Review
Clinical Neurology
Jaeho Hwang, Sung-Min Cho, Eva K. Ritzl
Summary: Quantitative electroencephalography (qEEG) is a method to analyze and transform raw electroencephalography (EEG) signals numerically. Evaluating qEEG in adult intensive care units (ICU) presents challenges unique to this setting. Studies have shown that qEEG can provide important information faster than traditional methods, but it must be reviewed alongside raw EEG and in the context of patients' clinical status.
JOURNAL OF NEUROLOGY
(2022)
Review
Health Care Sciences & Services
Camille Guinemer, Martin Boeker, Daniel Fuerstenau, Akira-Sebastian Poncette, Bjoern Weiss, Rudolf Moergeli, Felix Balzer
Summary: Tele-ICU interventions have diverse use cases that include extending coverage, improving compliance, and facilitating transfer. Current research focuses on the benefits of tele-ICU interventions in centralized systems for expanding critical care capabilities in community settings and improving care compliance in tertiary hospitals. No strong evidence has been found regarding the reduction of patient transfers following tele-ICU interventions.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Review
Medicine, General & Internal
Talita Araujo de Souza, Pedro Henrique Alcantara da Silva, Maria Helena Rodrigues Galvao, Aryelly Dayane da Silva Nunes, Dalyanna Mildred de Oliveira Viana Pereira, Arthur de Almeida Medeiros, Isabelle Ribeiro Barbosa, Gilson de Vasconcelos Torres
Summary: This study will assess the prevalence of COVID-19 in black people at different levels of complexity through cross-sectional studies from multiple databases. The findings will be disseminated through peer-reviewed publications, conference presentations, and condensed summaries.
Article
Medicine, General & Internal
Bernhard Wernly, Michael Beil, Raphael Romano Bruno, Stephan Binneboessel, Malte Kelm, Sviri Sigal, Peter Vernon van Heerden, Ariane Boumendil, Antonio Artigas, Maurizio Cecconi, Brian Marsh, Rui Moreno, Sandra Oeyen, Bernardo Bollen Pinto, Wojciech Szczeklik, Susannah Leaver, Sten Mikael Walther, Joerg C. Schefold, Michael Joannidis, Jesper Fjolner, Tilemachos Zafeiridis, Dylan de Lange, Bertrand Guidet, Hans Flaatten, Christian Jung
Summary: In Europe, there are two different healthcare organisation systems: tax-based healthcare system (THS) and social health insurance system (SHI). The characteristics, treatment, and mortality of critically ill older patients in the intensive care unit (ICU) differ between THS and SHI. Patients in SHI are older, sicker, and frailer, with higher ICU mortality but similar 30-day mortality compared to THS. The trend towards ICU excess mortality in SHI may result from a more liberal admission policy and increased treatment limitations.
Article
Chemistry, Analytical
Maria Ferre, Edgar Batista, Agusti Solanas, Antoni Martinez-Balleste
Summary: Prolonged stays in the Intensive Care Units can lead to Post-Intensive Care Syndrome, for which Early Mobilisation has been proposed as a beneficial technique. However, the appropriate application of Early Mobilisation programs requires overcoming resource scarcity, and Information and Communication Technologies play a key role in this aspect.
Article
Pediatrics
Sanne Prins, Annemiek J. Linn, Anton H. L. C. van Kaam, Moniek van de Loo, Job B. M. van Woensel, Marc van Heerde, Peter H. Dijk, Martin C. J. Kneyber, Matthijs de Hoog, Sinno H. P. Simons, Aranka A. Akkermans, Ellen M. A. Smets, Marij A. Hillen, Mirjam A. de Vos
Summary: This study investigated how physicians discuss uncertainty with parents of critically ill children and found that physicians adapt their discussion approach based on the phase of the child's illness and treatment trajectory. The findings can increase physicians' awareness and enhance their skills in discussing uncertainties with parents.
Article
Critical Care Medicine
Moses Siaw-Frimpong, Sunkaru Touray, Nana Sefa
Summary: Ghana faces a significant shortage of critical care beds that are unevenly distributed, along with a lack of adequate intensivists to staff ICUs. Addressing key bottlenecks is crucial for improving the capacity and quality of critical care delivery.
JOURNAL OF CRITICAL CARE
(2021)
Article
Pediatrics
Francesca Sperotto, Andrea Wolfler, Paolo Biban, Luigi Montagnini, Honoria Ocagli, Rosanna Comoretto, Dario Gregori, Angela Amigoni
Summary: During the COVID-19 outbreak, unplanned and medical PICU admissions in Northern Italy significantly decreased, especially for patients admitted for respiratory failure. Further research is needed to understand the factors associated with these changes and develop new prevention strategies.
EUROPEAN JOURNAL OF PEDIATRICS
(2021)
Article
Critical Care Medicine
Jukka Takala, Andre Moser, Rahul Raj, Ville Pettila, Irina Irincheeva, Tuomas Selander, Olli Kiiski, Tero Varpula, Matti Reinikainen, Stephan M. Jakob
Summary: The research found that the risk of death for ICU patients is decreasing over time, while resource utilization remains mostly unchanged. There are significant differences in resource utilization and mortality rates between different ICUs, emphasizing the importance of using both together for comparison.
INTENSIVE CARE MEDICINE
(2022)
Article
Nursing
Diana Marcela Achury Saldana, Luisa Fernanda Achury Beltran, Sandra Monica Rodriguez Colmenares, Herly Ruth Alvarado Romero, Edhit Cavallo, Ana Cristina Ulloa, Virginia Merino, Mayckel da Silva Barreto, David Andrade Fonseca, Doraly Munoz Acuna, Yanier Betancur Manrique, Jorge Eliecer Rodriguez Marin, Ana Angelica Gonzalez Gomez, Katerine Herrera Corpas, Brayant Andrade Mendez, Ruby Elizabeth Vargas Toloza, Sandra Milena Martinez Rojas, Roxana Patricia De las Salas Martinez
Summary: The study found that only 33.6% of professionals had a specialization degree in intensive care, with nurses' working conditions and salaries generally unsatisfactory, and job satisfaction reached 64.5%.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Multidisciplinary Sciences
Marije P. Hennus, Anneliese Nusmeier, Gwen G. M. van Heesch, Maaike A. Riedijk, Nikki J. Schoenmaker, Marijn Soeteman, Enno D. Wildschut, Tim Fawns, Olle Ten Cate
Summary: Entrustable professional activities (EPAs) are units of professional practice that require proficiency in multiple competencies simultaneously and can be entrusted to capable learners. The development of nine PICU EPAs for Dutch fellows was achieved through a robust methodology involving input from various stakeholders and a modified Delphi study. The consensus among experts in confirming the indispensability and clarity of these EPAs highlights their importance in defining the core tasks of PICU physicians and establishing a foundation for assessment in specialty training programs.
Article
Multidisciplinary Sciences
Arooj Jalal, Kazuyo Iwamoto, Gulin Gedik, Hamid Ravaghi, Chiori Kodama
Summary: This study aimed to assess the health workforce capacity of intensive care units (ICUs) in the Eastern Mediterranean Region (EMR). The findings revealed shortages of healthcare professionals, high workload, and burnout in ICUs. Due to limited data, further research is needed to understand the actual situation of ICU capacity in EMR.
Article
Public, Environmental & Occupational Health
Mohamed Boussarsar, Khaoula Meddeb, Radhouane Toumi, Emna Ennouri, Samia Ayed, Fatma Jarraya, Jalila Ben Khelil, Oussama Jaoued, Hajer Nouira, Souheil El Atrous, Fatma Essafi, Imen Talik, Takoua Merhabane, Ahlem Trifi, Eya Seghir, Sami Abdellatif, Hamdi Doghri, Badra Bahri, Nebiha Borsali, Ines Fathallah, Meriam Ksouri, Nadia Kouraichi, Amira Ben Jazia, Hassan Ben Ghezala, Nozha Brahmi, CoVenTn Study Grp CoVenTn Study Grp
Summary: This study describes the resource mobilization in Tunisian University Medical Intensive Care Units (MICUs) during the COVID-19 pandemic and identifies discrepancies between the provided and required resources. MICU beds and nurse numbers increased significantly during the pandemic, but there were still shortages in equipment.
JOURNAL OF INFECTION AND PUBLIC HEALTH
(2023)
Article
Critical Care Medicine
Giovanni Mistraletti, Alberto Giannini, Giuseppe Gristina, Paolo Malacarne, Davide Mazzon, Elisabetta Cerutti, Alessandro Galazzi, Ilaria Giubbilo, Marco Vergano, Vladimiro Zagrebelsky, Luigi Riccioni, Giacomo Grasselli, Silvia Scelsi, Maurizio Cecconi, Flavia Petrini
Summary: During the lockdown due to the pandemic, families have been unable to visit their loved ones in the hospital. However, it is important to have clear strategic goals and operational guidance to allow family members access to different wards in hospitals.
Review
Medicine, General & Internal
Norha Vera San Juan, Sigrun Eyrunardottir Clark, Matthew Camilleri, John Paul Jeans, Alexandra Monkhouse, Georgia Chisnall, Cecilia Vindrola-Padros
Summary: This study provides a detailed understanding of redeployment and training strategies during the first year of the COVID-19 pandemic, highlighting key principles for successful deployment and training.
Editorial Material
Critical Care Medicine
Carolina B. Maciel, Stephane Legriel
Article
Critical Care Medicine
Jean-Baptiste Lascarrou, Arnaud-Felix Miailhe, Amelie le Gouge, Alain Cariou, Pierre-Francois Dequin, Jean Reignier, Elisabeth Coupez, Jean-Pierre Quenot, Stephane Legriel, Nicolas Pichon, Didier Thevenin, Thierry Boulain, Jean-Pierre Frat, Sylvie Vimeux, Gwenhael Colin, Francois Desroys du Roure
Summary: This study from a multicenter trial found that in non-shockable rhythm patients resuscitated after cardiac arrest, NSE levels at 72 hours are associated with neurological outcomes at 90 days. NSE levels predicted neurological outcomes at 48 and 72 hours.
Article
Critical Care Medicine
Gwenaelle Jacq, Sabine Valera, Gregoire Muller, Guillaume Decormeille, Atika Youssoufa, Laurent Poiroux, Francois Allaert, Brigitte Barrois, Florian Rigaudier, Paulo Ferreira, David Huard, Nicholas Heming, Nadia Aissaoui, Saber Barbar, Florence Boissier, David Grimaldi, Sami Hraiech, Jean Baptiste Lascarrou, Gael Piton, Philippe Michel
Summary: This study describes the prevalence of pressure injuries in critically ill patients, finding that the most common locations of PI are the sacrum, heel, and face, with severe forms accounting for 40.8% of all PIs. Factors such as longer stay in the ICU, higher Simplified Acute Physiology Score, higher body weight, motor neurological disorder, high-dose steroids, and absence of oral nutrition on the study day are independently associated with the occurrence of PI in the ICU.
AUSTRALIAN CRITICAL CARE
(2021)
Article
Critical Care Medicine
Alexandra Laurent, Alicia Fournier, Florent Lheureux, Guillaume Louis, Saad Nseir, Gwenaelle Jacq, Cyril Goulenok, Gregoire Muller, Julio Badie, Belaid Bouhemad, Marjolaine Georges, Paul-Michel Mertes, Hamid Merdji, Vincent Castelain, Caroline Abdulmalak, Olivier Lesieur, Gaetan Plantefeve, Jean-Claude Lacherade, Jean-Philippe Rigaud, Nicholas Sedillot, Damien Roux, Nicolas Terzi, Pascal Beuret, Antoine Monsel, Anne-Laure Poujol, Khaldoun Kuteifan, Thierry Vanderlinden, Anne Renault, Berengere Vivet, Christophe Vinsonneau, Saber Davide Barbar, Gilles Capellier, Jean Dellamonica, Stephan Ehrmann, Thomas Rimmele, Julien Bohe, Pierre Bouju, Sebastien Gibot, Bruno Levy, Johanna Temime, Cyrille Pichot, David Schnell, Diane Friedman, Pierre Asfar, Eddy Lebas, Philippe Mateu, Kada Klouche, Juliette Audibert, Fiona Ecarnot, Nicolas Meunier-Beillard, Melanie Loiseau, Irene Francois-Pursell, Christine Binquet, Jean-Pierre Quenot
Summary: The study found that the COVID-19 crisis had a negative impact on the mental health of ICU professionals. Those working in high-intensity epidemic zones were significantly more affected, experiencing higher levels of perceived stress.
ANNALS OF INTENSIVE CARE
(2021)
Editorial Material
Clinical Neurology
Gwenaelle Jacq, Stephane Legriel
NEUROLOGY-CLINICAL PRACTICE
(2021)
Article
Medicine, General & Internal
Gwenaelle Jacq, Jonathan Chelly, Jean-Pierre Quenot, Pauline Soulier, Olivier Lesieur, Pascal Beuret, Mathilde Holleville, Cedric Bruel, Pierre Bailly, Bertrand Sauneuf, Caroline Sejourne, Jean Philippe Rigaud, Arnaud Galbois, Marine Arrayago, Gaetan Plantefeve, Annabelle Stoclin, David Schnell, Candice Fontaine, Francois Perier, Wulfran Bougouin, Nicolas Pichon, Nicolas Mongardon, Didier Ledoux, Jean-Baptiste Lascarrou, Stephane Legriel
Summary: The ICTAL Registry is a multicenter open cohort study aiming to collect high-quality data on a large number of patients with status epilepticus (SE) in order to clarify the epidemiology of SE and determine the factors that affect outcomes. The registry's modular structure allows for the creation of satellite data sets for various types of studies. The availability of core data will facilitate patient recruitment and enable valid subgroup analyses to identify patient populations requiring specific treatment strategies.
Article
Critical Care Medicine
Group Author Only
Summary: A prospective observational study of healthcare professionals attending a medical conference in France found that the probability of SARS-CoV-2 infection during the event was very low, indicating that in a low incidence period, there is no additional risk of infection associated with in-person mass gathering events.
ANNALS OF INTENSIVE CARE
(2022)
Article
Multidisciplinary Sciences
Marine Paul, Sarah Benghanem, Sybille Merceron, Hugo Bellut, Florence Dumas, Amandine Henry, Fabrice Bruneel, Jean-Pierre Bedos, Alain Cariou, Stephane Legriel
Summary: Lumbar puncture may contribute to the etiological diagnosis of cardiac arrest (CA) although it is rarely performed. Non-specific cerebrospinal fluid (CSF) abnormalities are common after CA, especially with postresuscitation shock.
Article
Critical Care Medicine
Gwenaelle Jacq, Benoit Crepon, Matthieu Resche-Rigon, Maleka Schenck, Thomas Geeraerts, Ferhat Meziani, Bruno Megarbane, Cendrine Chaffaut, Alain Cariou, Stephane Legriel
Summary: This study collected ClinRO measures of physical and cognitive impairments after convulsive status epilepticus (CSE) requiring ICU admission, indicating the importance of ClinRO measures in assessing treatment benefits.
NEUROCRITICAL CARE
(2023)
Article
Clinical Neurology
Stephane Legriel, Rafael Badenes, Nicolas Engrand, Rocio Mendoza-Trujillo, Pauline Soulier, Sarah Benghanem, Michael Pizzi, Carolina Maciel, Jonathan Chelly, Benjamin Zuber, Marie Labruyere, Gaetan Plantefeve, Gwenaelle Jacq, Arnaud Galbois, Yoann Launey, Laurent Argaud, Olivier Lesieur, Alexis Ferre, Marine Paul, Antoine Guillon, Pierre Bailly, Pascal Beuret, Marie-Charlotte de-Carne, Shidasp Siami, Dalila Benzekri, Gwenhael Colin, Leidy Gaviria, Jose Luis Aldana, Cedric Bruel, Annabelle Stoclin, Nicholas Sedillot, Guillaume Geri, Daniel Samano, Evie Sobczak, Emily Swafford, Kristine O'Phelan, Arnaud Meffert, Mathilde Holleville, Stein Silva, Manoel JoseAlves da Costa, Jorge Mejia, Ayham Alkhachroum
Summary: This study aims to report the prevalence and outcomes of acute encephalopathy in patients with severe COVID-19, as well as identify the determinants of 90-day outcomes. The results showed that more than half of COVID-19 patients with acute encephalopathy had poor outcomes, which were associated with factors such as age, comorbidities, impairment of consciousness, and etiology of acute encephalopathy. This highlights the importance of recognizing and managing encephalopathy in COVID-19 patients.
Editorial Material
Critical Care Medicine
Stephane Legriel
NEUROCRITICAL CARE
(2023)
Article
Critical Care Medicine
Guillaume Decormeille, Valerie Maurer-Maouchi, Gwennaelle Mercier, Sylvie Debock, Cindy Lebrun, Maud Rouhier, Elodie Martinez, Anne Lise Faure, Julien Duviver, Samia Hultet-Midelton, Francoise De Freitas Pereira, Catherine Tuaillon, Lea Soulisse, Gregoire Demont, Atika Youssouf, Virginie Dauve, Julie Negrel, Brice Sauvage, Celina Morand, Kristell Pedrono, Sylvie L'Hotellier, Francoise Nicolas, Nadine Robquin, Philippe Michel, Gregoire Muller, Nadia Aissaoui, Saber Davide Barbar, Florence Boissier, David Grimaldi, Sami Hraiech, Gael Piton, Gwenaelle Jacq, Jean Baptiste Lascarrou
Summary: The study revealed that standard nursing interventions in ICUs, such as bed-baths, can lead to serious adverse events. Caution is necessary to reduce the occurrence of these events, which can have high severity. Further research is needed to test systematic strategies for preventing serious adverse events.
CRITICAL CARE MEDICINE
(2021)