Search Tag: critical illness

ICU Management

Change-in-research-focus-for-early-nutrition

2024 21 Mar

In an interesting session today at #ISICEM24, Dr Annika Reintam Blaser, an intensivist at Lucerne Cantonal Hospital in Switzerland, discussed future research on optimising feeding for critically ill patients. She highlighted the accumulating evidence over the past 15 years suggesting that feeding might have harmful effects on critically ill patients....Read more

ICU Management

Health-in-tech-introduces-new-ancillary-products-to-expand-healthcare-solutions

2023 06 Sep

Expands Health Care offerings with Critical Illness, Accident, Dental, Vision, Term Life, and GAP coverage options.   Health In Tech, an industry-leading insurtech company that delivers disruptive innovation and re-imagines self-funded health plans, is excited to introduce additional Healthcare products to address customers’ needs holistically....Read more

ICU Management

Icu-without-borders

2023 24 May

  Critical illness is characterised by various phases and outcomes, including deterioration, organ dysfunction, and recovery or death. Patient care is often fragmented, with different groups of healthcare providers managing different aspects of the patient's journey. Communication and collaboration gaps between these groups can lead to breakdowns...Read more

ICU Management

Icu-diaries-and-post-icu-distress-symptoms

2022 09 Nov

In recent years, health diaries have become an important tool for patients and providers to manage personal health. A health diary is a record of a patient's overall health and wellness, which the patient writes to keep track of different aspects of their health. Studies show that greater self-care behaviours, such as the use of symptom diaries, improve...Read more

ICU Management

Microbiome-in-critical-illness

2021 30 Sep

M ultiple factors can bring the microbiome out of balance in critically ill patients in the intensive care unit. These include antibiotic use, mechanical ventilation, changes in diet and inflammatory responses. The dysbiosis of the microbiome can alter immunological responses and could potentially have an impact on patient outcomes. There...Read more

ICU Management

The-intestinal-microbiome-in-critical-illness

2021 30 Sep

Critical illness alters the intestinal microbiome, resulting in a loss of microbial diversity and induction of a pathobiome. Manipulating the intestinal microbiome offers a potential treatment approach in ICU patients. T he intestinal microbiome is comprised of diverse, robust microbial communities within the intestine, modified by...Read more

ICU Management

Ageing-and-critical-illness-what-does-quality-care-look-like

2020 14 Sep

This article explores a system for assessing quality of care in critically ill elderly patients. D ecision-making processes around the admission of critically ill elderly patients have been put into sharp focus in 2020. The urgent need to meet the demands associated with large numbers of acutely ill patients during the COVID-19 pandemic...Read more

ICU Management

Vitamin-d-in-critical-illness-fifty-shades-of-violet

2020 14 Sep

Did the VITDALIZE study and the VIOLET study manage to answer some of the questions regarding vitamin D deficiency and its impact on critically ill patients? Experts compare the findings and present an overview. Introduction Vitamin D deficiency is very common in the ICU (usually >60%) because many critically ill patients were...Read more

ICU Management

A-ct-scanner-in-your-pocket

2020 12 Feb

Lung ultrasound (LUS) is still a young diagnostic tool. However, its use is growing quite rapidly. LUS is an important component of ultrasound courses around the world. It is also incorporated into many shock and hypoxia assessment protocols. LUS is now included as a part of the examination by the National Board of Echocardiography Examination of Special...Read more

ICU Management

New-espen-guidelines-for-nutrition-in-the-critically-ill-help-what-happened

2019 26 Sep

ESPEN guidelines for nutrition in critical illness have shifted from optimistic anticipative nutritional pharmacotherapy towards cautious and balanced metabolic support. This important new orientation in ICU nutrition management is a consequence of recent strong RCT-based evidence.   Introduction   Recently, the new ESPEN guidelines for critically...Read more

ICU Management

Patient-support-needs-following-critical-illness

2019 29 May

The number of patients who are admitted into the ICU and those who survive their stay continues to increase. However, patients who survive the ICU often suffer from chronic and life-changing physical, psychosocial and cognitive changes, often referred to as the “Post Intensive Care Syndrome.” This can have a significant impact on patient-reported...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

Assessing-cognitive-function-in-icu-survivors

2019 16 Apr

New research from Canada demonstrates that a web-based patient-administered neurocognitive test battery can identify domain-specific cognitive impairment in critical illness survivors. Results show that web-based cognitive testing – i.e., Cambridge Brain Sciences (CBS) – is both feasible and able to detect subtle changes in cognitive domains similar...Read more

ICU Management

Facilitating-patient-centred-decisions-about-serious-illness-care

2019 06 Feb

Patient autonomy is the overriding ethical principle guiding medical decision making in the United States. This autonomy-driven model assumes an informed patient who fully understands the implications of available treatment choices and can identify those most aligned with their values and goals. However, there is increasing recognition that this...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

Volume-18-issue-3-2018-1

2018 16 Oct

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ICU Management

Quality-of-life-after-discharge-from-an-icu

2018 10 Oct

Quality of life (QoL) after critical illness is becoming increasingly important as survival improves. A systematic review, conducted by University of Oxford researchers, reveals that patients surviving critical illness had worse health‐related QoL when compared with population norms.  "Quality of life incompletely recovered after hospital discharge....Read more

ICU Management

Improving-the-long-term-outcomes-after-critical-illness

2018 22 Aug

Heterogeneity in studies of survivors of critical illness limits knowledge of outcomes in this patient population. Conceptual models of outcomes developed in other fields can be used to better understand outcomes after critical illness, says Nathan E. Brummel, MD, MSCI, Department of Medicine, Vanderbilt University Medical Center, Center for Quality...Read more

ICU Management

Practice-variation-in-managing-af-during-critical-illness

2018 24 Apr

Atrial fibrillation (AF) is the most common arrhythmia encountered in the intensive care unit. Pre-existing AF is highly prevalent among older patients with chronic conditions who are at risk for critical illness, while new-onset AF can be triggered by accelerated atrial remodelling and arrhythmogenic triggers encountered during critical illness. However,...Read more

ICU Management

Volume-18-issue-1-2018-1

2018 16 Mar

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ICU Management

The-critical-care-resuscitation-unit

2018 16 Mar

A new paradigm for optimising inter-hospital transfer of patients with non-trauma time sensitive critical conditions The number of clinical conditions which have improved outcomes associated with shorter time to specialised resuscitation and definitive intervention continues to increase. Many of these time-sensitive conditions have improved outcomes...Read more

ICU Management

New-way-to-fight-sepsis-rev-up-patients-immune-systems

2018 13 Mar

People especially those with critical illness develop sepsis when an infection triggers an overwhelming immune response, ultimately wreaking havoc on the immune system. Traditional approaches to sepsis therapy do not address the critical problem of patients' severely compromised immune systems. Now, a clinical trial demonstrates that a drug that revs...Read more

ICU Management

Time-to-focus-on-geriatric-critical-care

2018 16 Jan

The growing number of older adults is placing critical care medicine in a precarious position. The ageing demographic is already evident in the ICU, where the "oldest old" (85 years or older) account for more than 20% of admissions. Unfortunately, there is a dearth of evidence to guide the management of critical illness in older adults, according to...Read more

ICU Management

Alleviating-icu-survivors-burden-a-consensus-of-29

2017 13 Dec

In a review paper, a team of international researchers highlights how critical illness and critical care affect longer-term outcomes. According to the authors, the severity of acute illness determines the degree of impairment (with age and length of ICU stay) and the chronic disease status determines the trajectory of recovery. Over the past 25 years...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

Ptsd-phenomena-after-critical-illness

2017 02 May

Experiencing critical illness and intensive care can be extremely stressful. Roughly 1 in 5 critical illness survivors have clinically significant post-traumatic stress disorder (PTSD) symptoms in the year after intensive care, according to an article in press in the journal Critical Care Clinics. With advances in critical care medicine, more patients...Read more

ICU Management

Neuromuscular-blockade-in-management-of-critical-illness

2017 14 Mar

Changes in the delivery of critical care – including protocolised care pathways, increased monitoring techniques and improvements in reducing immobility – have created a modern ICU environment whereby neuromuscular blocking agents (NMBAs) may be administered safely, according to a review published in the journal CHEST. See Also : Evidence on Monitoring...Read more

ICU Management

Nicis-neurosciences-in-intensive-care-international-symposium-2017

2017 08 Jun

The vision of   “Neurosciences in Intensive Care International Symposium” (NICIS) is to  accelerate transformative advances  in the care and science of patients with critical illness and neurological injury. NICIS brings together  clinicians and scientists who have  a common aspiration to translate discoveries in the neurosciences into better patient-centered...Read more

ICU Management

19th-asia-pacific-conference-on-critical-care-medicine-2016-apcccm-2016

2016 12 Oct

Welcome to 19th APCCCM 2016. The APCCCM will combine with the 2nd Joint Meeting of JSICM & TSCCM together with the 7th Critical Care Conference in Thailand and the TSCCM Annual Meeting 2016, together and stronger. With our experiences in organizing the Critical Care Conferences in Thailand in the past years, we chose Bangkok Convention Centre at CentralWorld...Read more