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Comparison of upper lip bite test and ratio of height to thyromental distance with other airway assessment tests for predicting difficult endotracheal intubation
Conclusion: ULBT can be used as a simple bedside screening test for prediction of difficult intubation, but it should be combined with other airway assessment tests for better airway predictability. RHTMD can also be used as an acceptable alternative.
Source: Indian Journal of Critical Care Medicine - January 11, 2016 Category: Intensive Care Authors: Jigisha Prahladrai BadhekaPratik M DoshiAshutosh M VyasNirav Jentilal KachaVandana S Parmar Source Type: research

Critical Care in Human Immunodeficiency Virus–Infected Patients
Semin Respir Crit Care Med 2016; 37: 303-317DOI: 10.1055/s-0036-1572561Intensive care unit (ICU) survival has been improved significantly for HIV-infected patients since the advent of antiretroviral therapy (ART). Non-AIDS conditions account for the majority of ICU admission diagnoses in areas with access to ART. However, opportunistic infections such as Pneumocystis jirovecii pneumonia still account for a significant proportion of ICU admissions, particularly in newly diagnosed HIV-infected patients, and are associated with increased ICU mortality. We discuss risk factors and outcomes for HIV-infected admitted to the ICU ...
Source: Seminars in Respiratory and Critical Care Medicine - March 14, 2016 Category: Respiratory Medicine Authors: Akgün, Kathleen M.Miller, Robert F. Source Type: research

Critical Care in Human Immunodeficiency Virus –Infected Patients
Semin Respir Crit Care Med 2016; 37: 303-317DOI: 10.1055/s-0036-1572561Intensive care unit (ICU) survival has been improved significantly for HIV-infected patients since the advent of antiretroviral therapy (ART). Non-AIDS conditions account for the majority of ICU admission diagnoses in areas with access to ART. However, opportunistic infections such as Pneumocystis jirovecii pneumonia still account for a significant proportion of ICU admissions, particularly in newly diagnosed HIV-infected patients, and are associated with increased ICU mortality. We discuss risk factors and outcomes for HIV-infected admitted to the ICU ...
Source: Seminars in Respiratory and Critical Care Medicine - March 13, 2016 Category: Respiratory Medicine Authors: Akg ün, Kathleen M. Miller, Robert F. Source Type: research

Moving Toward Tuberculosis Elimination: Critical Issues for Research in Diagnostics and Therapeutics for Tuberculosis Infection.
P, Schurr E, Seddon JA, Swindells S, Tobin DM, Udwadia Z, Walzl G, Srinivasan S, Rustomjee R, Nahid P Abstract Tuberculosis (TB) has surpassed HIV to become the leading infectious killer of adults globally, causing almost 2 million deaths annually. Although this airborne disease has been treatable since 1948, global rates of TB have dropped less than two percent per year; an estimated 10 million incident cases continue to occur annually, including one million in children. While transmission of active disease is an important driver of the epidemic, the seedbed that feeds the epidemic is the more than two billion pe...
Source: American Journal of Respiratory and Critical Care Medicine - October 18, 2018 Category: Respiratory Medicine Authors: Keshavjee S, Amanullah F, Cattamanchi A, Chaisson R, Dobos KM, Fox GJ, Gendelman HE, Gordon R, Hesseling A, Hoi LV, Kampmann B, Kana B, Khuller G, Lewinsohn DM, Lewinsohn DA, Lin PL, Lu LL, Maartens G, Owen A, Protopopova M, Rengarajan J, Rubin E, Salgame Tags: Am J Respir Crit Care Med Source Type: research

Clinical and Psychological Effects of Early Mobilization in Patients Treated in a Neurologic ICU: A Comparative Study*
Objective: To determine if an early mobilization protocol increased mobility and improved clinical and psychological outcomes. Currently, there is minimal research on the effects of early mobilization in patients with primary neurologic injury. Design: Prospective, two-group pre/post comparative design with data collection 4 months pre- and postintervention with a 4-month run-in period. Setting: Twenty-two-bed neurologic ICU in a 1,200-bed urban, quaternary-care, academic hospital in Northeast Ohio. Subjects: Critically ill patients with primary neurologic injury admitted to the neurologic ICU. Intervention: An early mobil...
Source: Critical Care Medicine - March 14, 2015 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Weighted-incidence syndromic combination antibiograms to guide empiric treatment of critical care infections: a retrospective cohort study
Conclusions: WISCA-derived empiric antimicrobial regimens can be calculated for patients with intensive care unit (ICU)-acquired infections, and have the potential to reduce time to adequate treatment. Prospective research must confirm whether implementation of WISCA prescribing aids facilitate timely adequate treatment and improved ICU outcomes.
Source: Critical Care - May 31, 2014 Category: Intensive Care Authors: Varinder RandhawaSyed SarwarSandra WalkerMarion ElligsenLesley PalmayNick Daneman Source Type: research

Creative Teaching Methods for Educators: A Compendium of Critical-Care Concepts
In order to gain expertise, intensive care unit nurses must have a good understanding of the pathophysiology and complicated disease processes seen in their units. Nurse educators and critical-care preceptors must be able to explain these complex concepts to a wide variety of audiences including nursing students, graduate nurses, and experienced critical-care nurses. Many times, demonstrations, analogies, visual aids, games, and creative teaching methods can help communicate these complicated ideas. The purpose of this article is to provide ideas for nurse educators and preceptors to use when explaining concepts that may b...
Source: Dimensions of Critical Care Nursing - August 2, 2018 Category: Nursing Tags: Educational DIMENSION Source Type: research

SCCM Pod-443 How the Pneumonia Panel Aids in Antimicrobial Stewardship and in the Fight Against COVID-19
BioFire FilmArray is the latest in technologies for rapidly identifying pathogens that cause Lower Respiratory Tract Infections (LRTI). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Tufik Assad M.D., M.S.C.I. to discuss how this technology can be integrated into clinical care to improve patient outcomes.
Source: SCCM PodCast - iCritical Care - September 4, 2021 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Polypharmacy in the Cardiovascular Geriatric Critical Care Population
The cardiovascular geriatric population requiring intensive or critical care is a group vulnerable to adverse outcomes because of age, the critical care environment, geriatric syndromes, and multiple chronic conditions. Polypharmacy increases the risk of adverse events in this group. Several tools and aids are available to guide the clinical practice of appropriate prescribing and deprescribing. To optimize the care of the cardiovascular geriatric population, evidence-based prescribing, and deprescribing tools can be implemented by the interprofessional team consisting of the patient, their support system, critical care nu...
Source: Critical Care Nursing Clinics of North America - July 1, 2023 Category: Nursing Authors: Chlo é Davidson Villavaso, Shavonne Williams, Tracy M. Parker Source Type: research

Opportunistic Fungal Infections in Critical Care Units
Fungal infections are rare compared with bacterial infections, but they are on the increase in critical care units. Diagnosis can be difficult, resulting in increased mortality. Immunocompromised patients are at higher risk for fungal infections, including organ transplant, oncology, and HIV/AIDS patients. Fatigue and fever are common symptoms that require critical care nurses to remain vigilant in assessment to identify at-risk patients and promote use of timely cultures and appropriate treatments for fungal infections. Critical care nurses can contribute to decreasing risk for fungal infections by controlling glucose lev...
Source: Critical Care Nursing Clinics of North America - December 13, 2016 Category: Nursing Authors: Deborah D. Garbee, Stephanie S. Pierce, Jennifer M. Manning Source Type: research

A modified Delphi process to identify clinical and research priorities in patient and family centred critical care
Conclusions Stakeholders identified clear and distinct priorities for PFCC in clinical care and research, though there was greater consensus for clinical care.
Source: Journal of Critical Care - August 9, 2017 Category: Gastroenterology Source Type: research

Critical Care in Human Immunodeficiency Virus-Infected Patients.
Abstract Intensive care unit (ICU) survival has been improved significantly for HIV-infected patients since the advent of antiretroviral therapy (ART). Non-AIDS conditions account for the majority of ICU admission diagnoses in areas with access to ART. However, opportunistic infections such as Pneumocystis jirovecii pneumonia still account for a significant proportion of ICU admissions, particularly in newly diagnosed HIV-infected patients, and are associated with increased ICU mortality. We discuss risk factors and outcomes for HIV-infected admitted to the ICU in the current ART era. We review the changing patter...
Source: Respiratory Care - March 15, 2016 Category: Respiratory Medicine Authors: Akgün KM, Miller RF Tags: Semin Respir Crit Care Med Source Type: research

Patients Care About the Clothes Doctors Wear
New findings show that attire influenced satisfaction with clinical care
Source: Pulmonary Medicine News - Doctors Lounge - July 19, 2018 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pediatric Source Type: news

Physician Burnout Rates Vary by Medical Specialty
Nearly half of those in critical care, neurology, family medicine, ob - gyn, internal medicine report burnout
Source: Pulmonary Medicine News - Doctors Lounge - November 11, 2014 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Oncology, Ophthalmology, Orthopedics, ENT, Pathology Source Type: news

Republicans Introduce Affordable Care Act Replacement
Initial Republican replacement for the Affordable Care Act formally introduced Monday
Source: Pulmonary Medicine News - Doctors Lounge - March 7, 2017 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news