Tag: ICU
AI Alert: Machine Learning Predicts Septic Shock Early in the ICU
This study developed and successfully validated a machine learning (ML) model designed to provide an early prediction of septic shock in intensive care unit (ICU) patients diagnosed with sepsis. Best Performer: Out of... read more
AI Reinforcement Learning Slashes Kidney Injury Risk After Surgery
This study explored the use of Reinforcement Learning (RL)-a type of artificial intelligence—to personalize hemodynamic management (managing blood flow and pressure) in the intensive care unit (ICU) immediately following... read more
Better Kidney Score: 6-Hour Urine Test Outperforms Standard Measures for ICU Mortality
This prospective, single-center observational study investigated whether using 6-hour urine creatinine clearance (CrCl) could serve as a more effective measure for the kidney component of the SOFA score in ICU patients. Key... read more
Nomogram Predicts Mortality Risk for Sepsis Brain Injury
This retrospective cohort study developed and validated a nomogram—a graphic calculating tool—to predict ICU mortality in patients with Sepsis-Associated Encephalopathy (SAE), a serious complication where sepsis affects... read more
Intra-Abdominal Hypertension – Core Critical Care
The most popular book at ISICEM meeting. Despite increasing interest in intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) as causes of significant morbidity and mortality among the critically ill,... read more
Basic Ultrasound Skills “Head to Toe” for General Intensivists (Lessons from the ICU)
The aim of this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is to educate and train practitioners in the safe and competent use of diagnostic ultrasound imaging in the visualization... read more
Most ICU Infections Miss the Mark for Classic Fever
The large number of patients being treated for infection without a high fever suggests that many could be ideal candidates for a clinical trial investigating induced hyperthermia (purposely raising body temperature) as a... read more
Remimazolam Triumphs Over Propofol for Safer ICU Sedation During Bronchoscopy
This randomized controlled trial compared remimazolam to propofol for moderate sedation during fiberoptic bronchoscopy (FB) in critically ill patients in the Surgical Intensive Care Unit (SICU) who had pre-existing liver... read more
Sepsis Danger: High Ferritin Levels Flag Risk of Acute Liver Injury
This study used data from the MIMIC-IV database (training group) and an external hospital dataset (clinical validation group) to develop and validate a prediction model for sepsis-associated acute liver injury (SALI). The... read more
Melatonin for Delirium Prevention: The Sleep Hormone Doesn’t Pass the ICU Test
Despite its frequent occurrence and association with increased mortality in critically ill patients, delirium prevention remains challenging. A recent meta-analysis sought to resolve conflicting results from randomized controlled... read more
ICU Risk Check: Simple Blood Biomarker Predicts Mortality in Heart Attack Patients
A study using data from the MIMIC-IV database investigated the prognostic value of the Neutrophil-Platelet Activity Ratio (NPAR) in critically ill adult patients admitted to the ICU with a first acute myocardial infarction... read more
A Shift in Strategy: Rethinking Blood Transfusions for Brain Injury
Recent clinical trials have challenged the standard practice of using a restrictive Red Blood Cell (RBC) transfusion strategy for critically ill brain-injured patients (ABI). Restrictive Approach is Questioned: The prevailing... read more
Delirium vs. Encephalopathy: Unifying the Approach to Brain Dysfunction
Current clinical practice and research are limited by the separate, or dichotomized, use of the terms "encephalopathy" and "delirium." This separation hinders a unified approach to understanding acute brain dysfunction. Encephalopathy... read more
Low Phosphate Linked to Extended Hospitalization in Neonatal Sepsis
This retrospective cohort study investigated the relationship between serum phosphate levels and outcomes in neonates with sepsis using data from the Pediatric Intensive Care (PIC) database. Lower serum phosphate levels... read more
VAEs are Real: Advanced Modeling Confirms Ventilator Events Drive Worse Outcomes
The study by Nakahashi et al. significantly advances our understanding of Ventilator-Associated Events (VAEs) by using advanced causal modeling. Their findings firmly establish that VAEs are clinically significant events... read more
Lung Ultrasound Speeds Up VAP Diagnosis and Improves ICU Outcomes
This prospective randomized controlled study investigated whether using Lung Ultrasound (LUS) as a primary bedside tool for diagnosing Ventilator-Associated Pneumonia (VAP) could outperform the standard radiological approach... read more
Sedation and Analgesia for the Pediatric Intensivist: A Clinical Guide
This book provides a comprehensive overview on sedation and analgesia for the pediatric intensivist. Divided into two primary sections, the text presents a framework on how to care for patients who need sedation, analgesia,... read more
More Than Just Acid: Navigating the Complexities of Lactate in Critical Care
Lactate is a vital marker in critical care, but its meaning is complex, reflecting an interplay of perfusion, metabolism, organ function, and stress. Clinicians must adopt a nuanced, multimodal approach to interpretation,... read more
Predicting the Next 48 Hours: Machine Learning Delivers Dynamic, Interpretable ICU Mortality Forecasts
The LGBM-48h algorithm provides a dynamic, clinically applicable, and interpretable framework for 48-hour ICU mortality risk prediction. By establishing mortality risk-based categories and showing how key features change... read more
Improving Critical Care Survivorship: A Guide to Prevention, Recovery, and Reintegration
This book, just published, provides a comprehensive overview of improving critical care survivorship. Comprised of four sections, the text presents interventions that can be used to improve patient outcomes and reduce the... read more
Nursing Care and ECMO
This highly informative book provides essential insights for ICU nurses at ECMO centers around the world, who face the substantial challenges involved in the management of ECMO patients. Above all, it meets their training... read more
ICU Readmission Prediction Using Deep Learning Models
This systematic review provides the first comprehensive synthesis of the literature on the application of deep learning (DL) models to the task of predicting ICU readmission, offering insights into current approaches and... read more
