Critical care staffing ratio and outcome of COVID-19 patients requiring intensive care unit admission during the first pandemic wave: a retrospective analysis across Switzerland from the RISC-19-ICU observational cohort.

Study Aim: The surge of admissions due to severe COVID-19 increased the patients-to-critical care staffing ratio within the ICUs. We investigated whether the daily level of staffing was associated with an increased risk of ICU mortality (primary endpoint), length of stay (LOS), mechanical ventilation and the evolution of disease (secondary endpoints).

Methods: We employed a retrospective multicentre analysis of the international Risk Stratification in COVID-19 patients in the ICU (RISC-19-ICU) registry, limited to the period between March 1 and May 31, 2020, and to Switzerland.

Early mobilisation and rehabilitation in Swiss intensive care units: a cross-sectional survey.

Background: Patients in intensive care units (ICUs) are at high risk of developing physical, functional, cognitive, and mental impairments. Early mobilisation aims to improve patient outcomes and is increasingly considered the standard of care. This survey aimed to investigate the characteristics, current use and variations of early mobilisation and rehabilitation in Swiss ICUs.

[Smarter Intensive Care Medicine: Choosing Wisely®, less is more, appropriate is better … and so what? The current situation in the Swiss intensive care medicine!].

Smarter Intensive Care Medicine: Choosing Wisely®, less is more, appropriate is better … and so what? The current situation in the Swiss intensive care medicine! The top 9 list of the Swiss Society for Intensive Care Medicine (SSICM) was published in 2017. What is the status of this initiative in terms of its implementation in Swiss intensive care units, its impact on patient care and on the costs of intensive care medicine? What developments in the published evidence justify updating the list and what measures are needed to continue this initiative in the coming years? This article provides an up-to-date overview of the SSICM's Choosing Wisely® initiative.

Implications of early respiratory support strategies on disease progression in critical COVID-19: a matched subanalysis of the prospective RISC-19-ICU cohort.

Background: Uncertainty about the optimal respiratory support strategies in critically ill COVID-19 patients is widespread. While the risks and benefits of noninvasive techniques versus early invasive mechanical ventilation (IMV) are intensely debated, actual evidence is lacking. We sought to assess the risks and benefits of different respiratory support strategies, employed in intensive care units during the first months of the COVID-19 pandemic on intubation and intensive care unit (ICU) mortality rates.

Effect of oral β-blocker on short and long-term mortality in patients with acute respiratory failure: results from the BASEL-II-ICU study.

Introduction: Acute respiratory failure (ARF) is responsible for about one-third of intensive care unit (ICU) admissions and is associated with adverse outcomes. Predictors of short- and long-term outcomes in unselected ICU-patients with ARF are ill-defined. The purpose of this analysis was to determine predictors of in-hospital and one-year mortality and assess the effects of oral beta-blockers in unselected ICU patients with ARF included in the BASEL-II-ICU study.

Use of B-type natriuretic peptide in the management of hypoxaemic respiratory failure.

Aims: Evaluation and management of patients with hypoxaemic respiratory failure in the intensive care unit (ICU) are difficult. The use of B-type natriuretic peptide (BNP), a quantitative marker of cardiac stress and heart failure (HF), may be helpful. The purpose of this study is to describe the prevalence of causative disorders of hypoxaemic respiratory failure in the ICU and to determine the impact of a BNP-guided diagnostic strategy.

Endotoxin concentration in modern animal houses in southern Bavaria.

Agricultural work, particularly livestock farming, is considered to be a notable risk factor for occupational diseases. Endotoxin as a major component of organic dust causes adverse health effects of the airways among farmers. Endotoxin concentrations in airborne and settled dust were measured in modern, naturally ventilated animal houses for different species.