caused by the SARS-CoV-2 virus, which produces coronavirus disease...
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Mouth Care Challenges and the Use of the COVID-19 Oral Grading System
This paper describes the experiences of the Speech and Language Therapy (SLT) service at Nightingale Hospital, adapting to changing demands, which included upper airway challenges associated with extubation and oral management in patients with COVID-19. Background The London Nightingale Hospital was set up in response to the COVID-19...
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