Tag: stress

Upvote Story 8
Music intervention has been shown to reduce anxiety and sedative exposure among mechanically ventilated patients. The aim of this study was to examine ICU costs for patients receiving a patient-directed music intervention compared with patients who received usual ICU care. The base case cost-effectiveness analysis estimated patient-directed music intervention reduced anxiety by 19 points on the Visual Analogue Scale-Anxiety with a reduction in cost of... Read More | Comment
Upvote Story 7
A short course of intravenous vitamin C in pharmacological dose seems a promising, well tolerated, and cheap adjuvant therapy to modulate the overwhelming oxidative stress in severe sepsis, trauma, and reperfusion after ischemia. Large randomized controlled trials are necessary to provide more evidence before wide-scale implementation can be recommended. Vitamin C is a key circulating antioxidant with anti-inflammatory and immune-supporting effects, and a cofactor for... Read More | Comment
Upvote Story 12
The team of nurses that Tilda Shalof found herself working with in the intensive care unit (ICU) of a big-city hospital was known as “Laura’s Line.” They were a bit wild: smart, funny, disrespectful of authority, but also caring and incredibly committed to their jobs. Laura set the tone with her quick remarks. Frances, from Newfoundland, was famous for her improvised recipes. Justine, the union... Read More | Comment
Upvote Story 7
Graduating residents moving on and new interns, fresh out of medical school with their clean and crisp long white coats, moving in. Out with the old, in with the new! The ICU rotation for medicine residents and medical students is stressful under the best of circumstance but always an additional challenge early in July. I remember as a resident, trying to glean from my peers... Read More | Comment
Upvote Story 17
In this eye-opening account of life in the ER, Paul Austin recalls how the daily grind of long, erratic shifts and endless hordes of patients with sad stories sent him down a path of bitterness and cynicism. Gritty, powerful, and ultimately redemptive, Something for the Pain is a revealing glimpse into the fragility of compassion and sanity in the industrial setting of today’s hospitals. Read More | Comment
Upvote Story 16
Seven out of ten physicians would not recommend their profession to their children or other family members, and more than half are thinking about retiring within the next five years, including one-third of those under the age of 50, according to a new national survey by The Doctors Company, a physician-owned medical malpractice insurer. The survey of more than 3,400 US physicians uncovered a “complex... Read More | Comment
Upvote Story 5
Non-technical skills and human factors are increasingly recognized as critical ingredients in the success or failure of acute care delivery in a number of high stakes clinical domains. This is reflected in the evolution of life support courses, which now incorporate components of the zero point survey (ZPS). For example, the European Trauma Course emphasizes team briefs and equipment checks, and the Advanced Pediatric Life... Read More | Comment
Upvote Story 4
The recovery programme intended for intensive care survivors did not have an effect on the relatives. Future recovery programmes should be targeted to help both patient and family, and future research should be conducted on a larger scale to make conclusions with higher probability. No difference in HRQOL between groups was observed at 12 months (mean difference in mental component summary score, 1.35 [CI 95%: −3.13;... Read More | Comment
Upvote Story 10
Changing Care to Improve Surgical Outcomes. In this mini-series of six podcasts sponsored by Abbott Nutrition, the DCRI’s Paul Wischmeyer, MD, EDIC, welcomes distinguished scientists and clinicians from the U.S. and the U.K. to discuss to discuss the role of nutrition in surgery. Episode One: Host Paul Wischmeyer is joined by Thomas Varghese, MD, section head of General Thoracic Surgery at the University of Utah,... Read More | Comment
Upvote Story 6
Studies evaluating exercise and nutrition interventions before elective major surgery in adults are producing encouraging early results, but definitive clinical evidence is currently very limited. Future research should focus on refining interventions, exploring mechanism, and evaluating the interactions between therapies and large-scale clinical effectiveness studies. Read More | Comment
Upvote Story 7
Symptoms of post-traumatic stress, anxiety and depression assessed 1 week after ICU stay correlate with 3-month psychological outcome. The HADS and PTSS-10 may be useful aids to identify ICU survivors at high risk for clinically significant symptoms of post-traumatic stress, anxiety and depression 3 months post ICU stay. Eighty-two patients returned the follow-up questionnaires. We found correlation between early and late scores and reasonable predictive... Read More | Comment
Upvote Story 10
Something’s gone terribly wrong. Doctors are among the most technology-avid people in society; computerization has simplified tasks in many industries. Yet somehow we’ve reached a point where people in the medical profession actively, viscerally, volubly hate their computers. In recent years, it has become apparent that doctors have developed extraordinarily high burnout rates. In 2014, fifty-four per cent of physicians reported at least one of... Read More | Comment
Upvote Story 5
Among ICU nurses, an intervention that included education, role-play, and debriefing resulted in a lower prevalence of job strain at 6 months compared with nurses who did not undergo this program. Further research is needed to understand which components of the program may have contributed to this result and to evaluate whether this program is cost-effective. Among 198 ICU nurses who were randomized (95 aged... Read More | Comment