Abstract
Medical technology permits a more precise and timely diagnosis and treatment than when the modern era of intensive care began medical technologies have now expanded beyond the equipment. Some technologies broaden medical knowledge, improve clinical performance, and lead to the further development of relevant technologies. And the introduction of digital technology has opened up new horizons in clinical practice. Tele-ICU systems could be an alternative mechanism for physicians to manage a larger number of critical care patients and to enable 24 h, 7 day ICU coverage. Plus digital technology could be used as a communication facilitator between care providers and patient’s family. In contrast, the latest medical technologies are frequently expensive, and the clinical outcomes do not always justify the expense. Another concern is that a high dependence on technology will lead to deterioration in clinical reasoning abilities and the skill levels of critical care trainees. To overcome such concerns, the most desirable advances in medical technology would be to simplify complex procedures and make them less error prone. medical technology also has to be further focused on reducing the cost of public health and improving ICU care quality. To achieve these goals, physicians should enter into effective partnerships with the technology developers, who are often not familiar with the requirements of an ICU. In addition, all of these processes should be performed in ethical ways to avoid undesirable conflicts of interest.
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The Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301–1308
Ferguson ND, Cook DJ, Guyatt GH et al (2013) High-frequency oscillation in early acute respiratory distress syndrome. N Engl J Med 368:795–805
Peek GJ, Mugford M, Tiruvoipati R et al (2009) Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 374:1351–1363
Amarasingham R, Plantinga L, Diener-West M, Gaskin DJ, Powe NR (2009) Clinical information technologies and inpatient outcomes: a multiple hospital study. Arch Intern Med 169:108–114
Young LB, Chan PS, Cram P (2011) Staff acceptance of tele-ICU coverage: a systematic review. Chest 139:279–288
Hewson-Conroy KM, Tierney LT, Burrell AR (2012) Assessment and perceptions of intensive care data quality, reporting and use: a survey of ICU directors. Anaesth Intensive Care 40:675–682
Hadian M, Kim HK, Severyn DA, Pinsky MR (2010) Cross-comparison of cardiac output trending accuracy of LiDCO, PiCCO, FloTrac and pulmonary artery catheters. Crit Care 14:R212
McGrath M (2008) The challenges of caring in a technological environment: critical care nurses’ experiences. J Clin Nurs 17:1096–1104
Thornton JD, Schold JD, Venkateshaiah L, Lander B (2013) Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med 41:382–388
Ferrer R, Artigas A, Levy MM et al (2008) Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain. JAMA 299:2294–2303
Young MP, Manning HL, Wilson DL et al (2004) Ventilation of patients with acute lung injury and acute respiratory distress syndrome: has new evidence changed clinical practice? Crit Care Med 32:1260–1265
Phua J, Koh Y, Du B et al (2011) Management of severe sepsis in patients admitted to Asian intensive care units: prospective cohort study. BMJ 342:d3245
Leone M, Ragonnet B, Alonso S et al (2012) Variable compliance with clinical practice guidelines identified in a 1-day audit at 66 French adult intensive care units. Crit Care Med 40:3189–3195
Young LB, Chan PS, Lu X, Nallamothu BK et al (2011) Impact of telemedicine intensive care unit coverage on patient outcomes: a systematic review and meta-analysis. Arch Intern Med 171:498–506
Dechert TA, Sarani B, McMaster M et al (2013) Medical emergency team response for the non-hospitalized patient. Resuscitation 84:276–279
Offner PJ, Heit J, Roberts R (2007) Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma 62:1223–1227; discussion 1227–1228
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Koh, Y. (2014). Combining Clinical Practices and Technology in Critical Care Medicine. In: Gullo, A. (eds) Anaesthesia, Pharmacology, Intensive Care and Emergency A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-5516-2_1
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DOI: https://doi.org/10.1007/978-88-470-5516-2_1
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