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Cognitive Aids for the Diagnosis and Treatment of Neuroanesthetic Emergencies: Consensus Guidelines on Behalf of the Society for Neuroscience in Anesthesiology and Critical Care (SNACC) Education Committee
Cognitive aids and evidence-based checklists are frequently utilized in complex situations across many disciplines and sectors. The purpose of such aids is not simply to provide instruction so as to fulfill a task, but rather to ensure that all contingencies related to the emergency are considered and accounted for and that the task at hand is completed fully, despite possible distractions. Furthermore, utilization of a checklist enhances communication to all team members by allowing all stakeholders to know and understand exactly what is occurring, what has been accomplished, and what remains to be done. Here we present a...
Source: Journal of Neurosurgical Anesthesiology - December 11, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Selecting and evaluating decision-making strategies in the intensive care unit: A systematic review
ConclusionsThe decision-making process in the ICU can be enhanced by frequent family-meetings with predefined topics. Ethical and palliative support is useful in specific situations. These interventions can reduce non-beneficial ICU treatment days.
Source: Journal of Critical Care - January 31, 2019 Category: Gastroenterology Source Type: research

Cognitive Aids for the Diagnosis and Treatment of Neuroanesthetic Emergencies: Consensus Guidelines on Behalf of the Society for Neuroscience in Anesthesiology and Critical Care (SNACC) Education Committee
Cognitive aids and evidence-based checklists are frequently utilized in complex situations across many disciplines and sectors. The purpose of such aids is not simply to provide instruction so as to fulfill a task, but rather to ensure that all contingencies related to the emergency are considered and accounted for and that the task at hand is completed fully, despite possible distractions. Furthermore, utilization of a checklist enhances communication to all team members by allowing all stakeholders to know and understand exactly what is occurring, what has been accomplished, and what remains to be done. Here we present a...
Source: Journal of Neurosurgical Anesthesiology - January 1, 2019 Category: Anesthesiology Tags: Review Articles Source Type: research

French ICU's health care workers have a poor knowledge of the cost of the devices they use for patient care: A prospective multicentric study
ConclusionsICU's HCWs have a poor knowledge of the price of devices they regularly use for the care of their patients.
Source: Journal of Critical Care - December 6, 2019 Category: Gastroenterology Source Type: research

Suspected Pediatric Influenza Risk-Stratification Algorithm: A Clinical Decision Tool
Conclusions These risk-stratification analyses were summarized into Suspected Pediatric Influenza Risk-Stratification Algorithm (SPIRA). For those in whom influenza infection is likely, clinicians may consider empiric treatment. Conversely, patients whom SPIRA identifies as unlikely to be infected with influenza are candidates for viral testing and targeted treatment. In assessing children with ILI, SPIRA aids clinicians in determining who to test versus treat empirically, saving children from costly viral testing or unnecessary antiviral exposure.
Source: Pediatric Emergency Care - January 1, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Manual proning of a morbidly obese COVID-19 patient: a case report
Continuously rising numbers of obese critical care patients pose many challenges to the healthcare workers, especially during the COVID-19 pandemic. Among them, proning may be one of the most labour intensive tasks. Prone positioning is performed manually in hospitals where mechanical lifting aids are unavailable, however the exact method of manual proning is not explicitly described in the literature.Here, we present a case of a morbidly obese patient with COVID-19 pneumonitis in Intensive Care Unit with a step-by-step guide of the manual proning technique.
Source: Australian Critical Care - October 21, 2021 Category: Nursing Authors: Erika Salciute-Simene Tags: Case study Source Type: research

Separating signal from noise: the challenge of identifying useful biomarkers in sepsis
Sepsis diagnosis remains based largely on clinical presentation despite significant advances in the understanding of underlying pathophysiology and host-pathogen interactions. The systematic review article by Zonneveld and colleagues in the previous issue of Critical Care describes another potential avenue of study for using biomarkers for sepsis diagnosis and prognostication. Soluble leukocyte adhesion molecules and their associated sheddase enzymes vary in detectable levels and activity in patients in relation to immunologic status, age, and systemic inflammation, including in the setting of sepsis. Unfortunately, studie...
Source: Critical Care - March 17, 2014 Category: Intensive Care Authors: Russell McCullohJohn Spertus Source Type: research

Decision Aids and Shared Decision-Making in Neurocritical Care: An Unmet Need in Our NeuroICUs
Abstract Improved resuscitation methods and advances in critical care have significantly increased the survival of patients presenting with devastating brain injuries compared to prior decades. After the patient’s stabilization phase, families and patients are faced with “goals-of-care” decisions about continuation of aggressive intensive care unit care or comfort care only (CMO). Highly varying rates of CMO between centers raise the question of “self-fulfilling prophecies.” Disease severity, the physician’s communication and the family’s understanding of projected outcomes, their uncertainties, comp...
Source: Neurocritical Care - January 6, 2015 Category: Neurology Source Type: research

Diagnosis and Management of Invasive Candidiasis in the ICUDiagnosis and Management of Invasive Candidiasis in the ICU
Get up-to-date on the latest diagnostic and management strategies for these infections in critically ill patients. Critical Care
Source: Medscape Hiv-Aids Headlines - July 14, 2016 Category: Infectious Diseases Tags: Critical Care Journal Article Source Type: news

Diagnosis and Management of Invasive Candidiasis in the ICU Diagnosis and Management of Invasive Candidiasis in the ICU
Get up-to-date on the latest diagnostic and management strategies for these infections in critically ill patients. Critical Care
Source: Medscape Hiv-Aids Headlines - July 14, 2016 Category: Infectious Diseases Tags: Critical Care Journal Article Source Type: news

Perspectives from the Field: HIV Testing and Linkage to Care in North Carolina
Discussion: These findings can inform efforts to address HIV testing and linkage to care in NC. This approach may provide beneficial insight for other systems of care.
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - November 3, 2016 Category: Infectious Diseases Authors: Sullivan, K. A., Berger, M. B., Quinlivan, E. B., Parnell, H. E., Sampson, L. A., Clymore, J. M., Wilkin, A. M. Tags: HIV Testing & amp;amp; Linkage to Care Source Type: research

Neuropsychiatric Aspects of Infectious Diseases
This article focuses on key infectious diseases that commonly and directly produce neuropsychiatric symptoms, including direct infection of the central nervous system, human immunodeficiency virus infection, and AIDS.
Source: Critical Care Clinics - June 8, 2017 Category: Intensive Care Authors: Sahil Munjal, Stephen J. Ferrando, Zachary Freyberg Source Type: research

The COVID ICU: Before You Sedate, Communicate The COVID ICU: Before You Sedate, Communicate
COVID-19 has packed the country ' s ICUs with mechanically ventilated patients who are at risk for delirium and unable to speak. What can be done to help them communicate?Medscape Critical Care
Source: Medscape Hiv-Aids Headlines - September 30, 2020 Category: Infectious Diseases Tags: Critical Care Commentary Source Type: news

Prophylaxis for PJP in Patients With Sarcoidosis Prophylaxis for PJP in Patients With Sarcoidosis
Dr Aaron Holley scrutinizes the practice of prescribing TMP-SMX to preventPneumocystis jirovecii pneumonia in patients on oral corticosteroids for sarcoidosis.Medscape Critical Care
Source: Medscape Hiv-Aids Headlines - May 24, 2022 Category: Infectious Diseases Tags: Critical Care Viewpoint Source Type: news

Optimizing Care in Kidney Transplantation
This article provides fundamental information to health care providers on kidney transplant.  It reviews some of the preoperative testing, postoperative complications, and treatments. It is to help those who help assist with postoperative care of kidney transplants ensure care is optimal. This article will help educate and inform caregivers of guidelines and suggested plans of care to foll ow for best outcomes for transplant recipients. The short- and long-term care of these patients are extremely important, and health care providers need to follow practice guidelines to achieve optimal outcomes. This discussion will bene...
Source: Critical Care Nursing Clinics of North America - October 12, 2022 Category: Nursing Authors: Kimberly Horka Source Type: research