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Telemedicine in Intensive Care Units: A Luxury or Necessity?
The advent of telemedicine programs and their utilization in intensive care units (ICU), started in the 1970s, was initially designed to enhance the ability of local providers by simple verbal or video consultation with an ICU expert. Over the course of years with evolution of clinical informatics and connectivity, the idea has grown to the contemporary Tele-ICU practices, which not only provide expert opinion to the local providers but also offer a wide range of services, including monitoring, supervisions, communications with patients, families, and local providers of many disciplines, active resuscitation and stabilizat...
Source: Critical Care Clinics - April 5, 2019 Category: Intensive Care Authors: Kianoush B. Kashani Tags: Preface Source Type: research

Low-dose Apixaban May Be Safe Anti-stroke Option for Dialysis Patients Low-dose Apixaban May Be Safe Anti-stroke Option for Dialysis Patients
Low-dose apixaban achieves blood levels that appear to be safe and might be a “ reasonable alternative ” to warfarin for preventing stroke in patients with atrial fibrillation who are on hemodialysis, new research suggests.Reuters Health Information
Source: Medscape Critical Care Headlines - March 24, 2017 Category: Intensive Care Tags: Neurology & Neurosurgery News Source Type: news

Heat stroke with bimodal rhabdomyolysis: a case report and review of the literature
ConclusionsPhysicians should pay special attention to the stress of rehabilitation exercises, which may cause collapsed muscles that are injured by severe heat stroke to repeatedly flare up.
Source: Journal of Intensive Care - November 30, 2016 Category: Intensive Care Source Type: research

A specialized post anaesthetic care unit improves fast-track management in cardiac surgery: a prospective randomized trial
IntroductionFast-track treatment in cardiac surgery has become the global standard of care. We compared the efficacy and safety of a specialised post-anaesthetic care unit (PACU) to a conventional intensive care unit (ICU) in achieving defined fast-track end-points in adult patients after elective cardiac surgery. Methods: In a prospective, single blinded, randomized study, 200 adult patients undergoing elective cardiac surgery (coronary artery bypass graft (CABG), valve surgery or combined CABG and valve surgery), were selected to receive their postoperative treatment either in the ICU (n?=?100), or in the PACU (n?=?100)....
Source: Critical Care - August 15, 2014 Category: Intensive Care Authors: Stefan ProbstChristof CechDirk HaentschelMarkus ScholzJoerg Ender Source Type: research

Perioperative management and therapy of bleeding complications.
Abstract The new oral anticoagulants directly inhibit either thrombin (Dabigatran, Pradaxa®,) or activated Factor X (rivaroxaban, Xarelto®, and apixaban, Eliquis®) and have been approved for thromboprophylaxis after hip and knee replacement surgery and stroke prevention in non-valvular atrial fibrillation. Moreover, rivaroxaban has been approved for the treatment of deep venous thrombosis, prevention of pulmonary embolism and anticoagulation after acute myocardial infarction. The direct FXa-inhibitor edoxaban (Lixiana®) expects approval for the prevention of stroke in atrial fibrillation in Germany in 2014. Th...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 1, 2014 Category: Intensive Care Authors: von Heymann C, Kaufner L, Körber M Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research