International ICU Diary Conference

Stay tuned for the next session: digital ICU Diaries

Tuesday, June 24th, CST 7:00 a.m., BST 1:00 p.m., CEST 2:00 p.m., AEST 9 p.m.

Free registration: icu-diary.org/styled/
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🐶 Who let the dogs out… into the #ICU?

We surveyed 63 ICUs across Australia & New Zealand and found:
✔️ 44% offer/ed animal-assisted services with dogs 🐕

🚫 Barriers: infection control, staffing, funding

#AnimalTherapy

@auscriticalcare.bsky.social
www.australiancriticalcare.com/article/S103...

Having a stable critical care team with minimal staff turnover should be a very high priority for every manager

Otherwise, it will have consequences for the patients

#CriticalCare #ICU #EMIMCC

Everyone’s hyping intermittent feeding—but what about ICU patients? 🛏️
Our meta-analysis shows the evidence is weak.

www.sciencedirect.com/science/arti...

Better RCTs like ICU FM below - are needed! 📉

www.clinicalnutritionjournal.com/article/S026...

#ICU #CriticalCare #Nutrition

I was skeptical about percutaneous mechanical aspiration for tricuspid valve endocarditis, but it apparently can work.

Look at this picture of a vegetation that was fished out of a patient I was involved with. Only after removal was he able to achieve negative blood cultures.👇 #EMIMCC

#Therapydogs 🐕‍🦺 were associated with a significant reduction in #anxiety symptoms among #ICU patients and family members and may offer adjunctive benefits in pain mx. #OpenAccess #icurehab #ICUrecovery #animaltherapy 🦮 #humanizingICU
@meganhosey.bsky.social
Link 👇
journals.lww.com/ccejournal/f...

I love writing with Jo McPeake and Martin Shaw and their team

Could an integrated model of health and social care after critical illness reduce socioeconomic disparities in outcomes? A Bayesian analysis

www.sciencedirect.com/science/arti...

#PICS #ICUrehab

Psychological and QoL outcomes for #family of #ICU survivors - almost 1/3 of family members reported persistent psychological symptoms and QoL problems at 12-months after ICU discharge #PICSfamily #icurehab #medsky #Annalsofintensivecare #OpenAccess
rdcu.be/d6Ypd

Aneurysmal SubArachnoid Hemorrhage - Red Blood Cell & Outcome (SAHaRA)

No stat significant primary outcome difference between the 2 groups. (Hb trigger ≤100g/L vs ≤80g/L respectively)

#CCRdownunder

Published in JAMA with #CCRdownunder:

In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com

ja.ma/3BovM5v

A major take home from ADAPT-SEPSIS - docs aren’t as good at stopping antibiotics as we think we are… #ccrdownunder

Our conclusion after 6 years working across the healthcare system #safety

Post #ICU discharge follow-up, including pivotal! Women should be screened for psychological trauma, long-term follow-up, physical, mental, QoL, outcomes assessment to optimize health/wellbeing.

rdcu.be/dKbtY

Could it be #sepsis? Identify sepsis and act quickly with timely resuscitation, cultures and IV antibiotics #WorldSepsisDay

Our study shows similar #psychological symptoms & HRQOL impairments between #intubated & #nonintubated #ICU survivors. The non-intubated survivors should be included in follow-up & prevention for post-intensive care syndrome #PICS #medsky #openaccess “Medsky”

www.sciencedirect.com/science/arti...

In a long-term follow-up study in 4 Aus ICUs, 47% of intubated and non-intubated #ICU #survivors reported clinically significant psychological symptoms #PICS at 3 & 12-months. Details👇 #icurehab #CritCareResus #OpenAccess

www.sciencedirect.com/science/arti...

Delphi study on cost effectiveness in #ICU: multidisciplinary ICU care; staff training/competency & quality audits (high quality of critical care services); dynamic staff roster; multidisciplinary approach to end-of-life care, early mobilization and Green ICU.

link.springer.com/article/10.1...