Short Communication - Journal of Intensive and Critical Care Nursing (2022) Volume 5, Issue 3
A new technology Intensive Care Unit telemedicine (tele-ICU) enabled care delivered from off-site locations by intensivists.Caroline Beagleh S*
Department of Nursing, University of Sydney, Sydney, New South Wales, Australia
- *Corresponding Author:
- Caroline Beagleh S
Department of Nursing
University of Sydney, Sydney
New South Wales, Australia
E-mail: [email protected]
Received: 08-Jun-2022, Manuscript No. AAICCN-22-67529; Editor assigned: 09-Jun-2022, PreQC No. AAICCN-22-67529(PQ); Reviewed: 23 -Jun-2022, QC No AAICCN-22-67529; Revised: 27-Jun-2022, Manuscript No. AAICCN-22-67529(R); Published: 29-Jun-2022, DOI:10.35841/aaiccn-5.3.114
Citation: Beagleh CS. A new technology Intensive Care Unit telemedicine (tele-ICU) enabled care delivered from off-site locations by intensivists. J Intensive Crit Care Nurs. 2022;5(3):114
Intensive Care Unit (ICU) Telemedicine ICU (tele-ICU) is technology-enabled treatment offered from off-site locations that was created to meet rising patient complexity and a shortage of intensivists. Although tele-ICU deployment is growing, it still only serves a tiny percentage of ICU patients. Remote provision of healthcare services, such as exams and consultations, over telecommunications infrastructure. Telemedicine is divided into three categories: teleconsultation, telementoring, and telemonitoring. This is one of the most well-known subsets of telemedicine. It essentially refers to the online consultation between the doctor and the patient.
Intensive Care Unit, Telemedicine, tele-ICU, Teleconsultation, Telementoring, Telemonitoring.
Tele-ICU uses a number of Information Technology (IT) technologies to increase access to high-quality critical care. Recent developments in computers and telecommunications have resulted in the widespread expansion of telemedicine programmes. This analysis focuses on the fundamental concepts of delivery models, technological requirements, cybersecurity, health IT standards, and interoperability for a Tele-ICU system. This will allow for a clearer characterization of Tele-ICU systems and the development of effective programmes .
This technology permitted treatment to be given from offsite locations, which was created in response to the rising complexity of patients and a shortage of intensivists. Although tele-ICU deployment is growing, it still only serves a tiny percentage of ICU patients. This is mostly due to financial constraints, with first-year expenditures surpassing per bed. Outcomes meta-analyses show survival advantages and quality improvements, but with substantial variability. A broad range of projected additional cost-effectiveness ratios reflects varying impacts on cost and outcomes, such as mortality or length of stay, depending on the situation. Tele-ICUs may complement high-intensity ICU staff coverage in a hybrid paradigm of care. More research, however, is needed to build consensus and define optimal practises. This review includes data on the organisation, operations, results, and costs of tele-ICUs. Meta-analyses were used to extract evidence, plus secondary data tele-ICU experience .
Tele-ICU is critical care offered by off-site physicians using voice, video, and electronic linkages to harness technological, informational, and clinical resources for critically ill patients. The ability to detect a patient's instability or laboratory abnormalities in real time, collect additional clinical information from or about the patient, order diagnostic testing, make diagnoses, implement treatment, render other forms of intensive care such as managing life-support devices, and communicate with patients and bedside providers are all part of providing care. This study describes how tele-ICU services are offered; alternative methodologies employed, and published findings on its influence on patient-focused outcomes. Tele-ICU is regarded to hold a lot of potential for helping severely ill individuals .
Tele-ICU is the utilisation of an off-site command centre in which a critical care team communicates with patients in distant ICUs by real-time audio, visual, and technological methods. The purpose of this study is to analyse the current literature on the usefulness and cost-effectiveness of tele-ICU applications, as well as to investigate potential impediments to widespread implementation. While the studies provided derive cost inferences based on mortality and duration of stay, real costs were not published. Another issue with the research is the absence of uniform assessment, reporting, and patient severity adjustment. Tele-ICU appears to be a potential route based on the evidence provided .
The tele-ICU is intended to supplement, rather than replace, the requirement for bedside clinical knowledge in the diagnosis, treatment, and assessment of a variety of severe conditions. Tele-ICUs are generally decentralised or centralised schemes with varying benefits and drawbacks. The centralised paradigm has enough published evidence to be related with reduced mortality and ICU length of stay while being costeffective. Greater clinical outcomes are connected with factors such as improved compliance with best practises, offering offhours implementation of the bedside physician's care plan, and identifying and responding quickly to physiological instability. With better communication and more regular patient reviews between the tele-ICU and the bedside physicians, the bedside clinician can deliver care that only they can give. Although technology is evolving at a rapid rate, it is unlikely to enhance clinical results on its own. We will be able to convert realtime or near-real-time data into complicated and powerful prediction algorithms thanks to advances in technology. To create higher savings and increase patient safety, remote and bedside teams must collaborate to establish care systems that effectively monitor, prioritise, standardise, and accelerate treatment .
Tele-ICU deployment was related with a decrease in total ICU mortality. According to subgroup analysis, publications with observed to projected ICU mortality ratios larger than 1 before to tele-ICU adoption were related with a reduction in ICU mortality after tele-ICU installation. There was no significant reduction in ICU mortality in the subgroup of observed to projected ICU mortality ratios smaller than one prior to tele- ICU introduction. Future research should use patient-level data to corroborate this conclusion.
- Herasevich V, Subramanian S. Tele-ICU Technologies. Crit Care Clin. 2019;35(3):427-38.
- Udeh C, Udeh B, Rahman N, et al. Telemedicine/Virtual ICU: Where are we and where are we going?. Methodist Debakey Cardiovasc J. 2018;14(2):126-33.
- Lilly CM, Thomas EJ. Tele-ICU: experience to date. J Intensive Care Med. 2010;25(1):16-22.
- Kumar S, Merchant S, Reynolds R. Tele-ICU: efficacy and cost-effectiveness of remotely managing critical care. Intensive Care Med. 2020;46(1):10-67.
- Hassan E. Tele-ICU and patient safety considerations. Crit Care Nurs Q. 2018;41(1):47-59.