Search Tag: ICU

ICU Management

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

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

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

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

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

ICU Management

2019 22 Nov

Acute respiratory distress syndrome (ARDS) is a serious disorder that causes severe hypoxia requiring mechanical ventilation. It affects approximately 200,000 patients in the US each year, accounting for 10% of ICU admissions and a mortality risk of 25-40%. In many cases, patients also develop dysfunction of other organs that leads to high morbidity...Read more

ICU Management

2019 21 Oct

Sepsis is a major cause of death among hospitalised patients. It affects nearly 6% of all admissions and results in in-hospital mortality of greater than 15%. Early detection could reduce mortality, as it would result in the timely implementation of evidence-based interventions.  Clinical researchers have developed and implemented a machine-learning...Read more

ICU Management

2019 26 Sep

Interview with Massimo Antonelli, Professor of Intensive Care and Anaesthesiology, Università Cattolica del Sacro Cuore, Rome, Italy   Massimo Antonelli is a Professor of Intensive Care and Anesthesiology at the Università Cattolica del Sacro Cuore, Rome, Italy. He serves as the Director of the Dept. of Anesthesiology and Intensive Care and Emergency...Read more

ICU Management

2019 23 Aug

Acute Kidney Injury (AKI) is a common occurrence for critically ill patients in the ICU, and its early diagnosis has proven to be challenging. The accuracy of the online, machine-learning-based prediction model, AKIpredictor , was analysed for its use in a clinical setting.   The study, which took place over five ICUs in Belgium, compared the predictions...Read more

ICU Management

2019 09 Jul

Patient-ventilator asynchrony is frequent during invasive mechanical ventilation. If patient-ventilator interaction is poor, it can prolong the duration of mechanical ventilation and can also result in longer ICU and hospital stay as well as increased mortality. It is thus important to optimise patient-ventilator interaction.  There are many factors...Read more

ICU Management

2019 03 Jul

The work hours and sleep schedules of physicians who have completed training have seldom been studied. But there is ample evidence that suggests that sleep deprivation can cause errors in decision-making even in easy and familiar circumstances. Keeping in mind that the critical care setting is usually quite stressful, long working hours and sleep...Read more

ICU Management

2019 26 Jun

Increasing focus on ICU utilisation and survivorship has also resulted in a greater focus on the long-term consequences of critical illness. Post Intensive Care Syndrome (PICS) is characterised by physical, cognitive, and emotional manifestations and can have a long-lasting impact on survivors of ICU as well as their families and caregivers. ...Read more

ICU Management

2019 23 May

Fluid challenge is a common practice in the ICU. It is one of the most important resuscitation manoeuvres of acute circulatory failure management in critically ill patients. Adequate fluid resuscitation is very important because both hypovolaemia and fluid overload can result in poor outcomes in the ICU. The criteria for fluid administration...Read more

ICU Management

2019 23 May

Sepsis affects millions of individuals every year. It carries a high risk of death, even if prompt care is provided.  It has been decades, and no new therapies for sepsis have been discovered. A major barrier to progress in this area has been the overly broad definition for this syndrome. Sepsis has a vast array of clinical and biological features,...Read more

ICU Management

2019 16 Apr

Underfeeding in critical illness is common and associated with poor outcomes. Researchers in the UK designed a before-and-after study to evaluate the safety, efficacy and clinical outcomes associated with volume-based feeding (VBF) compared to rate-based feeding (RBF) in a single intensive care unit (ICU). The prospective before-and-after study...Read more

ICU Management

2019 15 Jan

Challenges and advantages of engaging a clinical  staffing and management service for your ICU Trusting a third-party partner to staff and manage your ICU isn’t a decision to be made lightly. Your hospital’s reputation is at stake. Even more important, so are your patients’ health and safety. Finding the right partner to help you deliver...Read more

ICU Management

2018 07 Nov

Critical care is both resource intensive and costly, consuming nearly 15 percent of all hospital costs in the United States. With the demand for critical care outpacing the supply of intensivists in the setting of the ageing U.S. population, ICU telemedicine has been proposed as an intervention that may help alleviate this workforce crisis....Read more

ICU Management

2018 30 Oct

Vitamin D deficiency – usually defined as 25(OH)D levels below 20ng/ml – is common in critical illness with prevalence between 40-70%. Many observational studies have shown a link between low vitamin D levels and poor clinical outcomes in critically ill adults and children, including excess mortality and morbidity such as acute kidney injury, acute...Read more

ICU Management

2018 22 Aug

Procalcitonin (PCT)-guided antibiotic treatment in ICU patients with infection and sepsis patients results in improved survival and reduced antibiotic treatment duration, according to results of a new meta-analysis published in the journal Critical Care. Early identification of sepsis and appropriate initial management including the start of...Read more

ICU Management

2018 22 Aug

Heterogeneity in studies of survivors of critical illness limits knowledge of outcomes in this patient population. Conceptual models of outcomes developed in other fields can be used to better understand outcomes after critical illness, says Nathan E. Brummel, MD, MSCI, Department of Medicine, Vanderbilt University Medical Center, Center for Quality...Read more

ICU Management

2018 08 Aug

Hyperglycaemia is prevalent in critical care, caused by a complex interaction of multiple feedback loops associated with inflammation as a result of immune responses, counter-regulatory responses, and high blood glucose itself. However, glycaemic control (GC) currently leads to increased hypoglycaemia, independently associated with a greater risk...Read more

ICU Management

2018 06 Jun

New research shows that a machine learning approach to predicting ICU readmission was significantly more accurate than previously published algorithms or prediction tools. Implementation of this approach could target patients who may benefit from additional time in the ICU or more frequent monitoring after transfer to the hospital ward, according...Read more

ICU Management

2018 01 Jun

What happens before patients arrive in the ICU? We know that status pre-ICU is associated with outcomes after patients leave the ICU. We also know that we want patients to come to the ICU only if it is needed. This ties in to having an adequate emergency medicine system and innovative techniques in trauma as well as monitoring hospital patients...Read more

ICU Management

2018 23 May

Researchers at Massachusetts General Hospital (MGH) have developed an automated system for identifying patients at risk for complications associated with the use of mechanical ventilators. The new system uses an algorithm that has been shown to be 100 percent accurate in identifying at-risk patients when provided with necessary data, according...Read more

ICU Management

2018 27 Mar

Controlling ICU costs requires good interdisciplinary communication and optimised resource allocation and use. It does not mean that patient outcomes will be compromised. Taking on budgeting can be daunting, but there are key points to bear in mind, according to Jukka Takala, professor of Intensive Care Medicine in the University of Bern, Switzerland,...Read more

ICU Management

2018 26 Mar

The Surviving Sepsis Campaign recommends starting empiric broad-spectrum antibiotics in the initial management of patients with severe sepsis and septic shock (Rhodes et al. 2017). As a consequence, many patients receive unnecessary antibiotics, exposing them to adverse events, while others might be undertreated in spite of broad-spectrum therapy...Read more

ICU Management

2018 16 Mar

We can do better! Élie Azoulay, MD, PhD, is Professor of Medicine in Specialty Pulmonary Medicine and Critical Care at Saint Louis Teaching Hospital and Université Paris Diderot in France. He is the Director of the medical intensive care unit (ICU). He leads the French programme for the care of critically ill immunocompromised patients, and is...Read more

ICU Management

2018 06 Mar

Machine learning has proven to be useful for developing prediction models for outcomes in intensive care unit patients. A new study comparing machine learning techniques for predicting central line-associated bloodstream infection (CLABSI) shows supervised artificial intelligence can accurately predict CLABSI in patients admitted to the ICU. Early...Read more

ICU Management

2017 13 Dec

Morbidity and mortality associated with influenza are routinely analysed retrospectively. The Centers for Disease Control and Prevention also releases weekly data on hospitalisations and mortality due to lab-confirmed cases of influenza. In addition, through its online Influenza Hospitalization Surveillance Network (FluSurv-NET), CDC provides...Read more

ICU Management

2017 22 Nov

This article highlights the key current challenges of intensive care training and education. We share our experience of utilising modern educational techniques through the BASIC Collaboration to facilitate global critical care training.   Critical care is a young and rapidly expanding specialty. This brings particular challenges in training staff....Read more