Search results for "Critical care"
Researching rapid response
Rapid response teams didn't affect inpatient mortality in a new study. An expert explains what that could mean for their future.
https://acphospitalist.acponline.org/archives/2022/11/09/researching-rapid-response.htm
9 Nov 2022
Selective digestive tract decontamination assessed in ventilated ICU patients
A systematic review found that mechanically ventilated ICU patients had lower in-hospital mortality rates with selective digestive tract decontamination versus standard care or placebo, while a trial found improvement in rates of positive blood cultures and antibiotic-resistant organisms, but not mortality, with the intervention.
https://acphospitalist.acponline.org/archives/2022/11/02/selective-digestive-tract-decontamination-assessed-in-ventilated-icu-patients.htm
2 Nov 2022
Lower oxygen saturation target for ventilated patients didn't affect time on ventilation
An ED and ICU at one medical center tested oxygen saturation targets of 90%, 94%, and 98% in mechanically ventilated patients and found no difference in days free of ventilation or 28-day mortality.
https://acphospitalist.acponline.org/archives/2022/11/02/lower-oxygen-saturation-target-for-ventilated-patients-didnt-affect-time-on-ventilation.htm
2 Nov 2022
Symptoms persist long after ECMO for COVID-19, study finds
An analysis of French ICU patients who underwent extracorporeal membrane oxygenation (ECMO) for COVID-19 found that at one year, 44% had significant anxiety, 42% had depression symptoms, 42% were at risk for post-traumatic stress disorder, and only 38% had returned to work.
https://acphospitalist.acponline.org/archives/2022/10/05/free/symptoms-persist-long-after-ecmo-for-covid-19.htm
5 Oct 2022
A step back from advance directives
Advance care planning needs to be more than a form in a file, says an intensivist and researcher.
https://acphospitalist.acponline.org/archives/2022/08/31/a-step-back-from-advance-directives.htm
31 Aug 2022
‘No escalation of treatment’ orders common, often ambiguous, small study finds
Researchers interviewed 30 physicians at seven hospitals about “no escalation of treatment” designations and concluded that systems-level interventions to make these orders clearer and more consistent would be helpful.
https://acphospitalist.acponline.org/archives/2022/08/31/no-escalation-of-treatment-orders-common-often-ambiguous-small-study-finds.htm
31 Aug 2022
Electronic tool for ICU-to-ward discharge linked to timely, complete discharge summaries
A Canadian study of adult patients discharged from the ICU to a hospital ward found that the proportion of those with timely and complete discharge summaries increased from 10.8% to 71.1% after implementation of a structured electronic discharge summary tool.
https://acphospitalist.acponline.org/archives/2022/08/24/electronic-tool-for-icu-to-ward-discharge-linked-to-timely-complete-discharge-summaries.htm
24 Aug 2022
Readmission penalties didn't improve COPD exacerbation care
The percentage of patients hospitalized with chronic obstructive pulmonary disease (COPD) who received recommended care increased at a rate of 0.16% per month before implementation of the Hospital Readmissions Reduction Program compared to 0.01% per month in the four years after.
https://acphospitalist.acponline.org/archives/2022/08/10/readmission-penalties-didnt-improve-copd-exacerbation-care.htm
10 Aug 2022
Fragmentation breeds frequency in COPD care
An expert discusses how the locations patients receive chronic obstructive pulmonary disease (COPD) care are tied to their risk of hospitalization.
https://acphospitalist.acponline.org/archives/2022/08/03/fragmentation-breeds-frequency-in-copd-care.htm
3 Aug 2022
The problem with pulse ox
Research has long indicated that pulse oximeters can overestimate oxygen saturation in patients with darker skin, but experts are now trying raise awareness of the problem.
https://acphospitalist.acponline.org/archives/2022/06/29/free/the-problem-with-pulse-ox.htm
29 Jun 2022