scholarly journals Fatigue in chronically critically ill patients following intensive care - reliability and validity of the multidimensional fatigue inventory (MFI-20)

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Gloria-Beatrice Wintermann ◽  
Jenny Rosendahl ◽  
Kerstin Weidner ◽  
Bernhard Strauß ◽  
Andreas Hinz ◽  
...  
Keyword(s):  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Reliability And Validity ◽  
Multidimensional Fatigue Inventory ◽  
Chronically Critically Ill

scholarly journals Self-reported fatigue following intensive care of chronically critically ill patients: a prospective cohort study

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Gloria-Beatrice Wintermann ◽  
Jenny Rosendahl ◽  
Kerstin Weidner ◽  
Bernhard Strauß ◽  
Andreas Hinz ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Critically Ill ◽  
Prospective Cohort Study ◽  
Critically Ill Patients ◽  
Prospective Cohort ◽  
Chronically Critically Ill

scholarly journals Craniocerebral hypothermia as a therapeutic treatment option for thermal balance disturbances in post-comatose patients

2020 ◽  
Vol 2 (1) ◽  
pp. 11-19
Author(s):  
O. A. Shevelev ◽  
Sh. Kh. Saidov ◽  
M. V. Petrova ◽  
M. A. Chubarova ◽  
E. Sh. Usmanov
Keyword(s):  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Treatment Algorithm ◽  
Traumatic Injuries ◽  
Non Invasive ◽  
Medical Institutions ◽  
Disability Rate ◽  
Level Of Consciousness ◽  
Chronically Critically Ill

Background. Functional outcome in patients after cardiovascular, cerebral or traumatic injuries often remains unfavorable, what needs long rehabilitation and care. Aims. Optimization of chronically critically ill patients treatment using selective craniocerebral hypothermia added to a standard intensive care. Methods. Use of craniocerebral therapeutic hypothermia device ATG-01 has greater clinical efficacy in mortality rate, CRS-R rate and modified Rankin scale rate, as well as decrease in disability rate. Treatment algorithm with the use of craniocerebral hypothermia device ATG-01 has greater efficacy in cost- effectiveness analysis. Results. Methods of multipositional SHF- radiothermometry and thermomonitoring, as well as non-invasive craniocerebral hypothermia used in chronically critically ill patients for the first time. Results of our research have showed high efficacy of these methods and let us optimistically estimate the perspective to involve CCH in rehabilitation interventions of such patients. Conclusion. Our results can be used in Intensive Care Units of different medical institutions that provide healthcare to patients with brain damage and common central nervous system diseases that outcome to low level of consciousness.

scholarly journals Reliability Study of the Sedation-Agitation Scale in an Intensive Care Unit

2021 ◽  
Author(s):  
◽  
Michelle Ryder-Lewis
Keyword(s):  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Medical Staff ◽  
Reliability And Validity ◽  
Validity And Reliability ◽  
Reliability Study ◽  
Kappa Score ◽  
Convenience Sample ◽  
Icu Patients

<p>The management of sedation in critically ill patients is a complex issue for Intensive Care Units (ICU) worldwide. Notable complications of sedation practices have been identified and efforts to modify these practices in ICUs have begun. While sedation-scoring tools have been introduced into clinical practice in intensive care few have been tested for validity and reliability. One tool which has reliability and validity established is the Sedation-Agitation Scale (SAS). This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the SAS in a natural ICU setting. It is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience. The implementation of the SAS should improve the quality of sedation management in critically ill patients, facilitate communication between nurses and medical staff with regard to the effectiveness of sedation regimes, and assist with the development of optimal sedation and analgesia guidelines for ICU patients.</p>

scholarly journals Reliability Study of the Sedation-Agitation Scale in an Intensive Care Unit

2021 ◽  
Author(s):  
◽  
Michelle Ryder-Lewis
Keyword(s):  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Medical Staff ◽  
Reliability And Validity ◽  
Validity And Reliability ◽  
Reliability Study ◽  
Kappa Score ◽  
Convenience Sample ◽  
Icu Patients

<p>The management of sedation in critically ill patients is a complex issue for Intensive Care Units (ICU) worldwide. Notable complications of sedation practices have been identified and efforts to modify these practices in ICUs have begun. While sedation-scoring tools have been introduced into clinical practice in intensive care few have been tested for validity and reliability. One tool which has reliability and validity established is the Sedation-Agitation Scale (SAS). This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the SAS in a natural ICU setting. It is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience. The implementation of the SAS should improve the quality of sedation management in critically ill patients, facilitate communication between nurses and medical staff with regard to the effectiveness of sedation regimes, and assist with the development of optimal sedation and analgesia guidelines for ICU patients.</p>

scholarly journals Report of the first AKI Round Table meeting: an initiative of the ESICM AKI Section

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
M. Ostermann ◽  
A. Schneider ◽  
T. Rimmele ◽  
I. Bobek ◽  
M. van Dam ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Critical Care ◽  
Intensive Care ◽  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Future Research ◽  
Knowledge Gaps ◽  
Blood Pressure Targets

Abstract Purpose Critical Care Nephrology is an emerging sub-specialty of Critical Care. Despite increasing awareness about the serious impact of acute kidney injury (AKI) and renal replacement therapy (RRT), important knowledge gaps persist. This report represents a summary of a 1-day meeting of the AKI section of the European Society of Intensive Care Medicine (ESICM) identifying priorities for future AKI research. Methods International Members of the AKI section of the ESICM were selected and allocated to one of three subgroups: “AKI diagnosis and evaluation”, “Medical management of AKI” and “Renal Replacement Therapy for AKI.” Using a modified Delphi methodology, each group identified knowledge gaps and developed potential proposals for future collaborative research. Results The following key research projects were developed: Systematic reviews: (a) epidemiology of AKI with stratification by patient cohorts and diagnostic criteria; (b) role of higher blood pressure targets in patients with hypertension admitted to the Intensive Care Unit, and (c) specific clearance characteristics of different modalities of continuous renal replacement therapy (CRRT). Observational studies: (a) epidemiology of critically ill patients according to AKI duration, and (b) current clinical practice of CRRT. Intervention studies:( a) Comparison of different blood pressure targets in critically ill patients with hypertension, and (b) comparison of clearance of solutes with various molecular weights between different CRRT modalities. Conclusion Consensus was reached on a future research agenda for the AKI section of the ESICM.

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