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

When Your Doctor Is on a 30-Hour Shift

A new program has medical residents working for up to 30 hours without sleep in ICUs - putting patients in danger of hospital errors.... read more

Researchers hope to speed recovery of critically ill patients with bikes in their beds

An experiment in the intensive care unit of The Ottawa Hospital aims to test whether critically ill patients can get back on their feet faster by cycling in bed. As part of the randomized clinical.... read more

Opioid-Related Overdoses And Deaths Are On The Rise In The ICU

The rate of opioid hospitalizations and overdose deaths has only gotten worse in the past few years, new research finds.... read more

Feeding Tubes Require Initial and Ongoing Verification to Minimize Complications

Bedside insertion of a feeding tube may be a common procedure, but poor placement is associated with complications ranging from aspiration to infection, injury and even death.... read more

Capnography best practices to improve patient handoff reports

Use these documentation and handoff tips to communicate important patient information to ED and ICU staff unfamiliar with capnography. Waveform capnography is an example of EMS as an early adopter of emerging technology.... read more

Alcohol Withdrawal Syndrome

Alcohol withdrawal syndrome (AWS) is present in 20% of all hospital admissions and contributes to at least 30% of critical care admissions.1 Patients who develop AWS require longer hospitalizations and have extensive medical... read more

Microbiome of ICU Patients Transforms within Days of Admission

A new study shows that intensive care unit (ICU) patients have depleted populations of commensal, health-promoting microbes and higher counts pathogenic strains.... read more

Quiet please in the intensive care unit

A new study shows that noise levels in the Intensive Care Unit can go well above recommended levels, disturbing both patients and the medical teams that care for them.... read more