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  1. Article ; Online: Banishing Burnout in Your ICU: Think Team.

    Lilly, Craig M / Sessler, Curtis N

    Chest

    2022  Volume 161, Issue 5, Page(s) 1132–1133

    MeSH term(s) Burnout, Professional/prevention & control ; Burnout, Psychological ; Humans ; Intensive Care Units
    Language English
    Publishing date 2022-05-05
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2022.01.008
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  2. Article ; Online: Intensivist Burnout: Running on Empty?

    Sessler, Curtis N

    Chest

    2019  Volume 156, Issue 5, Page(s) 817–819

    MeSH term(s) Burnout, Professional ; Burnout, Psychological ; Humans ; Personnel Staffing and Scheduling ; Workload
    Language English
    Publishing date 2019-11-07
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2019.08.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Supporting Professionals in Critical Care Medicine: Burnout, Resiliency, and System-Level Change.

    Niven, Alexander S / Sessler, Curtis N

    Clinics in chest medicine

    2022  Volume 43, Issue 3, Page(s) 563–577

    Abstract: Burnout is occurring in epidemic proportions among intensive care unit physicians and other health-care professionals-accelerated by pandemic-driven stress. The impact of burnout is far-reaching, threatening the health of individual workers, the safety ... ...

    Abstract Burnout is occurring in epidemic proportions among intensive care unit physicians and other health-care professionals-accelerated by pandemic-driven stress. The impact of burnout is far-reaching, threatening the health of individual workers, the safety and quality of care our patients receive, and eroding the infrastructure of health care in general. Drivers of burnout include excessive quantity of work (nights, weekends, and acuity surges); excessive menial tasks; incivility, poor communication, and challenges to team success; and frequent moral distress and end-of-life issues. This article provides system-based practice and individual strategies to address these drivers and improve the well-being of our team and our patients.
    MeSH term(s) Burnout, Professional/epidemiology ; Critical Care ; Health Personnel ; Humans ; Intensive Care Units ; Physicians
    Language English
    Publishing date 2022-05-13
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 447455-7
    ISSN 1557-8216 ; 0272-5231
    ISSN (online) 1557-8216
    ISSN 0272-5231
    DOI 10.1016/j.ccm.2022.05.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Evolution of ICU design: smarter is better.

    Sessler, Curtis N

    Chest

    2014  Volume 145, Issue 2, Page(s) 205–206

    MeSH term(s) Hospital Design and Construction/trends ; Humans ; Intensive Care Units/trends
    Language English
    Publishing date 2014-02
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.13-2746
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Rebuttal from Dr Sessler.

    Sessler, Curtis N

    Chest

    2013  Volume 144, Issue 5, Page(s) 1446–1447

    MeSH term(s) Animals ; Humans ; Muscle Relaxants, Central/therapeutic use ; Neuromuscular Blockade/methods ; Respiration, Artificial/methods ; Respiratory Distress Syndrome, Adult/therapy
    Chemical Substances Muscle Relaxants, Central
    Language English
    Publishing date 2013-11
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.13-1463
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  6. Article ; Online: Counterpoint: Should paralytic agents be routinely used in severe ARDS? No.

    Sessler, Curtis N

    Chest

    2013  Volume 144, Issue 5, Page(s) 1442–1445

    MeSH term(s) Animals ; Humans ; Muscle Relaxants, Central/therapeutic use ; Neuromuscular Blockade/methods ; Respiration, Artificial/methods ; Respiratory Distress Syndrome, Adult/therapy
    Chemical Substances Muscle Relaxants, Central
    Language English
    Publishing date 2013-11
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.13-1462
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Patients Who Decompensate and Trigger Rapid Response Immediately Upon Hospital Admission Have Higher Mortality Than Equivalent Patients Without Rapid Responses.

    Lykins V, Joseph D / Freedman, Matthew T / Zemore, Zachary / Sedhai, Yub Raj / Lubin, Shannon / Sessler, Curtis N / Hogan, Christopher / Kashiouris, Markos G

    Journal of patient safety

    2023  Volume 19, Issue 5, Page(s) 300–304

    Abstract: Background: Rapid response teams (RRTs) have impacted the management of decompensating patients, potentially improving mortality. Few studies address the significance of RRT timing relative to hospital admission. We aimed to identify outcomes of adult ... ...

    Abstract Background: Rapid response teams (RRTs) have impacted the management of decompensating patients, potentially improving mortality. Few studies address the significance of RRT timing relative to hospital admission. We aimed to identify outcomes of adult patients who trigger immediate RRT activation, defined as within 4 hours of admission and compare with RRT later in admission or do not require RRT activation, and identify risk factors that predispose toward immediate RRT activation.
    Methods: A retrospective case-control study was performed using an RRT activation database, comprising 201,783 adult inpatients at an urban, academic, tertiary care hospital. This group was subdivided by timing of RRT activation regarding admission: within the first 4 hours (immediate RRT), between 4 and 24 hours (early RRT), and after 24 hours (late RRT). The primary outcome was 28-day all-cause mortality. Individuals triggering an immediate RRT were compared with demographically matched controls. Mortality was adjusted for age, Quick Systemic Organ Failure Assessment score, intensive care unit admission, and Elixhauser Comorbidity Index.
    Results: Patients with immediate RRT had adjusted 28-day all-cause mortality of 7.1% (95% confidence interval [CI], 5.6%-8.5%) and death odds ratio of 3.27 (95% CI, 2.5-4.3) compared with those who did not (mortality, 2.9%; 95%CI, 2.8%-2.9%; P < 0.0001). Patients triggering an immediate RRT were more likely to be Black, be older, and have higher Quick Systemic Organ Failure Assessment scores than those who did not trigger RRT activation.
    Conclusions: In this cohort, patients who require immediate RRT experienced higher 28-day all-cause mortality, potentially because of evolving or unrecognized critical illness. Further exploring this phenomenon may create opportunities for improved patient safety.
    MeSH term(s) Adult ; Humans ; Retrospective Studies ; Case-Control Studies ; Hospitalization ; Risk Factors ; Hospital Rapid Response Team ; Hospitals ; Hospital Mortality
    Language English
    Publishing date 2023-06-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2394324-5
    ISSN 1549-8425 ; 1549-8417
    ISSN (online) 1549-8425
    ISSN 1549-8417
    DOI 10.1097/PTS.0000000000001139
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  8. Article ; Online: COVID-19: Lessons Learned, Lessons Unlearned, Lessons for the Future.

    Hollenberg, Steven M / Janz, David R / Hua, May / Malesker, Mark / Qadir, Nida / Rochwerg, Bram / Sessler, Curtis N / Tatem, Geneva / Rice, Todd W

    Chest

    2022  Volume 162, Issue 6, Page(s) 1297–1305

    Abstract: The COVID-19 pandemic has affected clinicians in many different ways. Clinicians have their own experiences and lessons that they have learned from their work in the pandemic. This article outlines a few lessons learned from the eyes of CHEST Critical ... ...

    Abstract The COVID-19 pandemic has affected clinicians in many different ways. Clinicians have their own experiences and lessons that they have learned from their work in the pandemic. This article outlines a few lessons learned from the eyes of CHEST Critical Care Editorial Board members, namely practices which will be abandoned, novel practices to be adopted moving forward, and proposed changes to the health care system in general. In an attempt to start the discussion of how health care can grow from the pandemic, the editorial board members outline their thoughts on these lessons learned.
    MeSH term(s) Humans ; COVID-19 ; Critical Care ; Pandemics
    Language English
    Publishing date 2022-08-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2022.08.002
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  9. Article ; Online: Progress toward eliminating inadequately managed pain in the ICU through interdisciplinary care.

    Sessler, Curtis N

    Chest

    2009  Volume 135, Issue 4, Page(s) 894–896

    MeSH term(s) Critical Care/standards ; Humans ; Pain Management ; Patient Care Team/standards
    Language English
    Publishing date 2009-04
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.08-2834
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Choosing Wisely in Critical Care: A National Survey of Critical Care Nurses.

    Wiencek, Clareen A / Kleinpell, Ruth / Moss, Marc / Sessler, Curtis N

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2019  Volume 28, Issue 6, Page(s) 434–440

    Abstract: ... diagnostic testing (n = 311 [50.2%]), reducing the number of red blood cell transfusions (n = 530 [85.5 ... not using parenteral nutrition in adequately nourished patients (n = 293 [47.3%]), not using ... deep sedation in patients receiving mechanical ventilation (n = 499 [80.5%]), and offering comfort care ...

    Abstract Background: To promote the use of appropriate testing, and decrease unnecessary treatments, the ABIM Foundation established the Choosing Wisely campaign in 2012. Initially targeting physicians, the campaign has evolved to encourage all providers to promote high-value care; however, information related to critical care nursing is limited.
    Objectives: To assess nurses' reports of the use of Choosing Wisely recommendations in critical care settings.
    Methods: Responses from nurses were examined as part of a critical care survey of members of 4 societies in order to assess awareness and use of the Choosing Wisely recommendations.
    Results: Of the 1651 acute and critical care nurses who were members of the American Association of Critical-Care Nurses and responded to the survey, 632 (38.3%) reported being familiar with the Choosing Wisely campaign. Of these respondents, 200 identified as advanced practice nurses. A total of 620 reported implementing the 5 Critical Care Society Collaborative recommendations, including reducing diagnostic testing (n = 311 [50.2%]), reducing the number of red blood cell transfusions (n = 530 [85.5%]), not using parenteral nutrition in adequately nourished patients (n = 293 [47.3%]), not using deep sedation in patients receiving mechanical ventilation (n = 499 [80.5%]), and offering comfort care for patients at high risk for death (n = 416 [67.1%]). Staff education, specific protocols, electronic medical record alerts, and order sets all raised nurses' awareness of the recommendations.
    Conclusions: Acute and critical care nurses are directly involved with measures to reduce unnecessary testing and treatments. Greater awareness and championing of the Choosing Wisely recommendations by acute and critical care nurses can help to promote high-value care for acute and critically ill patients.
    MeSH term(s) Attitude of Health Personnel ; Critical Care/standards ; Critical Care Nursing/standards ; Critical Illness/nursing ; Guideline Adherence/statistics & numerical data ; Humans ; Nursing Staff, Hospital/psychology ; Nursing Staff, Hospital/statistics & numerical data ; Physicians/psychology ; Physicians/statistics & numerical data ; Practice Guidelines as Topic ; Surveys and Questionnaires
    Language English
    Publishing date 2019-10-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2019241
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