Search Tag: ICU
Reducing-antibiotic-resistance-in-the-icu
2022 14 Oct
This article reviews practices currently available to reduce the spread of antimicrobial resistance and novel therapies that are presently being developed. Introduction Among healthcare providers, and especially among those working with intensive care unit (ICU) patients, one of the greatest concerns that has emerged in recent decades has...Read more
Improving-clinical-outcomes-with-early-enteral-nutrition
2022 14 Oct
An overview of the benefits of early enteral nutrition, clinical evidence and recommendations, reasons for delayed enteral feeding in critically ill patients and optimal solutions. Early enteral nutrition is proven to improve clinical outcomes and reduce acute care costs. Nutrition clinicians support the belief that enteral nutrition is...Read more
Icu-professionals-knowledge-of-end-of-life-decision-making-law
2022 13 Sep
There are laws regulating healthcare practice at the end of life. Most healthcare professionals rely on their clinical knowledge to inform treatment decisions during this time. However, the extent to which the law informants their decision-making at the end of life remains uncertain. In this study, the researchers describe what healthcare professionals...Read more
Clinical-outcomes-with-and-without-direct-discharge-home
2022 25 Jul
ICUs are an important part of an acute care system and provide life-sustaining treatment to critically ill patients. The level and complexity of care delivered in ICUs can vary. For example, some ICUs provide support for multiple organ failure, while others may focus on single-system support or might be a point of transition between the ward and the...Read more
Sleep-assessment-in-critically-ill-adults
2022 25 Jul
Sleep in adult patients in the ICU is severely disturbed and typically short, light and fragmented. In addition, interventions in the ICU such as sedation, ventilation and illness can alter sleep characteristics. Some of the most common causes of sleep disruption include environmental factors such as noise and light; physiologic factors, such as pain,...Read more
Acute-pain-management-1
2022 25 May
Pain is frequently encountered in intensive care unit (ICU) patients. Several studies have shown that improved pain management is associated with improved patient outcomes. However, pain management continues to be a significant challenge in the ICU setting. Effective pain relief is one of the most important priorities in the ICU. The goal...Read more
Pain-management-in-the-icu-1
2022 25 May
Effective pain relief is one of the most important priorities in the ICU. Join our panellists as they discuss different aspects of pain management in critically ill patients and the use and effects of analgesia and sedation in the ICU. Moderator Jean-Louis Vincent (MODERATOR) Editor-in-Chief ICU Management & Practice Professor Department...Read more
Icu-related-loss-of-quality-of-life-after-covid-19
2022 12 Apr
COVID-19 has had a significant impact on the number of hospital admissions, including many patients presenting acute respiratory failure. Approximately 15% of hospitalised COVID-19 patients require ICU admission. It is well established that the physical and psychological impact of an ICU stay on patients can be quite significant and prolonged....Read more
Electronic-poor-outcome-screening-epos-score
2022 21 Mar
The number of elderly and multimorbid patients admitted to the ICU continues to increase. These patients are at a high risk of dying and are likely to suffer from poor long-term outcomes such as functional and cognitive impairment, psychological distress and 6-month mortality. In addition, these patients have complex palliative care needs and could...Read more
Patient-ventilator-asynchrony-impact-on-clinical-outcome-hiroshima-university-study-and-experience
2022 09 Mar
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Physical-rehabilitation-in-the-icu
2022 01 Mar
Approximately 65% of patients who survive critical illness suffer clinically detectable weakness due to muscle mass loss, myopathy and polyneuropathy. These changes occur early in ICU admission and are associated with prolonged weaning from mechanical ventilation and increased ICU and hospital length of stay. Clinical weakness is also associated with...Read more
Medical-error-and-harm-1
2022 17 Feb
Patients in the intensive care unit generally have complex healthcare issues with underlying comorbidities and organ dysfunction. They are thus more vulnerable to medical errors. Often, the treatment of these patients requires the use of interventions that could potentially result in adverse events, errors and harm. While critical care guidelines...Read more
Medical-error-harm-and-patient-safety-1
2022 17 Feb
Join our panellists on March 1 at 16:00 CET as they discuss the prevalence and types of medical errors in the ICU, the psychological impact of these errors, and strategies to prevent them and improve the safety of critically ill patients. Moderator Jean-Louis Vincent Editor-in-Chief ICU Management & Practice Professor Department...Read more
Coping-with-the-psychological-impact-of-medical-errors-some-practical-strategies
2022 17 Feb
Significant efforts have been made to make hospitals and ICUs as safe as possible. As healthcare workers (HCWs) try to get through this pandemic, the focus of this article is to explore practical steps to help these workers better cope with the psychological effects of being involved in an error event. Introduction:...Read more
Patient-safety-in-the-icu-exploring-trends-in-adverse-events-in-icus
2022 17 Feb
Adverse events (AEs) are common among critically ill patients. Evidence about the nature, preventability and predictability of AEs can be used to reinvest in efforts to reduce them and improve patient safety in ICUs. Case Mr. A, a previously well 70-year-old male was admitted to the intensive care unit (ICU) with respiratory...Read more
Information-transfer-as-a-strategy-to-improve-safety-in-icu
2022 17 Feb
The transmission of information (TOI) in extremely variable environments, such as the ICU, is crucial. The content and how it is transmitted can be decisive in the safe care of the critical patient. Introduction In an Intensive Care Unit (ICU), we attend people with a wide range of pathologies. All the information obtained...Read more
Doing-more-can-be-worse-ten-common-errors-in-the-icu
2022 17 Feb
Some of the most common interventions in the ICU can be associated with poor results. We present ten situations in which doing less is better for the critically ill patient. Introduction For decades, the focus of patient management in the Intensive Care Unit (ICU) has been to perform a large number of interventions in critically ill patients,...Read more
Processes-to-reduce-medication-errors-in-the-icu
2022 17 Feb
Medication errors are common in the complex environment of the ICU. This article provides an overview of the prevalence and impact of these errors and the processes that could help reduce their incidence. Introduction Medicines are the most widely used intervention in the critical care environment, and errors in medication use are a well-established...Read more
Monitoring-postoperative-hypotension-a-futuristic-look-at-patient-safety
2022 17 Feb
Post-operative hypotension is a frequent occurrence that is unrecognised with intermittent spot checks based monitoring in most hospital ward patients. Myocardial injury is strongly associated with hypotension in this period of recovery from surgery. Upgrading ward monitoring to portable, smart, and continuous systems with effective alarm management...Read more
Nurse-driven-initiatives-impact-patient-safety
2022 17 Feb
This article highlights the effects of the COVID-19 pandemic on patient quality and safety and discusses an academy designed to support nurses to design and implement innovative solutions. Introduction The COVID-19 pandemic has heightened the crisis of patient safety with an increase in hospital-acquired conditions (HACs) after more than...Read more
The-role-of-a-mortality-review-committee-in-a-paediatric-and-maternity-hospital
2022 17 Feb
There is little information in the current literature on the organisation of mortality review committees in paediatric and maternity hospitals. This article aims to explain the objectives and function of the mortality review committee of our hospital, an articulated tool to improve the quality of patient care based on reviews of deaths in our centre....Read more
Diagnostic-and-prognostic-value-of-estimated-plasma-volume-status
2022 17 Feb
An overview of estimated plasma volume (ePVS), recent evidence supporting the association of ePVS with clinical congestion and whether it can help improve outcomes in patients with heart failure (HF). Plasma volume (PV) is the level of intravascular fluid minus the red blood cells, white blood cells and platelets. PV in heart failure (HF) patients...Read more
Learning-from-medical-errors
2022 17 Feb
Healthcare professionals/trainees are often unprepared to experience and learn from errors due to structural characteristics of our systems and training programmes. Restructuration is needed to allow learning from errors. Introduction Medical error is considered one of the ten leading causes of death and disability in the world and as many...Read more