Search Tag: mortality

ICU Management

Which-vasopressors-and-inotropes-to-use-in-the-intensive-care-unit

2023 20 Apr

Vasopressors and inotropes are frequently used in intensive care units. With a special focus on recent studies, this article summarises the key messages in the management of patients requiring inotropes and vasopressors.   Introduction Cardiac output (CO) is a key determinant of oxygen delivery. Low cardiac output syndrome (LCOS) causes...Read more

ICU Management

Role-of-nurse-to-nurse-familiarity-on-mortality

2023 19 Apr

Nursing teams play an important role in providing safe and adequate care to critically ill patients in the ICU. The patient-to-nurse ratio significantly impacts patient outcomes, and teamwork is also crucial.   A recent study emphasises the need for effective communication, collaboration, and a shared sense of responsibility among the nursing team...Read more

Sepsis

Prehospital-bundle-of-care-associated-with-mortality-decrease-in-septic-shock

2022 11 Oct

Over 50 million people worldwide suffer from sepsis every year. Sepsis causes nearly 11 million deaths and is responsible for one-third to half of all in-hospital deaths. The mortality rate for sepsis ranges from 10 to 20%. For septic shock, the most serious form of sepsis, the mortality rate can range from 50 to 60%.  Guidelines recommend early...Read more

ICU Management

Ea22-impact-of-anaesthesia-handover-on-morbidity-and-mortality

2022 07 Jun

What is the effect of intraoperative handover of anesthesia care on clinical outcomes? This was discussed in a very interesting session at Euroanaesthesia Congress this week. Prof Melanie Meersch-Dini of University Hospital Münster, Germany, reviewed the findings from the HandiCAP trial, published this week in JAMA.  Intraoperative handovers of...Read more

ICU Management

Nurse-staffing-and-mortality-risk-of-sepsis

2022 31 May

Sepsis is one of the most challenging complications in the ICU. It is a physiologic response to infection that could lead to multiorgan failure and death if not managed and treated properly. Sepsis is a major health issue in the U.S., with more than 1.7 million cases diagnosed annually. Sepsis is also a leading cause of death and one of the most expensive...Read more

IMAGING Management

Ct-lung-cancer-screening-reduces-deaths

2021 21 Dec

Most physicians agree that discovering lung cancer early is critical to saving lives. Over 200,000 people receive lung cancer diagnoses annually and this remains a leading causes of U.S. cancer deaths. For the first time, a large retrospective population study, conducted by researchers at Icahn School of Medicine at Mount Sinai, demonstrated this.  The study...Read more

ICU Management

Association-of-higher-vs-lower-peep-on-mortality

2021 19 Jul

Mechanical ventilation is a life-saving strategy for critically ill patients. However, it can promote and/or exacerbate lung injury through several mechanisms, including alveolar overdistension and repetitive opening and closing of the alveoli and small airways. Positive end-expiratory pressure (PEEP) has been employed to prevent end-expiratory alveolar...Read more

ICU Management

Making-decisions-during-icu-night-shifts-challenges-and-considerations

2020 11 Aug

We review the decision-making processes during night shifts focusing on the perspective of residents and fellows. We explore nighttime decisions about extubations, ICU discharge, withholding/withdrawing and night shift cross-coverage. T aking a night shift in the ICU can be challenging, particularly from a resident/fellow perspective....Read more

ICU Management

Top-icu-stories-of-2019

2019 28 Dec

As we move into 2020, here's a quick recap of our most clicked stories in ICU in 2019:  Using Biomarkers for Mortality Prediction in Patients With Sepsis A new study evaluated the prognostic value of six biomarkers at onset of sepsis in adult patients with sepsis or septic shock. Risk Factors for Frailty and Death in the ICU...Read more

Cardiology Management

Running-lowers-risk-of-death

2019 14 Nov

There has been extensive literature on the benefits of exercise, including running. Not only does running improve physical endurance, it has been shown to lower body weight, enable better control of blood pressure and blood glucose, improve mental health and lower the risk of adverse cardiac events. However, current literature on how much to run, at...Read more

ICU Management

Emergency-department-to-icu-time-associated-with-mortality

2019 07 Nov

Most emergency rooms have a triage system that enables the triage nurse to determine which patient is seriously ill to ensure that the patient is promptly admitted and treated. For disorders like heart attack and stroke, there are standard emergency room protocols in most hospitals that enable patients to receive care within 3-5 hours of initial...Read more

Executive Health Management

Frailsafe-system-an-innovative-approach-on-frailty

2019 02 Oct

Summary: Frail older people are often burdened with a range of complex medical conditions that leave them more susceptible to illness. The FrailSafe system aims to resolve this by offering a method that can predict, detect and manage frailty earlier on. Frailty is a clinical syndrome manifested with progressive deterioration in more than one...Read more

Cardiology Management

Survived-a-heart-attack-but-what-about-the-depression

2019 05 Jun

According to new findings published in the European Journal of Preventive Cardiology, heart attack patients with prolonged depression or anxiety are at a higher risk of death.  Dr. Erik Olsson of Uppsala University, Sweden explains that temporary mood swings are a natural part of life, and patients who have a heart attack often feel a little...Read more

Cardiology Management

Relationship-between-frailty-and-mortality-in-tavi-population

2018 27 Nov

Established surgical scores have limitations in delineating risk among candidates for transcatheter aortic valve implantation (TAVI). A novel 8-element geriatric assessment (GA) frailty score, developed by a team of researchers from Norway, Switzerland and the U.S., may be a useful tool for heart teams in selecting patients who will benefit most...Read more

ICU Management

Is-there-a-weekend-effect-for-icu-mortality-1

2017 22 Nov

The risk of dying in the intensive care unit (ICU) is higher for patients admitted at the weekend compared to those admitted on a weekday, according to a retrospective study of registry data from Austria published in Critical Care (Zajic et al. 2017). However, the risk of dying in the ICU on a weekend was found to be lower than on a weekday, highlighting...Read more

ICU Management

Study-aki-alerts-associated-with-lower-mortality-los-1

2017 22 Nov

A clinical decision support system (CDSS) that monitors blood creatinine levels in hospitalised patients to alert physicians to potential acute kidney injury (AKI) was associated with a small but significant reduction in mortality and hospital length of stay (LOS), according to research from the University of Pittsburgh and UPMC published in the Journal...Read more