Remote care by telemedicine in the ICU: Many models of care can be effective

Boots, Robert James, Singh, Sunil, Terblanche, Morne, Widdicombe, Neil and Lipman, Jeffery (2011) Remote care by telemedicine in the ICU: Many models of care can be effective. Current Opinion in Critical Care, 17 6: 634-640. doi:10.1097/MCC.0b013e32834a789a

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Author Boots, Robert James
Singh, Sunil
Terblanche, Morne
Widdicombe, Neil
Lipman, Jeffery
Title Remote care by telemedicine in the ICU: Many models of care can be effective
Journal name Current Opinion in Critical Care   Check publisher's open access policy
ISSN 1070-5295
1531-7072
Publication date 2011-12
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1097/MCC.0b013e32834a789a
Volume 17
Issue 6
Start page 634
End page 640
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2012
Language eng
Formatted abstract
Purpose of review: Telemedicine, by the use of audiovisual technologies, is increasingly being used to assist in patient care by ICUs unable to be staffed by consultant intensivists. This review discusses the recent evaluation of these services and their potential role in managing intensive care patients.
Recent findings: Models of care range from complete remote 24 h surveillance requiring direct video observation to a consultation liaison service only requiring conventional telephone links. There has been a rapid adoption of such services especially in North America where access to on-site intensive care specialists is limited for the volume of intensive care being undertaken. Early work suggests savings in terms of cost and length of stay with an improvement in compliance with care protocols. However, later work is not as supportive of such services, possibly related to differing care infrastructures and the organization of individual units. The key task is to ascertain the most appropriate service requirements that would assist in care for a given patient circumstance.
Summary: Clear benefits of ICU-telemedicine systems remain unclear but at least the systems appear safe. Formal reviews of the impacts and contribution of ICU telemedicine to processes of care, the effects on unit staffing, hospital organization, and the healthcare region are needed. However, ICU-telemedicine is available and being embraced by some, especially to deal with the tyranny of distance.
Keyword Critical care
Intensive care unit
Telemedicine
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Sun, 27 Nov 2011, 06:48:55 EST by System User on behalf of Anaesthesiology and Critical Care - RBWH