Tag: ICU
Practicing Respect in the ICU
In this episode, we discuss the practice of respect in the ICU. Our guest is Samuel M. Brown, MD, MS, a practicing intensivist and Director of the Center for Humanizing Critical Care at Intermountain Medical Center in Murray,... read more
Septic Cardiomyopathy
Septic cardiomyopathy is an important contributor to organ dysfunction in sepsis. Guided treatment of septic cardiomyopathy may affect patients' prognosis, especially when their cardiac index is substantially decreased. The... read more
Apneic Oxygenation in the ICU
Hypoxemia is the most common complication of endotracheal intubation in the critically ill and the strongest risk factor for periprocedural cardiac arrest and death. The traditional approach to avoiding desaturation during... read more
Data Analysis Shows ICU Scores Accurate in Predicting Risk of Death
Using clinical data from more than 200 hospital intensive care units, Philips Healthcare has shown that three ICU risk scores—designed for different purposes—performed well as a marker of severity of illness at admission... read more
The Effects of a Delirium Notification Program on the Clinical Outcomes of the ICU
Increasing the physician's awareness of the patient's mental state by using a notification program could reduce the anxiety of ICU patients even though it may not reduce delirium. The results suggested that the method of... read more
Associations With Psychological Outcomes Among Family Members of Mechanical Ventilation Survivors
In this multicenter cross-sectional survey, we interviewed family members of mechanically ventilated patients at the time of transfer from the ICU to the hospital ward. To our knowledge, this is the first study to explore... read more
Translating Evidence Into Practice in ARDS
Although the treatment of the acute respiratory distress syndrome (ARDS) with low tidal volume (LTV) mechanical ventilation improves mortality, it is not consistently administered in clinical practice. This review examines... read more
Choosing the Right Hemodynamic Platform
Choosing the Right Hemodynamic Platform: ABG, SV to PAC – Barbara McLean, MN, RN, CCNS-BC, NP-BC Barbara McLean, MN, RN, CCNS-BC, NP-BC Critical Care Clinical Specialist Critical Care Division Grady Health System... read more
Subsyndromal Delirium and Institutionalization Among Patients With Critical Illness
Subsyndromal delirium occurred in most critically ill patients, and its duration was an independent predictor of institutionalization. Routine monitoring of all delirium symptoms may enable detection of full and subsyndromal... read more
Updated Version of the Confusion Assessment Method for the ICU
The 2014 updated version of the CAM-ICU is valid according to DSM-5 criteria and reliable regarding inter-observer agreement in a research setting. Delirium remains under-recognized by bedside clinicians. Delirium was diagnosed... read more
Interprofessional Care and Teamwork in the ICU
A robust body of evidence supports an interprofessional approach as a key component in the provision of high-quality critical care to patients of increasing complexity and with increasingly diverse needs. "Interprofessional... read more
NHS ICUs Sending Patients Elsewhere Due to Lack of Beds
Six in ten UK ICUs cannot function normally because they are so short of nurses, a survey has found. Patients whose lives are at risk are being turned away from their local hospitals because of a lack of intensive care beds,... read more
Lack of Association of High Backrest With Sacral Tissue Changes in Adults Receiving Mechanical Ventilation
Although higher backrest elevation may be a theoretical risk for integrity of sacral tissues, few data support use of high backrest elevation. Level of backrest elevation is not associated with changes in tissue integrity.... read more
Critical Burn Patients in the ED/ICU
Dr. Djogovic completed training in Emergency Medicine and Critical Care Medicine from 1999-2005, and is currently employed at the University of Alberta Hospital as an Emergency Physician, and as an Intensivist in the General... read more