Search Tag: ICU

ICU Management

Antibiotic-resistance-1

2022 14 Oct

Infections occur frequently in critically ill patients in the ICU. They may be the reason for admission and could also be due to immunosuppression associated with critical illness. Antibiotics are essential tools for treating both common and complex infections. It is recommended that antibiotics should be administered as soon as possible once an infection...Read more

ICU Management

Pharmacokinetic-pharmacodynamic-principles-to-combat-antimicrobial-resistance

2022 14 Oct

Pharmacodynamic and pharmacokinetic principles play a central role in antimicrobial dose-optimisation to combat antimicrobial resistance. In the future, research focused on the integration of preclinical and clinical data is paramount. Antimicrobial Resistance in the ICU The use of antimicrobial drugs in the hospital is very common...Read more

ICU Management

Multidrug-resistant-gram-negative-bacteria-in-the-icu

2022 14 Oct

Severe infections by antibiotic resistant gram-negative bacteria are frequent in ICU patients. They are associated with high morbidity and mortality. Introduction Bacterial infections in patients hospitalised in the Intensive Care Unit (ICU) are frequent, and they elicit an increase in morbidity and mortality. The emerging development...Read more

ICU Management

Rapid-diagnostics-and-antimicrobial-resistance-in-the-icu

2022 14 Oct

The need to address the problem of antimicrobial resistance, the importance of faster diagnosis of bacterial infections and an overview of rapid diagnostic testing. Antimicrobial resistance (AMR) is rapidly increasing on a global scale. The discovery of penicillin revolutionised the field of medicine, providing safe harbour from the most...Read more

ICU Management

Does-antimicrobial-resistance-affect-clinical-outcomes-in-the-icu

2022 14 Oct

An overview of antimicrobial resistance and its impact on clinical outcomes in the ICU.  Antimicrobial resistance (AMR) has been defined as a major threat to healthcare and to humanity by the World Health Organization (WHO 2015). The level of evidence for the association between AMR and hospital deaths, hospital length of stay and healthcare-associated...Read more

ICU Management

Reducing-antibiotic-resistance-in-the-icu

2022 14 Oct

This article reviews practices currently available to reduce the spread of antimicrobial resistance and novel therapies that are presently being developed. Introduction Among healthcare providers, and especially among those working with intensive care unit (ICU) patients, one of the greatest concerns that has emerged in recent decades has...Read more

ICU Management

Improving-clinical-outcomes-with-early-enteral-nutrition

2022 14 Oct

An overview of the benefits of early enteral nutrition, clinical evidence and recommendations, reasons for delayed enteral feeding in critically ill patients and optimal solutions. Early enteral nutrition is proven to improve clinical outcomes and reduce acute care costs. Nutrition clinicians support the belief that enteral nutrition is...Read more

ICU Management

11th-euroelso-congress-2023

2023 26 Apr

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ICU Management

Icu-professionals-knowledge-of-end-of-life-decision-making-law

2022 13 Sep

There are laws regulating healthcare practice at the end of life. Most healthcare professionals rely on their clinical knowledge to inform treatment decisions during this time. However, the extent to which the law informants their decision-making at the end of life remains uncertain.  In this study, the researchers describe what healthcare professionals...Read more

Sepsis

Icu-vs-high-dependency-care-unit-for-septic-shock

2022 26 Jul

Sepsis is a life-threatening disease with high mortality. More than 10,000 people die from sepsis every year in Japan. Septic shock is when sepsis is associated with circulatory and cellular metabolic abnormalities. International guidelines recommend the use of antimicrobial therapy and source control with drainage or surgery, intensive care with fluid...Read more

ICU Management

Clinical-outcomes-with-and-without-direct-discharge-home

2022 25 Jul

ICUs are an important part of an acute care system and provide life-sustaining treatment to critically ill patients. The level and complexity of care delivered in ICUs can vary. For example, some ICUs provide support for multiple organ failure, while others may focus on single-system support or might be a point of transition between the ward and the...Read more

ICU Management

Sleep-assessment-in-critically-ill-adults

2022 25 Jul

Sleep in adult patients in the ICU is severely disturbed and typically short, light and fragmented. In addition, interventions in the ICU such as sedation, ventilation and illness can alter sleep characteristics. Some of the most common causes of sleep disruption include environmental factors such as noise and light; physiologic factors, such as pain,...Read more

Sepsis

Serial-measurement-of-pancreatic-stone-protein-for-detection-of-sepsis

2022 27 Jun

Sepsis continues to be a challenging health problem associated with high morbidity and mortality. Approximately 48.9 million cases of sepsis were recorded worldwide in 2017, with 11 million related deaths. Sepsis guidelines emphasise the early recognition and aggressive management of this condition with early antibiotic treatment and support. If not...Read more

ICU Management

Acute-pain-management-1

2022 25 May

Pain is frequently encountered in intensive care unit (ICU) patients. Several studies have shown that improved pain management is associated with improved patient outcomes. However, pain management continues to be a significant challenge in the ICU setting. Effective pain relief is one of the most important priorities in the ICU. The goal...Read more

ICU Management

Pain-management-in-the-icu-1

2022 25 May

Effective pain relief is one of the most important priorities in the ICU. Join our panellists as they discuss different aspects of pain management in critically ill patients and the use and effects of analgesia and sedation in the ICU. Moderator Jean-Louis Vincent (MODERATOR) Editor-in-Chief ICU Management & Practice Professor Department...Read more

ICU Management

Icu-related-loss-of-quality-of-life-after-covid-19

2022 12 Apr

COVID-19 has had a significant impact on the number of hospital admissions, including many patients presenting acute respiratory failure. Approximately 15% of hospitalised COVID-19 patients require ICU admission.  It is well established that the physical and psychological impact of an ICU stay on patients can be quite significant and prolonged....Read more

ICU Management

Soa-2022-state-of-the-art

2022 28 Jun

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ICU Management

Sepsis-in-critical-care-5

2022 12 Apr

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ICU Management

Electronic-poor-outcome-screening-epos-score

2022 21 Mar

The number of elderly and multimorbid patients admitted to the ICU continues to increase. These patients are at a high risk of dying and are likely to suffer from poor long-term outcomes such as functional and cognitive impairment, psychological distress and 6-month mortality. In addition, these patients have complex palliative care needs and could...Read more

ICU Management

The-getinge-or-days-creating-value-in-healthcare

2022 30 Mar

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ICU Management

Physical-rehabilitation-in-the-icu

2022 01 Mar

Approximately 65% of patients who survive critical illness suffer clinically detectable weakness due to muscle mass loss, myopathy and polyneuropathy. These changes occur early in ICU admission and are associated with prolonged weaning from mechanical ventilation and increased ICU and hospital length of stay. Clinical weakness is also associated with...Read more

ICU Management

Medical-error-and-harm-1

2022 17 Feb

Patients in the intensive care unit generally have complex healthcare issues with underlying comorbidities and organ dysfunction. They are thus more vulnerable to medical errors. Often, the treatment of these patients requires the use of interventions that could potentially result in adverse events, errors and harm. While critical care guidelines...Read more

ICU Management

Medical-error-harm-and-patient-safety-1

2022 17 Feb

Join our panellists on March 1 at 16:00 CET as they discuss the prevalence and types of medical errors in the ICU, the psychological impact of these errors, and strategies to prevent them and improve the safety of critically ill patients. Moderator Jean-Louis Vincent  Editor-in-Chief ICU Management & Practice Professor Department...Read more

ICU Management

Coping-with-the-psychological-impact-of-medical-errors-some-practical-strategies

2022 17 Feb

Significant efforts have been made to make hospitals and ICUs as safe as possible. As healthcare workers (HCWs) try to get through this pandemic, the focus of this article is to explore practical steps to help these workers better cope with the psychological effects of being involved in an error event. Introduction:...Read more

ICU Management

Patient-safety-in-the-icu-exploring-trends-in-adverse-events-in-icus

2022 17 Feb

Adverse events (AEs) are common among critically ill patients. Evidence about the nature, preventability and predictability of AEs can be used to reinvest in efforts to reduce them and improve patient safety in ICUs. Case Mr. A, a previously well 70-year-old male was admitted to the intensive care unit (ICU) with respiratory...Read more

ICU Management

Information-transfer-as-a-strategy-to-improve-safety-in-icu

2022 17 Feb

The transmission of information (TOI) in extremely variable environments, such as the ICU, is crucial. The content and how it is transmitted can be decisive in the safe care of the critical patient. Introduction In an Intensive Care Unit (ICU), we attend people with a wide range of pathologies. All the information obtained...Read more

ICU Management

Doing-more-can-be-worse-ten-common-errors-in-the-icu

2022 17 Feb

Some of the most common interventions in the ICU can be associated with poor results. We present ten situations in which doing less is better for the critically ill patient. Introduction For decades, the focus of patient management in the Intensive Care Unit (ICU) has been to perform a large number of interventions in critically ill patients,...Read more