Current Intensive Care Unit News and Events

Current Intensive Care Unit News and Events, Intensive Care Unit News Articles.
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How reducing body temperature could help a tenth of all ICU patients
ROCKVILLE, MD - A tenth of all intensive care unit patients worldwide, and many critical patients with COVID-19, have acute respiratory distress syndrome (ARDS). (2021-02-23)

Innate immune system worsens the situation in severe COVID-19
In patients with severe COVID-19, the innate immune system overreacts. This overreaction may underlie the formation of blood clots (thrombi) and deterioration in oxygen saturation that affect the patients. This is shown in an Uppsala University study published in the journal Frontiers in Immunology. (2021-02-23)

Absence of natural killer cell receptor associated with severe Covid-19
The course and severity of COVID-19 in individual patients is largely influenced by the interaction between the SARS-CoV-2 coronavirus and the human immune system. The NKG2C receptor communicates with an infected cell via one of its specialised surface structures, HLA-E, which results in the destruction of virus-infected cells. However, due to a genetic variation, approximately 4% of the population naturally lack the this receptor NKG2C, and in 30% of the population this receptor is only partially available. (2021-02-22)

As insurers end grace period for COVID-19 hospital costs, study estimates potential bills
Hospital care for COVID-19 has been free to most patients, but insurance companies may be ending that. A study of flu-related hospital bills suggests a coronavirus hospital stay could now cost patients $1,000 out of their own pocket, on average. (2021-02-18)

Surface testing for SARS-CoV2 in hematology/oncology settings reveals negligible detection
Researchers from Rutgers Cancer Institute of New Jersey, the state's only National Cancer Institute-designated Comprehensive Cancer Center, evaluated the frequency of SARS-CoV-2, the virus that causes COVID-19, on various environmental surfaces in outpatient and inpatient hematology/oncology settings located within Rutgers Cancer Institute and Robert Wood Johnson University Hospital, an RWJBarnabas Health facility. The study revealed extremely low detection of SARS-CoV-2 on environmental surfaces across multiple outpatient and inpatient oncology areas, including an active COVID-19 floor. (2021-02-18)

Columbia researchers uncover altered brain connectivity after prolonged anesthesia
A body of evidence supports the association between prolonged anesthesia and cognitive impairment, but the Columbia study is first to address the effect of the procedure on neural connections. (2021-02-17)

COVID-19 linked to potentially dangerous eye abnormalities
Researchers using MRI have found significant abnormalities in the eyes of some people with severe COVID-19, according to a new study. The study results support the need for eye screening in these patients to provide appropriate treatment and management of potentially severe ophthalmological manifestations of COVID-19. (2021-02-16)

A genetic variant inherited from Neanderthals reduces the risk of severe COVID-19
SARS-CoV-2 impacts people in different ways after infection. Some experience only mild or no symptoms at all while others become sick enough to require hospitalization. Now, researchers at the Okinawa Institute of Science and Technology Graduate University (OIST) in Japan and the Max Planck Institute for Evolutionary Biology in Germany have found that a group of genes that reduces the risk of severe COVID-19 by around 20% is inherited from Neanderthals. (2021-02-16)

Neandertal gene variants both increase and decrease the risk for severe COVID-19
Last year, researchers at Karolinska Institutet in Sweden and the Max Planck Institute for Evolutionary Anthropology in Leipzig, Germany showed that a major genetic risk factor for severe COVID-19 is inherited from Neandertals. Now the same researchers show, in a study published in PNAS, that Neandertals also contributed a protective variant. Half of all people outside Africa carry a Neandertal gene variant that reduces the risk of needing intensive care for COVID-19 by 20 percent. (2021-02-16)

Ageism and sexism barring grandmothers from initiatives to save newborn lives in Global South
Ageism, sexism, and Western ideals of the nuclear family have excluded grandmothers from national and international policy initiatives to save newborn lives in the Global South, suggests an analysis published in the online journal BMJ Global Health. (2021-02-15)

New tool predicts the success of extubating patients on intensive mechanical ventilation
A mathematical model predicts the success of extubating patients on intensive mechanical ventilation. The results of the study by a research team from the Universitat Rovira i Virgili (Tarragona-Spain) and the Institute of Health Research Pere Virgili show a potential reduction of the current rate of reintubation from 9% to 1% by using machine learning tools. Data from a thousand intensive-care patients with respiratory difficulties has been processed and analysed to create this tool (2021-02-15)

Use of mobile stroke units improves clinical outcomes
STEMOs have been serving Berlin for ten years. The specialized stroke emergency response vehicles allow physicians to start treating stroke patients before they reach hospital. For the first time, a team of researchers from Charité - Universitätsmedizin Berlin has been able to show that the dispatch of mobile stroke units is linked to improved clinical outcomes. The researchers' findings, which show that patients for whom STEMOs were dispatched were more likely to survive without long-term disability, have been published in JAMA*. (2021-02-11)

Risk factors associated with COVID-19 ICU admission or death in Argentina
A nationwide analysis of data from the first 6 months of the COVID-19 pandemic in Argentina has identified factors associated with increased risk of death or admission to an intensive care unit (ICU) due to the disease, including older age, male sex, coma, seizures, and underlying comorbidities. Daniel Schoenfeld of Centro Diagnostico San Jorge in Puerto Madryn, Argentina, and colleagues present these findings in the open-access journal PLOS ONE on February 11. (2021-02-11)

Study predicts UK COVID-19 vaccination program will very quickly reduce deaths but more slowly bring down hospital and ICU admissions
A new modelling study published in Anaesthesia (a journal of the Association of Anaesthetists) shows that the UK's coronavirus vaccination program is already reducing daily deaths. However, reductions of hospital and intensive care (ICU) admissions will likely take several weeks longer, with large reductions seen by the end of March and continuing into April. (2021-02-11)

Difficulties to care for ICU patients caused by COVID-19
Intensive care nurses highlight patient isolation, fear of the unknown and using nurses who do not usually work in the ICU as key factors in caring for critical COVID-19 patients (2021-02-10)

Lung ultrasound helps predict COVID-19 patient outcomes
Brazilian researchers applied an examination protocol based on an analysis of 12 lung regions to 180 severe patients and found that the higher the lung ultrasound score the greater the risk of ICU admission, intubation and death. (2021-02-10)

Definitely not the flu: risk of death from COVID-19 3.5 times higher than from flu
A new study published in CMAJ (Canadian Medical Association Journal) found that the risk of death from COVID-19 was 3.5 times higher than from influenza. (2021-02-10)

Study highlights risk of new SARS-CoV-2 mutations emerging during chronic infection
SARS-CoV-2 mutations similar to those in the B1.1.7 UK variant could arise in cases of chronic infection, where treatment over an extended period can provide the virus multiple opportunities to evolve, say scientists. (2021-02-05)

Study finds recommended ICU sedatives equally safe, effective
A study published today in the New England Journal of Medicine provides the most definitive evidence to date that, of the two drugs recommended for light sedation of patients receiving mechanical ventilation in the ICU, one is as effective and safe as the other. (2021-02-02)

Opioid prescriptions remained elevated two years after critical care
Nearly 11 percent of people admitted to an ICU in Sweden between 2010 and 2018 received opioid prescriptions on a regular basis for at least six months and up to two years after discharge. That is according to a study by researchers at Karolinska Institutet published in Critical Care Medicine. The findings suggest some may become chronic opioid users despite a lack of evidence of the drugs' long-term effectiveness and risks linked to increased mortality. (2021-02-02)

Good customer service can lead to higher profits, even for utilities without competition
New research finds that satisfied customers mean increased profits even for public utilities that don't face competition. It found that customer satisfaction does not lead to increased profits via higher rates or greater demand suggests current regulatory controls are effective. The findings suggest regulators should view investments in customer satisfaction as recoverable costs. (2021-02-02)

Data shows strain on ICU capacity leads to more deaths during COVID-19 pandemic
New research from the U.S. Department of Veterans Affairs, Regenstrief Institute and Indiana University School of Medicine shows that people treated in the ICU for COVID-19 are twice as likely to die when the ICU capacity is strained by the number of COVID-19 patients. Strain on hospital capacity has been associated with increased mortality under normal circumstances. This study provides evidence that the same is true during the current pandemic. (2021-02-01)

Study links intensive BP lowering to reduced CV risk in patients exposed to air pollution
In the study 'The Benefits of Intensive Versus Standard Blood Pressure Treatment According to Fine Particulate Matter Air Pollution Exposure' published this week in the journal Hypertension, researchers at University Hospitals (UH) and Case Western Reserve University (CWRU) School of Medicine found intensive BP lowering is effective in reducing cardiovascular risk in patients exposed to high levels of air pollution. (2021-02-01)

Latest review shows intensive care mortality from COVID-19 continued to fall in 2020, but improvement is slowing
A meta-analysis of global studies published in Anaesthesia (a journal of the Association of Anaesthetists) shows that intensive care morality from COVID-19 has continued to fall since the start of the pandemic, but the improvement is slowing and may have plateaued. (2021-02-01)

COVID-19 intensive care mortality in Sweden lower than in many studies from other countries
New research reveals that the COVID-19 intensive care (ICU) mortality rate in Sweden was lower during the first wave of the pandemic than in many studies from other countries. (2021-02-01)

ERAS program expedites recovery for congenital heart surgery patients
Select patients born with heart defects and who undergo congenital heart surgery recover with few complications and reduced opioid use when a comprehensive, evidence-based enhanced recovery after surgery (ERAS) program is used. (2021-01-30)

NSAIDs might exacerbate or suppress COVID-19 depending on timing, mouse study suggests
New research shows that non-steroidal anti-inflammatory drugs (NSAIDs) reduced both antibody and inflammatory responses to SARS-CoV-2 infection in mice. The study appears this week in the Journal of Virology, a publication of the American Society for Microbiology. (2021-01-22)

Patients in cancer remission at high risk for severe COVID-19 illness
Patients with inactive cancer and not currently undergoing treatments also face a significantly higher risk of severe illness from COVID-19. (2021-01-21)

Making microwaves safer for children
Researchers at Rush University Medical Center and other leaders of the campaign, worked diligently to document the frequency and severity of burn injuries resulting from removing hot contents from the microwave and young children's vulnerability to them, published the results of their efforts in The Journal of Pediatrics on Jan. 20. (2021-01-20)

NEWS2 evaluated for prediction of severe COVID-19 outcome in large international study
In the first systematic large-scale evaluation of the UK National Early Warning Risk Score (NEWS) 2 as a scoring system for predicting severe COVID-19 outcomes in patients, researchers at King's College London have found poor-to-moderate accuracy for identifying patients at risk of being transferred to intensive care units (ICUs) or dying after 14 days of hospitalisation. Accuracy of predictions in short term (three days) showed moderate success. (2021-01-20)

New negative pressure ventilator requiring fewer staffing resources developed in fight against COVID-19
A new negative pressure ventilator which could provide additional treatment options for patients with respiratory failure, including those with COVID-19 - and whose design can be easily adapted to developing countries - has been created by a team that includes anaesthetists, nurses and engineers. (2021-01-19)

Broadening horizons for people with quadriplegia
An assistive technology uses magnetic skin to support freedom of movement for people with quadriplegia. (2021-01-17)

DNA test can quickly identify pneumonia in patients with severe COVID-19, aiding faster treatment
Researchers have developed a DNA test to quickly identify secondary infections in COVID-19 patients, who have double the risk of developing pneumonia while on ventilation than non-COVID-19 patients. (2021-01-15)

The COVID-19 pandemic in brazil has overwhelmed its health systems
An analysis of the first 250,000 patients admitted to hospital with coronavirus reveals a high mortality and inequities in the quality of healthcare across regions (2021-01-15)

New England Journal of Medicine publishes COVID-19 treatment trial results
In a multicenter study funded by the National Institutes of Health, a combination of two drugs, baricitinib and remdesivir, reduced time to recovery in hospitalized COVID-19 patients. The results from sites including UT Health San Antonio and University Health were published Dec. 11 in the New England Journal of Medicine. (2021-01-14)

Survey finds Americans may delay medical appointments, emergency care during pandemic
A new national survey by the Orlando Health Heart & Vascular Institute finds many Americans would delay doctor's appointments and even emergency care when COVID-19 rates are high. The survey found 67 percent of Americans are more concerned about going to medical appointments when COVID-19 rates are high in their area and nearly three in five (57 percent) are hesitant to go to the hospital even for an emergency. (2021-01-12)

Monash University leads breakthrough against antibiotic-resistance
New research published today has discovered how to revert antibiotic-resistance in one of the most dangerous superbugs. (2021-01-12)

Hospitals must help their own COVID long-haulers recover, experts argue
Thousands of frontline health care workers risked their lives to save others during the pandemic. Some are suffering long-term complications of COVID-19. Yet there are no clear guidelines in most institutions to provide the necessary support to help their workers recover and return to work. Without accommodations, COVID long-haulers may be forced to leave the health care workforce -- at a time when COVID is surging again. (2021-01-12)

Primary care plays key role in managing COVID-19 in three Asian cities
Despite having some of the densest living spaces and the highest number of international visitors, Hong Kong, Singapore, and Beijing have utilized their respective primary health care systems to keep their COVID-19 cases and deaths relatively low. (2021-01-12)

New study shows mental health of ICU staff should be immediate priority
New research from King's College London shows nearly half of Intensive Care Unit (ICU) staff are likely to meet the threshold for PTSD, severe anxiety or problem drinking during the COVID-19 pandemic. (2021-01-12)

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