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UrduUsing an AI-driven decision support system to predict the severity of COVID-19 and identify best interventions, researchers analyzed electronic health record data from 5,371 patients admitted to a South Florida hospital. The study specifically aimed to forecast the likelihood of patients requiring admission to an ICU, with or without mechanical ventilation, or an intermediate care unit (IMCU). The goal was to leverage these features to enable faster and more accurate forecasting of treatment plans, potentially preventing critical conditions from worsening.
Tag: Mechanical Ventilation
A new ventilator-on-a-chip model to study lung damage
For the first time, scientists are able to directly compare the different kinds of injury that mechanical ventilation causes to cells in the lungs.
HOSPITALS CARING FOR DIVERSE PATIENT POPULATIONS HAVE HIGHER MECHANICAL VENTILATION MORTALITY
The odds of death for patients receiving mechanical ventilation for pneumonia or sepsis increase along with the diversity of hospitals’ patient populations, suggesting more systemic factors such as lack of resources and income levels may be to blame, according to research published at the ATS 2024 International Conference.
Mobility May Have Dose-Response Relationship with ICU Patient Outcomes
UC Davis study of data from 8500+ ICU patients finds more out-of-bed mobility interventions for critically ill patients were associated with shorter mechanical ventilation duration and hospital stays, suggesting a dose-response relationship between daily mobility and patient outcomes.
New Method Could Detect Early Ovarian Cancer from Urine Samples
Ovarian cancer is hard to diagnose in its early stages because it has vague symptoms, such as constipation, bloating, and back pain.
Why Ventilators can be Tough on Preemie Lungs
Many premature infants need mechanical ventilation to breathe. However, prolonged ventilation can lead to problems like respiratory diseases or ventilation-induced injury.Jonas Naumann and Mareike Zink study the physics of mechanical stress from ventilation at Leipzig University, in Leipzig, Germany and discovered some of the mechanisms that explain why premature lungs are especially sensitive to stress.
Analysis Reveals Factors Associated With Patients With Sepsis Who Require Mechanical Ventilation
An analysis of 10 years of health data showed that risk factors for needing mechanical ventilation changed for patients with newly diagnosed sepsis as more time passed after onset.
AACN Practice Alert Offers Guidance on Manual Prone Positioning for Patients With ARDS
A newly released practice alert from the American Association of Critical-Care Nurses aims to standardize how nurses care for patients undergoing prone positioning therapy for extended periods of time. It summarizes expected nursing practice to reduce the risk of complications related to manual prone positioning.
Diaphragm Pacing System pioneered at UH and CWRU receives FDA approval
Announcement that NeuRx ® Diaphragm Pacing System, pioneered by University Hospitals and Case Western Reserve University in Cleveland, received FDA premarket approval. The system helps spinal cord injured patients breathe without a mechanical ventilator. Co-inventor Raymond Onders, MD, has implanted the system more than anyone else, and he travels the world teaching other doctors how to do it.
Checklist Prompters Support ICU Rounds
New research from UPMC points to the potential for patient-specific checklists as a valid way to effectively translate the latest evidence into clinical practice. The study published in American Journal of Critical Care measured performance on the ABCDEF bundle during rounds.
Study Helps Determine Light Sedation Levels Among ICU Patients
A pilot study at Maine Medical Center found that scores on the RAS and SASS sedation scales that were best associated with a patient’s ability to follow at least three commands are higher than the commonly recommended thresholds for each assessment tool.
COVID-19 Pulmonary, ARDS and Ventilator Resources Now Available in Spanish
A joint effort between the American Association of Critical-Care Nurses and projects funded by the U.S. Agency for International Development has made AACN’s free “COVID-19 Pulmonary, ARDS and Ventilator Resources” online course available in Spanish.
Recursos sobre COVID-19, SDRA y Ventilación Ahora disponible en español
Un esfuerzo conjunto entre la Asociación Americana de Enfermeras de Cuidados Críticos (AACN) y los proyectos financiados por la Agencia de los Estados Unidos para el Desarrollo Internacional (USAID) ha hecho posible que el curso en línea gratuito de la AACN “Recursos sobre COVID-19, SDRA y Ventilación” esté disponible en español.
Study Supports Early Anticoagulant Treatment to Reduce Death in Moderately Ill COVID-19 Patients
Findings from an international multicenter trials showed that while a full dose of heparin didn’t statistically significantly lower incidence of the primary composite of death, mechanical ventilation or ICU admission compared with low-dose heparin, therapeutic heparin did reduce the odds of all-cause death by 78 percent.
Change in Respiratory Care Strategies for Preterm Infants Improves Health Outcomes
A decade’s worth of data shows that neonatologists are shifting the type of respiratory support they utilize for preterm infants, a move that could lead to improved health outcomes.
Unit Culture, Safety Concerns Among Barriers to Patient Mobility
Research published in American Journal of Critical Care explores the barriers to out-of-bed patient mobility practices as identified by nurses in a medical ICU at Yale New Haven Hospital. In the study, all 105 patients met early mobility criteria, but none were mobilized for out-of-bed activities.
Fast-track Extubation Protocol Reduces Ventilation Time
High rates of variability in extubation times among cardiac surgery patients in Duke University Hospital’s cardiothoracic intensive care unit led to a new fast-track extubation protocol and redesigned care processes. As a result, more patients were extubated within six hours after being admitted to the ICU after surgery.
Protecting lungs from ventilator-induced injury
An unfortunate truth about using mechanical ventilation to save lives is that the pressure can cause further lung damage. Scientists are working to boost a natural cellular process in pursuit of a therapy that could lower the chances for lung damage in patients on ventilators.
AACN Launches Micro-Credential for COVID-19 Patient Care
New micro-credential for nurses and other healthcare professionals who provide direct care for critically ill patients with COVID-19 is among the first for clinical care. AACN is the first professional nursing organization to offer a micro-credential.
Diaphragm Pacing can Enhance Recovery and Weaning from Mechanical Ventilation in Cardiac Surgery, Small Series Concludes
Surgeons at University Hospitals Cleveland Medical Center have improved the prognosis of several cardiac patients after emergency FDA approval of a diaphragm pacing device.
.@UChicagoMedicine experts can discuss #Tocilizumab research; Drug may reduce need for ventilators in #COVID19 pneumonia
Roche made news today as research showed its drug (tocilizumab) reduced patients’ need for ventilators for those with COVID-19-associated pneumonia. A University of Chicago Medicine team has done separate, independent research on tocilizumab and found similar results in their own phase II trial.…
Reducing Severe Breathlessness and Psychological Trauma in COVID-19 ARDS Survivors
A new paper published online in the Annals of the American Thoracic Society examines ventilation and medication strategies that can help avoid psychological trauma for severe COVID-19 survivors treated for acute respiratory distress syndrome (ARDS) with mechanical ventilation.
Mortality of Mechanically Ventilated COVID-19 Patients Is Lower than Previously Reported Reveals Study in Critical Care Medicine
June 4, 2020 – An online first study published in Critical Care Medicine indicates the actual mortality rate of adults with critical illness from COVID-19 is less than what was previously reported. Compared to earlier reports of a 50 percent…
An Integrated Approach to Reducing Ventilation Time
A Texas hospital developed an integrated approach that reduced ventilation time for ICU patients. The 2018 study, in AACN Advanced Critical Care, is the first to examine the effects of implementing protocol-directed sedation with the coordinated use of two evidence-based assessments across multiple disciplines.
American Association of Critical-Care Nurses Creates Custom COVID-19 Online Course
The American Association of Critical-Care Nurses has created an online course that specifically addresses the most serious reported symptoms from COVID-19. The course is available to all nurses, at no charge, to provide vital resources during this challenging time.