scholarly journals Effectiveness of virtual training for medical officers and community health officers in the critical care management of COVID-19 patients in the intensive care unit

2021 ◽  
Vol 65 (16) ◽  
pp. 168
Author(s):  
Aparna Shukla ◽  
Shefali Gautam ◽  
Neelkamal Mishra ◽  
Monika Kohli ◽  
GyanP Singh
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Community Health ◽  
Care Management ◽  
Virtual Training ◽  
Critical Care Management

Critical Care Management of Cerebral Edema in Brain Tumors

2016 ◽  
Vol 32 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Yoshua Esquenazi ◽  
Victor P. Lo ◽  
Kiwon Lee
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Intracranial Pressure ◽  
Brain Tumors ◽  
Cerebral Edema ◽  
Care Management ◽  
Neurological Dysfunction ◽  
Definitive Treatment ◽  
Critical Care Management

Cerebral edema associated with brain tumors is extremely common and can occur in both primary and metastatic tumors. The edema surrounding brain tumors results from leakage of plasma across the vessel wall into the parenchyma secondary to disruption of the blood–brain barrier. The clinical signs of brain tumor edema depend on the location of the tumor as well as the extent of the edema, which often exceeds the mass effect induced by the tumor itself. Uncontrolled cerebral edema may result in increased intracranial pressure and acute herniation syndromes that can result in permanent neurological dysfunction and potentially fatal herniation. Treatment strategies for elevated intracranial pressure consist of general measures, medical interventions, and surgery. Alhough the definitive treatment for the edema may ultimately be surgical resection of the tumor, the impact of the critical care management cannot be underestimated and thus patients must be vigilantly monitored in the intensive care unit. In this review, we discuss the pathology, pathophysiology, and clinical features of patients presenting with cerebral edema. Imaging findings and treatment modalities used in the intensive care unit are also discussed.

Cardiac Pacing in the Intensive Care Unit

2019 ◽  
pp. 435-440
Author(s):  
J. William Schleifer ◽  
Farouk Mookadam ◽  
Harish Ramakrishna
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Care Management ◽  
Cardiac Pacing ◽  
Implantable Cardioverter Defibrillators ◽  
Device Implantation ◽  
Critical Care Management ◽  
Cardioverter Defibrillators

Patients with pacemakers and implantable cardioverter-defibrillators are commonly encountered in the intensive care unit. Knowledge of device function and indications for device implantation and extraction are required for safe perioperative and critical care management.

Critical care management of severe pre-eclampsia

1994 ◽  
Vol 6 (4) ◽  
pp. 219-229 ◽  
Author(s):  
J Anthony ◽  
R Johanson ◽  
J Dommisse
Keyword(s):  
Intensive Care Unit ◽  
Developing Countries ◽  
Critical Care ◽  
Intensive Care ◽  
Lower Incidence ◽  
Care Management ◽  
Significant Problem ◽  
Multisystem Disease ◽  
Knowledge And Skills ◽  
Critical Care Management

Severe pre-eclampsia is a common disorder in developing countries but still remains a significant problem in developed societies. The management of severe pre-eclampsia in developing countries is frequently hampered by lack of adequate facilities; paradoxically those countries with sufficient resources have a lower incidence of the disease and consequently lack experience in the treatment of severe pre-eclampsia. The management of these patients is further compromised because obstetricians generally lack the necessary knowledge and skills in critical care and conversely critical care specialists may lack appreciation and knowledge of pregnancy physiology and pathophysiology. Patients with severe pre-eclampsia therefore present an interdisciplinary challenge to obstetricians and physicians, who need to be familiar with pregnancy physiology and the current concepts in the pathogenesis and pathophysiology of severe pre-eclampsia. Patients who develop multisystem disease are most appropriately managed by an experienced obstetrician in an obstetric intensive care unit with a physician in consultation.

Critical care management of the patient with an acute ischaemic stroke

2021 ◽  
Vol 82 (1) ◽  
pp. 1-9
Author(s):  
Randeep K Mullhi ◽  
Naginder Singh ◽  
Tonny Veenith
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Ischaemic Stroke ◽  
Acute Ischaemic Stroke ◽  
Care Management ◽  
Stroke Units ◽  
Medical Progress ◽  
Critical Care Management ◽  
The Uk

Acute ischaemic stroke is a leading cause of morbidity and mortality worldwide. In the UK alone, there are more than 100 000 strokes per year, causing 38 000 deaths. While the incidence remains high, there has been significant medical progress in reducing mortality following a stroke. Admission of patients to specialised stroke units has led to an improvement in clinical outcomes, but the role of intensive care is less well defined. This article reviews the current critical care management and neuro-therapeutic options after an acute ischaemic stroke.

scholarly journals Preparing Neurology Residents and Advanced Practice Providers for the COVID-19 ICU—A Neurocritical Care Led Intervention

2021 ◽  
pp. 194187442110162
Author(s):  
Judy H. Ch’ang ◽  
Jenna Ford ◽  
Laura Cifrese ◽  
Elliott Woodward ◽  
Jennifer Mears ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Knowledge Base ◽  
Care Management ◽  
Neurocritical Care ◽  
Advanced Practice ◽  
Lecture Series ◽  
Critical Care Management ◽  
Care Training ◽  
Video Based Learning

Background and Purpose: With the surge of critically ill COVID-19 patients, neurology and neurosurgery residents and advanced practice providers (APPs) were deployed to intensive care units (ICU). These providers lacked relevant critical care training. We investigated whether a focused video-based learning curriculum could effectively teach high priority intensive care topics in this unprecedented setting to these neurology providers. Methods: Neurocritical care clinicians led a multidisciplinary team in developing a 2.5-hour lecture series covering the critical care management of COVID-19 patients. We examined whether provider confidence, stress, and knowledge base improved after viewing the lectures. Results: A total of 88 residents and APPs participated across 2 academic institutions. 64 participants (73%) had not spent time as an ICU provider. After viewing the lecture series, the proportion of providers who felt moderately, quite, or extremely confident increased from 11% to 72% (60% difference, 95% CI 49-72%) and the proportion of providers who felt nervous/stressed, very nervous/stressed, or extremely nervous/stressed decreased from 78% to 48% (38% difference, 95% CI 26-49%). Scores on knowledge base questions increased an average of 2.5 out of 12 points (SD 2.1; p < 0.001). Conclusion: A targeted, asynchronous curriculum on critical care COVID-19 management led to significantly increased confidence, decreased stress, and improved knowledge among resident trainees and APPs. This curriculum could serve as an effective didactic resource for neurology providers preparing for the COVID-19 ICU.

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