Effect of Early vs Delayed Initiation of RRT on Mortality in Critically Ill Patients With AKI

Effect of Early vs Delayed Initiation of RRT on Mortality in Critically Ill Patients With AKI

Among critically ill patients with Acute Kidney Injury (AKI), early Renal Replacement Therapy (RRT) compared with delayed initiation of RRT reduced mortality over the first 90 days. Further multicenter trials of this intervention... read more

No Requirement for Targeted Theophylline Levels for Diuretic Effect of Aminophylline in Critically Ill Children

No Requirement for Targeted Theophylline Levels for Diuretic Effect of Aminophylline in Critically Ill Children

Aminophylline administration provided a measure of increased diuresis, regardless of dosage, and theophylline trough levels. Therefore, achieving a prescribed therapeutic trough level may not be necessary for full diuretic... read more

Model Improves Prediction of Mortality Risk in ICU Patients

Model Improves Prediction of Mortality Risk in ICU Patients

MIT researchers have developed a machine-learning model that groups patients into subpopulations by health status to better predict a patient’s risk of dying during their stay in the ICU. This technique outperforms "global"... read more

Finding Out What Matters to Our Patients

Finding Out What Matters to Our Patients

Do you spend time finding out what the "why" is for your patient? Have you considered it’s not what is the matter with the patient but what matters to the patient? What the patient thinks their purpose is? Or at the very... read more

Miracles & Mayhem in the ER: Unbelievable True Stories from an Emergency Room Doctor

Miracles & Mayhem in the ER: Unbelievable True Stories from an Emergency Room Doctor

Occasionally heart wrenching and always fast-paced, Miracles and Mayhem in the ER will have readers holding their breath one second and celebrating the next. Through his night shifts at a renowned Portland, OR hospital, Russell... read more

Chest Radiography vs. Lung Ultrasound for Identification of ARDS

Chest Radiography vs. Lung Ultrasound for Identification of ARDS

For the identification of acute respiratory distress syndrome (ARDS) using the Berlin definition, both chest radiography and lung ultrasound were equally related to mortality. The Berlin definition using lung ultrasound helped... read more

Predicting AKI using urinary liver-type fatty-acid binding protein and serum N-terminal pro-B-type natriuretic peptide levels in patients treated at medical cardiac ICUs

Predicting AKI using urinary liver-type fatty-acid binding protein and serum N-terminal pro-B-type natriuretic peptide levels in patients treated at medical cardiac ICUs

Urinary L-FABP and serum NT-proBNP levels on admission are independent predictors of acute kidney injury (AKI), and when used in combination, improve early prediction of AKI in patients hospitalized at medical cardiac intensive... read more

Early Versus Late Initiation of Renal Replacement Therapy in Critically Ill Patients

Early Versus Late Initiation of Renal Replacement Therapy in Critically Ill Patients

Early initiation of renal replacement therapy (RRT) effect on survival and renal recovery of critically ill patients is still uncertain. We aimed to systematically review current evidence comparing outcomes of early versus... read more

ICU Survivorship

ICU Survivorship

Dr Kimberley Haines, Vice Chair of ANZICS Victorian Branch and ICU Physio at Western Health joins Dan and Jane to discuss survival following ICU admissions.Dr Kimberley discusses her journey to research, what happens to patients... read more

Direct Discharge From ICU OK for Some Patients

Direct Discharge From ICU OK for Some Patients

Discharging patients home directly from the intensive care unit (ICU) is associated with outcomes similar to those seen in patients discharged after a follow-up stay on a hospital ward, the authors of a large, population-based... read more

Perspectives on Strained ICU Capacity: A Survey of Critical Care Professionals

Perspectives on Strained ICU Capacity: A Survey of Critical Care Professionals

Strained intensive care unit (ICU) capacity represents a supply-demand mismatch in ICU care. Limited data have explored health care worker (HCW) perceptions of strain. Strained capacity is perceived as common among inter-professional... read more

Determination of the Feasibility of a Multicomponent Intervention Program to Prevent Delirium in the ICU

Determination of the Feasibility of a Multicomponent Intervention Program to Prevent Delirium in the ICU

During this study a feasible multicomponent intervention program to prevent ICU delirium was developed based on expert consensus. As no consensus was reached on cognitive training, a pilot study is planned to determine the... read more

Evaluation of Stressors in ICUs

Evaluation of Stressors in ICUs

The environmental and psychological factors affecting intensive care unit patients varied according to age, sex, and educational and surgical status. These factors had adverse effects on the patients. The elimination or modification... read more

Annual Update in Intensive Care and Emergency Medicine 2018

Annual Update in Intensive Care and Emergency Medicine 2018

The Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive reference book. The chapters are written by... read more