Pulmonary Barotrauma in COVID-19 Patients: Experience From a Tertiary University Hospital

Mechanical ventilation (MV) in COVID-19 patients is often complicated with pulmonary barotrauma. The aim of this study was to determine the incidence and risk factors associated with the development of pulmonary barotrauma... read more

Tags: barotrauma, COVID-19, ICU, mechanical ventilation, PEEP, pulmonology, study, trauma,

Comprehensive Tracheostomy Care: The National Tracheostomy Safety Project Manual (Advanced Life Support Group)

Comprehensive Tracheostomy Care is a resource developed by the UK National Tracheostomy Safety Project (NTSP) to help promote and facilitate the safe management of tracheostomies and laryngectomies. The scope includes hospital... read more

Tags: book, education, laryngoscopy, nursing, tracheostomy,

Microbial Dynamics and Pulmonary Immune Responses in COVID-19 Secondary Bacterial Pneumonia

Secondary bacterial pneumonia (2°BP) is associated with significant morbidity following respiratory viral infection, yet remains incompletely understood. In a prospective cohort of 112 critically ill adults intubated for... read more

Tags: bacteria, corticosteroids, COVID-19, infection, intubation, mechanical ventilation, pneumonia,

Delirium and Weakness Acquired in the ICU: Individual and Combined Effects on 90-Day Mortality in Survivors of Critical Illness

Mortality is substantially high among critically ill survivors who experience both delirium and weakness, although no additive effect on mortality was observed when these conditions occur together. Our findings highlight... read more

Tags: delirium, discharge, ICU, study,

Tracheostomies The Complete Guide

Tracheostomies: The Complete Guide (2nd ed.) serves as a comprehensive resource for healthcare practitioners and patients navigating the complexities of tracheostomy and laryngectomy care. This edition emphasizes the importance... read more

Tags: airway, Airway Management, book, difficult airway, laryngoscopy, rehabilitation, tracheostomy,

A Blueprint for Change in Acute and Critical Care Nursing

A new article from Penn Nursing faculty proposes a significant shift in how nursing care is measured within acute and critical care settings by recognizing the full scope of a nurse’s work and its impact on patient... read more

Tags: ICU, nurses, nursing,

Outcomes and inflammation changes in different types of immunocompromised patients with critically ill COVID-19 admitted to ICU

Critically ill COVID-19 patients admitted to the ICU exhibit distinct clinical outcomes based on their immunosuppression status, with cancer patients facing the highest mortality rate due to variations in inflammatory responses... read more

Tags: COVID-19, ECMO, ICU, infection, inflammation, pneumonia, study, ventilation,

COVID-19 Leaves Lasting Impact on Nursing Practices and Job Satisfaction

The COVID-19 pandemic exacerbated the difficulties nurses experience, especially in emergency departments, requiring adjustments in practice care settings and continuing to impact their overall job satisfaction. Nursing positions... read more

Tags: COVID-19, nurses, nursing, PTSD, stress,

Spontaneous Breathing Trials Should Be Adapted for Each Patient According To The Critical Illness

Unassisted SBTs, namely PSV0PEEP0 and T-piece trial, are the most appropriate to replicate the postextubation effort to breathe. In this multicentre randomized cross-over study, adult intensive care unit patients under invasive... read more

Tags: COPD, extubation, ICU, mechanical ventilation, PEEP, ventilation,

Hemodynamic Monitoring Using Echocardiography in the Critically Ill

The hemodynamic evaluation of patients with acute circulatory failure and respiratory failure has in the past usually been performed using invasive procedures but in recent years less invasive monitoring devices have been... read more

Tags: book, diagnosis, echocardiography, education, hemodynamics, monitoring, trauma,

How I Perform Diaphragmatic Ultrasound in the ICU

The diaphragm is a thin, dome-shaped muscle, comprising a costal and crural part, and a non-contracting central tendon. Muscle fiber activation shortens and thickens the diaphragm in the zone of apposition, moving the dome... read more

Tags: ICU, NIV, SBT, ultrasound, ventilation,

Invasive Fungal Infections in Non-neutropenic Patients

Critically ill patients, particularly those with features of immunosuppression, are susceptible to invasive fungal infections (IFI), which pose significant diagnostic and therapeutic challenges. Candida and Aspergillus, the... read more

Tags: biomarkers, COPD, COVID-19, diagnosis, ICU, infection,

Pulmonary Hypertension: Controversial and Emerging Topics

This book is a clinical guide to controversial and emerging topics in pulmonary hypertension. There are multiple challenges and unanswered questions encountered by clinicians that evaluate, diagnose and treat patients with... read more

Tags: book, diagnosis, education, guidelines, hypertension, pulmonology,

Managing Blood Glucose Control in the ICU

Current evidence supports avoiding iatrogenic factors that aggravate hyperglycemia, such as early-PN and liberal corticosteroid use, and does not support TGC, except with accurate tools and protocols that prevent iatrogenic... read more

Tags: corticosteroids, glucose, hyperglycemia, ICU, inhibitors, insulin,

The Paracetamol Challenge in ICU

Paracetamol is one of the most widely prescribed medications in critically ill patients. Our intensive care unit (ICU) administered 50.133 g of paracetamol in 2023 (16.230 intravenous [IV] doses, 33.825 oral doses and 78... read more

Tags: antibiotics, hypotension, ICU,

Traumatic and Ischemic Injury: Methods and Protocols

This volume focuses on procedures for the development and application of several research animal models and in vitro methods that allow researchers to gain insight into the underlying cellular, biochemical, and physiological...

Near Death in the ICU

A phenomenal collection of medical patient accounts of encounters with the mysterious during severe illness and life-threatening injury from the voice of the physician who took care of them. Both touching and thought-provoking,...