Telemedicine in the ICU: clinical outcomes, economic aspects, and trainee education

Current Opinion in Anaesthesiology
Christian BeckerCorey Scurlock

Abstract

The evidence base for telemedicine in the ICU (tele-ICU) is rapidly expanding. The last 2 years have seen important additions to our understanding of when, where, and how telemedicine in the ICU adds value. Recent publications and a recent meta-analysis confirm that tele-ICU improves core clinical outcomes for ICU patients. Recent evidence further demonstrates that comprehensive tele-ICU programs have the potential to quickly recuperate their implementation and operational costs and significantly increase case volumes and direct contribution margins particularly if additional logistics and care standardization functions are embedded to optimize ICU bed utilization and reduce complications. Even though the adoption of tele-ICU is increasing and the vast majority of today's medical graduates will regularly use some form of telemedicine and/or tele-ICU, telemedicine modules have not consistently found their way into educational curricula yet. Tele-ICU can be used very effectively to standardize supervision of medical trainees in bedside procedures or point-of-care ultrasound exams, especially during off-hours. Lastly, tele-ICUs routinely generate rich operational data, as well as risk-adjusted acuity and outcome data across the sp...Continue Reading

References

Dec 15, 2010·The New England Journal of Medicine·Michael E Porter
Mar 30, 2011·Archives of Internal Medicine·Lance Brendan YoungPeter M Cram
Jul 20, 2012·Critical Care : the Official Journal of the Critical Care Forum·M Elizabeth Wilcox, Neill K J Adhikari
Dec 26, 2015·Current Opinion in Anaesthesiology·Richard C Prielipp, Neal H Cohen
Jan 8, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Peter A PappasScott Gettings
Jan 15, 2016·Medical Care·Jeremy M KahnDerek C Angus
Jan 16, 2016·Critical Care Medicine·Michael Ries
Feb 3, 2016·Chest·Janna S LandspergerArthur P Wheeler
Apr 7, 2016·Chest·Helen A HawkinsHargobind Khurana
Jul 2, 2016·Journal of Telemedicine and Telecare·Tara Ann CollinsBenjamin A Kohl
Jul 15, 2016·The New England Journal of Medicine·E Ray Dorsey, Eric J Topol
Sep 1, 2016·The American Journal of Medicine·Christian BeckerCorey Scurlock
Oct 6, 2016·Intensive Care Medicine·Jean-Louis VincentLuciano Gattinoni
Dec 10, 2016·Chest·Craig M LillyUNKNOWN UMass Memorial Critical Care Operations Group
Jan 19, 2017·Critical Care Medicine·Timothy G BuchmanSara R Gregg
Feb 16, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Mark E BarryJose L Pascual
Mar 3, 2017·The American Journal of Medicine·Christian BeckerCorey Scurlock
Apr 6, 2017·Cardiology in Review·Christian BeckerCorey Scurlock
Apr 12, 2017·Critical Care : the Official Journal of the Critical Care Forum·Jean-Louis Vincent, Jacques Creteur
May 10, 2017·Critical Care Medicine·Jasleen PannuSean M Caples
Jun 18, 2017·Critical Care Medicine·Craig M Lilly, Christine A Motzkus
Jul 1, 2017·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Byung-Kwang YooJames P Marcin
Jul 15, 2017·Critical Care Medicine·Patrick D Tyler, Leo Anthony Celi
Sep 16, 2017·Anaesthesia and Intensive Care·O M PanlaquiS Kennedy
Sep 21, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Mahmoud NadarClaude Sicotte

❮ Previous
Next ❯

Citations

Jun 20, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Xi ZhuMarcia M Ward
Aug 7, 2020·Clinics·Carlos Roberto Ribeiro CarvalhoFabio Biscegli Jatene
Jan 21, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Chiedozie UdehChristina Canfield
Oct 29, 2020·Medizinische Klinik, Intensivmedizin und Notfallmedizin·P La RoséeS Russo
Mar 10, 2021·Lung India : Official Organ of Indian Chest Society·Karthikeyan P IyengarPranav Ish
May 29, 2021·PloS One·Maria Eulália Vinadé ChagasFelipe Cezar Cabral

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Stacie Deslich, Alberto Coustasse
Chest
Craig M LillyUMass Memorial Critical Care Operations Group
© 2022 Meta ULC. All rights reserved