Tag: ICU
Feed Intolerance Reversal by Prokinetics Improves Survival in Critically Ill Cirrhosis Patients
Feed intolerance (FI) is common in critically-ill cirrhosis patients and non-resolution carries high mortality. Early recognition and treatment with prokinetics is recommended to improve short-term survival. Of the 1,030... read more
Current Practice Updates in Emergency Medicine
Medicine is an ever-growing specialty. With new research and trials being conducted frequently, it becomes difficult to remain updated on the subject by just reading the textbook. Moreover, the postgraduate examination also... read more
Plasma Exchange in the ICU
In this narrative review, we discuss the relevant issues of therapeutic plasma exchange (TPE) in critically ill patients. For many conditions, the optimal indication, device type, frequency, duration, type of replacement... read more
Septic Shock Developing Later During Hospital Stay Associated with Higher Mortality
In-hospital mortality continued to rise as admission-shock-onset-time increased in patients with septic shock. No clear dichotomization between early and late septic shock could be ascertained, and this categorization may... read more
Care Step Pathway an Effective Tool For Clinicians Caring for Mechanical Ventilated COVID-19 Patients
The Care Step Pathway (CSP) described in this article was developed to increase awareness of the potential association of SARS-CoV-2 infection with invasive fungal infections, particularly pulmonary aspergillosis. The... read more
Dexmedetomidine vs. Propofol Sedation in Critically Ill Adults Requiring Mechanical Ventilation
Dexmedetomidine did not significantly impact ICU length of stay compared with propofol, but it significantly reduced the duration of mechanical ventilation and the risk of delirium in cardiac surgical patients. It also significantly... read more
The Effect of ICU Diaries on PTSD, Anxiety, and Depression
Providing an ICU diary to patients admitted to the ICU reduced the rate of posttraumatic stress disorder (PTSD) symptoms compared with usual care. We included 7 RCTs. Patients who received a diary during the ICU admission... read more
Etomidate, Adrenal Insufficiency and Mortality Associated with Severity of Illness
Whereas etomidate causes adrenal insufficiency, it was not shown to increase mortality in many analyzed here in ICU settings. However, etomidate associated relative mortality rates increased progressively and correlated with... read more
Co-infection and ICU-acquired Infection in COVID-19 ICU Patients
In patients with severe COVID-19 in the first wave, co-infection at admission to ICU was relatively rare but antibiotic use was in substantial excess to that indication. ICU-AI were common and were significantly associated... read more
The Very Old Critically Ill Patients (Lessons from the ICU)
This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old (≥80 years) patients in the ICU. The very... read more
Best Critical Care Related Books
As with anything in medical field, there are so many resources that it is difficult and time consuming to determine which ones are the most valuable and worth reading. Therefore, we decided to compile a list of the Best... read more
Sedation Management Evolution in the ICU
This paper provided an overview of how ICU sedation practices have evolved over the last 20 years. Contemporary ICU sedation practices include light levels of sedation, SAT, and use of non-benzodiazepines. The current... read more
Families in the Intensive Care Unit: A Guide to Understanding, Engaging, and Supporting at the Bedside
Written by experts in the field, Families in the Intensive Care Unit: A Guide to Understanding, Engaging and Supporting at the Bedside is a state-of-the-art reference for all clinicians who work with families in the ICU.... read more
Evaluation of an Advanced Critical Care Echocardiography Program
Trainees perceived lack of time and limited access to supervision as major barriers to course completion. Nevertheless, successful portfolio completion was related to factors other than protected time in the echocardiography... read more
Mental Health Morbidity Among Caregivers
While much of the research on post-ICU mental health morbidity has focused upon the survivors themselves, emerging data shows that caregivers of ICU patients are similarly impacted. The collective sequelae experienced... read more
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
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
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?
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
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 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
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
