pH-guided Fluid Resuscitation and BICAR-ICU

pH-guided Fluid Resuscitation and BICAR-ICU

The use of bicarbonate is a source of eternal disagreement. Bicarbonate has a shameful history of being abused in situations where it's unhelpful (e.g. cardiac arrest). This has impugned its reputation, giving it an aura... read more

Viral Sepsis in Children

Sepsis in children is typically presumed to be bacterial in origin until proven otherwise, but frequently bacterial cultures ultimately return negative. Although the incidence of viral-induced sepsis is not precisely known,... read more

Circulating Biomarkers May be Unable to Detect Infection at the Early Phase of Sepsis in ICU Patients

Circulating Biomarkers May be Unable to Detect Infection at the Early Phase of Sepsis in ICU Patients

During the study period, 363 patients with SIRS were screened, 84 having exclusion criteria. Ninety‑one patients were classified as having non‑septic SIRS and 188 as having sepsis. Eight biomarkers had an area under... read more

Intensive Care Medicine in 2050: Vasopressors in Sepsis

Intensive Care Medicine in 2050: Vasopressors in Sepsis

Vasopressors are used in sepsis when hypotension is assumed to be mainly due to a decreased arterial tone. However, the appropriate time to initiate vasopressors is not clearly defined, and fluid administration is most... read more

Feng Shui And Emotional Response in the Critical care Environment

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

Women in Intensive Care

Women in Intensive Care study: a preliminary assessment of international data on female representation in the ICU physician workforce, leadership and academic positions. Despite limited information globally, available data... read more

Sepsis: Learn the Signs and Document

Sepsis: Learn the Signs and Document

Writing in the MJA, researchers have reported the findings of a prospective cohort study comparing estimates of the incidence and mortality of sepsis using clinical diagnosis or the Australian and New Zealand Intensive Care... read more

Cognitive Function 3 and 12 Months After ICU Discharge

Cognitive Function 3 and 12 Months After ICU Discharge

In this prospective cohort study of Danish ICU patients, we found significantly reduced cognitive function for intensive care patients 3 and 12 months after discharge. We included 161 patients, 79 patients had a 3-month and... read more

Effects of Patient-Directed Music Intervention on Anxiety and Sedative Exposure in Critically Ill Patients Receiving Mechanical Ventilatory Support

Effects of Patient-Directed Music Intervention on Anxiety and Sedative Exposure in Critically Ill Patients Receiving Mechanical Ventilatory Support

Among ICU patients receiving acute ventilatory support for respiratory failure, patient-directed music (PDM) resulted in greater reduction in anxiety compared with usual care, but not compared with NCH. Concurrently, PDM... read more

ICU Usage for Pneumonia Doubles Length of Hospital Stay

ICU Usage for Pneumonia Doubles Length of Hospital Stay

A recently released report using data from the National Hospital Care Survey (NHCS) verifies existing data on the prevalence of pneumonia in hospitalizations and emergency department (ED) visits and provides the first-ever... read more

Preventing Harmful Delays with POCUS During Cardiac Arrest

Preventing Harmful Delays with POCUS During Cardiac Arrest

With the integration of bedside echocardiography into cardiac arrest, we now have a real-time tool to help us glean some of this critical missing information, as well as offer procedural guidance and prognostic data. However,... read more

Do Nurse Staffing Ratios Work? New Research Says No

Do Nurse Staffing Ratios Work? New Research Says No

Advocates of mandated staffing ratios say they improve patient outcomes. A recent study finds otherwise. Nurse-to-patient ratios are a hot button issue. Look no further than Massachusetts for an example. After a battle that... read more

The Needs of Families of Trauma Intensive Care Patients

The Needs of Families of Trauma Intensive Care Patients

This mixed methods study identified that families of trauma patients have different needs to families of general patients and the nurses rated the needs of the families of trauma patients as less important than the families... read more

New York State Sepsis Reporting Mandate Appears to Improve Care and Reduce Deaths

New York State Sepsis Reporting Mandate Appears to Improve Care and Reduce Deaths

A New York State requirement that all hospitals report compliance with protocols to treat severe sepsis and septic shock appears to improve care and reduce mortality from one of the most common causes of death in those who... read more