Intensive Care Units

Publication Title: 
Journal of Critical Care

PURPOSE: Sepsis and severe sepsis are the most common cause of death among critically ill patients admitted in medical intensive care units. As more than one-third of the adult population of the United States is obese; we undertook a systematic review of the association between obesity and mortality among patients admitted with sepsis, severe sepsis, or septic shock. MATERIALS AND METHODS: A systematic review was conducted to identify pertinent studies using a comprehensive search strategy. Studies reporting mortality in obese patients admitted with sepsis were identified.

Author(s): 
Trivedi, Vrinda
Bavishi, Chirag
Jean, Raymonde
Publication Title: 
PloS One

BACKGROUND: Working in the stressful environment of the Intensive Care Unit (ICU) is an emotionally charged challenge that might affect the emotional stability of medical staff. The quality of care for ICU patients and their relatives might be threatened through long-term absenteeism or a brain and skill drain if the healthcare professionals leave their jobs prematurely in order to preserve their own health.

Author(s): 
van Mol, Margo M. C.
Kompanje, Erwin J. O.
Benoit, Dominique D.
Bakker, Jan
Nijkamp, Marjan D.
Publication Title: 
Annals of Cardiac Anaesthesia

Ketamine is a unique anesthetic drug that provides analgesia, hypnosis, and amnesia with minimal respiratory and cardiovascular depression. Because of its sympathomimetic properties it would seem to be an excellent choice for patients with depressed ventricular function in cardiac surgery. However, its use has not gained widespread acceptance in adult cardiac surgery patients, perhaps due to its perceived negative psychotropic effects. Despite this limitation, it is receiving renewed interest in the United States as a sedative and analgesic drug for critically ill-patients.

Author(s): 
Mazzeffi, Michael
Johnson, Kyle
Paciullo, Christopher
Publication Title: 
Christian Bioethics

The author comments on the consensus statement from the point of view of an ethics consultant in Germany. Since many hospitals in Germany are under considerable competitive pressure, mission statements are becoming more and more important in order to draw a distinction between the different hospital types and to convey the meaning of the corporate identity both internally and externally. The Consensus Statement, which provides basic orientation without going into too much detail, can be a helpful initial document.

Author(s): 
Schmidt, K. W.
Publication Title: 
Joint Commission Journal on Quality and Patient Safety

BACKGROUND: Eliminating nosocomial infections was identified as one of eight priorities for action for Ascension Health. St. John Hospital and Medical Center (SJHMC), and St. Vincent's Hospital (STV), designated alpha sites, developed best practices for the prevention of catheter-related blood stream infections (CR-BSIs) and ventilator-associated pneumonia (VAP), respectively.

Author(s): 
Berriel-Cass, Dorine
Adkins, Frank W.
Jones, Polly
Fakih, Mohamad G.
Publication Title: 
Intensive Care Medicine

PURPOSE: This study explored differences in end-of-life (EOL) decisions and respect for patient autonomy of religious members versus those only affiliated to that particular religion (affiliated is a member without strong religious feelings). METHODS: In 2005 structured questionnaires regarding EOL decisions were distributed in six European countries to ICUs in 142 hospital ICUs. This sub-study of the original data analyzed answers from Protestants, Catholics and Jews. RESULTS: A total of 304 physicians, 386 nurses, 248 patients and 330 family members were included in the study.

Author(s): 
B¸low, Hans-Henrik
Sprung, Charles L.
Baras, Mario
Carmel, Sara
Svantesson, Mia
Benbenishty, Julie
Maia, Paulo A.
Beishuizen, Albertus
Cohen, Simon
Nalos, Daniel
Publication Title: 
PloS One

PURPOSE: Keeping an ICU patient diary has been reported to benefit the patient's recovery. Here, we investigated the families' experience with reading and writing in patient ICU diaries kept by both the family and the staff. METHODS: We conducted a qualitative study involving 32 semi-structured in-depth interviews of relatives of 26 patients (34% of all family members who visited patients) who met our ICU-diary criterion, i.e., ventilation for longer than 48 hours.

Author(s): 
Garrouste-Orgeas, MaitÈ
PÈrier, Antoine
Mouricou, Philippe
GrÈgoire, Charles
Bruel, CÈdric
Brochon, Sandie
Philippart, FranÁois
Max, Adeline
Misset, Benoit
Publication Title: 
Revista Da Escola De Enfermagem Da U S P

This study aimed to identify the level of comfort of families of patients in a critical health condition related to the welcoming practices performed by the hospital staff. Interviews were conducted with 250 relatives in hospitals of the state Bahia, using a Likert scale. Data were analyzed as percentages and quartiles. For nine of the 12 statements of the scale, most relatives scored their comfort level between very and totally comfortable, median of 4,revealing kindness, tranquility and friendly communication with family members.

Author(s): 
Gibaut, Mariana de Almeida Moraes
Hori, Luisa Mayumi Rocha
Freitas, K·tia Santana
Mussi, Fernanda Carneiro
Publication Title: 
QJM: monthly journal of the Association of Physicians

BACKGROUND: Intensive care units (ICUs) exist to support patients through acute illness that threatens their life. Although ICUs aim to save life, they are also a place where a significant proportion of patients die with international mortality rates ranging from 15% to 24%. AIM: To explore the experience of relatives and staff of patients dying in ICU using qualitative approach. DESIGN: Consecutive patients were identified who were dying in the ICU. The researcher met the families prior to the patient's death.

Author(s): 
Donnelly, S. M.
Psirides, A.
Publication Title: 
Intensive & Critical Care Nursing

The aim of this study is to describe how people who have been critically ill, and their close relatives experience a post-discharge, follow-up visit to the intensive care unit (ICU) that provided the care. There is a lack of studies from such a standpoint. The study design is qualitative. A total of 18 adults participated; nine had been critically ill and nine were close relatives, all made a post-discharge follow-up visit to an ICU in the northern part of Sweden. The study data was collected through personal interviews, conducted after the follow-up visit, using a narrative approach.

Author(s): 
Engstrˆm, Asa
Andersson, Staffan
Sˆderberg, Siv

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