Association of ICU Delirium with Sleep Disturbance and Functional Disability After Critical Illness

After adjusting for important covariates, total days of MICU delirium were significantly associated with increased post-discharge sleep disturbance. Delirium incidence showed a trend toward association with increased functional... read more

Association of ICU Delirium with Sleep Disturbance and Functional Disability After Critical Illness

Mobilization is Feasible in Intensive Care Patients Receiving Vasoactive Therapy

In our ICU, patients mobilized on approximately one-third of vasoactive days. Clinicians should anticipate a higher risk of hypotension during mobilization in patients receiving vasoactive therapy, which may require transient... read more

Mobilization is Feasible in Intensive Care Patients Receiving Vasoactive Therapy

Tranexamic Acid For Isolated Penetrating Head Trauma

An aeromedical crew was dispatched to a local emergency department to transport a fourteen year-old female with self-inflicted gunshot wound to the head to a tertiary pediatric trauma hospital. The patient was previously... read more

Tranexamic Acid For Isolated Penetrating Head Trauma

Identifying Barriers to Nurse-Facilitated Patient Mobility in the ICU

Nurses have limited time for additional clinical activities but may miss potentially important opportunities for facilitating patient mobility during existing patient care. The proposed method is feasible and helpful in empirically... read more

Identifying Barriers to Nurse-Facilitated Patient Mobility in the ICU

Physician-Level Variation in Outcomes of Mechanically Ventilated Patients

Physicians are increasingly being held accountable for patient outcomes. Yet their specific contribution to the outcomes remains uncertain. Intensivists independently contribute to outcomes of Medicare patients who undergo... read more

Physician-Level Variation in Outcomes of Mechanically Ventilated Patients

Age- and Gender-related Peculiarities of Patients with Delirium in the Cardiac ICU

Our investigation presented a number of associated peculiarities related to gender and age. It was shown that delirium is a severe complication that more often affects men amongst patients < 65 years old and more frequently... read more

Age- and Gender-related Peculiarities of Patients with Delirium in the Cardiac ICU

How Should We Relate to Unreasonable Families in the ICU?

Most families have never suffered through a loved one experiencing prolonged critical illness and respiratory failure (defined as ventilator dependence for weeks, usually with a tracheostomy). But each year, more do. An estimated... read more

How Should We Relate to Unreasonable Families in the ICU?

Sleep Deprived-Patients in ICU May Fail to Get Off Ventilation

Attempts to wean intubated, critically ill patients off mechanical ventilators were less successful when the patients exhibited atypical sleep or pathological wakefulness, researchers reported. The findings suggest that sleep... read more

Sleep Deprived-Patients in ICU May Fail to Get Off Ventilation

Incident Diabetes in Survivors of Critical Illness and Mechanisms Underlying Persistent Glucose Intolerance

Diabetes and pre-diabetes occur frequently in survivors of ICU experiencing stress hyperglycemia. Based on the occurrence rate observed in this cohort, structured screening and intervention programs appear warranted. Consent... read more

Incident Diabetes in Survivors of Critical Illness and Mechanisms Underlying Persistent Glucose Intolerance

Electronic Hand Hygiene System Fails to Improve Staff Satisfaction in ICU

A study published in Antimicrobial Resistance & Infection Control examined the effect of introducing an electronic hand hygiene surveillance and intervention system into an ICU. Researchers introduced the system into a general... read more

Electronic Hand Hygiene System Fails to Improve Staff Satisfaction in ICU

Potassium Homoeostasis and Pathophysiology of Hyperkalaemia

Since determination of potassium levels may be afflicted with various errors, potassium levels should be determined using a standardized set-up ensuring high accuracy and precision of measurements. Potassium levels may be... read more

Potassium Homoeostasis and Pathophysiology of Hyperkalaemia

Appropriate Treatment for Bloodstream Infections Due to Carbapenem-Resistant Klebsiella Pneumoniae and Escherichia Coli

Tigecycline monotherapy was a choice if the strains exhibited MIC ≤0.5 mg/L, and colistin monotherapy was not suitable. Our findings can initiate additional clinical studies regarding the efficacy of tigecycline in carbapenem-resistant... read more

Appropriate Treatment for Bloodstream Infections Due to Carbapenem-Resistant Klebsiella Pneumoniae and Escherichia Coli

Even Proper Technique Exposes Nurses’ Spines To Dangerous Forces

In this close-up screenshot from a simulation video, you can see the exact moment NPR correspondent Daniel Zwerdling endured dangerous levels of stress on his spine while re-creating the way nurses push their patients in... read more

Even Proper Technique Exposes Nurses’ Spines To Dangerous Forces

Effect of Occupancy on Critically Ill Admissions

Effect of Emergency Department and ICU Occupancy on Admission Decisions and Outcomes for Critically Ill Patients. The volume of ICU admissions from the ED has increased around 50% from 2001-2009. Hospitals struggle with this... read more

Effect of Occupancy on Critically Ill Admissions

Considerations in the Diagnosis of Idiopathic Pulmonary Fibrosis

The clinical practice guideline on diagnosis of idiopathic pulmonary fibrosis (IPF) by Raghu and colleagues has been helpful in addressing the complexities of radiological and pathological features in diagnosing IPF. The... read more

Considerations in the Diagnosis of Idiopathic Pulmonary Fibrosis

ICU Admissions Raise Chronic Condition Risk

A new study of ICU patients in the Netherlands shows a heightened risk of developing new chronic conditions in patients after an intensive care stay. The research showed rising likelihood of conditions such as depression,... read more

ICU Admissions Raise Chronic Condition Risk

Mythbuster: Administration of Vasopressors Through Peripheral Intravenous Access

Vasopressors are frequently used in critically ill patients with hemodynamic instability both in the emergency department (ED) as well as intensive care units (ICUs). Typically, vasopressors are given through central venous... read more

Mythbuster: Administration of Vasopressors Through Peripheral Intravenous Access

Selected Imaging Controversies in ED Trauma

Traumatic injuries are amongst the most common presentations for all emergency departments (ED). In 2010, there were over 1 million patients in Canada who visited the ED for trauma, result in an cost of almost 9 billion dollars.... read more

Selected Imaging Controversies in ED Trauma