Fear and Insight in the ICU Bed

Fear and Insight in the ICU Bed

Mid-morning dressing changes, hours wasted, going through each cut methodically. Dressing off, wound cleaned, redressed. The brunt of pain dealt with by nature before giving in. The intensive care unit (ICU) nurse offers... read more

Feelings of Strangeness in ICU Patients

Feelings of Strangeness in ICU Patients

After several weeks in the intensive care unit (ICU) following a lung infection, Mr Pol wakes up from a coma and gradually becomes aware of his situation. The healthcare team rejoice in the successful outcome of his extubation:... read more

A Decade of Progress in Critical Care Echocardiography

A Decade of Progress in Critical Care Echocardiography

Critical care echocardiography (CCE) is now widely accepted by the critical care community as a valuable tool in the ICU and emergency department, and in perioperative settings. It allows rapid and accurate diagnosis,... read more

Who the hell would want to work in healthcare?

Who the hell would want to work in healthcare?

Our health sector is in crisis. Doctors are overworked, nurses are burnt out and underpaid. Many healthcare professionals are coming close to retirement and others are simply leaving their professions for greener pastures.... read more

Machine Learning Model Validation for Prediction of Potential PICU Transfer

Machine Learning Model Validation for Prediction of Potential PICU Transfer

We developed and externally validated a novel machine learning model that identifies ICU transfers in hospitalized children more accurately than current tools. Our model enables early detection of children at risk for... read more

ICU Clinical Pearls: The Art and Science of Critical Care Medicine

ICU Clinical Pearls: The Art and Science of Critical Care Medicine

ICU CLINICAL PEARLS summarizes the experience of 40 years of life in the intensive care units where the sickest patients come or are sent in the hope to return to a life of reasonable quality. Arguably the safest place in... read more

New-onset Atrial Fibrillation in the ICU

New-onset Atrial Fibrillation in the ICU

Patients who develop new-onset atrial fibrillation (NOAF) during an ICU admission are at a higher risk of in-hospital death and readmission to hospital with AF, heart failure, and stroke than those who do not. Using the... read more

Difficulties Faced by Nurses Who Care For Patients with Delirium in the ICU

Difficulties Faced by Nurses Who Care For Patients with Delirium in the ICU

We developed a difficulty scale for nurses caring for patients with delirium in the intensive care unit and confirmed its reliability and validity. The difficulty factors were developed with the intention to identify educational... read more

Medical Nutrition Therapy and Clinical Outcomes in Critically Ill Adults

Medical Nutrition Therapy and Clinical Outcomes in Critically Ill Adults

Calorie intake was mainly provided according to the targets recommended by the active ESPEN guideline, but protein intake was lower. In patients staying in ICU ≥ 5 days, early moderate daily calorie and protein intakes... read more

Lower vs. Higher Oxygenation Targets in ICU Patients with Severe Hypoxemia

Lower vs. Higher Oxygenation Targets in ICU Patients with Severe Hypoxemia

Among adult ICU patients with severe hypoxemia, a lower oxygenation target (8 kPa) did not improve survival or HRQoL at 1 year as compared to a higher oxygenation target (12 kPa). We obtained 1‑year vital status for... read more

Prevalence of PICS in Mechanically Ventilated Patients with COVID-19

Prevalence of PICS in Mechanically Ventilated Patients with COVID-19

Coronavirus disease 19 (COVID-19) patients usually require long periods of mechanical ventilation and sedation, which added to steroid therapy, favours a predisposition to the development of delirium and subsequent mental... read more

Practical Issues Updates in Anesthesia and Intensive Care

Practical Issues Updates in Anesthesia and Intensive Care

This book describes the state of the art concerning some of the most hotly debated topics in anesthesia and intensive care and is at the same time intended to serve as a useful practical guide that will assist in improving... read more

Patients Monitored Using Wearable Monitors Experienced Fewer Unplanned ICU Admissions

Patients Monitored Using Wearable Monitors Experienced Fewer Unplanned ICU Admissions

Implementation of continuous monitoring of patient vital signs using wearable monitoring technology linked wirelessly to hospital systems was associated with a reduction in unplanned ICU admissions and rapid response team... read more

Voiceless Patients in ICU Regard High-tech AAC Devices As Useful

Voiceless Patients in ICU Regard High-tech AAC Devices As Useful

Although the existing evidence is limited, voiceless patients regard augmentative and alternative communication (high-tech AAC) devices as a useful, reliable, and acceptable alternative communication choice in the ICU. Multicenter,... read more

Majority of Family Members of COVID-19 Patients Treated in the ICU Report PTSD Symptoms

Majority of Family Members of COVID-19 Patients Treated in the ICU Report PTSD Symptoms

A majority of family members of COVID-19 patients treated in ICUs reported significant symptoms of post-traumatic stress disorder in the following months, according to a study published Monday that sheds new light on the... read more

The impact of physical medicine and rehabilitation consultation on clinical outcomes in the SICU

The impact of physical medicine and rehabilitation consultation on clinical outcomes in the SICU

The impact of a physical medicine and rehabilitation (PM&R) consultation on clinical outcomes in critically ill surgical patients remains unclear. The aim of this study is to examine whether the patients who received PM&R... read more

Probiotics for the Prevention of Ventilator-Associated Pneumonia

Probiotics for the Prevention of Ventilator-Associated Pneumonia

Presently, there is conflicting evidence regarding the efficacy of probiotics in the prevention of ventilator-associated pneumonia (VAP). This meta-analysis was conducted to update current clinical evidence and evaluate the... read more