Tag: monitoring
Power to the Patient: Rethinking Pain Control in the ICU
This scoping review of 12 relevant studies suggests that Patient-Controlled Analgesia (PCA) offers a promising path toward faster and more stable pain management for ICU patients. By allowing patients to self-administer small... read more
Bedside Procedures for the Intensivist
Bedside Procedures for the Intensivist delivers practical tips and clear, step-by-step instruction on the most common procedures in the ICU. The convenient and portable handbook focuses on ultrasound-guided techniques, including... read more
Hemodynamic Monitoring Using Echocardiography in the Critically Ill
The hemodynamic evaluation of patients with acute circulatory failure and respiratory failure has in the past usually been performed using invasive procedures but in recent years less invasive monitoring devices have been... read more
Norepinephrine Usage Tips in Perioperative Medicine
Tip 1. Looking beyond vasodilatation: use norepinephrine as first-line vasopressor but reassess the cause of hypotension before escalation. Tip 2. Set a goal of mean arterial blood pressure above 60 mmHg, and individualize... read more
Hemodynamic Monitoring in the ICU
This book describes the pathophysiological significance of the hemodynamic monitoring parameters available to the clinician and their role in providing reliable and reproducible information on the cardiocirculatory status... read more
Seamless Surveillance: The Future of NICU Vital Sign Monitoring
A comprehensive systematic review evaluated 60 observational studies published between 2014 and 2024 to assess the potential of next-generation non-contact and wireless wearable technologies for vital sign monitoring in the... read more
Predictive Power: Wearable AI Foreshadows Hospital Deterioration
This study successfully developed and validated a deep learning-based continuous in-hospital deterioration prediction model using data collected from wearable chest-worn monitors. The researchers piloted two different Continuous... read more
The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals
An indispensable resource for physicians, nurse practitioners, physician assistants, pharmacists, and nurses in managing critically ill patients. This comprehensive guide delves deep into the world of vasopressors and inotropes,... read more
The Sepsis Chain of Survival: Breaking the Cycle
This framework offers a systematic and adaptable approach to improving outcomes for patients with suspected sepsis. Borrowing from the successful Cardiac Arrest Chain of Survival, the Sepsis Chain emphasizes a seamless series... read more
A Shift in Strategy: Rethinking Blood Transfusions for Brain Injury
Recent clinical trials have challenged the standard practice of using a restrictive Red Blood Cell (RBC) transfusion strategy for critically ill brain-injured patients (ABI). Restrictive Approach is Questioned: The prevailing... read more
Lung Ultrasound Speeds Up VAP Diagnosis and Improves ICU Outcomes
This prospective randomized controlled study investigated whether using Lung Ultrasound (LUS) as a primary bedside tool for diagnosing Ventilator-Associated Pneumonia (VAP) could outperform the standard radiological approach... read more
Nursing Care and ECMO
This highly informative book provides essential insights for ICU nurses at ECMO centers around the world, who face the substantial challenges involved in the management of ECMO patients. Above all, it meets their training... read more
Mapping the Brain’s Blueprint: Precision Critical Care for Acute Brain Injury
Current management strategies for complex ABI conditions—which are associated with high mortality and morbidity—often rely on a "one-size-fits-all" approach derived from trials on heterogeneous patient populations. This... read more
Why Early mHLA-DR Fails and Dynamic Monitoring is Key to Immunosuppression in Septic Shock
This 20-year study of 1,023 septic shock patients confirms that the immune marker mHLA-DR is a robust biomarker for identifying the most immunosuppressed patients who face a higher risk of death and ICU-acquired infections. The... read more
ECMO-Extracorporeal Life Support in Adults
Extracorporeal membrane oxygenation (ECMO) has been in clinical use for some 40 years, but it is only in the past decade that its application in the treatment of life-threatening circulatory and respiratory failure has truly... read more
TBI: Quantifying Methodological Uncertainties and Navigating Feasibilities in Monitoring of Cerebral Autoregulation
Traumatic brain injury (TBI) remains a critical medical challenge due to its heterogeneous nature and complex pathophysiological mechanisms. Individualized management of TBI patients, taking advantage of such technologies... read more
Endotracheal Tube Cuff Pressure Monitoring and VAP Occurrence
This study demonstrated that maintaining endotracheal tube cuff pressure at 30 cm H2O through monitoring every 8 h did not result in a greater incidence of under-inflation (pressures ... read more
Management of Chest Trauma: A Practical Guide
75% of patients who die from trauma have injuries to the chest. The care of the chest trauma patient can be incredibly complex, require multiple specialty and sub-specialty services, and may require interventions available... read more
Wireless Wearable Doppler Ultrasound: Monitoring Trauma Patients
This study demonstrated the feasibility of placing the wireless, wearable Doppler ultrasound on severely injured trauma patients admitted to the trauma bay of a busy level 1 trauma center. The device reliably captured... read more
Continuous Glucose Monitoring-Based Insulin Titration Protocol for Type 2 Diabetes Patients
The continuous glucose monitoring (CGM)-based insulin titration protocol by Olsen et al has been successfully implemented for titrating basal, prandial, and correctional insulin in inpatients with type 2 diabetes in non-ICU... read more
Management of Pediatric Septic Shock with Electrocardiometry
Advanced hemodynamic monitoring with EC, in conjunction with clinical assessment, facilitated a restrictive fluid strategy and reduced the incidence of FO. By closely monitoring hemodynamic parameters and tailoring therapy... read more
Predicting Renal Outcomes in Cardiac Surgery Using Intraoperative Renal Near-Infrared Spectroscopy Monitoring
This study shows that intraoperative monitoring of near-infrared spectroscopy (NIRS) values and monitoring of critical thresholds may be an important tool in predicting the development of acute renal failure (ARF) and other... read more
