Permissive Underfeeding in Intensive Care Unit: Current Status

2018 ◽  
pp. 171-171
Author(s):  
Saswati Sinha
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Current Status ◽  
Permissive Underfeeding

scholarly journals Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multicentre Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Mazen Alqahtani ◽  
Faizan Kashoo ◽  
Msaad Alzhrani ◽  
Fuzail Ahmad ◽  
Mohammed K. Seyam ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Physical Therapy ◽  
Research Literature ◽  
Current Status ◽  
Current Standard ◽  
Positive Health ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background. Early mobilisation of patients in the intensive care unit (ICU) is associated with positive health benefits. Research literature lacks insight into the current status of ICU physical therapy (PT) practice in the Kingdom of Saudi Arabia. Aim. To determine the current standard of ICU PT practice, attitude, and barriers. Methods. A questionnaire was e-mailed to physiotherapists (PTs) working in the hospital. The questions pertained to experience, qualification, barriers, and most frequently encountered case scenarios in the ICU. Results. The response rate was 28.1% (124/442). Frequent cases referred to the PTs were traumatic paraplegia (n = 111, 89%) and stroke (n = 102, 82.3%) as compared to congestive heart failure (n = 20, 16.1%) and pulmonary infections (n = 7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n = 102, 82.2%) and positioning (n = 73, 58.8%), whereas functional electrical stimulation (n = 12, 9.6%) was least preferred irrespective of the condition. Perceived barriers in the ICU PT management were of low confidence in managing cases (n = 89, 71.7%) followed by inadequate training (n = 53, 42.7%), and the least quoted barrier was a communication gap between the critical care team members (n = 8, 6.4%). Conclusion. PTs reported significant variation in the choice of treatment for different clinical cases inside ICU. The main barriers in the ICU setting were low confidence and inadequate training.

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

2019 ◽  
Author(s):  
Faizan Zaffar Kashoo ◽  
Mazen Alqahtani ◽  
Msaad Alzhrani ◽  
Fuzial Ahmad ◽  
Mehrunnisha Ahmad ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Physical Therapy ◽  
Online Survey ◽  
Road Traffic ◽  
Current Status ◽  
Positive Health ◽  
Cross Sectional Survey ◽  
Therapy Management

Abstract Background: Early mobilization of patients in the intensive care unit (ICU) is associated with positive health benefits. The available literature does not provide insights into the current status of physical therapy practice in the ICU in the Kingdom of Saudi Arabia (KSA). To determine the current standard of ICU physical therapy practice, attitude, and barriers, an online survey was administered to KSA physiotherapists (PTs) working in the hospitals. Methods: A total of 124 PTs volunteered to participate, and the questionnaire consisted of closed-ended questions with regard to their experiences, qualifications, barriers, and most frequently encountered case scenarios in the ICU. Results: The most commonly referred cases were traumatic paraplegia (n=111, 89%) and stroke (n=102, 82.3%) compared to congestive road traffic accidents (n=20, 16.1%) and pulmonary infections (n=7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n=102, 82.2%) and positioning (n=73, 58.8%), whereas functional electrical stimulation (n=12, 9.6%) was the least preferred choice of physical therapy, irrespective of the condition. The perceived barriers in ICU physical therapy management was low confidence in managing cases (n=89, 71.7%), followed by inadequate training (n=53, 42.7%), and the least mentioned barrier was a communication gap among the critical care team members (n=8, 6.4%). Conclusion: PTs reported significant variation in the choice of treatment for different clinical case scenarios in the ICU. Several facilitators and barriers to physical therapy management should be taken into account to improve ICU recovery. Among the most important barriers are low confidence and inadequate training and strategies needed to overcome these barriers.

scholarly journals The development and current status of Intensive Care Unit management of prospective organ donors

2016 ◽  
Vol 32 (3) ◽  
pp. 178 ◽  
Author(s):  
MargaretKathleen Menzel Ellis ◽  
MitchellBrett Sally ◽  
Darren Malinoski
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Current Status ◽  
Organ Donors ◽  
Unit Management ◽  
Intensive Care Unit Management

Factors Influencing the Physical Restraint of Patients in the Neurosurgical Intensive Care Unit

2021 ◽  
pp. 105477382110168
Author(s):  
Yuanyuan Ji ◽  
Xin Yang ◽  
Jun Wang ◽  
Weixin Cai ◽  
Fengli Gao ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Physical Restraint ◽  
Current Status ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Disturbance Of Consciousness ◽  
Neurosurgical Intensive Care ◽  
Neurosurgical Intensive Care Unit

The purpose of this study was to investigate the current status of physical restraint of patients in the neurosurgical intensive care unit (NSICU) and analyze the factors influencing this measure using a cross-sectional study design. A total of 312 patients from four tertiary hospitals in NSICU were investigated in Beijing, China. The rate of physical restraint of patients in the NSICU was 42.9%. In 41.8% of cases, nurses performed physical restraint based on experience, and 45.5% of patients had physical restraint-related nursing records. Binary logistic regression analyses revealed that physical restraint was associated with delirium, mild-to-moderate disturbance of consciousness, history of extubation, surgery, and use of sedatives within 24 hour. Analysis of related factors can provide a reference for nurses and managers to improve physical restraint strategies.

scholarly journals Registered Trials on Artificial Intelligence Conducted in Emergency Department and Intensive Care Unit: A Cross-Sectional Study on ClinicalTrials.gov

2021 ◽  
Vol 8 ◽  
Author(s):  
Guina Liu ◽  
Nian Li ◽  
Lingmin Chen ◽  
Yi Yang ◽  
Yonggang Zhang
Keyword(s):  
Artificial Intelligence ◽  
Intensive Care Unit ◽  
Emergency Department ◽  
Intensive Care ◽  
Cross Sectional Study ◽  
Current Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Designs ◽  
Clear Information

Objective: Clinical trials contribute to the development of clinical practice. However, little is known about the current status of trials on artificial intelligence (AI) conducted in emergency department and intensive care unit. The objective of the study was to provide a comprehensive analysis of registered trials in such field based on ClinicalTrials.gov.Methods: Registered trials on AI conducted in emergency department and intensive care unit were searched on ClinicalTrials.gov up to 12th January 2021. The characteristics were analyzed using SPSS21.0 software.Results: A total of 146 registered trials were identified, including 61 in emergency department and 85 in intensive care unit. They were registered from 2004 to 2021. Regarding locations, 58 were conducted in Europe, 58 in America, 9 in Asia, 4 in Australia, and 17 did not report locations. The enrollment of participants was from 0 to 18,000,000, with a median of 233. Universities were the primary sponsors, which accounted for 43.15%, followed by hospitals (35.62%), and industries/companies (9.59%). Regarding study designs, 85 trials were interventional trials, while 61 were observational trials. Of the 85 interventional trials, 15.29% were for diagnosis and 38.82% for treatment; of the 84 observational trials, 42 were prospective, 14 were retrospective, 2 were cross-sectional, 2 did not report clear information and 1 was unknown. Regarding the trials' results, 69 trials had been completed, while only 10 had available results on ClinicalTrials.gov.Conclusions: Our study suggest that more AI trials are needed in emergency department and intensive care unit and sponsors are encouraged to report the results.

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