Search results for "Critical care"
ICU bundles do not appear to improve delirium but may help other outcomes
A meta-analysis found an association between bundled interventions in the ICU and improvements in coma duration, length of stay, and 28-day mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2020/12/23/3.htm
23 Dec 2020
Look over your hedges
Hedging, or using words in conversation that make meaning fuzzier, is unavoidable, but the resulting misunderstandings with patients and families can be reduced, experts say.
https://acphospitalist.acponline.org/archives/2023/08/23/look-over-your-hedges.htm
23 Aug 2023
Survival of critical illness in ICU linked to subsequent suicide, self-harm
Compared to hospital survivors who never required ICU admission, those who were discharged from an ICU had a higher risk of suicide and self-harm in a Canadian study. Risk factors included previous psychiatric diagnoses and use of life-support interventions in the ICU.
https://acphospitalist.acponline.org/weekly/archives/2021/05/12/2.htm
12 May 2021
Drug shortages drag on
Almost all hospital pharmacists reported facing drug shortages in a recent survey, but there are some available solutions, one expert says.
https://acphospitalist.acponline.org/archives/2023/10/04/free/drug-shortages-drag-on.htm
4 Oct 2023
More data on risk factors for poor COVID-19 outcomes, mixed results from treatment trials
A risk calculator, genetic findings, and red blood cell distribution width helped predict severity of and death from COVID-19. Tocilizumab showed benefit, but a number of other treatments, including CPR, did not, according to recent research.
https://acphospitalist.acponline.org/weekly/archives/2020/09/30/1.htm
30 Sep 2020
Nudging physicians not to test
A high-value care project reduced unnecessary testing without adding a single click.
https://acphospitalist.acponline.org/archives/2023/10/18/nudging-physicians-not-to-test.htm
18 Oct 2023
Hospitalists work to find their way in the ICU
The majority of hospitalists report that they treat ICU patients, and many feel insufficiently trained and supported.
https://acphospitalist.acponline.org/archives/2018/05/hospitalists-find-their-way-in-the-icu.htm
15 May 2018
Latest studies look at ECMO, prone positioning, antibodies, remdesivir
Mortality rates have risen among patients getting extracorporeal membrane oxygenation (ECMO) for COVID-19, one study found, while two others offered more evidence of the benefits of proning. Additional new research supported the use of monoclonal antibodies and remdesivir.
https://acphospitalist.acponline.org/weekly/archives/2021/10/06/1.htm
6 Oct 2021
Checklist use before endotracheal intubation did not improve most outcomes
While use of a preparatory preintubation checklist was not associated with improved survival in critically ill patients, it was associated with decreased hypoxia, a systematic review and meta-analysis found.
https://acphospitalist.acponline.org/weekly/archives/2020/07/08/2.htm
8 Jul 2020
Deterioration alert system did not reduce escalations from medical and surgical units
The single-center study of a machine learning-based alert system did find that mortality was lower among patients on a medical unit where staff were notified when the computer predicted high risk of deterioration.
https://acphospitalist.acponline.org/archives/2024/02/28/deterioration-alert-system-did-not-reduce-escalations-from-medical-and-surgical-units.htm
28 Feb 2024