Tag: ICU
The ICM research agenda on ICU-acquired weakness
Intensive care unit (ICU)-acquired weakness (ICUAW) develops as a complication of critical illness and may represent the extreme end of a spectrum of weakness that begins with any serious illness regardless of care location.... read more
Preadmission Oral Corticosteroids Are Associated With Reduced Risk of ARDS in Critically Ill Adults With Sepsis
The unadjusted occurrence rate of acute respiratory distress syndrome within 96 hours of ICU admission was 35% among patients who had received oral corticosteroids compared with 42% among those who had not (p = 0.107). In... read more
Decision Making Model Enables Resolution of Ethics Issues at the Bedside
A study from Switzerland that evaluated implementation of a stepped ethical decision-making model on three intensive care units (ICUs) and two geriatric wards found that it worked well, with staff able to find the time and... read more
Being New in the ICU
Being new in the ICU is not easy. You need to have the passion for critical care so much that you really don’t care how difficult it is. That passion is what gets you through the newbie stress. I was a new grad in the ICU,... read more
An Educational Intervention Optimizes the Use of Arterial Blood Gas Determinations Across ICUs
The large scale implementation of guidelines for ABG use reduced the number of inappropriately ordered ABG determinations over seven different multidisciplinary ICUs, without negatively impacting patient care. We saw a reduction... read more
Barriers to Regaining Control within a Constructivist Grounded Theory of Family Resilience in ICU
This paper discusses families' experiences of their interactions when a relative is admitted unexpectedly to an Australian ICU. A grounded theory methodology was adopted for the study. Data was collected between 2009−2013,... read more
Medical Device Interoperability 4.0: Disruptive Innovation for the ICU
Medical Device Interoperability in the ICU did not undergo any significant innovation in the past 30 years. This is the reason why data integration of medical device data into Electronic Medical Records (EMR/EHR) and Population... read more
National ICU Quality Indicators Revisited
The use of QI at a national level is a suitable method to focus on quality in healthcare. Independently of public access to the results, a local or national ICU network will have a lot to gain from engaging in the process... read more
Toward the Ideal Ratio of Patients to Intensivists
More than 5.7 million patients are admitted annually to an intensive care unit (ICU) in the United States, accounting for approximately 20% of all acute care admissions. With the aging population and its increasing comorbidity... read more
Ultrasound Guidance and Other Determinants of Successful Peripheral Artery Catheterization
Margaret Parker, MD, MCCM, speaks with David B. Kantor, MD, PhD, about the article, "Ultrasound Guidance and Other Determinants of Successful Peripheral Artery Catheterization in Critically Ill Children," published in the... read more
In Hospital ICUs, AI Could Predict Which Patients Are Likely to Die
With streams of data coming from equipment that monitors patients’ vital signs, the ICU seems the perfect setting to deploy artificially intelligent tools that could judge when a patient is likely to take a turn for the... read more
Arterial Blood Gas: Time and Motion Study
Nursing workload using the Proxima versus standard arterial blood gas sampling Arterial Blood Gas (ABG) sampling is carried out in intensive care units (ICU) every day. Traditionally the nurse takes the blood sample and... read more
Factors influencing physical activity and rehabilitation in survivors of critical illness
Eighty-nine papers were included. Five major themes and 28 sub-themes were identified, encompassing: (1) patient physical and psychological capability to perform physical activity, including delirium, sedation, illness severity,... read more
The status of intensive care medicine research and a future agenda for very old patients in the ICU
The "very old intensive care patients" (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians... read more
A Primer on the Perils of Intravenous Fluids – Part 2
Critically-ill patients all likely have endothelial dysfunction to some degree. resuscitationThis perturbation in microvascular physiology may be underpinned by abnormal glycocalyx structure and function. Sepsis, trauma,... read more
A Primer on the Perils of Intravenous Fluids – Part 1
The provision of intravenous fluids is no trivial intervention. Indeed, one eminent nephrologist has called for medical students to receive, not a 'white coat ceremony' at the outset of their education, but instead... read more
Pain Assessment in INTensive care (PAINT)
Pain is a common and distressing symptom experienced by intensive care patients. Assessing pain in this environment is challenging, and published guidelines have been inconsistently implemented. The Pain Assessment in INTensive... read more
Delirium: Thinking Clearly About a Foggy Issue
Benzodiazepines are one of the leading causes of delirium. These drugs are already falling out of favor in critical care settings for other reasons; they are not easily titratable, and research suggests they can prolong a... read more
Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU
The primary goal of these guidelines is to identify best practices for family-centered care in the ICU based on existing evidence. These guidelines were developed using a rigorous, objective, and transparent assessment of... read more
Ureteral stents, sepsis and acute kidney injury: Iatrogenic imperfecta!
Case presentation A 62-year-old woman with a past history of placement of bilateral ureteral "JJ" stents, presented to the hospital complaining of fever, chills, abdominal pain, oliguria and was found to be hypotensive.... read more
Sodium Bicarbonate Versus Sodium Chloride for Preventing Contrast-Associated AKI
Except for urinary pH, none of the outcomes differed between the two groups. Among ICU patients with stable renal function, the benefit of using sodium bicarbonate rather than isotonic sodium chloride for preventing contrast-associated... read more
How survival of cancer patients in critical care has improved in the last 3 decades
Comprehensive care for critically ill patients with cancer is a collaborative effort, and close cooperation between oncology as well as palliative and critical care is essential. Collaborative decision making is a cornerstone... read more
