Intensive care medicine
-
Intensive care medicine · Sep 2024
Randomized Controlled Trial Multicenter StudyConservative or liberal oxygen targets in patients on venoarterial extracorporeal membrane oxygenation.
Patients receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO) frequently develop arterial hyperoxaemia, which may be harmful. However, lower oxygen saturation targets may also lead to harmful episodes of hypoxaemia. ⋯ In adults receiving VA-ECMO in ICU, a conservative compared to a liberal oxygen strategy, did not affect the number of ICU-free days to day 28.
-
Intensive care medicine · Sep 2024
ReviewAssessing palliative care practices in intensive care units and interpreting them using the lens of appropriate care concepts. An umbrella review.
Intensive care units (ICUs) have significant palliative care needs but lack a reliable care framework. This umbrella review addresses them by synthesising palliative care practices provided at end-of-life to critically ill patients and their families before, during, and after ICU admission. ⋯ This umbrella review encapsulates current palliative care practices in ICUs, influencing patient and family outcomes and providing insights into developing an appropriate care framework for critically ill patients needing end-of-life care and their families.