Keyword: ICU

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ICU alarm algorithms

Machine learning eliminates false alarms in intensive care

In intensive care units (ICU), some monitoring device or other is always sounding the alarm. Whether it’s a patient whose blood oxygen level is too low, someone in the next bed whose intracranial pressure is rising, or someone else whose blood pressure has taken a nosedive. Or perhaps just because a patient has shifted position in bed. False alarms like this last are all too common. They…

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Under pressure

Physician burnout cases are rising

Longer hours, more demanding working practices, complex cases and increased administration are taking their toll on physicians as growing numbers, across a range of specialties, report signs of burnout. All this despite technological advances such as artificial intelligence and machine learning to aid diagnosis, read and interpret images, improve workflow and enhance decision-making. Recognised…

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Aftercare

Discharged ICU patients need careful rehabilitation

Care models that go beyond rehabilitation services and are aimed at a smooth transition from intensive to aftercare are not established in Germany. A working group around Professor Dr Christian Apfelbacher at the Institute for Epidemiology and Preventive Medicine, Regensburg University, is currently developing a concept for intensive out-patient aftercare. ‘The project is to help improve the…

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Intensive care

Deep learning software helps to locate the carina

The ability to accurately check the position of the endotracheal tube for patients in intensive care units is crucial to their wellbeing and safe treatment. A pivotal element of this lies in identifying the position of the carina, a ridge of cartilage in the trachea that occurs between the division of the two main bronchi. Yet highlighting its location often proves problematic on portable chest…

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Illumination

Focus on lighting

Yet again the lighting manufacturer ACEM, based in Bologna, Italy, has produced a new and valued medical lighting system – the focusable ACEMSO15F – aimed for use in diagnostics, minor surgery, intensive care and more. Physically, the round, functional, wall, ceiling or trolley mounted ACEMSO15F is easy to grip and move and, for sterilisation, the handle is removable. The optional ABPS…

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Faster diagnosis, reduced cost

The impact of whole genome sequencing on newborn babys in ICU

Early whole genome sequencing might bring hope for children who are born severely ill or who develop serious illness in the first few weeks of their life. Because these children are often difficult to diagnose, detection of diseases has considerable implications for their short and longer-term care. At the annual conference of the European Society of Human Genetics (ESHG) in Milan, Italy, the…

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Rising up

Anaesthesia is a story of great success

Technical innovations and the implementation of quality standards in anaesthesia have immensely increased patient safety. ‘Over the past 60 years, patient safety during anaesthesia has improved more than in any other medical discipline,’ according to Professor Achim von Goedecke MD MSc, Director of the Institute of Anaesthesiology and Critical Care at Landeskrankenhaus Steyr in Upper Austria.…

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Virtual reality

VR glasses could ease trauma of waking up in an ICU

A patient walks slowly into the Intensive Care Unit (ICU). He sits on a hospital bed, hears unfamiliar beeps and other sounds. Doctors and nurses arrive to talk about all the surrounding machines and how things work in an ICU. Everything is calm and without stress for the patient as he listens to them. Then the virtual reality (VR) glasses he is wearing are removed, and he returns to reality. The…

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The interdisciplinary challenge

Evaluating ICU care for cancer patients

Progressive treatments offer new chances for cancer patients, but also could result in as yet unknown complications. The number of cancer patients transferred to the ICU for cancer-specific and internal medicine related reasons is on the increase. Caring for them on the ICU is a complex challenge, with interdisciplinary cooperation playing an essential part. Certain criteria need to be met for…

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Pediatrics study

Higher vitamin D dose increases bone density in premature babies

Results of a University of Nebraska Medical Center study found if the standard supplementation of 400 IUs of vitamin D is increased to 800 IUs daily there are reductions in the number of premature and preterm babies with extremely low bone density. Physicians have been prescribing vitamin D in premature and preterm infants in neonatal intensive care units (NICU) to prevent rickets, a disease…

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Weaning off

These patients need more attention

A study on weaning patients in intensive care units (ICUs) has compared those who underwent prolonged weaning off mechanical ventilation (MV) with patients classified as undergoing ‘simple’ or ‘difficult’ weaning. It shows that patients who experienced ‘prolonged’ weaning from mechanical ventilation show significantly higher mortality rates. Report: Mark Nicholls

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Respiratory support

Extracorporeal technology eases stress

Conventional therapy for ARDS patients and for patients with exacerbation of chronic obstructive pulmonary disease (COPD) has relied on invasive mechanical ventilation. Mechanical ventilation, however, has several major drawbacks: sedation has to be induced and the air being pressed into the lungs with positive pressure can damage the pulmonary alveoli or the diaphragm. Moreover, even maximum…

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POCT

Evolutionary POCT

A growing number of clinical tests are being delivered in community hospitals with more patients receiving quicker, accurate diagnoses closer to home, without stays in acute hospital beds. Professor Daniel Lasserson, an Associate Professor in the Nuffield Department of Primary Care Health Sciences at Oxford University, shares the opinion that using point-of-caretesting (POCT) to facilitate high…

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Who benefits from a catheter - and who does not?

A new detailed guide gives doctors and nurses information to help decide which hospital patients may benefit from a urinary catheter - and which ones do not. That should help spare patients the pain, embarrassment, and potentially serious side effects that can come with having a catheter placed - which may bring more risk than benefit to the patient.

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First hand experience

Improving point-of-care ultrasound training in intensive care medicine

Dr Sven Ballnus is Director of the Department of Intensive Care Medicine at the Hospital Centre Biel/Bienne, Switzerland, and an active member of the European Society of Intensive Care Medicine. Formerly a chief consultant in intensive care medicine at Westküstenkliniken in Heide, Schleswig-Holstein, Germany, he oversaw the development of an ultrasound course focusing on the specific needs of…

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Non-invasive Ventilation

Two in one

The recently launched Respironics V680 ventilator, from Philips Healthcare EMEA, was guided onto the market by Arne Cohrs, its Sales and Marketing Director of Therapeutic Care in Patient Care and Monitoring. We asked him about his department and the merits of non-invasive and invasive ventilators. Report: Chrissanthi Nikolakudi

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Intensive Care

The 35th ISICEM

Held every year in March, for the past 35 years, the International Symposium on Intensive Care and Emergency Medicine has been organised by the Departments of Intensive Care and Emergency Medicine at Erasme University Hospital, Université Libre de Bruxelles, in association with the Belgian Society of Intensive Care and Emergency Medicine (SIZ). For three and a half decades, the event’s main…

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Critical care

European launch of in-line blood gas analyser

Sphere Medical, launches its in-line patient dedicated arterial blood gas analyser in Germany, Netherlands and Belgium at ISICEM 2015. The advanced Proxima System delivers true point-of-care testing (POCT) by enabling critical care staff to obtain frequent laboratory accurate blood gas measurements without leaving the patient’s bedside. This facilitates effective and timely clinical decisions…

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ICU

New care model enhances recovery of ICU survivors

The Critical Care Recovery Center care model - the first collaborative care concept focusing on the extensive cognitive, physical and psychological recovery needs of intensive care unit survivors - decreases the likelihood of serious illness after discharge from an ICU, according to a new study from the Regenstrief Institute and the Indiana University schools of medicine and nursing.

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