Publications by authors named "J Kesecioglu"

The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented.

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Purpose: During the initial phase of the pandemic, healthcare professionals faced difficulties due to the limited availability of comprehensive learning resources on managing patients affected with coronavirus disease 2019 (COVID-19). The COVID-19 Skills Preparation Course (C19_SPACE) was tailored to meet the overwhelming demand for specialized training. The primary objective of this study was to assess the efficacy and impact of this program on enhancing clinical knowledge and to identify factors affecting this improvement.

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Background: Early mobilisation (EM) is an intervention that may improve the outcome of critically ill patients. There is limited data on EM in COVID-19 patients and its use during the first pandemic wave.

Methods: This is a pre-planned subanalysis of the ESICM UNITE-COVID, an international multicenter observational study involving critically ill COVID-19 patients in the ICU between February 15th and May 15th, 2020.

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Article Synopsis
  • The guidelines aim to update the 2017 clinical practice guideline (CPG) from the European Society of Intensive Care Medicine (ESICM), focusing on adult patients with acute respiratory distress syndrome (ARDS), including cases related to COVID-19.
  • An international panel of clinical experts collaborated to create these guidelines, using established methods like the PRISMA statement for systematic reviews and the GRADE approach for assessing evidence quality and making recommendations.
  • The CPG responds to 21 specific questions and offers recommendations across several areas, such as respiratory support strategies (like high-flow nasal cannula and non-invasive ventilation) and includes expert opinions on clinical practices and future research directions.
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