Miscellaneous

Miscellaneous

Increased sound levels in the cardiac ICU are associated with an increase in heart rate, blood pressure, and sedation

Abstract   Background: Several organizations including the Environmental Protection Agency, World Health Organization and American Academy of Pediatrics recommend that hospital sound levels not exceed 45 decibels. Yet, several studies across multiple age groups have observed higher than recommended levels in the intensive care setting. Elevated sound levels in hospitals have been associated with disturbances […]

, ,

Increased sound levels in the cardiac ICU are associated with an increase in heart rate, blood pressure, and sedation Read Post »

Circulatory, Miscellaneous

Exercise and cardiac rehabilitation after LVAD implantation

Abstract Left ventricular assist devices (LVAD) have improved mortality and quality of life for patients with end-stage heart failure by providing an alternative to cardiac transplant or as a bridge to transplantation. The improvement in functional capacity however is minimal to modest depending on the right ventricular function, optimal hemodynamics on LVAD therapy, and comorbidities.

, ,

Exercise and cardiac rehabilitation after LVAD implantation Read Post »

Miscellaneous

How I perform diaphragmatic ultrasound in the intensive care unit

The diaphragm is a thin, dome-shaped muscle, compris-ing a costal and crural part, and a non-contracting central tendon. Muscle fiber activation shortens and thickens the diaphragm in the zone of apposition, moving the dome caudally. Diaphragm function, defined as the ability to contract and generate pressure, has substantial reserve capacity. However, clinically significant diaphragm weak-ness,

,

How I perform diaphragmatic ultrasound in the intensive care unit Read Post »

Miscellaneous

Left diaphragmatic ultrasound in the intensive care unit: practical considerations and alternative approaches

We read with great interest the recent article by Her-mans et al. on diaphragmatic ultrasound, which provides a detailed guide on both methodology and clinical appli-cations [1]. This article has significantly enhanced our understanding of diaphragmatic ultrasound, especially for its application in intensive care unit (ICU) [2]. We would like to offer some additional considerations

,

Left diaphragmatic ultrasound in the intensive care unit: practical considerations and alternative approaches Read Post »

Miscellaneous

Clinical governance in intensive care medicine

Patient safety has become a primary focus for healthcare improvement, particularly in intensive care units (ICUs) where the complexity increases the risk of medical errors compared to other hospital settings [1]. Therefore, ensuring safe care is crucial and should be actively pursued as a fundamental value [2]. Clinical governance (CG) is how healthcare organizations (including

Clinical governance in intensive care medicine Read Post »

Miscellaneous

The Pain Management of Trauma Patients in the Emergency Department

Abstract   The vast majority of injured patients suffer from pain. Systematic assessment of pain on admission to the emergency department (ED) is a cornerstone of translating the best treatment strategies for patient care into practice. Pain must be measured with severity scales that are validated in clinical practice, including for specific populations (such as

, ,

The Pain Management of Trauma Patients in the Emergency Department Read Post »

Miscellaneous

Genetic prediction of antihyperglycemic drug targets and risk of epilepsy: a mendelian randomisation study

Abstract   A connection between diabetes and an increased risk of epilepsy has been suggested by observational studies. Animal studies have also shown that antihyperglycemic drugs can improve seizures. However, it is unclear whether antihyperglycemic drugs have a causal role in epilepsy in humans. To investigate this potential causal relationship, a Mendelian randomisation study was

, ,

Genetic prediction of antihyperglycemic drug targets and risk of epilepsy: a mendelian randomisation study Read Post »

Miscellaneous

The Predictive Validity of the Full Outline of UnResponsiveness Score Compared to the Glasgow Coma Scale in the Intensive Care Unit: A Systematic Review

Abstract   The Full Outline of UnResponsiveness (FOUR) score was developed to overcome the limitations of the Glasgow Coma Scale (GCS) when assessing individuals with impaired consciousness. We sought to review the evidence regarding the predictive validity of the GCS and FOUR score in intensive care unit (ICU) settings. This review was prospectively registered in

,

The Predictive Validity of the Full Outline of UnResponsiveness Score Compared to the Glasgow Coma Scale in the Intensive Care Unit: A Systematic Review Read Post »

Miscellaneous

Rethinking energy and protein provision for critically ill patients

Abstract Guidelines informing energy and protein doses for critically ill patients are based largely on low-quality evidence and expert consensus recommendations [1, 2], but more recent randomized controlled trials (RCTs) have provided new data. Thus, we summarize here the current evidence base and provide advice concerning energy and protein provision during critical illness. Conclusions In critically

Rethinking energy and protein provision for critically ill patients Read Post »

Scroll to Top