Search Tag: intensive care unit

ICU Management

Need to optimise disposition in ED patients presenting with infection

2018 18 Jul

Emergency department (ED) patients with suspected infection admitted to the intensive care unit (ICU) are associated with lower in-hospital mortality and costs than those initially admitted to the floor or discharged home, according to a new study published in the journal Critical Care. "Our findings demonstrate worse outcomes and higher costs... Read more

ICU Management

2018 04 Jun

I work in a small intensive care unit (ICU) where we have been writing diaries since 1992. Initially, they were just little black books with notes by staff and families on how patients were doing during their ICU stay. In 1999, we began taking photos of the patients to illustrate their critically ill period, to help them understand and see what happened.... Read more

ICU Management

Pre-ICU cognitive status associated with post-ICU disability

2018 09 May

Among older adults, any impairment (even minimal) in pre-intensive care unit cognitive status was associated with an increase in post-ICU disability over the six months after a critical illness, and that the relative increase in post-ICU disability was comparable between those with minimal and moderate cognitive impairment, according to new research... Read more

ICU Management

ICU capacity strain: negative impact on care processes, outcomes

2018 04 Apr

Strained intensive care unit (ICU) capacity represents a fundamental supply-demand mismatch in ICU resources. A new systematic review has identified 16 indicators of strained ICU capacity across the spectrum of healthcare quality domains, noting that strain negatively impacts care processes and outcomes for patients as well as care providers. "The... Read more

ICU Management

Volume 18 - Issue 1, 2018

2018 16 Mar

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ICU Management

Supporting the patient innovator

2018 16 Mar

Their inability to communicate effectively whilst he had a tracheostomy on the intensive care unit (ICU), had such a profound impact on Duncan Buckley and his wife, Lisa-Marie, that they developed a concept for a novel interactive communication device, called ‘ICU CHAT’. Together, they have been embedded within the multidisciplinary ICU research... Read more

ICU Management

Withholding and withdrawing life-sustaining treatment: guide for ICU team

2018 23 Jan

Guidance from the Canadian Critical Care Society aims to guide and educate the multidisciplinary intensive care unit (ICU) team and all involved in end-of-life decision making on the background to withdrawal or withholding of life sustaining treatment. The authors emphasise that any form of life-sustaining treatment (LST) should be considered a trial... Read more

ICU Management

What's the effective antibiotic dosing in critically ill patients?

2017 28 Nov

Mortality due to severe infections in the intensive care unit (ICU) remains high despite recent therapeutic advancements. It is believed that ICU pathogens are relatively different from those in the general wards as they commonly have reduced antibiotic susceptibility. However, despite profound physiological and pharmacokinetic differences to the non-critically... Read more

ICU Management

Optimizing Sepsis Management in the Intensive Care Unit: An Interview With Jordi Trafi

2016 18 Oct

“Studies continue to show that guiding antibiotic therapy based on the dynamics of PCT levels in the blood will reduce not only the use of antibiotics but also the length of stay, hereby lowering hospital costs significantly" - an interview with Jordi Trafi. Sepsis can easily escalate to the life-threatening condition septic shock which has... Read more

ICU Management

HAMILTON-C1: Minimum Size for Maximum Performance

2016 11 Oct

Requiring only a minimum of space, the HAMILTON-C1 mechanical ventilator combines maximum mobility with invasive and noninvasive modes, as well as high flow oxygen therapy.  The integrated high-performance turbine enables the HAMILTON-C1 to be completely independent of compressed air. This makes it an ideal companion for all patient groups... Read more