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Posts by S Rai

Amazing! This adds more weight to the emotional interconnections between patients and families in the ICU

9 months ago 1 0 1 0
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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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10 months ago 3 1 1 0
Animal-assisted services in Australia and New Zealand intensive care units: A cross-sectional survey While animal-assisted services have demonstrated clinical benefits for patients in acute and subacute healthcare settings, there is a paucity of research evidence regarding these services in intensive...

🐶 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...

10 months ago 2 0 0 0

The systematic review and meta-analysis highlights a key gap:
📉 Current evidence is limited and of low quality.

To truly guide ICU nutrition practices, we need bigger, high-quality RCTs, which may help provide much-needed answers to address physiological intermittent postural feeding

10 months ago 1 0 0 0

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

10 months ago 9 5 0 0
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Standard continuous feeding versus intermittent feeding among mechanically ventilated patients in intensive care: A systematic review and meta-analysis of randomized controlled trials Previous meta-analyses on the mode of enteral nutrition in intensive care unit (ICU) have not explored whether the standard practice of continuous ent…

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

10 months ago 0 0 0 0

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

11 months ago 37 11 12 2
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#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...

11 months ago 2 1 0 0
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Could an integrated model of health and social care after critical illness reduce socioeconomic disp... There is limited evidence to understand what impact, if any, recovery services might have for patients across the socioeconomic spectrum after critica…

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

2 years ago 3 1 0 0
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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

1 year ago 2 1 0 0
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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

1 year ago 10 5 0 1
Figure 3. Kaplan-Meier Curves for Probability of Antibiotic Duration and Mortality to 28 Days

Figure 3. Kaplan-Meier Curves for Probability of Antibiotic Duration and Mortality to 28 Days

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

1 year ago 52 29 0 9

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

1 year ago 22 4 1 1

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

1 year ago 31 13 2 2
Maternal critical care

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

1 year ago 1 1 1 0
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Could it be #sepsis? Identify sepsis and act quickly with timely resuscitation, cultures and IV antibiotics #WorldSepsisDay

1 year ago 2 0 0 0
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Psychological symptoms and health-related quality of life in intubated and non-intubated intensive c... To compare long-term psychological symptoms and health-related quality of life (HRQOL) in intubated versus non-intubated ICU survivors.Prospective, mu…

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...

2 years ago 2 0 0 0
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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...

2 years ago 0 0 0 0

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...

2 years ago 3 0 0 0