Search Tag: ICU

ICU Management

Time-definition-of-reintubation

2023 03 Oct

Mechanical ventilation is crucial for supporting critically ill patients, and a timely extubation strategy is essential for improved patient outcomes. Despite standard weaning procedures, a significant percentage of patients (3-20%) require reintubation. Post-extubation respiratory failure can cause respiratory fatigue, requiring additional mechanical...Read more

ICU Management

Soa-2023

2023 27 Jun

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ICU Management

Predicting-readmission-death-after-discharge-from-icu

2023 06 Feb

Many machine learning (ML) models have been developed for use in the ICU, but their effectiveness in new settings is uncertain due to a lack of external validation. A study showed that less than one-third of Food and Drug Administration (FDA) approved ML models have undergone multisite assessment. In addition, only 11% of  ICU prediction models have...Read more

ICU Management

Reanimation-2023

2023 14 Jun

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ICU Management

Management-of-the-acutely-unwell-child

2022 20 Oct

Nearly one-quarter of the world’s population are children aged 0–14 years, with this proportion rising to almost 50% in some countries. Children account for nearly one-fifth of all emergency department visits in the USA and U.K., with an increasing trend of emergency admissions requiring intensive care. Data from emergency departments in England...Read more

ICU Management

Less-is-more-in-delirium

2022 10 May

Critical care physicians often use ineffective treatments that lack evidence-based data. This is especially true for delirium. To date, no medications have demonstrated therapeutic benefit for this condition. Medical treatment is either targeted toward preventing delirium or treating agitation associated with it. Behavioural interventions are rarely...Read more

ICU Management

Delirium-motor-subtypes-in-icu-patients

2022 08 Mar

Delirium is the most common cerebral dysfunction in the ICU, affecting nearly one-third of patients. Based on its clinical manifestation, it can be divided into a hypoactive, hyperactive, or mixed motor subtype. Patients with hyperactive delirium are usually in an agitated state of mind and can display symptoms of aggression and restlessness. Patients...Read more

ICU Management

Temple-university-hospital-adopts-masimo-centroidtm

2022 08 Feb

Premier Philadelphia Academic Medical Center Implements Advanced Masimo Wearable, Wireless Patient Position, Orientation, and Activity Sensors in its ICUs Masimo  and Temple Health has announced that  Temple University Hospital (TUH) , a 722-bed academic medical center located in Philadelphia, is expanding its use of Masimo technologies with...Read more

ICU Management

The-evolution-of-cerebrovascular-critical-care

2021 15 Jun

The Society of Critical Care Medicine (SCCM) was founded in 1970. At that time, there was little to offer for the acute management of patients suffering from an acute cerebrovascular condition other than supportive care. Patients suffering from stroke were rarely found in the intensive care unit.   During the 1960s, 25% of stroke patients would die...Read more

ICU Management

Choosing-wisely-the-next-five-recommendations

2021 07 Mar

In 2010, Howard Brody, a medical ethicist and family physician, authored "Medicine's Ethical Responsibility for Healthcare Reform - The Top Five List". His list challenged medical societies to identify five interventions in healthcare that were overused, and that did not provide patient benefit. Following the same logic, the American Board of Internal...Read more

ICU Management

20-lessons-from-2020-join-the-live-discussion

2021 27 Feb

To round up the first issue of ICU Management & Practice this year, experts from critical care will gather together and discuss the most important lessons learned in 2020 from a critical care perspective. You are invited to join us live on 9 March 2021, 16:00 CET. You might also like : 20 Lessons from 2020     The COVID-19 pandemic...Read more

ICU Management

Use-of-opioids-after-intensive-care

2021 01 Feb

A study was conducted to evaluate opioid use in the ICU and identify factors associated with chronic opioid use after critical care. It also aimed to determine if chronic opioid use was associated with an increased risk of death. Over the last few years, opioid misuse has become a major public health issue in many countries. Pharmaceutical companies...Read more

ICU Management

Prevalence-and-risk-factors-for-delirium-in-covid-19-icu-patients

2021 12 Jan

According to findings from a large study, COVID-19 patients admitted to the ICU in the early months of the pandemic had a higher burden of delirium and coma than is typically found in patients with acute respiratory failure. The findings are published in The Lancet Respiratory Medicine. Study investigators tracked the incidence of delirium and...Read more

ICU Management

Tocilizumab-and-covid-19-pneumonia

2020 26 Oct

Tocilizumab is a humanised monoclonal antibody that binds human interleukin 6 (IL-6) receptors. It is generally used in inflammatory arthritis, giant cell arteritis and cytokine release syndrome after chimeric antigen receptor T-cell therapy.   Tocilizumab has come under close scrutiny during the COVID-19 pandemic. Early observations from China...Read more

ICU Management

Increasing-efficiency-without-affecting-patient-outcomes

2020 11 Oct

The economic and clinical fragilities of healthcare systems around the globe have never been more visible than during the COVID-19 pandemic. In particular, the importance of resource allocation has been at the forefront. Weighing safety against costs when dealing with critically ill patients has been a source of dilemma for many healthcare professionals. ...Read more

ICU Management

Promising-techniques-in-sepsis-after-cardiac-surgery

2020 14 Sep

The purpose of this article is to give an up-to-date, comprehensive review on the utilisation of extracorporeal blood purification techniques and immunostimulation in septic patients after cardiac surgery. Introduction Sepsis is a potentially life-threatening state caused by an infection and an inadequate, dysregulated host immune...Read more

ICU Management

The-future-of-critical-care-the-human-capital

2020 14 Sep

This article will focus on the non-clinical, human aspects of critical care, namely the patient and the ICU team. The modern concepts of humanising ICU care, the healing environment and future-proofing the ICU team will be discussed. Introduction Despite being a relatively young specialty, critical care has made remarkable progress...Read more

ICU Management

Ethics-as-superpower-primum-non-nocere-against-all-pandemic-odds

2020 14 Sep

Use Case COVID-19-ICU Bethany Hospital Germany Medicine is an activity of special dignity at all times. Healthcare professionals are responsible actors and have to consider the business of operating ethics. Weighing up values under considerable time pressure, existential fates and critically discussed evidence is a considerable challenge for them,...Read more

ICU Management

Advances-in-sepsis-research-new-tools-against-one-of-the-oldest-diseases

2020 14 Sep

Sepsis and septic shock are the leading causes of death in the ICU. With an estimated mortality rate of 40-60%, septic shock is in the focus of adult critical care medicine. It is broadly accepted that intervention in the very early phase of sepsis before the complex inflammatory host response is initiated should be one major area that clinical research...Read more

ICU Management

Mechanical-ventilation-in-covid-19

2020 27 May

There is no specific treatment for COVID-19 patients. For those who develop respiratory failure and are unable to oxygenate with non-invasive methods, critical care doctors are providing supportive therapy. Since the pandemic started, mechanical ventilation has routinely been employed to oxygenate seriously ill COVID-19 patients. Each hospital has...Read more

ICU Management

Feasibility-and-potential-benefits-of-immersive-virtual-reality-in-the-intensive-care-unit

2020 19 May

Virtual reality (VR) is a developing technology with much current interest in its potential to improve patient outcome in a variety of clinical settings. Critically ill patients, their relatives and intensive care unit (ICU) staff are all at high risk of stress and anxiety and patients often experience pain. This study explores the potential benefits...Read more

ICU Management

A-covid-19-dashboard-data-analytics-to-aid-resource-allocation-in-intensive-care-units

2020 19 May

In this article, we focus on clinical and practical application of current available cloud-based data analysis to track and benchmark in real-time suspect and confirmed COVID-19 cases, resource use and availability. Introduction The COVID-19 pandemic represents an unprecedented challenge to intensive care units (ICU) due to the...Read more

ICU Management

The-role-of-point-of-care-ultrasound-in-covid-19

2020 18 Apr

A Talk with Italian Critical Care Physician Enrico Storti Hospitals all over the world are working to rapidly expand their capacity to treat critically ill patients with COVID-19. To find out how hospitals on the frontlines of the pandemic are coping and the lessons learned that could help other hospitals prepare, FUJIFILM SonoSite’s Chief Medical...Read more

ICU Management

Delirium-subtypes-in-adult-icus

2020 19 Feb

Delirium is a common problem in patients admitted to the intensive care unit and is associated with increased length of hospital stay, high mortality and long term cognitive impairment. Delayed diagnosis can often make things worse. Delirium is known to fluctuate in its presentation and its severity can also vary. Delirium is generally classified...Read more

ICU Management

Optimal-approach-to-fluid-resuscitation-for-patients-in-shock

2020 03 Feb

Initial fluid resuscitation practices for patients with haemodynamic shock remain controversial. There is significant variability in these practices, and the impact of this is still poorly understood. Overall, non-patient-centred resuscitation practices, conflicting treatments, variability, and failure to meet targets for initial resuscitation are...Read more

ICU Management

Peptic-trial-preventing-stress-ulcers-in-icu-patients

2020 26 Jan

Approximately 2.5% of adults acutely admitted to an ICU develop upper gastrointestinal bleeding. 70% of these patients are prescribed stress ulcer prophylaxis. Proton pump inhibitors are the most commonly prescribed drugs as they reduce bleeding risk. However, there are some clinicians who prescribe histamine-2 receptor blockers. But this practice...Read more

ICU Management

Using-biomarkers-for-mortality-prediction-in-patients-with-sepsis

2019 23 Nov

Sepsis has always carried high mortality. Even today, with all the latest technology and newer antibiotics, sepsis continues to be a major risk factor for death. It is important to understand that the earlier sepsis is diagnosed and treated, the better the prognosis. Each year, nearly 6 million people die of sepsis in the US.  Because of its aggressive...Read more