Latest News articles in icu
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Denmark: Increased Bystander CPR, Decreased Mortality in Out-of-Hospital Cardiac Arrest
A registry study from Denmark has investigated the 1-year risk of anoxic brain damage or nursing home admission and of mortality among patients who survived to day 30 after an out-of-hospital cardiac arrest. The risks were analysed according to whether bystander CPR or defibrillation was performed. The study is published in the New England Journal...
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Reducing Brain Injury After Cardiac Arrest: American Academy of Neurology Practice Guideline
Therapeutic hypothermia (TH) (32-34°C for 24 hours) should be mandatory practice for patients who are comatose after being resuscitated from out-of-hospital cardiac arrest, if the initial cardiac rhythm is either pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF), according to the American Academy of Neurology (AAN)’s newly published...
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Does Gender Matter in Resuscitation Teams?
A simulated study of cardiopulmonary resuscitation (CPR) that compared performance by male and female medical students found that the female students performed less efficiently and were less effective resuscitation team leaders. The researchers, from the University of Basel and University Hospital Basel, suggest that gender-specific training may be...
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Out-of-Hospital Cardiac Arrest: Bystander CPR Impact on Survival, Cost
Bystander cardiopulmonary resuscitation (CPR) is crucial to successful resuscitation following out-of-hospital cardiac arrest (OHCA). New research shows that bystander CPR was positively associated with long-term survival and appears cost-effective, with an incremental costeffectiveness ratio of USD48,044 per quality-adjusted life year (QALY).The findings...
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The Impact of Fast MIC Evaluation on Antimicrobial Stewardship: A Case Report
Dealing with Antimicrobial Resistance Recently antibiotic resistance has become a major public health issue with global dimensions, having a remarkable impact on morbidity, mortality and healthcare associated costs. Due to its increasing relevance, the “antibiotic resistance crisis” has entered the agenda of the WHO and other international...
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Resuscitation in Resource-Poor Settings – A Southern Africa Experience
Worldwide, there are over 17 million cardiovascular deaths each year, and the prevalence of cardiovascular disease is increasing. Many regions in the world have seen mortality rates level off or improve; this is not the case for Sub-Saharan Africa (SSA). With only modest reductions in age-adjusted cardiovascular mortality, overshadowed by a blossoming...
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Why You Should Always Debrief Your Resuscitations
Everyone who is active in resuscitation teams will admit: treating a patient in cardiac arrest is a challenge and often things will not go as you would like them to. This can lead to negative feelings when the resuscitation attempt has ended, either because the patient did not regain return of spontaneous circulation (ROSC) or the patient is transported...
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Standardised, Hospital-Wide Airway Trolleys
Inspired by the Difficult Airway Society Guidelines and the Vortex Cognitive Tool One of the main recommendations of the 4th National Audit Project of the UK Royal College of Anaesthetists and the Difficult Airway Society was that every intensive care unit (ICU) should have access to a difficult airway trolley, which should have the same content...
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Five Reasons Why Value-Based Healthcare is Beneficial
Patient-centered care is becoming a major topic in healthcare. Many initiatives have begun focusing their care around patients and their medical conditions. This requires focusing on patient value (Porter and Teisberg 2006). When focusing on value for patients, a few challenges may arise. Firstly, the meaning of value for patients varies widely among...
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Reaching the Heights of Respiratory Physiology
Professor John B. West is a renowned respiratory physiologist and researcher. He joined the faculty of the University of California San Diego in 1969, where he is Distinguished Professor of Medicine and Physiology in the School of Medicine, where he still teaches first-year medical students. He is author of Respiratory physiology - the essentials, which...
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