Tag: ICU
Coma with Eelco Wijdicks – Podcast
So you have an unresponsive patient. The CT is negative. What now? Coma is tough! The differential is long and filled with many life threats.... read more
What a hospital bed could teach about patient safety
Most hospitalized patients spend the vast majority of their time in a hospital bed. Any body fluids such as blood, feces, urine, stomach contents, etc. that are secreted come in direct contact with that hospital bed.... read more
Children in ICU recover faster without nutrition
Researchers in Belgium found the standard practice of feeding children as soon as they get to ICU to help them recover faster is wrong.... read more
Devil in the details: Endotracheal tube depth
According to Napoleon, "the moment of greatest vulnerability is the instant immediately after victory." In airway management, this instant occurs immediately after placement of the endotracheal tube.... read more
SCCM Pod-330 Long-Term Mental Health Problems After Delirium in the ICU
Todd Fraser, MD, speaks with Arjen Slooter, MD, PhD, about the article, "Long-Term Mental Health Problems After Delirium in the ICU," published in Critical Care Medicine.... read more
Smartwatches connect intensive care doctors and their patients
Researchers have come up with a way to link a smartwatch to the metabolic monitors used with patients in intensive care. If the sensors detect an anomaly, the doctor on duty receives an alert anywhere in the hospital.... read more
The impact of extracerebral organ failure on outcome of patients after cardiac arrest
In this multicenter cohort, extracerebral organ dysfunction was common in CA patients. Renal failure on admission was the only extracerebral organ dysfunction independently associated with higher ICU mortality.... read more
Study: Integration of eICU Telemedicine Program Improves Patient Outcomes
New CHEST study reveals greater integration of eICU telemedicine teams with bedside care achieved shorter lengths of ICU and hospital stays.... read more
Sepsis-3 definitions predict ICU mortality in a low-middle-income country
The medical records of 957 patients were retrieved from a prospectively collected database. Serum lactate improved accuracy for values higher than 4 mmol/L in the no-dysfunction and septic shock groups.... read more
Glyburide Promising for Treatment of Acute Ischemic Stroke
Although the study did not demonstrate efficacy of glyburide, differences were seen in the amount midline shift at 3-4 days. In the current study, 86 patients with large (82-300 cc) anterior circulation stroke were randomized... read more
Impact of a high loading dose of amikacin in patients with severe sepsis or septic shock
With a loading dose of 30 mg/kg of amikacin, concentration was potentially suboptimal. The pharmacodynamic target (60 mg/L < C max < 80 mg/L) recommended by French guidelines was reached in 41.8% of patients and was... read more
Assessing Tissue Oxygenation and Microvascular Reactivity in ICU Patients
Impaired microcirculatory perfusion and tissue oxygenation during critical illness are associated with adverse outcome.... read more
New Guidelines for Discontinuing Mechanical Ventilation in the ICU
The goal of the guidelines is to help physicians and other healthcare professionals determine when patients with acute respiratory failure can breathe on their own and to provide clinical advice that may increase the chances... read more
Hospitals embed mental health professionals in the ICU
Pilot programs at several large academic medical centers suggest that integrating psychiatrists and other mental-health professionals into hospital units.... read more
Hospitals struggle to address terrifying and long-lasting 'ICU delirium'
Doctors and nurses across the country are now pushing an ambitious campaign to change practices in intensive care units to reduce cases of "ICU delirium".... read more
