Search Tag: ICU

ICU Management

How effective are ICU telemedicine programmes?

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

Vitamin D and critical illness

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

PCT-guided antibiotic treatment improves outcomes in sepsis patients

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

Improving the long-term outcomes after critical illness

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

Personalised care to improve glycaemic control in critically ill patients

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

Machine learning algorithm 'more accurate' in predicting ICU readmission

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

Pre-ICU

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

Automated system detects risk of ventilator-associated pneumonia

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

ISICEM18: What you need to know about ICU cost control

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