Search Tag: ICU

ICU Management

Antibiotic Resistance

2022 14 Oct

Infections occur frequently in critically ill patients in the ICU. They may be the reason for admission and could also be due to immunosuppression associated with critical illness. Antibiotics are essential tools for treating both common and complex infections. It is recommended that antibiotics should be administered as soon as possible once an infection... Read more

ICU Management

Pharmacokinetic/Pharmacodynamic Principles to Combat Antimicrobial Resistance

2022 14 Oct

Pharmacodynamic and pharmacokinetic principles play a central role in antimicrobial dose-optimisation to combat antimicrobial resistance. In the future, research focused on the integration of preclinical and clinical data is paramount. Antimicrobial Resistance in the ICU The use of antimicrobial drugs in the hospital is very common... Read more

ICU Management

Multidrug-Resistant Gram-Negative Bacteria in the ICU

2022 14 Oct

Severe infections by antibiotic resistant gram-negative bacteria are frequent in ICU patients. They are associated with high morbidity and mortality. Introduction Bacterial infections in patients hospitalised in the Intensive Care Unit (ICU) are frequent, and they elicit an increase in morbidity and mortality. The emerging development... Read more

ICU Management

Rapid Diagnostics and Antimicrobial Resistance in the ICU

2022 14 Oct

The need to address the problem of antimicrobial resistance, the importance of faster diagnosis of bacterial infections and an overview of rapid diagnostic testing. Antimicrobial resistance (AMR) is rapidly increasing on a global scale. The discovery of penicillin revolutionised the field of medicine, providing safe harbour from the most... Read more

ICU Management

Does Antimicrobial Resistance Affect Clinical Outcomes in the ICU?

2022 14 Oct

An overview of antimicrobial resistance and its impact on clinical outcomes in the ICU.  Antimicrobial resistance (AMR) has been defined as a major threat to healthcare and to humanity by the World Health Organization (WHO 2015). The level of evidence for the association between AMR and hospital deaths, hospital length of stay and healthcare-associated... Read more

ICU Management

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 Management

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

Sepsis

ICU vs High-Dependency Care Unit for Septic Shock

2022 26 Jul

Sepsis is a life-threatening disease with high mortality. More than 10,000 people die from sepsis every year in Japan. Septic shock is when sepsis is associated with circulatory and cellular metabolic abnormalities. International guidelines recommend the use of antimicrobial therapy and source control with drainage or surgery, intensive care with fluid... Read more

ICU Management

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

ICU Management

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