Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial Author(s): Muellejans B, Matthey T, Scholpp J, Schill M Publisher or Source: University of York- the Centre for Reviews and Dissemination Type of Media: Medical Journal 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: Record Status 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. Health technology This article compared an analgesia-based sedation regimen with remifentanil and propofol versus a conventional regimen with midazolam and fentanyl in patients requiring postoperative mechanical ventilation in the intensive care unit (ICU) following cardiac surgery. Remifentanil was administered at 6 to 12 microg/kg per hour, or up to a maximum of 60 microg/kg per hour. Propofol supplementation, where required, was given at 0.3 to 1.0 mg/kg per hour, or up to a maximum of 4 mg/kg per hour. The conventional midazolam/fentanyl regimen comprised an initial dose of fentanyl of 1 to 2 microg/kg, followed by a dose of 1 to 2 microg/kg per hour (or up to a maximum of 7 microg/kg per hour) plus an initial dose of 0.03 to 0.2 mg/kg midazolam. 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: Physician staffing patterns and clinical outcomes in critically ill patients Author(s): Pronovost P J, Angus D C, Dorman T, Robinson K A, Dremsizov T T, Young T L Publisher or Source: University of York Type of Media: Medical Research Media Originally for: Critical Care Physicians,General Medical Professionals,Nurses and/or Other Critical Care Medical Professionals 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: Authors' objectives To examine the effect of intensive care unit (ICU) physician staffing on patient outcomes, in terms of hospital and ICU mortality and length of stay (LOS). 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: NIHR Alert: Training for clinical competence and resilience reduced job strain among intensive care nurses in France Author(s): El Khamali R, Mouaci A, Valera S Publisher or Source: NIHR Evidence Type of Media: Medical Journal Media Originally for: Nurses and/or Other Critical Care Medical Professionals Country of Origin: France Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: A five-day educational course showed potential to reduce work-based stress and burnout among nurses working in intensive care units in France. The study conducted in multiple adult intensive care units aimed to identify the effects of an intensive, continuing medical education program on occupational stress. The course focussed on nursing theory, role-play and debriefing sessions. Six months after attending the programme, intensive care unit nurses showed reduced levels of job strain compared to their counterparts who had not received the course. This study showed that a relatively short programme of training helped to reduce stress, sick leave and improve staff retention among intensive care unit nurses in the short- to medium-term. It is not known whether these effects have a lasting impact. This was a small-scale study of 198 nurses with different education and training systems. The results may need adapting and validating within a UK setting, but this study provides a useful addition to a growing evidence base on workplace learning and wellbeing. 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: COVID-19 long-haulers may be experiencing multiple syndromes: NIHR review Author(s): Solarina Ho Publisher or Source: CTV News 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: TORONTO -- A growing body of evidence indicates that long-term “ongoing” COVID-19 may not be a single syndrome but possibly up to four different syndromes, according to a new review by the National Institute for Health Research, a U.K. government agency. 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: My life changed forever: A nurse’s account of her own PICS Author(s): Jessica (no last name listed) Publisher or Source: Not listed Type of Media: Testimonial Media Originally for: Former ICU Patients or Their Caregivers, General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Jessica, a nurse, is a survivor of post-intensive care syndrome (PICS). Below, she recounts her experiences in the ICU and after discharge. As you read her story, think about how you and your peers provide care to critically ill patients—and how you might be able to prevent some of the negative effects experienced by ICU patients. 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: Post-Intensive Care Syndrome: Comparison of Educational Interventions to Educate Parents of Children Hospitalized in the Pediatric Intensive Care Unit at St. Louis Children’s Hospital Author(s): Stephanie A. Esses, BSN, MSN Publisher or Source: University of Missouri, St. Louis Type of Media: Medical Professional Education Media Originally for: Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Background: Family members of children hospitalized in the pediatric intensive care unit (PICU) can develop cognitive, psychological, and physical manifestations of post-intensive care syndrome (PICS).Targeted education to help parents/caregivers recognize the signs and symptoms of PICS may result in better awareness of the syndrome and greater willingness to seek and receive support during their child’s PICU admission. Objective: to evaluate three targeted PICS educational interventions to increase PICS awareness among parents/caregivers in the St. Louis Children’s Hospital (SLCH) PICU. Results:Atotal of 62 parents/caregivers received one of three educational interventions:informational brochures (n=22), scripted informational conversation (n=20), or three-minute educational video (n=20). An additional 19 bedside nurses completed surveys to describe how each educational intervention affected daily work flow. Changes in parental/caregiver PICS fund of knowledgewas evaluated using Fischer’s exact test. All three educational interventions were associated with a significant improvement in understanding of PICS, with no single intervention being superior. Nursing surveys indicated that work flow was minimally disrupted using PICS education and that all interventions were perceived to be important and useful. Conclusions:Targeted educational interventions led to improvement in knowledge about PICS among parents/caregivers and were well supported by PICU nursing staff. Thus, providing support for a sustainable implementation of PICS education in the SLCH PICU. 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: Clinical Practice Guidelines: Treatment of Acute Hyperkalaemia in Adults Author(s): Dr Annette Alfonzo, Dr Alexander Harrison, Dr Richard Baines, Dr Ann Chu, Mr Simon Mann, Mr Murdoch MacRury Publisher or Source: Renal Association; Resuscitation Council (UK) 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 guideline has been developed to improve the treatment of acute hyperkalaemia and reduce the risk of complications associated with hyperkalaemia and its treatment. This guideline is a collaboration between the Renal Association and Resuscitation Council (UK). The multidisciplinary writing group consists of nephrologists, intensivists, resuscitation experts, a clinical biochemist, renal nurses and a renal pharmacist. Each contributor was nominated by their organisation to represent their specialist area. The group met in November 2010 in Fife, Scotland to agree the scope for the guideline and critically assess the available evidence for the treatment of acute hyperkalaemia. This guideline has been reviewed by the Renal Association Clinical Practice Guideline Committee and the Resuscitation Council (UK) Executive Committee. Wider consultation has also been sought via the Renal Association and Resuscitation Council (UK) website. 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: Clinicians Struggle to Make Sense of 'Long COVID' — No correlation with clinical severity of illness, and some symptoms may be entirely new Author(s): Walker, M. Publisher or Source: MedPage Today Type of Media: Magazine Article Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: "Long COVID" is nebulous, particularly because it can overlap with other complications of COVID-19 illness, such as hospitalization complications and post-intensive care syndrome, or even multisystem inflammatory disorder, said Alfonso Hernandez-Romieu, MD, of the CDC. 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: Predicting Risk of Recurrent Acute Kidney Injury: A Systematic Review. Author(s): Hilda O. Hounkpatin, Simon D.S. Fraser, Liz Glidewell, Thomas Blakeman, Andrew Lewington, Paul J. Roderick Publisher or Source: Nephron Type of Media: Medical Journal 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: Background: Although the epidemiology of acute kidney injury (AKI) has been well described, less is known about recurrent AKI (r-AKI). We undertook a systematic review to identify incidence, risk factors, and outcomes of r-AKI. Methods: MEDLINE, EMBASE, CINAHL, Cochrane, Web of Science were searched, from inception to December 2017, for quantitative studies on adults with AKI, where follow-up included reporting of r-AKI. Two reviewers independently identified studies and assessed study quality. Summary: From 2,824 citations, 10 cohort studies met inclusion criteria (total patients n = 538,667). There were 2 distinct set of studies; 4 studies assessed r-AKI within the same hospital admission (most were intensive care unit [ICU] patients) and 6 studies assessed postdischarge r-AKI. The median percentage of people developing r-AKI within the same hospital admission was 23.4% (IQR 20.3–27.2%) and postdischarge r-AKI was 31.3% (IQR 26.4–33.7%). A higher Acute Physiology and Chronic Health Evaluation score was associated with increased risk of r-AKI within the same hospital admission in ICU patients. Cardiovascular disease and AKI severity were associated with increased risk of postdischarge r-AKI. R-AKI (within same admission and postdischarge) was associated with worse survival. It was not possible to pool results due to methodological differences across studies, such as varying definitions for AKI and r-AKI, varying length of follow-up and effect measures. Key messages: More representative population-based studies with robust assessment of predictors and consensus definition of r-AKI are needed to identify risk factors and develop risk stratification tools to reduce recurrence and improve outcomes. Systematic Review Registration: CRD42017082668. 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: 'I had to fight': COVID-19 sends Ontario woman on 87-day battle for survival Author(s): Heather Wright, Alexandra Mae Jones Publisher or Source: CTV News 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: TORONTO -- Eighty-seven days after first being admitted to hospital to battle COVID-19, Jessie Jacobs was finally discharged Thursday morning. As the 76-year-old emerged from the hospital, accompanied by the applause of health care workers, the Ontario woman was greeted by family members who haven’t seen her since April. When she found out she was cleared for discharge, after spending the last three months fighting for her life, she was “nervous,” she told CTV News. 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: Identifying clinical and acute psychological risk factors for PTSD after critical care: a systematic review Author(s): Wade, D., Hardy, R., Howell, D., & Mythen, M. Publisher or Source: National Center for Biotechnology Information Type of Media: Medical Research Media Originally for: Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: Patients may suffer extreme psychological reactions in intensive care units (ICU), and post-traumatic stress disorder (PTSD) after leaving hospital. Previous systematic reviews of studies up to 2007 found that the true prevalence of and consistent risk factors for PTSD after ICU were not established, due to methodological shortcomings of studies. Therefore we aimed to conduct a systematic review of observational studies of post-ICU PTSD from 2008-2012, and to compare them to 1997-2007 studies, with regard to quality, prevalence estimates and risk factors. 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: Intensive Care Unit Syndrome Author(s): Brian E. McGuire, MClinPsych, MAPS; Christopher J. Basten, MPsychol, MAPS; Christopher J. Ryan, MBBS, FRANZCP; John Gallagher, MBBS, FFICANZCA Publisher or Source: American Medical Association Type of Media: Medical Journal Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: Australia Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: The terms intensive care unit(ICU) syndrome and ICU psychosis have been used interchangeably to describe a cluster of psychiatric symptoms that are unique to the ICU environment. It is often postulated that aspects of the ICU, such as sleep deprivation and sensory overload or monotony, are causes of the syndrome. This article reviews the empirical support for these propositions. We conclude that ICU syndrome does not differ from delirium and that ICU syndrome is caused exclusively by organic stressors on the central nervous system. We argue further that the term ICU syndrome is dangerous because it impedes standardized communication and research and may reduce the vigilance necessary to promptly investigate and reverse the medical cause of the delirium. Directions for future research are suggested. 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.