When Will Telemedicine Appear in the ICU?

Journal of Intensive Care Medicine
Mark V Avdalovic, James P Marcin

Abstract

As our population ages and the demand for high-level intensive care unit (ICU) services increase, the ICU physician supply continues to lag. In addition, hospitals, physician groups, and patients are demanding rapid access for the highest level of expertise in the care of critically ill patients. Telemedicine in the ICU combined with remote patient monitoring has been increasingly touted as a model of care to increase efficiencies and quality of care. Telemedicine in the ICU provides the potential to connect critically ill patients to sophisticated specialty care on a 24/7 basis, even for those hospitalized in rural locations where access to timely specialty consultations are uncommon. Research on the use of telemedicine in the ICU has suggested improved outcomes, such as reductions in mortality, reductions in length of stay, and greater adherence to evidence-based guidelines. Although the clinical footprint of telemedicine in ICU has grown over the past 20 years, there has been a relative slowing of implementation. This review examines the clinical evidence supporting the use of telemedicine in the ICU and discusses the impact on clinical efficacy and costs of care. Additionally, we review the current hurdles to more rapid ado...Continue Reading

References

Apr 30, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·James P MarcinRobert J Dimand
Sep 26, 2006·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Kristi Henderson
Sep 4, 2007·Annals of Emergency Medicine·Robert GalliKristi Henderson
Apr 2, 2008·Critical Care Medicine·Kenneth Krell
May 18, 2011·JAMA : the Journal of the American Medical Association·Craig M LillyUNKNOWN University of Massachusetts Memorial Critical Care Operations Group
Jul 18, 2012·Journal of Telemedicine and Telecare·Benjamin A KohlE Andrew Ochroch
Jul 20, 2012·Critical Care : the Official Journal of the Critical Care Forum·M Elizabeth Wilcox, Neill K J Adhikari
Aug 3, 2013·Journal of Critical Care·Jane MoeckliHeather Schacht Reisinger
Aug 8, 2013·Critical Care Medicine·Madan DharmarJames P Marcin
Oct 23, 2013·Critical Care Medicine·Jeremy M KahnTheodore J Iwashyna
Nov 28, 2013·Pediatrics·Madan DharmarJames P Marcin
Dec 7, 2013·Chest·Craig M LillyUNKNOWN UMass Memorial Critical Care Operations Group
Aug 1, 2014·Critical Care Medicine·Craig M LillyUNKNOWN Society of Critical Care Medicine Tele-ICU Committee
Aug 27, 2014·Journal of the American College of Surgeons·Spyridon FortisGreg Beilman
Sep 11, 2014·Journal of Critical Care·Manuel Lois
Jan 22, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Nikki H YangJames P Marcin
Mar 31, 2015·Critical Care Clinics·Corey Scurlock, Carolyn D'Ambrosio
Mar 31, 2015·Critical Care Clinics·Kate E KleinJennifer A Frontera
Aug 26, 2015·Clinics in Chest Medicine·Steven A Fuhrman, Craig M Lilly
Nov 6, 2015·Critical Care Medicine·Byung-Kwang YooJames P Marcin
Jan 15, 2016·Medical Care·Jeremy M KahnDerek C Angus
Apr 7, 2016·Chest·Helen A HawkinsHargobind Khurana
Apr 22, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Parul DayalJames P Marcin
Jul 2, 2016·Journal of Telemedicine and Telecare·Tara Ann CollinsBenjamin A Kohl
Jul 2, 2016·American Journal of Respiratory and Critical Care Medicine·Marc MossCurtis N Sessler
Aug 11, 2016·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Theresa M DavisJordana Bernard
Sep 1, 2016·The American Journal of Medicine·Christian BeckerCorey Scurlock
Sep 3, 2016·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Michael S WilkesSherilyn Pruitt
Dec 10, 2016·Chest·Craig M LillyUNKNOWN UMass Memorial Critical Care Operations Group
Jul 1, 2017·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Byung-Kwang YooJames P Marcin

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Citations

Aug 19, 2020·Journal of Medical Internet Research·Ashwin RamaswamyJim C Hu
Feb 9, 2021·JMIR Pediatrics and Parenting·Aashaka C Shah, Sherif M Badawy
May 20, 2021·Seminars in Perinatology·Jawahar Jagarapu, Rashmin C Savani

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