Tag: ICU
Sound and Light Levels Are Similarly Disruptive in ICU and non-ICU Wards
Quieter, non-ICU wards have as many SLCs as ICUs do, which has implications for quality improvement measurements. Efforts to further reduce average noise levels might be counterproductive. Light levels in the hospital (ICU... read more
Preventing the misuse of ICU visiting hours to reduce inequities
Family participation in healthcare serves to improve outcomes across a broad spectrum of conditions. Current guidelines recommend open family presence in the intensive care unit (ICU) while citing evidence of its safety.... read more
Does Early Mobilization Reduce Time in the Surgical ICU?
Is early mobilization in the surgical intensive care unit (ICU) beneficial? Here is a multicenter, randomized, controlled trial in five university hospitals, where they recruited a total of 200 patients.... read more
Continuing Rehabilitation After ICU Discharge
This article discusses technological innovations that promote survival and enhance recovery, starting within the ICU with developments in ventilation, sedation, early mobility and ICU design. Post-ICU, the establishment of... read more
Immunoglobulin G for patients with Necrotising Soft Tissue Infection
The aim of the INSTINCT trial was to assess the effect of intravenous polyspecific immunoglobulin G (IVIG) compared with placebo on self-reported physical function in intensive care unit (ICU) patients with necrotising soft... read more
Doctors Feel What It’s Like to Be in the ICU
Immersive art project lets Mount Sinai staff hear noises and feel confined like intensive-care brain trauma patients; a new view of treating unconscious patients.... read more
Terminal weaning or immediate extubation for withdrawing mechanical ventilation in critically ill patients
This prospective observational multicentre study (ARREVE) was done in 43 French ICUs to compare terminal weaning and immediate extubation, as chosen by the ICU team. Terminal weaning was a gradual decrease in the amount of... read more
Post-ICU syndrome signals need for better transition between life-saving care and return to life
Studies show that there are a range of reactions to a stay in the ICU, from the physical wasting that patients experience when they're prone and immobilized to the emotional problems that can come with surviving a near-death... read more
Non-medical Pediatric Supplies for Puerto Rico
Society of Critical Care Medicine (SCCM) set up a special Amazon account for non-medical supplies, such as diapers, baby clothing, hand sanitizer and other items, that have run out in pediatric intensive care units. Items... read more
Effect of Systematic ICU Triage on Long-term Mortality Among Critically Ill Elderly Patients
Among critically ill elderly patients in France, a program to promote systematic ICU admission increased ICU use but did not reduce 6-month mortality. Additional research is needed to understand the decision to admit elderly... read more
Cytomegalovirus infection in immunocompetent critically ill adults
Some studies have demonstrated an association between Cytomegalovirus (CMV) disease and increased mortality rates, prolonged intensive care unit and hospital length of stay, prolonged mechanical ventilation, and nosocomial... read more
Traditional vs. Extended Cefepime Infusion in Critically Ill Patients
Patients with Pseudomonas aeruginosa bacteremia or pneumonia had a reduced 28-day all-cause mortality and length of stay in the ICU when administered an extended infusion of cefepime.... read more
Principles of Antimicrobial Stewardship for Bacterial and Fungal Infections in ICU
Selecting antimicrobial therapy for suspected infection in critically ill patients is an important decision-making process for intensivists. In this current age of multi-drug-resistant organisms (MDROs), intensivists must... read more
Antiseptic baths to prevent infections deemed effective for long-term use
Long-term use antiseptic soap in bathing critically ill patients to prevent healthcare-associated infections (HAIs) did not cause high levels of resistance in bacteria on the patients' skin.... read more
A comparison of two insulin infusion protocols in the ICU by continuous glucose monitoring
The Yale protocol provided better average glycemia, more time spent in normoglycemia, less time in hypoglycemia, and less glycemic variability than the Leuven protocol, but was not independently associated with strict glycemic... read more
Drug does not significantly reduce duration of mechanical ventilation for COPD patients
Among mechanically ventilated patients with COPD, administration of the respiratory stimulant acetazolamide did not significantly reduce the duration of invasive mechanical ventilation.... read more
The Ability of ICU Physicians to Estimate Long-Term Prognosis in Survivors of Critical Illness
Prognoses estimated by physicians incorrectly predicted long-term survival and HRQoL in one-third of ICU survivors. Moreover, inaccurate prognoses were generally the result of overoptimistic expectations of outcome. Among... read more
Association Between mRNA Expression of CD74 and IL10 and Risk of ICU-acquired Infections
Intensive care unit (ICU)-acquired infections (IAI) result in increased hospital and ICU stay, costs and mortality. To date, no biomarker has shown sufficient evidence and ease of application in clinical routine for the identification... read more
Post-ICU Psychological Morbidity in Very Long ICU Stay Patients with ARDS and Delirium
Delirium was associated with memory impairment and PTSS-14 scores suggestive of PTSD, but not illness severity. 181 subjects were included. Illness severity did not correlate with delirium duration. On logistic regression,... read more
Current Clinical Nutrition Practices in Critically Ill Patients in Latin America
In the ICU setting in Latin America, malnutrition was highly prevalent and caloric intake failed to meet targeted energy delivery in 40% of critically ill adults receiving nutrition therapy. Supplemental administration of... read more
Microcirculatory assessment of patients under VA-ECMO
Of the 24 patients included in the study population, 15 survived and 9 died while on VA-ECMO. PVD of the sublingual microcirculation at initiation of VA-ECMO can be used to predict ICU mortality in patients with cardiogenic... read more
Acetaminophen in the ICU: Mixed Findings
Does having a fever help fight infection? Patients who got acetaminophen to relieve fever while in intensive care units did about as well as patients who got a placebo when it came to mortality. But in a puzzling finding,... read more
