Tag: stress
Benzodiazepine Use and Neuropsychiatric Outcomes in the ICU
The majority of included studies indicated that benzodiazepine use in the ICU is associated with delirium, symptoms of posttraumatic stress disorder, anxiety, depression, and cognitive dysfunction. Future well-designed studies... read more
Vitamin C: Should We Supplement?
A short course of intravenous vitamin C in pharmacological dose seems a promising, well tolerated, and cheap adjuvant therapy to modulate the overwhelming oxidative stress in severe sepsis, trauma, and reperfusion after ischemia.... read more
A Nurse’s Story
The team of nurses that Tilda Shalof found herself working with in the intensive care unit (ICU) of a big-city hospital was known as "Laura's Line." They were a bit wild: smart, funny, disrespectful of authority, but also... read more
Top 10 Tips for New Interns to Survive and Thrive the ICU Rotation
Graduating residents moving on and new interns, fresh out of medical school with their clean and crisp long white coats, moving in. Out with the old, in with the new! The ICU rotation for medicine residents and medical students... read more
Something for the Pain: Compassion and Burnout in the ER
In this eye-opening account of life in the ER, Paul Austin recalls how the daily grind of long, erratic shifts and endless hordes of patients with sad stories sent him down a path of bitterness and cynicism. Gritty, powerful,... read more
Burnout How Can We Improve
The risk of burnout in intensive care is high, there is a great need to look after ourselves and each other to enable us to effectively care for our patients and to be part of not only an effective team but also an enjoyable... read more
Most Physicians Disenchanted With Their Profession
Seven out of ten physicians would not recommend their profession to their children or other family members, and more than half are thinking about retiring within the next five years, including one-third of those under the... read more
Reprint of Recovery Programme for ICU Survivors Has No Effect on Relatives’ Quality of Life
The recovery programme intended for intensive care survivors did not have an effect on the relatives. Future recovery programmes should be targeted to help both patient and family, and future research should be conducted... read more
Nutrition in Surgery Podcast
Changing Care to Improve Surgical Outcomes. In this mini-series of six podcasts sponsored by Abbott Nutrition, the DCRI's Paul Wischmeyer, MD, EDIC, welcomes distinguished scientists and clinicians from the U.S. and the U.K.... read more
Burnout in Intensive Care: How Can We Improve?
The risk of burnout in intensive care is high, there is a great need to look after ourselves and each other to enable us to effectively care for our patients and to be part of not only an effective team but also an enjoyable... read more
Why Doctors Hate Their Computers
Something's gone terribly wrong. Doctors are among the most technology-avid people in society; computerization has simplified tasks in many industries. Yet somehow we've reached a point where people in the medical profession... read more
Rudeness in Medical Settings Could Kill Patients
A recent study paints a grim picture of what rudeness does to doctors and nurses performance. The study, "The Impact of Rudeness on Medical Team Performance: A Randomized Trial," which was published in the September... read more
Approach to the Critically Ill Child: Shock
If you mainly treat adults or both adults and children like me, then you have probably heard the (very annoying) quote, "kids are not just small adults", and so I won't say it again. Well, I guess I just did, but at least... read more
For Doctors, Delving Deeper as a Way to Avoid Burnout
The consequences of burning out — a phenomenon that rises linearly as a doctor matures, until it finally dies down at about 60 — can be hard to measure. Some solutions to fixing burnout are therefore pragmatic. They involve... read more
Abnormal Environmental Light Exposure in the ICU Environment
Patients' environmental light exposure in the intensive care unit is consistently low and follows a diurnal pattern. No effect of nighttime light exposure was observed on melatonin secretion. Inadequate daytime light exposure... read more
PTSD Phenomena After Critical Illness
Experiencing critical illness and intensive care can be extremely stressful. Roughly 1 in 5 critical illness survivors have clinically significant post-traumatic stress disorder (PTSD) symptoms in the year after intensive... read more
Feng Shui And Emotional Response in the Critical care Environment
The aim of this study was to investigate the relationship between nursing staff emotions and their surrounding environment, using the ancient system of feng shui. Two orientations of critical care bed spaces (wind and water... read more
Preventing Burnout and Compassion Fatigue
Burnout and compassion fatigue can happen to any healthcare professional, and it can have a negative impact on patients and even your larger nursing career. Fortunately it's very preventable, as our guest this week will attest... read more
Using music to stabilize NICU babies as well as their parents
When music therapist Christine Vaskas works with babies in the neonatal intensive care unit, the effect of her interventions are almost always immediately apparent. In 2013, a study led by Joanne Loewy, the Armstrong Center's... read more
Physician Well-Being: The Reciprocity of Efficiency, Resilience, Wellness Culture
The quality and safety of patient care, and indeed the very vitality of our health care systems, depend heavily on high-functioning physicians. Yet recent data have revealed an extraordinarily high - and increasing - prevalence... read more
Doctors’ Mental Health at Tipping Point
Patients rely on doctors to look after their mental health but is enough being done to help the doctors when they are the ones with problems? There are concerns that some medical professionals in England are unable to get... read more
Measuring Sleep in the Intensive Care Unit: A Critical Appraisal of the Use of Subjective Methods
Research using questionnaires to assess sleep is commonplace in light of practical barriers to polysomnography or other measures of sleep. A methodologically sound approach to tool development and testing is crucial to gather... read more
