Medizinische Klinik, Intensivmedizin und Notfallmedizin
-
Med Klin Intensivmed Notfmed · Feb 2019
Meta Analysis[Diaries for intensive care unit patients reduce the risk for psychological sequelae : Systematic literature review and meta-analysis].
Diaries are written for patients on intensive care units (ICU) by clinicians and relatives to reduce the risk of psychological complications such as posttraumatic stress disorder (PTSD), anxiety, and depression. The authors of a Cochrane Review on this topic published in 2015, included studies with PTSD diagnoses based on interviews carried out by qualified personnel, and concluded that there is inadequate evidence to support the thesis that ICU diaries reduce the risk of psychological complications. ⋯ ICU diaries may reduce the risk of psychological complications in patients and relatives after ICU stays.
-
Med Klin Intensivmed Notfmed · Nov 2016
Meta Analysis[Telemedicine in the ICU - the possibilities and limitations of an innovation].
Intensive care medicine is challenged by demographic changes and an increasing number of patient combined with existing shortage of doctors. Telemedicine is a promising approach to ensure patient care in the coming years. Due to a shortage of intensive care physicians in the USA, comprehensive telemedicine coverage has already been established. To date, 11 % of all hospitals are supported by a telemedicine center. The beneficial impact in terms of quality of care, patient safety and economic factors has been confirmed in numerous multicenter studies. ⋯ Previous data demonstrated that telemedical support can improve the outcome in critically ill patients, both during hospitalization as well as in the long-term result until the discharge home. Telemedicine is neither a magic bullet nor a replacement for a physician. Instead it is a new type of medical cooperation to further improve the outcomes of critically ill patients.
-
Med Klin Intensivmed Notfmed · Sep 2016
Comment Review Meta Analysis[Early goal-directed therapy for septic shock : Systematic review and meta-analysis].