Tele-Critical Care: An Update From the Society of Critical Care Medicine Tele-ICU Committee.

Autor: Subramanian S; Division of Critical Care Medicine, Department Anesthesiology, Washington University in St. Louis, St. Louis, MO., Pamplin JC; Telemedicine and Advanced Technology Research Center, Ft. Detrick, MD.; Uniformed Services University, Bethesda, MD., Hravnak M; Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA., Hielsberg C; Society of Critical Care Medicine, Mount Prospect, IL., Riker R; Pulmonary Disease, Maine Health, Portland, ME., Rincon F; Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA., Laudanski K; Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA.; Leonard Davis Institute for Healthcare Economics, University of Pennsylvania, Philadelphia, PA., Adzhigirey LA; CHI Franciscan Health, Tacoma, WA., Moughrabieh MA; Department of Pulmonary and Critical Care, Wayne State University, Detroit, MI., Winterbottom FA; Advanced Practice Provider, Pulmonary Critical Care Evidence-Based Practice Facilitator, The Center for EBP and Nursing Research Ochsner Health System, New Orleans, LA., Herasevich V; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Jazyk: angličtina
Zdroj: Critical care medicine [Crit Care Med] 2020 Apr; Vol. 48 (4), pp. 553-561.
DOI: 10.1097/CCM.0000000000004190
Abstrakt: Objectives: In 2014, the Tele-ICU Committee of the Society of Critical Care Medicine published an article regarding the state of ICU telemedicine, one better defined today as tele-critical care. Given the rapid evolution in the field, the authors now provide an updated review.
Data Sources and Study Selection: We searched PubMed and OVID for peer-reviewed literature published between 2010 and 2018 related to significant developments in tele-critical care, including its prevalence, function, activity, and technologies. Search terms included electronic ICU, tele-ICU, critical care telemedicine, and ICU telemedicine with appropriate descriptors relevant to each sub-section. Additionally, information from surveys done by the Society of Critical Care Medicine was included given the relevance to the discussion and was referenced accordingly.
Data Extraction and Data Synthesis: Tele-critical care continues to evolve in multiple domains, including organizational structure, technologies, expanded-use case scenarios, and novel applications. Insights have been gained in economic impact and human and organizational factors affecting tele-critical care delivery. Legislation and credentialing continue to significantly influence the pace of tele-critical care growth and adoption.
Conclusions: Tele-critical care is an established mechanism to leverage critical care expertise to ICUs and beyond, but systematic research comparing different models, approaches, and technologies is still needed.
Databáze: MEDLINE