Search Tag: ICU

ICU Management

COVID-19 Pandemic: The Ethical Dilemma of Allocating Scarce Resources

2020 31 Mar

Coronavirus pandemic continues to intensify as does the shortage of ventilators and beds. In countries where cases are multiplying at a tremendous rate, a critical question that is being asked is: what criteria should be used to guide rationing decisions? What should be done when demand for ventilators and other intensive treatment exceeds the supply? ... 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

ICU Management

Cognitive Impairment After ARDS

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

Machine Learning to Predict Severe Sepsis and Septic Shock

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

Challenges in the Management of the Critically Ill Patient

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

Machine-Learning-Based Prediction Models for AKI

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

Effects of Sedatives and Opioids on Patient Ventilator Asynchrony

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