Which therapeutic interventions in critical care medicine have been shown to reduce mortality in prospective, randomized, clinical trials? A survey of candidates for the Belgian Board Examination in Intensive Care Medicine

2000 ◽  
Vol 28 (5) ◽  
pp. 1616-1620 ◽  
Author(s):  
Jean-Louis Vincent
Keyword(s):  
Clinical Trials ◽  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Medicine ◽  
Randomized Clinical Trials ◽  
Critical Care Medicine ◽  
Therapeutic Interventions ◽  
Board Examination

scholarly journals Professional Quality of Life in intensive care medicine: The 2018 Faculty of Intensive Care Medicine Workforce survey

2019 ◽  
Vol 21 (4) ◽  
pp. 299-304
Author(s):  
Julie Highfield ◽  
Jack Parry-Jones
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Medicine ◽  
Critical Care Medicine ◽  
Professional Quality Of Life ◽  
Survey Tool ◽  
Professional Quality

Background Critical care is widely perceived, both within and outside of the speciality, as unremitting and emotionally burdensome. There is a perception of a higher risk to medical staff of burnout than other specialities. Critical care also has considerable emotional and professional rewards. We sought to examine this balance between emotional reward and stress in UK critical care consultants registered with the Faculty of Intensive Care Medicine. Method We conducted a Wellbeing survey of the Faculty of Intensive Care Medicine consultant membership utilising the Professional Quality of Life (Pro-QOL) survey tool. The survey was conducted as part of the Annual Workforce Census. Results In sum, 799 members completed the Pro-QOL survey, making this one of the largest surveys of physician wellbeing in critical care medicine. Data were analysed in accordance with the Pro-QOL manual. Conclusions The results demonstrate moderate risk for burnout and secondary traumatic stress, but this is balanced by moderate compassion satisfaction. No association was demonstrated between age, sex, or size of critical care unit worked in. Further follow-up of this consultant group is warranted to better understand risk factors for burnout and for future mitigation of these risk factors whilst also enhancing the positive aspects of working as a consultant in critical care medicine.

scholarly journals Ventilación mecánica en pacientes con síndrome de distrés respiratorio agudo. Lo que ya sabíamos

2018 ◽  
Vol 10 (3) ◽  
pp. 2
Author(s):  
Jose Ángel Monsalve Naharro
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Medicine ◽  
European Society ◽  
American Thoracic Society ◽  
Critical Care Medicine ◽  
Assessment Development ◽  
El Sistema

Se trata de una guía de práctica clínica con recomendaciones en el uso de estrategias ventilatorias y algunas cointervenciones en pacientes adultos con SDRA, avaladas por relevantes sociedades internacionales de Cuidados Críticos: American Thoracic Society (ATS), Society of Critical Care Medicine (SCCM), y European Society of Intensive Care Medicine (ESICM). Un panel de expertos analizó la mejor evidencia disponible abordando 6 cuestiones relacionadas con la VM: ventilación protectora (bajo volumen tidal, baja presión inspiratoria), ventilación en prono, ventilación oscilatoria de alta frecuencia, uso de presión positiva al final de la espiración (PEEP) alta o baja, uso de maniobras de reclutamiento (MR) y oxigenación por membrana extracorpórea. Las recomendaciones fueron desarrolladas aplicando el sistema GRADE (Grading of Recommendations, Assessment, Development, and Evaluation).

scholarly journals KORELASI ANTARA KADAR PROKALSITONIN DAN MYELOPEROXIDASE INDEX PADA PASIEN SEPSIS

2019 ◽  
Vol 25 (3) ◽  
pp. 358
Author(s):  
Sri Rejeki Wulandari ◽  
Betty Agustina Tambunan ◽  
Paulus Budiono Notopuro ◽  
Hardiono Hardiono
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Organ Failure ◽  
Intensive Care Medicine ◽  
Critical Care Medicine ◽  
Cross Sectional

Sepsis masih menjadi masalah utama di dunia. Europan Society of Intensive Care Medicine (ESICM) dan Society of Critical Care Medicine (SCCM) mengikutsertakan quick Sequential Organ Failure Asssessment  (qSOFA) untuk mendiagnosis sepsis. Diperlukan pemeriksaan laboratorium akurat dan cepat selain kultur. Prokalsitonin sebagai penanda spesifik infeksi bakteri. Myeloperoxidase index (MPXI) parameter baru untuk membantu diagnosis sepsis. Penelitian ini bertujuan menganalisis korelasi kadar prokalsitonin dengan MPXI pada pasien sepsis.  Jenis penelitian cross sectional observasional. Pengambilan sampel Desember 2017  – Februari 2018. Subjek penelitian terdiri dari 71 pasien sepsis yang dirawat di Ruang Resusitasi, Ruang Observasi Intensif, dan ruang Intensive Care Unit (ICU) RSUD Dr. Soetomo Surabaya berdasarkan kriteria qSOFA dan SIRS. Pemeriksaan prokalsitonin dengan metode CLIA (ADVIA Centaur XP), MPXI dengan  metode  flowcytometry (ADVIA 2120i) dan kultur menggunakan alat PhoenixTM 100. Kadar prokalsitonin 0,01 ng/mL – 265,16 ng/mL (rerata 16,13 ± 40,91 ng/mL). Nilai MPXI -25,5 – 4,6 (rerata -7,939 ± 4,903). Tidak terdapat korelasi antara kadar prokalsitonin dengan MPXI ( p = 0,604 dan r = - 0,063). Tidak terdapat  korelasi kadar prokalsitonin dengan MPXI pada hasil  kultur positif (p = 0,675, r = 0,072) dan negatif (p = 0,401, r = - 0,147). Kadar prokalsitonin tidak berkolerasi dengan MPXI pada pasien sepsis

scholarly journals Sharing ICU Patient Data Responsibly Under the Society of Critical Care Medicine/European Society of Intensive Care Medicine Joint Data Science Collaboration

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Patrick J. Thoral ◽  
Jan M. Peppink ◽  
Ronald H. Driessen ◽  
Eric J. G. Sijbrands ◽  
Erwin J. O. Kompanje ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Medicine ◽  
European Society ◽  
Data Science ◽  
Patient Data ◽  
Critical Care Medicine ◽  
Science Collaboration

scholarly journals Update on Changing Terminologies in Sepsis

2016 ◽  
Vol 36 (2) ◽  
pp. 178-183
Author(s):  
Ashish Kumar Simalti ◽  
Ranjit Ghuliani ◽  
Bindu T. Nair
Keyword(s):  
Septic Shock ◽  
Critical Care ◽  
Intensive Care ◽  
Intensive Care Medicine ◽  
European Society ◽  
Task Force ◽  
Critical Care Medicine ◽  
International Consensus ◽  
The Third ◽  
Sepsis And Septic Shock

Definitions of sepsis and septic shock were last revised in 2001. Since then there have been considerable advances in our understanding of pathophysiology, management, and epidemiology of sepsis, suggesting the need for reexamination. The European Society of Intensive Care Medicine and the Society of Critical Care Medicine convened a task force in January 2014 with objective to evaluate and, as needed, update definitions for sepsis and septic shock. Recommendations of this task force were published recently as “The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)”. The aim of this article is to generate awareness and discussion regarding this new important development.  

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