Journal of the Intensive Care Society最新文献

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Daytime only or time restricted feeding in critically ill patients: A scoping review. 危重病人的日间或限时喂养:一项范围综述。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-09-11 DOI: 10.1177/17511437251369307
Jessie Welbourne, Rory Heath, Daniel Martin
{"title":"Daytime only or time restricted feeding in critically ill patients: A scoping review.","authors":"Jessie Welbourne, Rory Heath, Daniel Martin","doi":"10.1177/17511437251369307","DOIUrl":"10.1177/17511437251369307","url":null,"abstract":"<p><strong>Objective: </strong>A scoping review was performed to understand the extent and type of published evidence in relation to restricting feeding of critically ill patients to the daytime only, with a nighttime fasting period.</p><p><strong>Introduction: </strong>Time-restricted feeding has been shown to be beneficial to long-term health. Critically ill patients admitted to intensive care units (ICUs) are traditionally fed continuously. The potential benefits or harms of daytime only feeding in the critically ill are unknown.</p><p><strong>Inclusion criteria: </strong>Studies of critically ill patients, cared for in any critical care environment, where feeding was stopped for a minimum of 6 h overnight, with any primary outcome, were included.</p><p><strong>Methods: </strong>Using the JBI framework, a search of OVID Embase, OVID Medline, CINHAL, PROSPERO, The Cochrane database and Web of Science was performed in July 2023.</p><p><strong>Results: </strong>Fourteen studies that included 868 participants, published between 1989 and 2023 met the inclusion criteria and were reported on. The patient cohorts were from general or mixed ICUs, and neurosurgical and paediatric cohorts. Feed was either administered by bolus, in cyclic patterns or continuously. The overnight fasting times ranged from 6 to 12 h, with reported primary outcomes of feed intolerance, nutritional delivery, ketosis, gastric pH, ventilator associated pneumonia and circadian rhythms. Daytime only feeding was found to increase ketosis and lower gastric acidity.</p><p><strong>Conclusions: </strong>Daytime only feeding in the critically ill has been reported, but details of its potential harms or benefits are limited by inconsistently defined outcomes and study small sample sizes.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251369307"},"PeriodicalIF":1.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PROMOTE: A patient-centred poster to support engagement in post-operative recovery - A quality improvement initiative. 促进:以患者为中心的海报,支持参与术后恢复-质量改进倡议。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-09-10 DOI: 10.1177/17511437251372019
Annie Rylance, Tom Syratt, Lauren Townsend, Ned Gilbert-Kawai
{"title":"PROMOTE: A patient-centred poster to support engagement in post-operative recovery - A quality improvement initiative.","authors":"Annie Rylance, Tom Syratt, Lauren Townsend, Ned Gilbert-Kawai","doi":"10.1177/17511437251372019","DOIUrl":"10.1177/17511437251372019","url":null,"abstract":"<p><p>Enhanced recovery after surgery (ERAS) programmes are well established across many surgical specialties. Successful implementation requires both multidisciplinary engagement and active patient participation. At our hospital, many patients were unaware they had a role in their recovery. To improve education, we developed a poster highlighting seven key elements using the acronym PROMOTE: Pain relief, Respiratory exercises, Own clothes, Mobilisation, Oral hygiene, Taking away attachments, and Eating and drinking. Feedback from patients in the post-operative critical care unit showed the resource was well received, easily understood, and most wished they had received it pre-operatively to help manage expectations and reduce anxiety.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251372019"},"PeriodicalIF":1.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Promoting resilience to prevent burnout and secondary traumatic stress among intensive care units' nurses. 促进恢复力,以防止倦怠和继发性创伤压力在重症监护室的护士。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-09-07 DOI: 10.1177/17511437251357121
Amel Kchaou, Nada Kotti, Feriel Dhouib, Anouar Hrairi, Wafa Ben Messaoud, Ahmed Trigui, Mounira Hajjaji, Kaouthar Jmal Hammami
{"title":"Promoting resilience to prevent burnout and secondary traumatic stress among intensive care units' nurses.","authors":"Amel Kchaou, Nada Kotti, Feriel Dhouib, Anouar Hrairi, Wafa Ben Messaoud, Ahmed Trigui, Mounira Hajjaji, Kaouthar Jmal Hammami","doi":"10.1177/17511437251357121","DOIUrl":"10.1177/17511437251357121","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to: (a) determine the levels of burnout, secondary traumatic stress, and compassion satisfaction among intensive care unit nurses at the university hospital in Sfax, Tunisia, and (b) explore the relationship between resilience and the three dimensions of professional quality of life in this nursing specialty.</p><p><strong>Design and methods: </strong>This was a descriptive and predictive study using validated self-reporting instruments: Professional Quality of Life Scale version 5 and Brief Resilience Scale. Multiple regression using stepwise solution was employed to explore the relationship between resilience and the three dimensions of professional quality of life (burnout (BO), compassion satisfaction (CS), and secondary traumatic stress (STS)). Statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The results revealed that 61.3%, 63.2%, and 47.2% of ICU nurses were in the moderate range for BO, CS, and STS, respectively. Resilience score was the critical predictor contributing to Professional Quality of Life subscales scores: Burnout (β = -0.26, <i>p</i> = 0.001), secondary traumatic stress (β = -0.23, <i>p</i> = 0.001) scores were negatively predicted by resilience score. However, CS score was positively predicted by resilience score (β = 0.28, <i>p</i> = 0.002).</p><p><strong>Conclusion: </strong>The current study's findings support the argument for the development of training programs to promote psychological resilience among ICU nurses in order to improve the quality of professional life.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251357121"},"PeriodicalIF":1.4,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bicarbonate therapy: Resuscitating an old remedy with new evidence. 碳酸氢盐疗法:用新证据复苏旧疗法。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-09-01 DOI: 10.1177/17511437251363764
Nimra Khan
{"title":"Bicarbonate therapy: Resuscitating an old remedy with new evidence.","authors":"Nimra Khan","doi":"10.1177/17511437251363764","DOIUrl":"10.1177/17511437251363764","url":null,"abstract":"","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251363764"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lessons learnt from moving an intensive care unit into a new hospital. 将重症监护室迁入新医院的经验教训。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-08-31 eCollection Date: 2025-08-01 DOI: 10.1177/17511437251330745
Ned Gilbert-Kawai, Jonathan Walker, Alison Hall, Julie Patrick-Heselton, Peter Hampshire
{"title":"Lessons learnt from moving an intensive care unit into a new hospital.","authors":"Ned Gilbert-Kawai, Jonathan Walker, Alison Hall, Julie Patrick-Heselton, Peter Hampshire","doi":"10.1177/17511437251330745","DOIUrl":"10.1177/17511437251330745","url":null,"abstract":"<p><p>In 2022, the Royal Liverpool University Hospital moved premises. As part of the move, the patients from its existing Critical Care Unit (consisting of an independent Intensive Care Unit, a High Dependency Unit and a Post-Operative Critical Care Unit), had to be transferred from the old hospital to an entirely new one. Whilst relocation of an Intensive Care Unit, its critically ill patients, staff and equipment has undoubtedly happened elsewhere in the past, very little has been written about such an undertaking. On each occasion, therefore, the teams facing this task may be starting afresh without the benefit of knowing what problems others have previously encountered and how they solved them. In an attempt to highlight some of the modifiable risks, this article serves to explain some of the planning we undertook prior to our move (i.e. forward planning), and reflects on some of the lessons learnt in the process.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"386-395"},"PeriodicalIF":1.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tricuspid regurgitation velocity reflects pulmonary artery mean pressure better than systolic pressure in cardiogenic shock. 心源性休克时三尖瓣反流速度比收缩压更能反映肺动脉平均压。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-08-27 DOI: 10.1177/17511437251367213
Hazem Lashin, Olusegun Olusanya, Andrew Smith, Sanjeev Bhattacharyya
{"title":"Tricuspid regurgitation velocity reflects pulmonary artery mean pressure better than systolic pressure in cardiogenic shock.","authors":"Hazem Lashin, Olusegun Olusanya, Andrew Smith, Sanjeev Bhattacharyya","doi":"10.1177/17511437251367213","DOIUrl":"10.1177/17511437251367213","url":null,"abstract":"<p><p>In this exploratory analysis of 35 patients with ischemic cardiogenic shock, we evaluated the correlation between tricuspid regurgitation velocity (TRV) and pulmonary artery catheter-derived pressures. TRV correlated best with pulmonary artery mean pressure (<i>r</i> = 0.54, <i>p</i> = 0.0009), more than with systolic or diastolic pressures. A TRV threshold of 2.3 m/s identified mean pressure >25 mmHg with 81% sensitivity and 62% specificity. These findings suggest that TRV may serve as a non-invasive indicator of elevated pulmonary pressure in critically ill patients when invasive monitoring is unavailable. Further validation in larger, diverse cohorts is needed.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251367213"},"PeriodicalIF":1.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updated local safety standards for invasive procedures: Guidance or suggestions? 侵入性手术的最新地方安全标准:指导还是建议?
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-08-27 DOI: 10.1177/17511437251369296
Peter W Hart, Penelope Beddoes, David Burtle, Michelle L Bradshaw
{"title":"Updated local safety standards for invasive procedures: Guidance or suggestions?","authors":"Peter W Hart, Penelope Beddoes, David Burtle, Michelle L Bradshaw","doi":"10.1177/17511437251369296","DOIUrl":"10.1177/17511437251369296","url":null,"abstract":"","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251369296"},"PeriodicalIF":1.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new formula to easily calculate optimal tidal volumes from ulna length. 从尺骨长度计算最佳潮汐量的新公式。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-08-25 DOI: 10.1177/17511437251365118
Hector Barnes, Edward Walter
{"title":"A new formula to easily calculate optimal tidal volumes from ulna length.","authors":"Hector Barnes, Edward Walter","doi":"10.1177/17511437251365118","DOIUrl":"https://doi.org/10.1177/17511437251365118","url":null,"abstract":"","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251365118"},"PeriodicalIF":1.4,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advanced vascular ultrasound prior to radial artery cannulation on the intensive care unit: A feasibility service evaluation. 重症监护病房桡动脉插管前先进血管超声:可行性服务评估。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-08-24 DOI: 10.1177/17511437251350950
Matthew Smith, Rabiu Momoh, Jonny Wilkinson, Olusegun Olusanya, Rachel Underwood, Naziya Abdulla, Paul Basset, Prashant Parulekar
{"title":"Advanced vascular ultrasound prior to radial artery cannulation on the intensive care unit: A feasibility service evaluation.","authors":"Matthew Smith, Rabiu Momoh, Jonny Wilkinson, Olusegun Olusanya, Rachel Underwood, Naziya Abdulla, Paul Basset, Prashant Parulekar","doi":"10.1177/17511437251350950","DOIUrl":"https://doi.org/10.1177/17511437251350950","url":null,"abstract":"<p><strong>Background: </strong>Radial arterial catheters are frequently used for monitoring and blood sampling in critical care patients. Ischaemic complications are rare but can cause significant morbidity. The use of vascular ultrasound in critical care is becoming increasingly commonplace. This service evaluation aims to assess the feasibility of training novices in advanced vascular ultrasound assessment, prior to radial arterial cannulation.</p><p><strong>Methods: </strong>Over a 4-month period, data was collected from patients admitted to the intensive care unit at the William Harvey Hospital, Ashford, Kent. Ultrasound was used to assess for the presence, size and flow of the radial and ulnar arteries. The assessments were performed by two novice residents in intensive care, who were trained in advanced ultrasound assessment of the radial and ulnar arteries, by an intensive care consultant with expertise in vascular ultrasound.</p><p><strong>Results: </strong>One hundred and five limbs were assessed in 53 patients. Novices were deemed to be sufficiently competent, after performing scans on 15 patients over a 2-week period. Satisfactory images were acquired in 100% of patients. The most common finding was a small diameter ulnar artery, present in 30 limbs (29%), while only 1 patient (1%) was found to have an absent ulnar artery. Thirty-two limbs had a radial arterial catheter in-situ. There were no ischaemic complications.</p><p><strong>Conclusion: </strong>This service evaluation demonstrates that the training of novices in advanced ultrasound assessment of the radial and ulnar arteries by an intensive care consultant, is feasible. Moreover, this modality may identify patients at risk of critical limb ischaemia. This particular investigation may be considered for incorporation into existing vascular ultrasound assessments.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"17511437251350950"},"PeriodicalIF":1.4,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Provision of follow-up services for survivors of COVID-19 critical illness: A UK national survey. 为COVID-19危重疾病幸存者提供后续服务:一项英国全国调查。
IF 1.4
Journal of the Intensive Care Society Pub Date : 2025-07-28 eCollection Date: 2025-08-01 DOI: 10.1177/17511437251334354
Jin-Xi Yuan, Constance E D Osborne, Ibrahim Almafreji, Bronwen Connolly, Andrew J Boyle, Mary Gemma Cherry, Brian W Johnston, Karen Williams, Christina Jones, Peter Fisher, Ingeborg D Welters, Alicia Ac Waite
{"title":"Provision of follow-up services for survivors of COVID-19 critical illness: A UK national survey.","authors":"Jin-Xi Yuan, Constance E D Osborne, Ibrahim Almafreji, Bronwen Connolly, Andrew J Boyle, Mary Gemma Cherry, Brian W Johnston, Karen Williams, Christina Jones, Peter Fisher, Ingeborg D Welters, Alicia Ac Waite","doi":"10.1177/17511437251334354","DOIUrl":"10.1177/17511437251334354","url":null,"abstract":"<p><strong>Background: </strong>Intensive care unit (ICU) survivors in the United Kingdom (UK) can receive support from ICU follow-up services in their process of recovery and rehabilitation. However, it is unclear whether the COVID-19 pandemic impacted the ability of UK hospitals to provide follow-up. The objective of this study was to evaluate the provision of follow-up services in the UK for adult survivors of COVID-19 critical illness.</p><p><strong>Methods: </strong>All adult National Health Service (NHS) ICUs in the UK were invited to participate. Intensive care clinicians aware of follow-up services offered at their site were invited to complete a self-administered online electronic survey. Free text answers were thematically analysed.</p><p><strong>Results: </strong>174 of 242 (71.9%) NHS hospitals responded to the survey. 140 (80.5%) of the respondent hospitals had an ICU follow-up service for survivors of COVID-19 critical illness. A new service was created at 28 (16.1%) hospitals during the COVID-19 pandemic. ICU follow-up services were mostly delivered by nurses (125/140, 89.3%), ICU doctors (111/140, 79.3%), physiotherapists (88/140, 62.9%) and psychologists (59/140, 42.1%). Where ICU follow-up services already existed, changes were made in 111 (79.3%) hospitals during the pandemic and these were maintained in 89 (80.2%) hospitals. Funding was a commonly reported reason for whether follow-up services were offered.</p><p><strong>Conclusions: </strong>There was an expansion in the number of ICU follow-up clinics, and the multidisciplinary team delivering post-ICU care to patients who survived COVID-19 critical illness. Many changes to clinic operations introduced during the pandemic persisted, including the use of virtual and hybrid follow-up clinic models.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"343-352"},"PeriodicalIF":1.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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