Search Tag: ICU

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

ICU Management

Nighttime Intensivist Staffing

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

Outcomes of ABCDE Bundle in Mechanically Ventilated Patients

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

Fluid responsiveness in sepsis: the fluid challenge revisiting (FCREV) study

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

Treatment implications of novel clinical phenotypes for sepsis

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

PERFECT protocol: volume-based feeding in ventilated adults

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

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