Journal of the Intensive Care Society最新文献_第9页

Critical illness and recovery-learning from the shared experience of survivors and their families: A qualitative study. 危重疾病与康复——从幸存者及其家人的共同经验中学习：一项定性研究。

IF 1.9

Journal of the Intensive Care Society Pub Date : 2025-09-27 eCollection Date: 2026-05-01 DOI: 10.1177/17511437251372020

Ceri Lynch, Cheney J G Drew, Sarah Gill, Ceri Battle, Kim Smallman

{"title":"Critical illness and recovery-learning from the shared experience of survivors and their families: A qualitative study.","authors":"Ceri Lynch, Cheney J G Drew, Sarah Gill, Ceri Battle, Kim Smallman","doi":"10.1177/17511437251372020","DOIUrl":"10.1177/17511437251372020","url":null,"abstract":"Background: Improved survival from critical illness in recent years has led to an increase in patients with Post Intensive Care Syndrome (PICS). Routine, dedicated, specific and individualised assessment, rehabilitation and follow-up after critical care discharge is recommended but is currently inadequate in the UK. The aim of this study was to explore patients' and family members' experiences of a critical care admission, focussing on recovery and rehabilitation.Methods: As part of an intervention development programme, a series of iterative focus groups with survivors of critical illness and their family members was held. Parallel groups with staff involved in the care and rehabilitation of critically ill patients were also conducted. Participants mapped out their recovery journey identifying key moments and challenges and shared their recommendations for recovery and rehabilitation. Brokered dialogue was used to enable patient and staff groups to ask and answer questions of each other. Data analysis was completed using reflexive thematic coding.Results: Thirty-four participants attended the focus groups, with 28 attending the first two groups discussed in this paper. Using the experiences described by the participants, three overarching themes were identified; fear, helplessness and frustration. Participants also reported both short and longer-term consequences of ICU admission and shared their priorities and advice for recovery and rehabilitation.Conclusion: Critical care admission is a traumatic experience for patients and family members. Our data highlights patients' needs for ongoing, holistic support during a stay in critical care and beyond.","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"155-164"},"PeriodicalIF":1.9,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193389","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

Critical care and the law - pertinent cases from 2024. 从2024年开始的重症监护和法律相关案件。

IF 1.4

Journal of the Intensive Care Society Pub Date : 2025-09-25 eCollection Date: 2025-11-01 DOI: 10.1177/17511437251367221

Aaron D'Sa, Robert Tobin, Luigi Camporota, Thearina de Beer, Dan Harvey, Richard Innes, Prashanth Nandhabalan, Victoria Metaxa

引用次数: 0

Right ventricular injury during VV-ECMO for severe ARDS: Does time matter? VV-ECMO治疗严重ARDS时右室损伤：时间重要吗？

IF 1.4

Journal of the Intensive Care Society Pub Date : 2025-09-24 eCollection Date: 2026-02-01 DOI: 10.1177/17511437251374821

Robert McDonald, Jo-Anne Fowles, Robert Gatherer, Francisca Caetano

引用次数: 0

Barriers to accreditation in point-of-care echocardiography for critical care: A Scottish perspective. 危重症护理点超声心动图鉴定的障碍：苏格兰视角。

IF 1.4

Journal of the Intensive Care Society Pub Date : 2025-09-23 eCollection Date: 2026-02-01 DOI: 10.1177/17511437251365176

Helen French, Christopher Leddy, Philip McCall

{"title":"Barriers to accreditation in point-of-care echocardiography for critical care: A Scottish perspective.","authors":"Helen French, Christopher Leddy, Philip McCall","doi":"10.1177/17511437251365176","DOIUrl":"10.1177/17511437251365176","url":null,"abstract":"Point-of-care echocardiography accreditation is not mandated within the Faculty of Intensive Care Medicine (FICM) training curriculum, yet it is commonly utilised to aid clinical decision making in the intensive care unit. We designed a survey to assess barriers to accreditation in point-of-care echocardiography across Scottish critical care units. The majority (70.1%) of respondents were unaccredited, with the most common barrier (n = 102) being 'lack of time with a mentor for supervised scanning'. This was amplified by the fact that only 25% of mentors received job planned time for scanning. Men were over-represented in those with accreditation, accounting for 61.4% of accredited clinicians, despite making up 51.0% of all respondents. In contrast, women represented 62.5% of unaccredited individuals who had undertaken at least one attempt at the process. We did not find a difference with other protected characteristics. This survey suggests that targeted support locally for those struggling to complete the process could address some of these concerns, and that further work needs to be taken to identify and address gender inequity in point of care echocardiography accreditation.","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"85-89"},"PeriodicalIF":1.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186926","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

Lower non-invasive estimated P_mus predicts extubation failure in mechanically ventilated ICU patients. 低无创Pmus可预测机械通气ICU患者拔管失败。

IF 1.4

Journal of the Intensive Care Society Pub Date : 2025-09-16 eCollection Date: 2025-11-01 DOI: 10.1177/17511437251377989

Graziela Müller, Manoela Bonato Zocoli, Jéssica Magnante, Geovana Teo Zamprogna, Silvano Altair do Nascimento, Gustavo Bruno Rático, Ewan C Goligher, Antuani Rafael Baptistella

引用次数: 0

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 eCollection Date: 2025-11-01 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":"Objective: 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.Introduction: 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.Inclusion criteria: 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.Methods: 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.Results: 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.Conclusions: 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.","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"513-522"},"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 eCollection Date: 2025-11-01 DOI: 10.1177/17511437251372019

Annie Rylance, Tom Syratt, Lauren Townsend, Ned Gilbert-Kawai

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 eCollection Date: 2025-11-01 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":"Objectives: 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.Design and methods: 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 p < 0.05.Results: 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, p = 0.001), secondary traumatic stress (β = -0.23, p = 0.001) scores were negatively predicted by resilience score. However, CS score was positively predicted by resilience score (β = 0.28, p = 0.002).Conclusion: 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.","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"479-484"},"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 1.9

Journal of the Intensive Care Society Pub Date : 2025-09-01 DOI: 10.1177/17511437251363764

Nimra Khan

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

引用次数: 0