This site is intended for healthcare professionals

Study advises against using early ECMO in patients with cardiogenic shock

Time : 7th of November 2022 01:05:32 PM Physician/Medicine,Critical Care,Cardiology

Using veno-arterial-ECMO early in SCAI stages D or E of cardiogenic shock did not cause superior outcomes in terms of all-cause mortality, resuscitated circulatory arrest, and another mechanical circulatory support than that with initial conservative care. The findings provide essential data for the patients in whom the VA-ECMO use is increasing despite no evidence of benefits.
  American College of Cardiology

Do doctors and families avoid the words death or dying?

Time : 28th of October 2022 10:43:10 AM Physician/Medicine,Paediatrics,Critical Care

A study that analyzed 68 conversations between doctors and families of hospitalized infants in ICU revealed that the words dying, die, or death were avoided 92% of the time. Instead families used the words "not make it" or "pass away", while doctors preferred "code", "episode", "event", "arrest". The pronouns used for death included this, that, something, or it.
  Post Bulletin

New CPR method increases survival chances in out-of-hospital heart attacks

Time : 14th of October 2022 12:27:26 PM Physician/Medicine,Nursing,Emergency Medicine,Critical Care,Cardiology

Applying an "automated head-up/torso-up positioning" method to cardiopulmonary resuscitation was linked to significant improvements in the chances of survival compared to conventional CPR. Additionally, initiating this method of CPR early improved survival odds within achievable response intervals. This method could improve circulation and reduce intracranial pressure.
  Twitter @cardioceptor

PUMA issues guidelines to prevent unrecognized oesophageal intubation

Time : 24th of August 2022 10:32:32 AM Physician/Medicine,Nursing,Emergency Medicine,Critical Care

The international airway societies and Project for Universal Management of Airways (PUMA) guidelines address the need to avoid unrecognized oesophagal intubation, which can result in significant brain injury, hypoxemia, and death. These guidelines are relevant to global airway practitioners irrespective of geography, clinical location, and patient type.
  Twitter @Anaes_Journal

A drug risk factor in people on life support identified

Time : 11th of August 2022 12:25:25 PM Physician/Medicine,Nursing,Critical Care,Anesthesia

The commonly used anaesthetic agent, propofol, is strongly linked with an increased incidence of severe hypotension and cardiac arrest after intubation in critically ill patients, as per the Global ICU study. Further studies will be performed to develop and test alternative strategies to reduce the risk of CVD adverse events in patients needing urgent tracheal intubation.
  National University of Ireland

ICU admissions could increase the risk of dementia

Time : 2nd of August 2022 11:06:05 AM Neurology & Neurosurgery,Critical Care

Patients who were hospitalised in the ICU are at a 2-fold higher risk of dementia compared to those who did not experience ICU admissions, as per a study. Also, ICU admissions were associated with a doubled risk of Alzheimer's disease and all types of dementia. However, the study did not document the cognitive status of patients before ICU hospitalisations.
  Neurology Live

Linezolid is safe and effective in treating Gram-positive bacterial infections

Time : 1st of August 2022 10:34:22 AM Physician/Medicine,Pharma News,Critical Care

Linezolid treatment showed clinical improvement in nearly 80% of patients in ICU with Gram-positive bacterial infections, as per a study. Linezolid is also effective in treating skin and soft tissue infections caused by methicillin-resistant Staphylococcus aureus. The clinical success rates of linezolid as first-line and second-line treatments were 79.9% and 83.6%.
  Nation World News

A case of cast of the bronchial tree in a patient with a history of HF

Time : 26th of July 2022 01:06:01 PM Trending,Pulmonology,Physician/Medicine,Nursing,General Surgery,Diagnostics & Pathology,Critical Care,Cardiology

A 36-year-old man was admitted to ICU with acute exacerbation of HF. He was initiated with heparin, and an Impella ventricular assist device was kept. After a week, he spontaneously expectorated an intact cast of the right bronchial tree, and his trachea was intubated. Flexible bronchoscopy showed a small amount of blood in the right lower lobe of basilar branches.
  Twitter @AvrahamCooperMD

Hospital-acquired pneumonia could cause death in patients

Time : 21st of July 2022 02:03:16 PM Pulmonology,Physician/Medicine,Critical Care

NVHAP infects one in every 100 patients in hospitals and kills 15-30% of them, according to National Organisation for NV-HAP prevention. NVHAP survivors could also experience longer hospital stays and readmissions within one month or be transferred to ICU. However, most cases of NVHAP can be avoided if the hospital staffers dutifully brush the teeth of bedridden patients.
  NBC News

High-pressure oxygen might help patients with long Covid

Time : 19th of July 2022 04:03:38 PM Physician/Medicine,Critical Care,Covid-19

Patients in the hyperbaric oxygen therapy group showed an improvement in skills, sleep, energy, pain, and psychiatry symptoms compared to those in the sham group, as per a study. Moreover, people who were infected with the pre-Omicron version were 15.1% effective at preventing BA.4/BA.5 reinfection and 79.7% effective against any BA.4/B.5 reinfection.
  Twitter @Reuters