Search Tag: intensive care unit

ICU Management

Innovation

2019 14 Mar

The burden of critical illness is a major concern in healthcare. This burden is expected to continue to increase as our population ages. Our cover story Innovation highlights the growing problem of critical illness and the need to develop improved practices and implement new and advanced solutions to meet the expected challenges. Our contributors... Read more

ICU Management

The need to humanise the ICU

2019 14 Mar

Susan East, a patient speaker at the ATS 2017 International Conference in Washington D.C. and a three times ARDS survivor shares her experience about her stay in the ICU.   I am Susan East, a three times ARDS survivor.   July 3, 2008, I had ARDS! I went to my primary physician on June 30, 2008 with symptoms of a sinus infection. He diagnosed... Read more

ICU Management

How to manage sedation analgesia for patient-centred care in the ICU

2019 14 Mar

Managing sedation analgesia for patient-centred care in the ICU   Pain management and sedation are closely linked in the intensive care unit. In the past, clinicians were using sedative agents too liberally, often with benzodiazepines. And several issues were observed in the ICU, including the problems of delirium, weakness and prolonged ICU... Read more

ICU Management

Sedation and Analgesia

2019 14 Mar

How to manage sedation analgesia for patient-centred care in the ICU.   In the concept of patient-centered care, sedation and analgesia have high importance. Intensive care is sometimes invasive and very painful. Patients in the ICU are seriously ill and often suffer from anxiety, agitation, and pain. There is sometimes a need to use deep and... Read more

ICU Management

Pain management through multimodal analgesia in the ICU

2019 14 Mar

Overview and focus on regional anaesthesia   Opioid dependency is a serious problem in the ICU. Opioids are effective at providing pain relief because they reduce the perception of the pain signal. At the same time, opioids are associated with respiratory depression, cough suppression, confusion, and drowsiness. In addition, there is a risk... Read more

ICU Management

Need to optimise disposition in ED patients presenting with infection

2018 18 Jul

Emergency department (ED) patients with suspected infection admitted to the intensive care unit (ICU) are associated with lower in-hospital mortality and costs than those initially admitted to the floor or discharged home, according to a new study published in the journal Critical Care. "Our findings demonstrate worse outcomes and higher costs... Read more

ICU Management

2018 04 Jun

I work in a small intensive care unit (ICU) where we have been writing diaries since 1992. Initially, they were just little black books with notes by staff and families on how patients were doing during their ICU stay. In 1999, we began taking photos of the patients to illustrate their critically ill period, to help them understand and see what happened.... Read more

ICU Management

Pre-ICU cognitive status associated with post-ICU disability

2018 09 May

Among older adults, any impairment (even minimal) in pre-intensive care unit cognitive status was associated with an increase in post-ICU disability over the six months after a critical illness, and that the relative increase in post-ICU disability was comparable between those with minimal and moderate cognitive impairment, according to new research... Read more

ICU Management

ICU capacity strain: negative impact on care processes, outcomes

2018 04 Apr

Strained intensive care unit (ICU) capacity represents a fundamental supply-demand mismatch in ICU resources. A new systematic review has identified 16 indicators of strained ICU capacity across the spectrum of healthcare quality domains, noting that strain negatively impacts care processes and outcomes for patients as well as care providers. "The... Read more