Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Laryngeal mask airway versus endotracheal tube for percutaneous dilatational tracheostomy in critically ill adults Author(s): Reinhard Strametz, Martin N Bergold, Tobias Weberschock Publisher or Source: Cochrane Database of Systematic Reviews Type of Media: Medical Journal Media Originally for: Critical Care Physicians Country of Origin: Germany Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Background Percutaneous dilatational tracheostomy (PDT) is one of the most common bedside surgical procedures performed in critically ill adults, on intensive care units (ICUs), who require long‐term ventilation. PDT is associated with relevant life‐threatening complications: Cuff rupture or accidental extubation may lead to hypoxia, aspiration or loss of airway. Puncture of the oesophagus, or creating a false passage during dilatation or replacement of the tracheostomy tube, can lead to pneumothorax or emphysema. Wound infections may occur which can cause mediastinits, especially after creation of false passage or in early tracheotomized post‐sternotomy patients after cardiac surgery. During the procedure, the patient's airway can be secured with an endotracheal tube (ETT) or a laryngeal mask airway (LMA). This is an updated version of the review first published in 2014. Objectives To assess the safety and effectiveness of LMA versus ETT in critically ill adults undergoing PDT on the ICU. Search methods We searched the following databases to 9 January 2018: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and Embase. We searched for reports of ongoing trials in the metaRegister of Controlled Trials (mRCT). We handsearched for relevant studies in conference proceedings of five relevant annual congresses. We contacted study authors and experts concerning unpublished data and ongoing trials. We searched for further relevant studies in the reference lists of all included trials and of relevant systematic reviews. Selection criteria We included randomized controlled trials (RCTs) that compared use of laryngeal mask airways versus endotracheal tubes in critically ill adults undergoing elective PDT in the ICU, without injuries to or diseases of the face or neck. We imposed no restrictions with regard to language, timing or technique of PDT performed. Data collection and analysis Two review authors independently assessed the eligibility and methodological quality of each study and carried out data extraction. Our primary outcomes were all‐cause mortality, procedure‐related mortality and tally of participants with one or more serious adverse events. Where possible, we combined homogeneous studies for meta‐analysis. We used Cochrane's 'Risk of bias' tool and used GRADE to assess the quality of evidence for key outcomes. Main results We included nine RCTs in this review involving 517 participants. Studies had a high or unclear risk of bias. The main reason for this was low methodological quality or missing data, even after study authors were contacted. Study size was generally small, with a minimum of 40, and a maximum of 73 participants. In one study (40 participants), three deaths in the LMA group and two deaths in the ETT group were reported, although none of the deaths were related to the procedure (very low‐quality evidence). Five studies (281 participants) reported on procedure‐related deaths, stating that no procedure‐related death occurred at all (very low‐quality evidence). It is uncertain whether there is a difference in the number of people experiencing one or more serious adverse event(s) between LMA and ETT (risk ratio (RR) 0.86, 95% confidence interval (CI) 0.41 to 1.80; 467 participants, 8 studies, very low‐quality evidence). The duration of the procedure may be shorter in the LMA group (mean difference (MD) ‐1.46 minutes, 95% CI ‐1.92 to ‐1.01 minutes; 6 studies, 324 participants, low‐quality evidence). However failure of procedure, as allocated by randomization, requiring conversion to any other procedure, may be higher in the LMA group (RR 2.82, 95% CI 1.22 to 6.52; 8 studies, 439 participants, low‐quality evidence). We did not find any clear evidence of a difference between ETT and LMA groups for all other outcomes. Only one study provided follow‐up data for late complications related to the intervention, showing no clear evidence of benefit for any treatment group. Authors' conclusions Evidence on the safety of LMA for PDT is too limited to allow conclusions to be drawn on either its efficacy or safety compared with ETT. Although the LMA procedure may shorten the period during which the airway is insecure, it may also lead to higher conversion rates. Also, late complications have not been investigated sufficiently. These results are primarily based on single‐centre trials with small sample sizes, and therefore the level of evidence remains low. Studies with low risk of bias focusing on late complications and relevant patient‐related outcomes are necessary for definitive conclusions on safety issues related to this procedure. The dependency of the successful placement of a LMA on the type of LMA used should also be further assessed. There are two studies awaiting classification that may alter the conclusions once assessed. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Physiotherapy has solution to tackle Post-Intensive Care Syndrome Author(s): The Hitavada Publisher or Source: The Hitavada Type of Media: Newspaper Article Media Originally for: Critical Care Physicians,Nurses and/or Other Critical Care Medical Professionals Country of Origin: India Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Those who tested positive for coronavirus, taken treatment, tested negative after 14 days, of them some suffer weakness, lost balance while walking etc. Some medicos too don’t have the solution to these problems, but physiotherapists have. Most people post-Covid are experiencing tremendous improvement thanks to physiotherapy. ‘The Hitavada’ talked to some well-known physiotherapists who elaborated the importance of physiotherapy vis-a-vis Covid-19 pandemic. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Canada falls short in post-ICU care for COVID-19 patients Author(s): Elianna Lev Publisher or Source: Yahoo Sports Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: Canada Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: For COVID-19 patients who’ve been treated in the intensive care unit (ICU) and survived the virus, the road to full recovery isn’t straightforward. While the long-term effects of the virus are still unclear, there’s also a lot more to learn about what life after COVID-19 will look like for those who are experiencing the worst of it. Researchers at the University of British Columbia are examining the type of long-term support that’s needed for patients who’ve been sent to the ICU. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: The negative impact of the repeal of the Arkansas motorcycle helmet law Author(s): University of York- the Centre for Reviews and Dissemination Publisher or Source: NHS Economic Evaluation Database (NHS EED) Type of Media: Medical Professional Education Media Originally for: Critical Care Physicians Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: End of life care for patients with cystic fibrosis Author(s): Dorota Sands, Teresa Repetto, Lieven J. Dupont, Aleksandra Korzeniewska-Eksterowicz,Paola Catastini, Susan Madge Publisher or Source: European Cystic Fibrosis Society Type of Media: Medical Journal Media Originally for: Critical Care Physicians,Nurses and/or Other Critical Care Medical Professionals Country of Origin: Belgium Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Palliative care is an approach that improves quality of life for patients and their families facing problems associated with a life-threatening illness. Care planning is particularly important in CF, where predicting a time of death is extremely difficult. The patient and family should receive realistic information about health status and further options of care. Particularly important is the explanation that treatment does not stop during the terminal phase of the disease, instead the primary aim is to alleviate unpleasant symptoms. More invasive end of life care is becoming the norm in patients awaiting lung transplantation. Terminal care should be organised in the place chosen by the patient and their family.Ideally terminal care should not end when the patient dies, instead psychological and spiritual support should continue to bereaved families. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Long-term care needed for long Covid Author(s): Clara Bullock Publisher or Source: The International Travel & Health Insurance Journal (ITIJ) Type of Media: Magazine Article Media Originally for: Critical Care Physicians,General Public,Nurses and/or Other Critical Care Medical Professionals Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Long Covid is characterised by a variety of physiological and psychological issues, including fatigue, breathlessness, cognitive blunting (‘brain fog’) and pain. Christine Husbands, Managing Director for UK healthcare company RedArc, said: “This is clearly an emerging situation and one which is likely to be challenging for insurers, in terms of dealing with claims and underwriting for this new relatively unknown condition and its long-term implications. Offering practical help and emotional support for those diagnosed with the condition will help ensure the right people receive the best possible support for their individual symptoms, as well as helping to reduce the potential size and incidence of claims for the condition.” To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Researchers call for plan to keep ICU patients from ending up back in hospital Author(s): Moira Wyton Publisher or Source: Richmond News Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States of America (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: British Columbia needs to act now to ensure people released from intensive care after COVID-19 treatment don’t end up back in hospital beds within months, according to a University of British Columbia researcher. Dr. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

There’s Nothing Here... We can’t find the page you’re looking for. Check the URL, or head back home. Go Home