Search Tag: ICU

ICU Management

Sleeping with the enemy: C.difficile infection in ICU

2017 01 Nov

There has been an increase in the number and severity of Clostridium difficile infections (CDI) in all medical settings, including the intensive care unit (ICU), in recent years. An estimated 10-20% of patients are colonised with C. difficile without showing signs of infection and spores can be found throughout ICUs. However, it is not yet possible... Read more

ICU Management

Preventing the misuse of ICU visiting hours to reduce inequities

2017 17 Oct

Family participation in healthcare serves to improve outcomes across a broad spectrum of conditions. Current guidelines recommend open family presence in the intensive care unit (ICU) while citing evidence of its safety. However, many ICUs continue to impose limitations on families’ access to their loved ones, a move that is viewed as promoting social... Read more

ICU Management

Transmission of antibiotic-resistant Enterobacteriaceae in ICUs

2017 17 Oct

In an international study in 13 European intensive care units using protocolised surveillance and microbiological analysis, the transmission capacity of bacteria resistant to expanded-spectrum cephalosporins (ESCs) was 3.7 times higher for non-Escherichia coli Enterobacteriaceae (mainly Klebsiella pneumoniae) than for E. coli. The study findings are... Read more

ICU Management

Evaluating physical functioning in ICU patients

2017 10 Oct

Measuring physical functioning is important in the intensive care unit (ICU) to help inform patient recovery after critical illness, to identify patients who may require rehabilitation interventions, and to monitor responsiveness to such interventions, according to a viewpoint article in the journal Critical Care."Impairment in physical functioning... Read more

ICU Management

The role of autophagy in the metabolism and outcomes after surgery

2017 15 Sep

Increasing evidence implicates autophagy as repair process crucial for recovery from critical illness-induced vital organ failure and muscle weakness. This article summarises recent evidence and highlights potential implications for therapy.   Progress in intensive care medicine has resulted in improved survival from acute life-threatening conditions.... Read more

ICU Management

Continuing rehabilitation after intensive care unit discharge

2017 15 Sep

Opportunities for technology and innovationThis article discusses technological innovations that promote survival and enhance recovery, starting within the ICU with developments in ventilation, sedation, early mobility and ICU design. Post-ICU, the establishment of follow-up services is discussed, as are initiatives for sharing patient information to... Read more

ICU Management

Is there a ‘weekend effect’ for ICU mortality?

2017 07 Sep

The risk of dying in the intensive care unit (ICU) is higher for patients admitted at the weekend compared to a weekday, according to a study published in Critical Care. On the other hand the risk of dying in the ICU on a weekend was found to be lower than on a weekday, highlighting the complexity of the so-called 'weekend effect’. While the causes... Read more

ICU Management

ICU Patients: Impact of Nutritional Support on Outcomes

2017 05 Sep

Survivorship is at the forefront of critical care research, hence it is imperative that nutrition studies carefully consider biological mechanisms and trial design because these factors can strongly influence outcomes, in particular long-term physical and functional outcome, says a review paper in the journal Critical Care. "Failure to do so may lead... Read more