Tag: ICU

Potentially modifiable factors contributing to outcome from acute respiratory distress syndrome

Higher PEEP, lower peak, plateau, and driving pressures, and lower respiratory rate are associated with improved survival from ARDS.... read more

Limited predictability of maximal muscular pressure using the difference between peak airway pressure and positive end-expiratory pressure during proportional assist ventilation (PAV)

Deducing maximal muscular pressure from ΔP during PAV has limited accuracy. The extrapolated pressure time product from ΔP is usually less than the pressure time product calculated from oesophageal pressure tracing.... read more

Coma with Eelco Wijdicks – Podcast

So you have an unresponsive patient. The CT is negative. What now? Coma is tough! The differential is long and filled with many life threats.... read more

What a hospital bed could teach about patient safety

Most hospitalized patients spend the vast majority of their time in a hospital bed. Any body fluids such as blood, feces, urine, stomach contents, etc. that are secreted come in direct contact with that hospital bed.... read more

Children in ICU recover faster without nutrition

Researchers in Belgium found the standard practice of feeding children as soon as they get to ICU to help them recover faster is wrong.... read more

Devil in the details: Endotracheal tube depth

According to Napoleon, "the moment of greatest vulnerability is the instant immediately after victory." In airway management, this instant occurs immediately after placement of the endotracheal tube.... read more

SCCM Pod-330 Long-Term Mental Health Problems After Delirium in the ICU

Todd Fraser, MD, speaks with Arjen Slooter, MD, PhD, about the article, "Long-Term Mental Health Problems After Delirium in the ICU," published in Critical Care Medicine.... read more

Smartwatches connect intensive care doctors and their patients

Researchers have come up with a way to link a smartwatch to the metabolic monitors used with patients in intensive care. If the sensors detect an anomaly, the doctor on duty receives an alert anywhere in the hospital.... read more

The impact of extracerebral organ failure on outcome of patients after cardiac arrest

In this multicenter cohort, extracerebral organ dysfunction was common in CA patients. Renal failure on admission was the only extracerebral organ dysfunction independently associated with higher ICU mortality.... read more

Study: Integration of eICU Telemedicine Program Improves Patient Outcomes

New CHEST study reveals greater integration of eICU telemedicine teams with bedside care achieved shorter lengths of ICU and hospital stays.... read more

Sepsis-3 definitions predict ICU mortality in a low-middle-income country

The medical records of 957 patients were retrieved from a prospectively collected database. Serum lactate improved accuracy for values higher than 4 mmol/L in the no-dysfunction and septic shock groups.... read more

Glyburide Promising for Treatment of Acute Ischemic Stroke

Although the study did not demonstrate efficacy of glyburide, differences were seen in the amount midline shift at 3-4 days. In the current study, 86 patients with large (82-300 cc) anterior circulation stroke were randomized... read more

Impact of a high loading dose of amikacin in patients with severe sepsis or septic shock

With a loading dose of 30 mg/kg of amikacin, concentration was potentially suboptimal. The pharmacodynamic target (60 mg/L < C max < 80 mg/L) recommended by French guidelines was reached in 41.8% of patients and was... read more

Assessing Tissue Oxygenation and Microvascular Reactivity in ICU Patients

Impaired microcirculatory perfusion and tissue oxygenation during critical illness are associated with adverse outcome.... read more

New Guidelines for Discontinuing Mechanical Ventilation in the ICU

The goal of the guidelines is to help physicians and other healthcare professionals determine when patients with acute respiratory failure can breathe on their own and to provide clinical advice that may increase the chances... read more

Hospitals embed mental health professionals in the ICU

Pilot programs at several large academic medical centers suggest that integrating psychiatrists and other mental-health professionals into hospital units.... read more

Hospitals struggle to address terrifying and long-lasting 'ICU delirium'

Doctors and nurses across the country are now pushing an ambitious campaign to change practices in intensive care units to reduce cases of "ICU delirium".... read more

Visual dashboard brings together key clinical data in ICU

Memorial Hermann trauma care unit personnel can see visual representations of crucial patient information, speeding decision making and care choices.... read more

Researchers develop new tool to predict early ICU readmission for surgical patients

Researchers developed a risk prediction tool, called a nomogram, that uses a scoring system to determine a patient's risk level for returning to the SICU within 72 hours after discharge from the unit.... read more

Conservative oxygen treatment linked to lower ICU mortality

A conservative protocol for oxygen therapy results in lower intensive care unit (ICU) mortality compared to conventional care.... read more

Hydrocortisone and Septic Shock in Patients With Severe Sepsis

This randomized clinical trial compares the effects of hydrocortisone vs placebo on development of septic shock among intensive care patients with severe sepsis who were not in septic shock.... read more

Increasing survival after admission to UK critical care units following cardiopulmonary resuscitation

In recent years there have been many developments in post-resuscitation care. We have investigated trends in patient characteristics and outcome following admission to UK critical care units following cardiopulmonary resuscitation... read more