Tag: ICU
Early Troponin I in Critical Illness and its Association with Hospital Mortality
TnI is an independent predictor of hospital mortality and correlates most highly with the APS component of APACHE II. It does not improve risk prediction. We would not advocate the adoption of routine troponin analysis on... read more
An Alternative Consent Process for Minimal Risk Research in the ICU
Seeking consent for minimal risk research in the ICU poses challenges, especially when the research is time-sensitive. Our aim was to determine the extent to which ICU patients or surrogates support a deferred consent process... read more
Association Between Survival and Time of Day for RRT Calls
Rapid response team activation is less frequent during the early morning and is followed by a spike in mortality in the 7 AM hour. These findings suggest that failure to rescue deteriorating patients is more common overnight.... read more
Mastering Intensive Care
Is the patient the centre of every action you take in the ICU? Do you exude calm and enthusiastic energy and greet other team members warmly and genuinely? Do you seek pleasure in seeing colleagues grow to become more skilled... read more
Controlled Trial to Improve Resident Sign-out in a Medical ICU
Poor sign-out or handover of care may lead to preventable patient harm. Critically ill patients in intensive care units (ICU) are complex and prone to rapid clinical deterioration. If clinical deterioration occurs, timeliness... read more
Candida Auris a “Perfect Storm” Superbug
How an invasive fungus got health officials' attention. Try as they might, the infection control specialists at Royal Brompton Hospital could not eradicate the invasive fungus that was attacking already gravely ill patients... read more
Increased ICU Costs for Opioid Overdoses
ICU costs for treating opioid overdose patients increased 58% in a seven-year span, and annual deaths almost doubled, according to a study that included 162 academic hospitals. ICU admissions increased 34% over the study... read more
Extended ICU Visitation Model Reduces Delirium
In this medical-surgical ICU, an extended visitation model was associated with reduced occurrence of delirium and shorter length of delirium/coma and ICU stay. Two hundred eighty-six patients were enrolled (141 restricted... read more
Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
EBUS-TBNA is a safe procedure. The highest complication rate reported is 1.44%. Additionally, the scope damage could be encountered in 1.33% of cases and occasionally the TBNA needle could malfunction. The complications are... read more
nutritionDay ICU
An worldwide prevalence study to determine the nutrition practice in the ICUs and the associated outcome across the world, a yearly 1 day cross sectional audit was performed from 2007 to 2013. This very large collaborative... read more
Worldwide Survey of the ABCDEF Bundle in the ICU
The current implementation of the ABCDEF bundle varies across individual components and regions. We identified specific targets for quality improvement and adoption of the ABCDEF bundle. Our data reflect a significant but... read more
Safety Hazards During Intrahospital Transport
A prospective observational study. Data from participant observations of the intrahospital transport process were collected over a period of 3 months. Findings suggest that intrahospital transport is a hazardous process for... read more
Most ICU Patients Underfed
A large international multicentre cohort study shows that most of the patients are underfed during their ICU stay. In their findings published in the journal Clinical Nutrition, researchers say most of the patients in intensive... read more
Reduction of Laboratory Utilization in the ICU
In our academic ICU, there is excess ordering of routine laboratory tests. This is partially due to a lack of transparency of laboratory-processing costs and to the admission order plans that favor daily laboratory test orders.... read more
Delirium in Advanced Cancer Patients Worsens Survival
Patients with advanced cancer who arrived at the ED with delirium had increased rates of hospitalization and ICU admissions, as well as shorter survival rates, according to a study published in The Oncologist. Many patients... read more
Improving Long-Term Outcomes Research for ARF
Alison Turnbull, DVM, MPH, PhD discusses the heterogeneity in outcome measures in our field and the need for a Core Outcome Measurement Set (COMS) to standardize reporting of important outcomes. As part of the consensus process,... read more
The Science and Art of Pediatric Critical Care Nutrition
Malnutrition is prevalent in the pediatric ICU population, and is associated with worse outcomes. Nutrition support teams, dedicated dietitians, and educational programs facilitate surveillance for existing malnutrition and... read more
