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1. Information or education interventions for adult intensive care unit (ICU) patients and their carers. (Full text)

Information or education interventions for adult intensive care unit (ICU) patients and their carers. During intensive care unit (ICU) admission, patients and their carers experience physical and psychological stressors that may result in psychological conditions including anxiety, depression, and post-traumatic stress disorder (PTSD). Improving communication between healthcare professionals, patients, and their carers may alleviate these disorders. Communication may include information (...) or educational interventions, in different formats, aiming to improve knowledge of the prognosis, treatment, or anticipated challenges after ICU discharge.To assess the effects of information or education interventions for improving outcomes in adult ICU patients and their carers.We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, and PsycINFO from database inception to 10 April 2017. We searched clinical trials registries and grey literature, and handsearched

2018 Cochrane PubMed abstract

2. Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors. (Full text)

Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors. The intensive care unit (ICU) stay has been linked with a number of physical and psychological sequelae, known collectively as post-intensive care syndrome (PICS). Specific ICU follow-up services are relatively recent developments in health systems, and may have the potential to address PICS through targeting unmet health needs arising from the experience of the ICU stay. There is currently no single (...) accepted model of follow-up service and current aftercare programmes encompass a variety of interventions and materials. There is uncertain evidence about whether follow-up services effectively address PICS, and this review assesses this.Our main objective was to assess the effectiveness of follow-up services for ICU survivors that aim to identify and address unmet health needs related to the ICU period. We aimed to assess effectiveness in relation to health-related quality of life (HRQoL), mortality

2018 Cochrane PubMed abstract

5. Surveillance of healthcare-associated infections and prevention indicators in European intensive care units: HAI-Net ICU protocol, version 2.2

Surveillance of healthcare-associated infections and prevention indicators in European intensive care units: HAI-Net ICU protocol, version 2.2 TECHNICAL DOCUMENT www.ecdc.europa.eu Surveillance of healthcare-associated infections and prevention indicators in European intensive care units HAI-Net ICU protocol, version 2.2ECDC TECHNICAL DOCUMENT Surveillance of healthcare-associated infections and prevention indicators in European intensive care units HAI-Net ICU protocol, version 2.2 ii (...) members shall not, in the performance of their duties, deal with a matter in which, directly or indirectly, they have any personal interest such as to impair their independence. Acknowledgements ECDC would like to thank the HAI-Net ICU operational contact points and Member States experts for providing input during meetings (October 2013, February 2014, February 2015), as well as the European Society of Intensive Care Medicine (Infection Section) for reviewing and commenting on the structure

2017 European Centre for Disease Prevention and Control - Technical Guidance

6. Effect of Conservative vs Conventional Oxygen Therapy on Mortality Among Patients in an Intensive Care Unit: The Oxygen-ICU Randomized Clinical Trial

Effect of Conservative vs Conventional Oxygen Therapy on Mortality Among Patients in an Intensive Care Unit: The Oxygen-ICU Randomized Clinical Trial PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2017 PedsCCM Evidence-Based Journal Club

7. Reporting the incidence of cardiac arrest on the ICU: Are we still waiting for ROSC? A letter in response to: 'Armstrong RA, Kane C, Oglesby F, et al. The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis. (Full text)

Reporting the incidence of cardiac arrest on the ICU: Are we still waiting for ROSC? A letter in response to: 'Armstrong RA, Kane C, Oglesby F, et al. The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis. 30792773 2020 02 25 1751-1437 20 1 2019 Feb Journal of the Intensive Care Society J Intensive Care Soc Reporting the incidence of cardiac arrest on the ICU: Are we still waiting for ROSC? A letter in response to: 'Armstrong RA, Kane C, Oglesby F (...) , et al. The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis. JICS 2018. In press'. NP4-NP5 10.1177/1751143718788764 Littlewood Shona S GICU, St George's Hospital, London, UK. Snow Timothy Ac TA https://orcid.org/0000-0002-8395-7857 GICU, St George's Hospital, London, UK. Institute of Medical and Biomedical Education, St George's, University of London, UK. eng Journal Article 2019 02 11 England J Intensive Care Soc 101538668 1751-1437 2019 2 23 6 0 2019

2020 Journal of the Intensive Care Society PubMed abstract

8. Clinical Frailty Scale in prediction of mortality, disability and quality of life for patients in need of intensive care

. “Critical Illness”[Mesh] 27 989 4. critical care[Title/Abstract] 29 925 5. Critical illness[Title/Abstract] 8 819 6. critically ill[Title/Abstract] 43 135 7. Intensive care[Title/Abstract] 140 634 8, ICU[Title/Abstract] 54 277 9. 1-8 (OR) 248 489 10 “Airway Management”[Mesh] 133 633 11. “Respiratory Insufficiency”[Mesh] 63 557 12. Influenza, Human[Mesh] 48 335 13. Pneumonia[Mesh] 90 785 14. Ventilat*[Title/Abstract] 162 458 15. Respirat*[Title/Abstract] 485 671 16. Airway*[Title/Abstract] 159 850 17 (...) ; ’ ’ = Citation Marks; searches for an exact phrase Search terms Items found Population: 1. ‘intensive care’/exp 699 967 2. ‘intensive care unit’/exp 186 548 3. ‘critical illness’/exp 28 616 4. ‘critically ill patient’/exp 42 781 5. ‘critical care’:ti,ab,kw 45 100 6. ‘critical illness’:ti,ab,kw 11 979 7. ‘critically ill’:ti,ab,kw 63 867 8. ‘intensive care’:ti,ab,kw 202 584 9. ‘icu’:ti,ab,kw 111 350 10. 1-9 (OR) 916 778 11. ‘assisted ventilation’/exp 168 620 12. ‘respiratory failure’/exp 101 148 13. ‘virus

2020 Swedish Council on Technology Assessement

9. Decision-making in ICU - A systematic review of factors considered important by ICU clinician decision makers with regard to ICU triage decisions. (Abstract)

Decision-making in ICU - A systematic review of factors considered important by ICU clinician decision makers with regard to ICU triage decisions. The ICU is a scarce resource within a high-stress, high-stakes, time-sensitive environment where critically ill patients with life-threatening conditions receive expensive life-sustaining care under the guidance of expert qualified personnel. The implications of decisions such as suitability for admission into ICU are potentially dire (...) availability. Within-group variability among physicians and thought-deed discordance were demonstrated.The complex and dynamic ICU triage decision is affected by numerous interacting factors. The literature provides some indication of these factors, but fail to show complexities and interactions between them. A decision tree is proposed. Further research should include a reflection on how decisions for admission to ICU are made, such that a better understanding of these processes can be achieved allowing

2020 Journal of critical care

10. Corrigendum to 'Decision-making in ICU - A systematic review of factors considered important by ICU clinician decision makers with regard to ICU triage decisions'. Journal of Critical Care 50(2019) pp99-110. (Full text)

S0883-9441(19)31016-0 10.1016/j.jcrc.2019.07.010 Gopalan Pragasan Dean PD Discipline of Anaesthesiology & Critical Care, School of Clinical Medicine, Nelson R Mandela School of Medicine, University of KwaZulu Natal, 719 Umbilo Road, Durban 4001, South Africa; Intensive Care Unit, King Edward VIII Hospital, Congella, Durban, South Africa. Electronic address: gopalan@ukzn.ac.za. Pershad Santosh S Discipline of Anaesthesiology & Critical Care, School of Clinical Medicine, Nelson R Mandela School (...) of Medicine, University of KwaZulu Natal, 719 Umbilo Road, Durban 4001, South Africa; Intensive Care Unit, Inkosi Albert Luthuli Central Hospital, 800 Vusi Mzimela Road, Cato Manor, Durban, South Africa. eng Published Erratum 2019 07 17 United States J Crit Care 8610642 0883-9441 IM J Crit Care. 2019 Apr;50:99-110 30502690 2019 7 22 6 0 2019 7 22 6 1 2019 7 22 6 0 ppublish 31326133 S0883-9441(19)31016-0 10.1016/j.jcrc.2019.07.010

2020 Journal of critical care PubMed abstract

11. ICU mortality following ICU-acquired primary bloodstream infections according to the type of pathogen: A prospective cohort study in 937 Germany ICUs (2006-2015). (Full text)

ICU mortality following ICU-acquired primary bloodstream infections according to the type of pathogen: A prospective cohort study in 937 Germany ICUs (2006-2015). Mortality due to intensive care unit (ICU) acquired primary blood stream infections (PBSI) is related primarily to patient co-morbidities, types of pathogens and quality of care. The objective of this study is to determine the impact of various types of pathogen on ICU mortality.Data from the German National Nosocomial Infection (...) the prognosis after receiving the microbiological results and may therefore be useful for intensive care physicians.

2018 PLoS ONE PubMed abstract

12. The Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines

to): ? Complex Care Units or other High Dependency Units ? Perioperative monitoring / recovery areas ? Coronary care units ? Uncommissioned or unstaffed ICU bays ? Decommissioned critical care areas (e.g. ‘old’ ICUs) The following criteria are the College of Intensive Care Medicine (CICM) requirements for a high dependency area and may be considered in repurposing an area for the care of critically ill patients: ? Two oxygen outlets ? One air outlet ? Two suction outlets ? Twelve mains electricity outlets (...) decision making is currently lacking in many areas. However, we have drawn on previous pandemic experience and contemporary infection control literature in the Intensive Care Unit (ICU). We have developed a ‘living document’, which will be revised in an iterative process that will incorporate local and international knowledge as this disease progresses through the community. The most up to date document and all previous iterations will be found on the ANZICS website www.anzics.com.au. As of today (16

2020 Covid-19 Ad hoc guidelines

13. Clinical guide for acute kidney injury in hospitalised patients with COVID-19 outside the intensive care unit during the coronavirus pandemic

circumstances we may face: www.gmc- uk.org/news/news-archive/how-we-will-continue-to-regulate-in-light-of-novel-coronavirus Who is this guide for? This guidance is for use by all professionals looking after inpatients with COVID-19 outside intensive care settings. Background • Acute kidney injury (AKI) in critically ill patients is multifactorial. • There is little reliable UK data on the incidence and outcomes of patients with COVID-19 and AKI outside the ICU. • At this stage we do not have a full (...) Clinical guide for acute kidney injury in hospitalised patients with COVID-19 outside the intensive care unit during the coronavirus pandemic Publications approval reference: 001559 NHS England and NHS Improvement Specialty guides for patient management during the coronavirus pandemic Clinical guide for acute kidney injury in hospitalised patients with COVID-19 outside the intensive care unit during the coronavirus pandemic 21 April 2020, Version 1.1 (the updates in this document are marked

2020 Covid-19 Ad hoc guidelines

14. Advice for pregnant members of the anaesthesia and intensive care workforce during the COVID-19 pandemic

trade union and/or staff representative. There is some further guidance available from the BMA, RCM and Maternity Action. Some working environments (e.g. operating theatres, respiratory wards and intensive care/high dependency units) carry a higher risk of exposure to the virus for all healthcare staff, including pregnant women, through the greater number of aerosol-generating procedures (AGPs) performed. These procedures are summarised in the PHE publication ‘Guidance on Infection Prevention (...) Advice for pregnant members of the anaesthesia and intensive care workforce during the COVID-19 pandemic 1 Occupational health advice for employers and pregnant women during the COVID-19 pandemic Version 3: Published Tuesday 21 April 2020 COVID-19 virus infection and pregnancy2 Updates Please note that version 1 of this occupational health guidance was published as a chapter in the RCOG’s general Coronavirus (COVID-19) Infection in Pregnancy guidance. The occupational health guidance will now

2020 ICM Anaesthesia COVID-19

15. Post-ICU Syndrome: The Coming Wave That Needs Attention Now

discharged COVID-19 ICU survivors Each evening, television newscasts feature uplifting human interest stories of victory over the virus with the discharge of a patient wheeled down a hallway to greet loved ones. Dedicated caregivers clap to celebrate the challenging cases that triumphed over COVID-19. As joyful as each discharge is, weeks or months later, many survivors will say their battle was far from over. A likely postsurvival crisis: Post-intensive care syndrome (PICS) PICS, a nonspecific syndrome (...) that results from physical, mental, and emotional stresses associated with critical illness and treatment in intensive care units (ICUs), isn’t new. It was first recognized as a distinct medical entity over the past decade, and PICS awareness remains fragmentary. Because of the long ICU stays and mechanical ventilation that some patients with COVID-19 experience, PICS is likely to become much more prevalent. Cardinal features include neuromuscular weakness from immobility, cognitive impairment from

2020 Covid-19 Ad hoc papers

16. Protocolised non-invasive compared with invasive weaning from mechanical ventilation for adults in intensive care: the Breathe RCT (Full text)

Protocolised non-invasive compared with invasive weaning from mechanical ventilation for adults in intensive care: the Breathe RCT Protocolised non-invasive compared with invasive weaning from mechanical ventilation for adults in intensive care: the Breathe RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website

2019 NIHR HTA programme PubMed abstract

17. Developing an intervention around referral and admissions to intensive care: a mixed-methods study (Full text)

Developing an intervention around referral and admissions to intensive care: a mixed-methods study Developing an intervention around referral and admissions to intensive care: a mixed-methods study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need (...) . >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} This study highlighted the complexity of professional and patient communication in decision-making around referral and admissions to intensive care, with a decision support intervention showing some improved communication with patients. {{author}} {{($index , , , , , , , , , , , , , , , , , , , , & . Chris Bassford 1, 2, * , Frances Griffiths 1 , Mia Svantesson 3 , Mandy Ryan 4 , Nicolas Krucien 4 , Jeremy

2019 NIHR HTA programme PubMed abstract

18. Effect of Flexible Family Visitation on Delirium Among Patients in the Intensive Care Unit: The ICU Visits Randomized Clinical Trial. (Full text)

Effect of Flexible Family Visitation on Delirium Among Patients in the Intensive Care Unit: The ICU Visits Randomized Clinical Trial. The effects of intensive care unit (ICU) visiting hours remain uncertain.To determine whether a flexible family visitation policy in the ICU reduces the incidence of delirium.Cluster-crossover randomized clinical trial involving patients, family members, and clinicians from 36 adult ICUs with restricted visiting hours (<4.5 hours per day) in Brazil. Participants (...) were recruited from April 2017 to June 2018, with follow-up until July 2018.Flexible visitation (up to 12 hours per day) supported by family education (n = 837 patients, 652 family members, and 435 clinicians) or usual restricted visitation (median, 1.5 hours per day; n = 848 patients, 643 family members, and 391 clinicians). Nineteen ICUs started with flexible visitation, and 17 started with restricted visitation.Primary outcome was incidence of delirium during ICU stay, assessed using the CAM-ICU

2019 JAMA Controlled trial quality: predicted high PubMed abstract

19. External Validation of Two Models to Predict Delirium in Critically Ill Adults Using Either the Confusion Assessment Method-ICU or the Intensive Care Delirium Screening Checklist for Delirium Assessment (Abstract)

External Validation of Two Models to Predict Delirium in Critically Ill Adults Using Either the Confusion Assessment Method-ICU or the Intensive Care Delirium Screening Checklist for Delirium Assessment To externally validate two delirium prediction models (early prediction model for ICU delirium and recalibrated prediction model for ICU delirium) using either the Confusion Assessment Method-ICU or the Intensive Care Delirium Screening Checklist for delirium assessment.Prospective (...) Care Delirium Screening Checklist. Discrimination was determined using the area under the receiver operating characteristic curve. The predictive performance was determined for the Confusion Assessment Method-ICU and Intensive Care Delirium Screening Checklist cohort, and compared with both prediction models' original reported performance. A total of 1,286 Confusion Assessment Method-ICU-assessed patients and 892 Intensive Care Delirium Screening Checklist-assessed patients were included. Compared

2019 EvidenceUpdates

20. Evaluating service development in critical care: The impact of establishing a medical high dependency unit on intensive care unit workload, case mix, and mortality (Full text)

Evaluating service development in critical care: The impact of establishing a medical high dependency unit on intensive care unit workload, case mix, and mortality Critical care services underpin the delivery of many types of secondary care, and there is increasing focus on how to best deliver such services. The aim of this study was to investigate the impact of establishing a medical high dependency unit, in a tertiary referral center, on the workload, case mix, and mortality of the intensive (...) care unit.Single-center, 11-year retrospective study of patients admitted to the general intensive care unit, before and after the opening of the medical high dependency unit, using interrupted time series methodology.Over the duration of the study period, 3209 medical patients were admitted to the intensive care unit. There was a constant rate of medical admissions to the intensive care unit until the opening of the medical high dependency unit, followed by a statistically significant decline

2018 Journal of the Intensive Care Society PubMed abstract

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