Search Tag: ICU
How to Deal with Physician Burnout in the ICU
2019 03 Jul
According to a study published in the American Journal of Respiratory and Critical Care Medicine, shortening the length of rotations in the ICU from the traditional 14-day schedule to only seven consecutive days can help mitigate burnout among critical care physicians. Penn Medicine implemented a pilot initiative across four critical care... Read more
Untangling the Infusion Confusion
2019 19 Jun
Many patients in the ICU receive multiple IV infusions. This can lead to significant confusion because infusions look quite similar, and a patient with multiple infusions tends to be surrounded by associated components such as bags, tubing, pumps, etc. There is often a lack of information along the infusion pathway, which can lead to confusion.... Read more
Nutrition in the ICU
2019 19 Jun
Patients in the ICU tend to achieve clinical improvement within 3 to 7 days of stay. However, there is a subset of patients who progress to chronic critical illness. This is usually characterised by low-grade persistent inflammation and protein catabolism, also referred to as Persistent Inflammatory Catabolism Syndrome (PICS). PICS patients... Read more
#EA19: Acute pain in the ICU: management beyond the usual therapeutic strategies
2019 03 Jun
At this year’s Euroanaesthesia 2019 in Vienna, Austria, Prof. Caterina Aurilio (Naples, Italy), talked about acute pain management in the ICU. She started her presentation with the definition of pain as outlined by the International Association for the Study of Pain (IASP). Pain is an "unnecessary sensory and emotional experience associated with actual... Read more
#EA19: Assessing delirium in the ICU
2019 01 Jun
Dr. Ulf Guenther from Germany made an excellent presentation today at Euroanaesthesia 2019 #EA19 on assessing delirium in the ICU. Dr. Guenther has spent a large part of his research career dealing with delirium, and he shared his insight with respect to the clinical impact, diagnosis, risk factors, and management of delirium in the ICU. According... Read more
Highlights from the I-I-I Blog
2019 30 May
(I expert, I question, I answer) A selection from the ICU Management & Practice I-I-I blog. Have you got something to say? Visit https://healthmanagement.org/c/icu/list/blog or contact [email protected] Peter Pronovost Chief Clinical Transformation Officer - University Hospitals Cleveland, USA @PeterPronovost ... Read more
Quality improvement in the PICU – a primer for intensivists
2019 30 May
Quality improvement provides tools that help the transformation of an intensive care unit into a highly reliable and safe environment, that nurtures continuous learning and delivery of high-quality care that improves patient experience and outcomes. Despite advances in healthcare and dramatic improvements in survival across the spectrum of... Read more
PICU-acquired complications: the new marker of the quality of care
2019 30 May
This article describes the rise in PICU-acquired morbidities and its impact on patient outcomes. It discusses early rehabilitation strategies to improve patient outcomes in PICU. Introduction Critical care has traditionally been focused on early recognition of life-threatening conditions, resuscitation, and stabilisation of organ... Read more
Seven steps to design, procure, implement and maintain a Clinical Information System for your ICU
2019 30 May
How to design, procure, test, parameterise, implement and maintain a Clinical Information System for an intensive care unit. Introduction e-Health applications, in our case Clinical Information Systems (CIS) or Patient Data Management Systems (PDMS), are taking medicine by storm, and intensive care is not an exception. Ensuring delivery... Read more