Search Tag: ICU

ICU Management

ICU Patients: Delayed Intubation Linked to Poor Outcome

2017 27 Jun

The optimal timing of endotracheal intubation in critically ill patients requiring invasive mechanical ventilation remains undefined. A new analysis of the large, prospective Intensive Care Over Nations (ICON) database compares patients who underwent intubation early – within two days of ICU admission – to those who underwent intubation later. Results... Read more

ICU Management

Critical Care at the End of Life: A Study of Cost and Outcomes

2017 07 Jun

New research indicates that the majority of individuals admitted to ICU at the end of life are elderly and burdened by chronic illness. The existing medical literature indicates that this is the exact type of population that would be expected to do worse in the ICU, researchers note.The study also shows that a significant proportion of those with ICU... Read more

ICU Management

To Withhold or Withdraw Life-support in the ICU

2017 15 May

New research finds considerable worldwide variability in decisions to withhold or withdraw life-sustaining therapy in the ICU. Notably, researchers found that almost one-third of patients with a decision to withhold/withdraw life-sustaining treatment left the hospital alive. The multicentre study, already available online as an accepted manuscript,... Read more

ICU Management

Expert Statements: Treatment of Critically Ill aHUS Patients

2017 02 May

A review paper provides a summary of available data on the diagnosis and treatment strategies of atypical haemolytic uraemic syndrome (aHUS) in the ICU, with a view to enhancing the understanding of aHUS diagnosis and outcomes in patients managed in the ICU. The report was written by a panel of experts that met at an advisory board to discuss thrombotic... Read more

ICU Management

6 Must Attend Intensive Care Meetings in 2017

2017 27 Feb

1. ISICEMThe International Symposium on Intensive Care and Emergency Medicine (ISICEM) is a highly esteemed event in the intensive care medicine arena, which has become one of the largest congresses in this field.   The 2017 meeting, which will mark its 37th year, will be held 21-24 March in the Square - Brussels Meeting Center in Belgium. It is open... Read more

ICU Management

Study: ICU May Be Overused for Some COPD, Acute MI, HF Patients

2017 17 Feb

For patients with COPD, heart failure and myocardial infarction, who are not critically ill, a stay in the ICU may be no more beneficial than staying on a ward, according to an analysis just published in the Annals of the ATS. Thomas Valley, MD, MSc, a pulmonary and critical care researcher at the University of Michigan Medical School, and colleagues,... Read more

ICU Management

ICU Organisational Changes: Impact on Patient Outcome and Cost

2017 07 Feb

Changes in the organisation of the intensive care department over the past decades – including the implementation of the closed format and electronic patient record – have resulted in better patient outcome and reduction of cost, according to a review published in Journal of Intensive Care. In addition to planning for future improvements, the paper... Read more

ICU Management

New Guidelines for Promoting Family-centred Care in ICU

2017 24 Jan

A new set of evidence-based guidelines for promoting family-centred care in neonatal, paediatric, and adult ICUs has been introduced at this year's Society of Critical Care Medicine's (SCCM) 46th Critical Care Congress. The guidelines, as well as supporting work tools, are now available on the SCCM and Critical Care Medicine websites.See Also: New App:... Read more

ICU Management

Greater Primary Care Physician Involvement, Less Costly, Less intensive care

2017 11 Jan

According to new research by Claire K. Ankuda, MD, MPH, with the Robert Wood Johnson Clinical Scholars Program at the University of Michagan Health System in Ann Arbor, and colleagues, regions that have greater primary care physician involvement during the last six months of life tend to have lower intensity, lower-cost end-of-life care. The research... Read more

ICU Management

Study: Cycling in Bed Safe and Feasible for ICU Patients

2016 28 Dec

ICU patients on mechanical ventilation can use an in-bed cycle safely and early in their stay, according to research from McMaster University and St. Joseph’s Healthcare Hamilton, published in PLOS One.“We know that if patients start in-bed cycling two weeks into their ICU stay, they will walk farther at hospital discharge," said the study's lead author... Read more