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Value of the TTM risk score for early prognostication of comatose patients after out-of-hospital cardiac arrest in a Swiss university hospital

Original article
Kägi E, Weck A, Iten M, Levis A, Haenggi M
Swiss Med Wkly. 2020;150:w20344

Since the TTM followed strict inclusion and exclusion criteria, the validity in a general ICU population of cardiac arrest patients is unknown. With this study, the authors aimed to confirm and assess the usefulness in a Swiss population suffering from out-of-hospital cardiac arrest outside a clinical trial.

Adequacy of stress ulcer prophylaxis prescription in the intensive care unit: an observational study

Original article
Franchitti M, Piubellini J, Sadeghipour F, Eckert P, Voirol P, Schneider AG
Swiss Med Wkly. 2020;150:w20322

The adequacy of stress ulcer prophylaxis in the ICU is low. In addition, the prescription is frequently continued after ICU and many patients are even discharged home with inadequate acid-suppressive therapy.

Good rules for ICU admission allow a fair allocation of resources, even in a pandemic

Viewpoint
Suter P
Swiss Med Wkly. 2020;150:w20230

A set of guidelines concerning ethical, medical and social aspects of triage decisions, as well as of other related problems of the COVID-19 pandemic: In all cases, decisions must be based on sound, transparent and understandable rules.

COVID-19 pandemic: triage for intensive-care treatment under resource scarcity

Special article
Swiss Academy of Medical Sciences
Swiss Med Wkly. 2020;150:w20229

If insufficient resources are available, rationing decisions will become necessary, placing considerable burdens on medical staff. This makes it all the more important that uniform criteria for ICU admission and continued occupancy should be applied throughout Switzerland.

Recommendations for the admission of patients with COVID-19 to intensive care and intermediate care units (ICUs and IMCUs)

Special article
Swiss Society of Intensive Care Medicine
Swiss Med Wkly. 2020;150:w20227

The Swiss Society of Intensive Care Medicine (SSIM) has elaborated detailed and coherent guidelines defining the criteria for admission to the ICU in situations of bed shortage.

Implementation of a multiprofessional, multicomponent delirium management guideline in two intensive care units, and its effect on patient outcomes and nurse workload: a pre-post design retrospective cohort study

Original article
Schubert M, Bettex D, Steiger P, Schürch R, Haller A, Bogdanovic J, Garcia Nuñez D, Schwarz U, Siegemund M
Swiss Med Wkly. 2020;150:w20185

Delirium is a frequent intensive care unit (ICU) complication, affecting 26% to 80% of ICU patients, often with serious consequences. For appropriate delirium management, early identification of relevant risk factors is crucial.

Development and validation of a multivariable risk score for prolonged length of stay in the surgical intensive care unit

Original article
Wesch C, Denhaerynck K, Barandun Schaefer U, Siegemund M, Wehrli M, Pargger H, Look S
Swiss Med Wkly. 2019;149:w20122

Chronically critical illness (CCI) is highly relevant in intensive care units (ICUs), but the definitions in literature vary greatly. The timely detection of prolonged intensive care unit length of stay could support care planning for CCI patients.

Outcome after out-of-hospital ventricular fibrillation or pulseless ventricular tachycardia: comparison of before and after the implementation of the 2010 Guidelines in a single centre

Original article
von Hösslin T, Imboden P, Kaufmann C, Schnider T, Filipovic M
Swiss Med Wkly. 2019;149:w20101

Improvements to guidelines and efforts to train and equip laypersons and medical professionals are expected to result in improvements in the outcomes of patients experiencing out-of-hospital cardiac arrest.

Outcome of inter-hospital transfer of patients on extracorporeal membrane oxygenation in Switzerland

Original article
Wilhelm MJ, Inderbitzin DT, Reser D, Halbe M, Van Tillburg K, Albrecht R, Müller SM, Wenger U, Maggiorini M, Rudiger A, Bettex D, Schüpbach R, Weber A, Benussi S, Von Segesser LK, Flammer AJ, Maisano F, Ruschitzka F
Swiss Med Wkly. 2019;149:w20054

This study reports the results of the largest ECMO transportation programme in Switzerland and describes its feasibility and safety.

The value of volume substitution in patients with septic and haemorrhagic shock with respect to the microcirculation

Review article: Biomedical intelligence
Siegemund M, Hollinger A, Gebhard EC, Scheuzger JD, Bolliger D
Swiss Med Wkly. 2019;149:w20007

This review article discusses commonly used resuscitation fluids, presents the scientific evidence related to volume resuscitation in septic and haemorrhagic shock and classifies the findings with respect to impact on the microcirculation.

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