Tag: ICU
New-Onset Atrial Fibrillation in the Critically Ill
Kyle Enfield, MD, speaks with Travis J. Moss, MD, MSc, and J. Randall Moorman, MD, about the article, "New-Onset Atrial Fibrillation in the Critically Ill," published in the May 2017 issue of Critical Care Medicine. Drs.... read more
Is this critically ill patient elderly or too old?
Life expectancy is increasing in industrialized countries. It is forecast that in the European Union 24.4 million people will be older than 85 years in 2040, more than doubling from the 10.4 million seen in 2010. In parallel,... read more
Understanding Adrenal Crisis
Approximately 5–17 cases of adrenal crisis (AC) occur per 100 patient years in patients with primary or secondary adrenal insufficiency (AI). The mortality rate is estimated to be between 0.5% and 2%. Norwegian data indicate... read more
Alarm Fatigue in ICU Addressed in Two Studies
Alarm fatigue within the intensive care unit (ICU) can negatively impact patient safety and lead to life-threatening events. Researchers from Harlem Hospital and Maimonides Medical Center aimed to identify solutions fight... read more
Bedside Chest Radiographs in the ICU – DRw vs. CR
Critical care chest radiography with a portable wireless direct radiography (DRw) system can provide similar or superior information compared to a computed radiography (CR) system regarding clinically significant findings... read more
The Role of Physiotherapy in Enhanced Recovery After Surgery in the ICU
Enhanced recovery after surgery (ERAS) is an evidence-based, multimodal approach to optimising patient outcomes following surgery. The role of physiotherapy within ERAS and intensive care units (ICU) is important. Patients... read more
Barriers to Delirium Assessment in the ICU
Many barriers exist to prevent effective assessment and management of delirium, but several of these are due to a lack of understanding or unfamiliarity with the condition and the assessment tools as well as lack of medical... read more
Severe AKI in Young ICU Patients Predicts Higher Mortality
Acute kidney injury (AKI) among critically ill children and young adults is common and is associated with higher mortality risk and other poor outcomes The condition also is associated with greater use of renal-replacement... read more
Active Noise Control Headphones to Reduce Patient’s Exposure to ICU Noise
The use of active noise cancellation, as delivered by noise-cancelling headphones, is associated with a significant reduction in noise exposure in our model of noise exposure in a cardiac ICU. This is the first study to look... read more
ICU Telemedicine Program Financial Outcomes
The ability of properly modified ICU telemedicine programs to increase case volume and access to high-quality critical care with improved annual direct contribution margins suggests that there is a financial argument to encourage... read more
Robot aims to zap out ICU infections
Hospital workers are constantly cleaning rooms to avoid Hospital Acquired Infections at Hunterdon Medical Center, but now a robot will be working to do the dirty work. In July, the hospital purchased a $100,000 Xenex... read more
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
