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Varying (preferred) levels of involvement in treatment decision-making in the intensive care unit before and during the COVID-19 pandemic: a mixed-methods study among relatives

Sophie C. Renckens; Roeline Pasman; Zina Jorma; Hanna T. Klop; Chantal du Perron; Lia van Zuylen; Monique A.H. Steegers; Birkit L. ten Tusscher; Margot M.C. van Mol; Lilian Vloet; Bregje Onwuteaka-Philipsen

In the intensive care unit (ICU) relatives play a crucial role as surrogate decision-makers, since most patients cannot communicate due to their illness and treatment. Their level of involvement in decision-making can affect their psychological well-being. During the COVID-19 pandemic, relatives’ involvement …

2024-02-12GezondheidArtikel

Open Versus Closed Suctioning in Invasively Ventilated Critically Ill Patients for Sustainability of ICU Care: A Life-Cycle Assessment Comparison

Stilma, Willemke (Urban Vitality); Esmeijer, Andrea; Paulus, Frederique (Lectoraat Critical Care); Frenzel, Tim; Touw, Hugo; Stobernack, Tim

2024-02AlgemeenArtikel

Closed-loop ventilation in COVID-19 patients with acute hypoxemic respiratory failure—A case series

Buiteman-Kruizinga, Laura A.; van der Heiden, Pim L.J.; Paulus, Frederique (Lectoraat Critical Care); Schultz, Marcus J.

Background: INTELLiVENT-adaptive support ventilation (ASV) is an automated closed-loop mode of invasive ventilation for use in critically ill patients. INTELLiVENT-ASV automatically adjusts, without the intervention of the caregiver, ventilator settings to achieve the lowest work and force of breathing. …

2024-01AlgemeenArtikel

Nursing Practice of Airway Care Interventions and Prone Positioning in ICU Patients with COVID-19-A Dutch National Survey

Esmeijer, Andrea A; van der Ven, Fleur; Koornstra, Eveline; Kuipers, Laurien; van Oosten, Paula; Swart, Pien; Valk, Christel M; Schultz, Marcus J; Paulus, Frederique (Lectoraat Critical Care); Stilma, Willemke (Faculteit Gezondheid)

Background: Airway care interventions and prone positioning are used in critically ill patients with coronavirus disease 2019 (COVID-19) admitted to the intensive care unit (ICU) to improve oxygenation and facilitate mucus removal. At the onset of the COVID-19 pandemic, the decision-making process regarding …

2024AlgemeenArtikel

High protein provision of more than 1.2 g/kg improves muscle mass preservation and mortality in ICU patients

van Ruijven, Isabel M.; Abma, José; Brunsveld-Reinders, Anja H.; Stapel, Sandra N.; van Etten-Jamaludin, Faridi; Boirie, Yves; Barazzoni, Rocco; Weijs, Peter J.M. (Lectoraat Voeding En Beweging)

Background ICU patients lose muscle mass rapidly and maintenance of muscle mass may contribute to improved survival rates and quality of life. Protein provision may be beneficial for preservation of muscle mass and other clinical outcomes, including survival. Current protein recommendations are expert-based …

2023-12AlgemeenArtikel

DeltaScanfortheAssessmentofAcuteEncephalopathyandDeliriuminICUandnon-ICUPatients,aProspectiveCross-SectionalMulticenterValidationStudy

Fienke L. Ditzel; Suzanne C.A. Hut; Paul Rood; Mark van den Boogaard; Michel Boonstra; Frans S.S Leijten; Evert-Jan Wils; Timotheus A. van Nesselrooij; Marjan Kromkamp; Christian Röder; Paul F. Bouvy; Michiel Coesmans; Robert Jan Osse; Monica Pop-Purceleanu; Edwin van Dellen; Jaap W.M. Krulder; Koen Milisen; Richard Faaij; Ariël M. Vondeling; Ad M. Kamper; Barbara C. van Munster; Annemarieke de Jonghe; Marian A.M. Winters; Jeannette van der Ploeg; Sanneke van der Zwaag; Dineke H.L. Koek

Highlights What is the primary question addressed by this study? What is the accuracy of DeltaScan;a portable brain state monitor that offers real-time automated artifact rejection and analysis, delivering a probability score for both acute encephalopathy and delirium in both ICU and non-ICU patients? …

2023-09GezondheidArtikel

The Impact of Non-Pharmacological Interventions on Delirium in Neurological Intensive Care Unit Patients: A Single-Center Interrupted Time Series Trial

Paul Rood; Dharmanand Ramnarain; A. Oldenbeuving; Brenda L. den Oudsten; Sjaak Pouwels; Lex M. van Loon; Steven Teerenstra; Peter Pickkers; Jolanda de Vries; Mark van den Boogaard

Abstract: Background: Delirium is a pathobiological brain process that is frequently observed in Intensive Care Unit (ICU) patients, and is associated with longer hospitalization as well as long-term cognitive impairment. In neurological ICU patients, delirium may be more treatment-resistant due to the …

2023-09GezondheidArtikel

Differences in Ventilation Management and Outcomes between the Two First Waves of the COVID-19 Pandemic—A Comparison between Two Nationwide Observational Studies in The Netherlands

The aim of this analysis was to compare ventilation management and outcomes in invasively ventilated patients with acute hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19) between the first and second wave in the Netherlands. This is a post hoc analysis of two nationwide observational …

2023-07-05AlgemeenArtikel

Towards precision medicine for septic patients

Bram Snoek (Student)

Sepsis is a life-threatening organ dysfunction caused by a dysregulated immune response to infection. It is the number one cause of death in the Intensive Care Unit (ICU), accounting for 6 million casualties every year. Unfortunately, all clinical trials in the last decade failed due to the highly complex …

2023-07-05Gezondheid; …Bachelor

Patients with and Without COVID-19 in the Intensive Care Unit

Cijs, Bastiaan; Valkenet, Karin; Heijnen, Germijn; Visser-Meily, J M Anne; Van Der Schaaf, Marike (Lectoraat Revalidatie Bij Complexe Zorg)

Objective Many patients with coronavirus disease 2019 (COVID-19) infections were admitted to an intensive care unit (ICU). Physical impairments are common after ICU stays and are associated with clinical and patient characteristics. To date, it is unknown if physical functioning and health status are …

2023-07AlgemeenArtikel

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