Search Tag: mechanical ventilation

ICU Management

PEPTIC Trial: Preventing Stress Ulcers in ICU Patients

2020 26 Jan

Approximately 2.5% of adults acutely admitted to an ICU develop upper gastrointestinal bleeding. 70% of these patients are prescribed stress ulcer prophylaxis. Proton pump inhibitors are the most commonly prescribed drugs as they reduce bleeding risk. However, there are some clinicians who prescribe histamine-2 receptor blockers. But this practice... Read more

ICU Management

Highlights from the I-I-I Blog

2020 15 Jan

(I expert, I question, I answer)  Have you got something to say? Visit  https://healthmanagement.org/c/icu/list/blog  or contact  [email protected] Jeremy M. Kahn  Professor of Critical Care Medicine and Health Policy &  Management - University of Pittsburgh School of Medicine  and Graduate School of Public Health,... Read more

ICU Management

Top ICU Stories of 2019

2019 28 Dec

As we move into 2020, here's a quick recap of our most clicked stories in ICU in 2019:  Using Biomarkers for Mortality Prediction in Patients With Sepsis A new study evaluated the prognostic value of six biomarkers at onset of sepsis in adult patients with sepsis or septic shock. Risk Factors for Frailty and Death in the ICU... Read more

ICU Management

Noninvasive Method to Detect Respiratory Effort

2019 14 Nov

Inspiratory effort during mechanical ventilation can have both beneficial and deleterious effects on the patient. Inspiratory effort can increase the tidal volume, but at the same time, also increase global lung stress due to an increased transpulmonary driving pressure, which eventually leads to lung injury. Some studies indicate that the level... Read more

ICU Management

New Mode of Adaptive Ventilation

2019 07 Nov

For most patients who are admitted to the ICU and require mechanical ventilation, conventional modes of ventilation usually suffice. However, there are some patients who may require fine adjustments in ventilation so that the work of breathing is minimised, and the patient is still adequately ventilated and oxygenated. Over the years, many... Read more

ICU Management

Conservative Oxygen Therapy During Mechanical Ventilation

2019 21 Oct

Patients in the ICU who undergo mechanical ventilation often receive a high fraction of inspired oxygen (FIO 2 ) and have a high arterial oxygen tension. It is believed that conservative oxygen therapy could reduce oxygen exposure and diminish lung and systemic oxidative injury, thus increasing the number of ventilator-free days.  A study was... Read more

ICU Management

#LIVES2019: Findings from the NONSEDA Study

2019 01 Oct

Palle Toft of Odense University Hospital presented the findings of the “No sedation compared to sedation with a daily wake-up trial. A prospective randomized multicentre study - The NONSEDA-study” @ESICM in Berlin. The NON-SEDA study is a Scandinavian multicentre study conducted in Denmark, Norway, and Sweden that compared non-sedation with light... Read more

ICU Management

Nutrition

2019 26 Sep

The critically ill patient is often unable to feed by mouth. This condition, in some patients, can range from days to months. It is imperative that these patients receive macronutrients either through enteral or parenteral nutrition. If they don't, there is a risk of an energy deficit that could lead to loss of lean body mass and subsequently, other... Read more

ICU Management

Energy Balance in Obese, Mechanically Ventilated Patients in ICU

2019 10 Sep

Clinical evidence shows that overfeeding critically ill patients is associated with poor outcomes. Obesity is a major challenge in ICU patients because of the comorbidities and anomalies associated with it. Determining an appropriate dose of enteral nutrition is difficult in this patient population and the risk of overfeeding quite high.  An... Read more

ICU Management

Noninvasive Ventilation in Early Stage Mild ARDS

2019 06 Sep

A recent study assessed the ability of early noninvasive ventilation (NIV) intervention to decrease the need for invasive ventilation in patients with mild forms of acute respiratory distress syndrome (ARDS). This method has already proved successful for acute respiratory failure patients but has not been tested in ARDS.   Use of NIV in ARDS patients... Read more