Oxygen Escalation Therapy and Noninvasive Ventilation During COVID-19

Oxygen Escalation Therapy and Noninvasive Ventilation During COVID-19

We are in the midst of the COVID-19 pandemic. Many parts of the world have been ravaged by this virus, but disease severity varies significantly. There are several types of patients with COVID-19: those who have mild disease... read more

Addressing Anxiety Among Health Care Professionals During COVID-19

Addressing Anxiety Among Health Care Professionals During COVID-19

The coronavirus disease (COVID-19) pandemic has become one of the central health crises of a generation. The pandemic has affected people of all nations, continents, races, and socioeconomic groups. The responses required,... read more

Allocating Ventilators in a Pandemic

Allocating Ventilators in a Pandemic

The COVID-19 pandemic has led to shortages of essential goods and services - from hand sanitizers to masks to beds to ventilators. Today, the healthcare system is facing the prospect of rationing medical goods and services. Mechanical... read more

Optimizing Ventilator Use during the COVID-19 Pandemic

Optimizing Ventilator Use during the COVID-19 Pandemic

The COVID-19 outbreak is presenting unprecedented challenges to our health care system. According to our best projections, combined with information on the ground, the availability of precious medical resources will be limited... read more

ICU Doctors Already Know How to Get COVID-19 Patients Off Ventilators Faster

ICU Doctors Already Know How to Get COVID-19 Patients Off Ventilators Faster

The coronavirus pandemic is instilling chaos that is shaking the world. When intensive care units are running out of ventilators and essential medications, and some 95,000 people die in a matter of a few months, society panics... read more

Heart and Lung Damage for COVID-19 Patients

Heart and Lung Damage for COVID-19 Patients

While the focus of the COVID-19 pandemic has been on respiratory problems and securing enough ventilators, doctors on the front lines are grappling with a new medical mystery. In addition to lung damage, many COVID-19... read more

U.S. May Get More Ventilators But Run Out Of Medicine For COVID-19 Patients

U.S. May Get More Ventilators But Run Out Of Medicine For COVID-19 Patients

As hospitals across the country fill with COVID-19 patients, medical personnel are sounding the alarm about shortages of drugs essential to those patients' care. "We have seen an increase in demand on pharmaceuticals that's... read more

Rationing of Critical Care and Ventilators in COVID19

Rationing of Critical Care and Ventilators in COVID19

In many hospitals ventilators have become a scarce or non-existent resource in the face of the COVID19 pandemic. We need a ethical structure to allocate ventilators and other scarce resources. ... read more

Inside a South Korean COVID-19 ICU

Inside a South Korean COVID-19 ICU

In a South Korean ICU, nurses wearing heavy self-contained respiratory systems work two-hour shifts. South Korea has seen a great success mitigating its large COVID-19 outbreak. South Korea has 12.3 hospital beds per... read more

Clinical Decision Support Systems: Future or Present in ICU?

Clinical Decision Support Systems: Future or Present in ICU?

Clinical decision support systems (CDSS) are today, a reality. More complex, useful systems will be developed in the near future, forging CDSS an essential part of ICU monitoring. However, we need to understand the algorithms... read more

Penn Medicine Shortens ICU Stays with Real-time Data

Penn Medicine Shortens ICU Stays with Real-time Data

Leveraging real-time data streams from its EHR platform, Penn Medicine has created a dashboard and alerting system to speed the process of getting ICU patients breathing on their own. Many patients in hospital intensive care... read more

ICU ventilators overused among advanced-dementia patients

ICU ventilators overused among advanced-dementia patients

Mechanical ventilation may be lifesaving, but in certain patient cases it may prolong suffering without a clear benefit. JAMA Internal Medicine published a study of 635,008 hospitalizations of nursing-home patients with advanced... read more

Tomorrow’s ICU

Tomorrow’s ICU

Johns Hopkins clinicians and engineers are creating a model for a safer, less costly and more productive clinical unit that can be adopted anywhere. With clinicians spending less time on documenting and gathering supplies,... read more

Face Mask vs Helmet for Noninvasive Ventilation

Face Mask vs Helmet for Noninvasive Ventilation

In Reply Drs Taccone and Chiumello state that physicians must understand the helmet’s physiologic behavior in terms of CO2 rebreathing to ensure safety. Neurological impairment led to intubation in 5 of the 8 intubated... read more