Search Tag: critical illness

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

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

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

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

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

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

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

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

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

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