Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

Under the auspices of the Society of Critical Care Medicine, this executive summary aims to provide the most clinically meaningful and novel aspects, by section, of the PADIS guidelines that clinicians, stakeholders, and... read more

Effectively Expressing Empathy to Improve ICU Care

In nearly every intensive care unit (ICU) at every pediatric hospital across the country, physicians hold numerous care conferences with patients' family members daily. Due to the challenging nature of many these conversations--covering... read more

Effect of procalcitonin-guided antibiotic treatment on clinical outcomes in ICU patients with infection and sepsis patients

Procalcitonin-guided antibiotic treatment in ICU patients with infection and sepsis patients results in improved survival and lower antibiotic treatment duration. Mortality in the 2252 procalcitonin-guided patients was significantly... read more

Increased Early Systemic Inflammation in ICU-Acquired Weakness

The main objective is to investigate whether patients who develop ICU-acquired weakness have a different pattern of systemic inflammatory markers compared with critically ill patients who do not develop ICU-acquired weakness.... read more

Can Better Teamwork in the ICU Save Lives?

Effective teamwork is the goal of any workplace. But few settings offer higher stakes than the fast-paced, life-or-death environment of a hospital intensive care unit (ICU). Team collaboration in ICUs is an area ripe for... read more

Natriuretic Peptides: A Role in Early Septic Acute Kidney Injury?

Acute kidney injury (AKI) is a common complication of critical illness and is associated with significant morbidity, mortality, and financial cost. Sepsis is the leading association of acute kidney injury in the intensive... read more

Expectations of Recovery: ICU Anecdotes

Most of us believe we know our loved ones' wishes. You may know what your father's favorite meal is or what he enjoys doing on a Sunday afternoon. But do you know if he would want a feeding tube if he can’t eat? These kinds... read more

Expectations of Recovery: ICU Anecdotes

Timing of Infectious Disease Clinical Rotation Is Associated With Infectious Disease Fellowship Application

During a 7-year period, those interns randomly assigned to rotate on ID in the first 6 months of their intern year were more likely to become future ID applicants. This supports prior self-reported survey data that early... read more

Technology in the ICU, An Issue of Critical Care Nursing Clinics of North America

Dr. Wung is addressing an important component of critical care nursing: the role of technology in patient care. She has assembled top authors to provide current clinical information in the following areas: Sensory overload... read more

Technology in the ICU, An Issue of Critical Care Nursing Clinics of North America

Out-of-hours Discharge from ICU, In-hospital Mortality and ICU Readmission Rates

Out-of-hours discharge from an ICU is strongly associated with both in-hospital death and ICU readmission. These effects persisted across all definitions of “out of hours” and across healthcare systems in different geographical... read more

Moving Albumin Into the Small Volume Resuscitation Era

Physicians have an intense 70-year history of enthusiasm, skepticism, fear, and reconciliation with albumin products since their market introduction in the late 1940s. Despite its cumbersome production method and costs, albumin... read more

The Untapped Potential of Patient and Family Engagement in the Organization of Critical Care

There is growing interest in patient and family participation in critical care - not just as part of the bedside, but as part of educational and management organization and infrastructure. This offers tremendous opportunities... read more

Remote ICU

How do we Identify specific Remote ICU investment and emerging trends? Does the Remote ICU performance meet the customer's requirements? How do we manage Remote ICU Knowledge Management (KM)? How frequently do you track Remote... read more

Remote ICU

Effect of In-Bed Leg Cycling and Electrical Stimulation of the Quadriceps on Global Muscle Strength in Critically Ill Adults

In this single-center randomized clinical trial involving patients admitted to the ICU, adding early in-bed leg cycling exercises and electrical stimulation of the quadriceps muscles to a standardized early rehabilitation... read more

Prolonged Glucocorticoid Treatment is Associated with Improved ARDS Outcomes

Prolonged methylprednisolone treatment accelerates the resolution of ARDS, improving a broad spectrum of interrelated clinical outcomes and decreasing hospital mortality and healthcare utilization. We conducted two sets of... read more

Inspiratory Muscle Training for ICU Patients

Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific inspiratory muscle training (IMT) can ameliorate this weakness. Australian researchers recommend... read more

Legacy Emanuel Medical Center Plants With Purpose

The benefits of access to nature have been shown in a variety of settings and contexts, notes Roger S. Ulrich, an international leader in evidence-based healthcare design and a consultant to Legacy Health’s therapeutic... read more

Providing Psychological Support to People in Intensive Care

The Provision Of Psychological support to People in Intensive Care (POPPI) psychological intervention to reduce acute patient stress in critical care and prevent future psychological morbidity was feasible and acceptable.... read more

AKI and Electrolyte Disorders in the Critically Ill Patient with Cancer

This review outlines key knowledge areas for critical care physicians and nephrologists caring for patients with cancer and associated kidney issues such as acute kidney injury (AKI) and electrolyte disorders. Specifically,... read more

Doctors Rely on More than Just Data for Medical Decision Making

Many technology companies are working on artificial intelligence systems that can analyze medical data to help diagnose or treat health problems. Such systems raise the question of whether this kind of technology can perform... read more

I Had PTSD After a Critical Illness. Apparently That’s Fairly Common

The emotional trauma of a near-death experience causes ongoing emotional and physical symptoms in one-third of ICU patients. PICS doesn't have a time limitation and can be triggered by almost anything. I was suddenly anxious... read more

Chest Compression Rates and Pediatric In-hospital Cardiac Arrest Survival Outcomes

Non-compliance with compression rate Guidelines was common in this multicenter cohort. Among ICU patients, slightly lower rates were associated with improved outcomes compared to Guidelines.Prospective observational study... read more