journal
https://read.qxmd.com/read/38690932/telemedicine-for-emergency-patient-rescue
#1
JOURNAL ARTICLE
Sanjay Subramanian, Jeremy C Pamplin
PURPOSE OF REVIEW: This article summarizes recent developments in the application of telemedicine, specifically tele-critical care (TCC), toward enhancing patient care during various types of emergencies and patient rescue scenarios when there are limited resources in terms of staff expertise (i.e., knowledge, skills, and abilities), staffing numbers, space, and supplies due to patient location (e.g., a non-ICU bed, the emergency department, a rural hospital) or patient volume as in pandemic surges...
April 15, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690934/monitoring-lung-recruitment
#2
JOURNAL ARTICLE
Gianmaria Cammarota, Rosanna Vaschetto, Luigi Vetrugno, Salvatore M Maggiore
PURPOSE OF REVIEW: This review explores lung recruitment monitoring, covering techniques, challenges, and future perspectives. RECENT FINDINGS: Various methodologies, including respiratory system mechanics evaluation, arterial bold gases (ABGs) analysis, lung imaging, and esophageal pressure (Pes) measurement are employed to assess lung recruitment. In support to ABGs analysis, the assessment of respiratory mechanics with hysteresis and recruitment-to-inflation ratio has the potential to evaluate lung recruitment and enhance mechanical ventilation setting...
March 28, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690920/disaster-management-preparation-and-planning-for-acute-care-facilities
#3
JOURNAL ARTICLE
António Gandra d'Almeida, Craig M Coopersmith
PURPOSE OF REVIEW: Both human-derived and naturally-occurring disasters stress the surge capacity of health systems and acute care facilities. In this article, we review recent literature related to having a disaster plan, facility planning principles, institutional and team preparedness, the concept of surge capacity, simulation exercises and advantages and disadvantages of each. RECENT FINDINGS: Evidence suggests that every institution should have a disaster plan and a dedicated team responsible for updating this plan...
March 28, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38525881/antimicrobial-stewardship-and-molecular-diagnostics-a-symbiotic-approach-to-combating-resistance-in-the-ed-and-icu
#4
JOURNAL ARTICLE
Jan J De Waele, Jerina Boelens
PURPOSE OF THE REVIEW: This review aims to evaluate the incorporation of rapid molecular diagnostics (RMD) in antimicrobial stewardship programs (ASPs) in the management of patients in the emergency department (ED) and intensive care unit (ICU), highlighting a shift from conventional microbiological diagnostic tests to RMD strategies to optimize antimicrobial use and improve patient outcomes. RECENT FINDINGS: Recent advances in RMD have demonstrated the superior accuracy of RMD in identifying pathogens, combined with shorter turnaround times...
March 22, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38525882/artificial-intelligence-to-advance-acute-and-intensive-care-medicine
#5
JOURNAL ARTICLE
Laurens A Biesheuvel, Dave A Dongelmans, Paul W G Elbers
PURPOSE OF REVIEW: This review explores recent key advancements in artificial intelligence for acute and intensive care medicine. As artificial intelligence rapidly evolves, this review aims to elucidate its current applications, future possibilities, and the vital challenges that are associated with its integration into emergency medical dispatch, triage, medical consultation and ICUs. RECENT FINDINGS: The integration of artificial intelligence in emergency medical dispatch (EMD) facilitates swift and accurate assessment...
March 14, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441088/critical-illness-associated-limb-and-diaphragmatic-weakness
#6
JOURNAL ARTICLE
Valentine Le Stang, Nicola Latronico, Martin Dres, Michele Bertoni
PURPOSE OF REVIEW: In the current review, we aim to highlight the evolving evidence on the diagnosis, prevention and treatment of critical illness weakness (CIW) and critical illness associated diaphragmatic weakness (CIDW). RECENT FINDINGS: In the ICU, several risk factors can lead to CIW and CIDW. Recent evidence suggests that they have different pathophysiological mechanisms and impact on outcomes, although they share common risk factors and may overlap in several patients...
March 5, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441108/effective-approaches-to-address-noncompressible-torso-hemorrhage
#7
JOURNAL ARTICLE
Marc Maegele
PURPOSE OF THE REVIEW: Noncompressible torso hemorrhage (NCTH) is now considered as the major cause of preventable death after both severe military and civilian trauma. Around 20% of all trauma patients still die from uncontrolled exsanguination along with rapidly evolving hemostatic failure. This review highlights the most recent advances in the field and provides an outline for future research directions. RECENT FINDINGS: The updated definition of NCTH includes a combination of high-grade anatomical torso injury, hemodynamic instability, urgent need for hemorrhage control and aggressive hemostatic resuscitation...
February 29, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441086/challenges-with-medical-tourism
#8
JOURNAL ARTICLE
Helena C Maltezou, Androula Pavli
PURPOSE OF REVIEW: With the return of international travels to almost prepandemic levels, the number of patients who travel abroad to seek healthcare services is once again growing rapidly. Nevertheless, the expected benefits of medical tourism may be challenged by serious infectious complications. This review summarizes the evolving published evidence on infectious complications related with medical tourism of the last eighteen months. RECENT FINDINGS: There has been an increase of reported infectious complications in patients who had received healthcare abroad...
February 26, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690957/wearable-wireless-continuous-vital-signs-monitoring-on-the-general-ward
#9
REVIEW
Jobbe Pl Leenen, Lisette Schoonhoven, Gijs A Patijn
PURPOSE OF REVIEW: Wearable wireless sensors for continuous vital signs monitoring (CVSM) offer the potential for early identification of patient deterioration, especially in low-intensity care settings like general wards. This study aims to review advances in wearable CVSM - with a focus on the general ward - highlighting the technological characteristics of CVSM systems, user perspectives and impact on patient outcomes by exploring recent evidence. RECENT FINDINGS: The accuracy of wearable sensors measuring vital signs exhibits variability, especially notable in ambulatory patients within hospital settings, and standard validation protocols are lacking...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690956/monitoring-lung-recruitment
#10
REVIEW
Gianmaria Cammarota, Rosanna Vaschetto, Luigi Vetrugno, Salvatore M Maggiore
PURPOSE OF REVIEW: This review explores lung recruitment monitoring, covering techniques, challenges, and future perspectives. RECENT FINDINGS: Various methodologies, including respiratory system mechanics evaluation, arterial bold gases (ABGs) analysis, lung imaging, and esophageal pressure (Pes) measurement are employed to assess lung recruitment. In support to ABGs analysis, the assessment of respiratory mechanics with hysteresis and recruitment-to-inflation ratio has the potential to evaluate lung recruitment and enhance mechanical ventilation setting...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690955/monitoring-the-venous-circulation-novel-techniques-and-applications
#11
REVIEW
August A Longino, Katharine C Martin, Ivor S Douglas
PURPOSE OF REVIEW: Venous pressure is an often-unrecognized cause of patient morbidity. However, bedside assessment of PV is challenging. We review the clinical significance of venous pressure measurement, existing techniques, and introduce the Venous Excess Ultrasound (VExUS) Score as a novel approach using doppler ultrasound to assess venous pressure. RECENT FINDINGS: Studies show clear associations between elevated venous pressure and adverse outcomes in critically ill patients...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690954/monitoring-co2-kinetics-as-a-marker-of-cardiopulmonary-efficiency
#12
REVIEW
Fernando Suarez Sipmann, Juan Antonio Sanchez Giralt, Gerardo Tusman
PURPOSE OF REVIEW: To describe current and near future developments and applications of CO2 kinetics in clinical respiratory and cardiovascular monitoring. RECENT FINDINGS: In the last years, we have witnessed a renewed interest in CO2 kinetics in relation with a better understanding of volumetric capnography and its derived parameters. This together with technological advances and improved measurement systems have expanded the monitoring potential of CO2 kinetics including breath by breath continuous end-expiratory lung volume and continuous noninvasive cardiac output...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690953/telemedicine-for-emergency-patient-rescue
#13
REVIEW
Sanjay Subramanian, Jeremy C Pamplin
PURPOSE OF REVIEW: This article summarizes recent developments in the application of telemedicine, specifically tele-critical care (TCC), toward enhancing patient care during various types of emergencies and patient rescue scenarios when there are limited resources in terms of staff expertise (i.e., knowledge, skills, and abilities), staffing numbers, space, and supplies due to patient location (e.g., a non-ICU bed, the emergency department, a rural hospital) or patient volume as in pandemic surges...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690952/disaster-management-preparation-and-planning-for-acute-care-facilities
#14
REVIEW
António Gandra d'Almeida, Craig M Coopersmith
PURPOSE OF REVIEW: Both human-derived and naturally-occurring disasters stress the surge capacity of health systems and acute care facilities. In this article, we review recent literature related to having a disaster plan, facility planning principles, institutional and team preparedness, the concept of surge capacity, simulation exercises and advantages and disadvantages of each. RECENT FINDINGS: Evidence suggests that every institution should have a disaster plan and a dedicated team responsible for updating this plan...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38690951/advances-in-emergency-management-of-the-critically-ill-and-injured
#15
EDITORIAL
Heatherlee Bailey
No abstract text is available yet for this article.
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38525875/boarding-in-the-emergency-department-challenges-and-mitigation-strategies
#16
REVIEW
Fernando J da Silva Ramos, Flavio G R Freitas, Flavia R Machado
PURPOSE OF REVIEW: Herein, we conducted a review of the literature to better understand the issue of prolonged emergency department (ED) boarding by providing an overview of the current evidence on the available causes, consequences, and mitigation strategies. RECENT FINDINGS: Severely ill patients awaiting transfer to intensive care units (ICU) imposes additional burdens on the emergency care team from both a clinical and management perspective. The reasons for prolonged ED boarding are multifactorial...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441127/what-s-new-in-whole-blood-resuscitation-in-the-trauma-bay-and-beyond
#17
REVIEW
Stacy L Coulthard, Lewis J Kaplan, Jeremy W Cannon
PURPOSE OF REVIEW: Transfusion therapy commonly supports patient care during life-threatening injury and critical illness. Herein we examine the recent resurgence of whole blood (WB) resuscitation for patients in hemorrhagic shock following trauma and other causes of severe bleeding. RECENT FINDINGS: A growing body of literature supports the use of various forms of WB for hemostatic resuscitation in military and civilian trauma practice. Different types of WB include warm fresh whole blood (FWB) principally used in the military and low titer O cold stored whole blood (LTOWB) used in a variety of military and civilian settings...
June 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38465969/editorial-the-neurologist-s-guide-to-the-icu-galaxy
#18
JOURNAL ARTICLE
Tarek Sharshar
No abstract text is available yet for this article.
April 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441190/micronutrients-as-therapy-in-critical-illness
#19
REVIEW
Christian Stoppe, Ellen Dresen, Angelique de Man
PURPOSE OF REVIEW: Recent large-scale randomized controlled trials (RCTs) challenged current beliefs about the potential role of micronutrients to attenuate the inflammatory response and improve clinical outcomes of critically ill patients. The purpose of this narrative review is to provide an overview and critical discussion about most recent clinical trials, which evaluated the clinical significance of a vitamin C, vitamin D, or selenium administration in critically ill patients. RECENT FINDINGS: None of the most recent large-scale RCTs could demonstrate any clinical benefits for a micronutrient administration in ICU patients, whereas a recent RCT indicated harmful effects, if high dose vitamin C was administered in septic patients...
April 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38441156/acute-encephalopathy-in-the-icu-a-practical-approach
#20
REVIEW
Pedro Kurtz, Mark van den Boogaard, Timothy D Girard, Bertrand Hermann
PURPOSE OF REVIEW: Acute encephalopathy (AE) - which frequently develops in critically ill patients with and without primary brain injury - is defined as an acute process that evolves rapidly and leads to changes in baseline cognitive status, ranging from delirium to coma. The diagnosis, monitoring, and management of AE is challenging. Here, we discuss advances in definitions, diagnostic approaches, therapeutic options, and implications to outcomes of the clinical spectrum of AE in ICU patients without primary brain injury...
April 1, 2024: Current Opinion in Critical Care
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