Sanjay Subramanian1, Jeremy C Pamplin2,3, Marilyn Hravnak4, Christina Hielsberg5, Richard Riker6, Fred Rincon7, Krzysztof Laudanski8,9, Lana A Adzhigirey10, M Anas Moughrabieh11, Fiona A Winterbottom12, Vitaly Herasevich13. 1. Division of Critical Care Medicine, Department Anesthesiology, Washington University in St. Louis, St. Louis, MO. 2. Telemedicine and Advanced Technology Research Center, Ft. Detrick, MD. 3. Uniformed Services University, Bethesda, MD. 4. Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA. 5. Society of Critical Care Medicine, Mount Prospect, IL. 6. Pulmonary Disease, Maine Health, Portland, ME. 7. Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA. 8. Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA. 9. Leonard Davis Institute for Healthcare Economics, University of Pennsylvania, Philadelphia, PA. 10. CHI Franciscan Health, Tacoma, WA. 11. Department of Pulmonary and Critical Care, Wayne State University, Detroit, MI. 12. Advanced Practice Provider, Pulmonary Critical Care Evidence-Based Practice Facilitator, The Center for EBP and Nursing Research Ochsner Health System, New Orleans, LA. 13. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Abstract
OBJECTIVES: In 2014, the Tele-ICU Committee of the Society of Critical Care Medicine published an article regarding the state of ICU telemedicine, one better defined today as tele-critical care. Given the rapid evolution in the field, the authors now provide an updated review. DATA SOURCES AND STUDY SELECTION: We searched PubMed and OVID for peer-reviewed literature published between 2010 and 2018 related to significant developments in tele-critical care, including its prevalence, function, activity, and technologies. Search terms included electronic ICU, tele-ICU, critical care telemedicine, and ICU telemedicine with appropriate descriptors relevant to each sub-section. Additionally, information from surveys done by the Society of Critical Care Medicine was included given the relevance to the discussion and was referenced accordingly. DATA EXTRACTION AND DATA SYNTHESIS: Tele-critical care continues to evolve in multiple domains, including organizational structure, technologies, expanded-use case scenarios, and novel applications. Insights have been gained in economic impact and human and organizational factors affecting tele-critical care delivery. Legislation and credentialing continue to significantly influence the pace of tele-critical care growth and adoption. CONCLUSIONS: Tele-critical care is an established mechanism to leverage critical care expertise to ICUs and beyond, but systematic research comparing different models, approaches, and technologies is still needed.
OBJECTIVES: In 2014, the Tele-ICU Committee of the Society of Critical Care Medicine published an article regarding the state of ICU telemedicine, one better defined today as tele-critical care. Given the rapid evolution in the field, the authors now provide an updated review. DATA SOURCES AND STUDY SELECTION: We searched PubMed and OVID for peer-reviewed literature published between 2010 and 2018 related to significant developments in tele-critical care, including its prevalence, function, activity, and technologies. Search terms included electronic ICU, tele-ICU, critical care telemedicine, and ICU telemedicine with appropriate descriptors relevant to each sub-section. Additionally, information from surveys done by the Society of Critical Care Medicine was included given the relevance to the discussion and was referenced accordingly. DATA EXTRACTION AND DATA SYNTHESIS: Tele-critical care continues to evolve in multiple domains, including organizational structure, technologies, expanded-use case scenarios, and novel applications. Insights have been gained in economic impact and human and organizational factors affecting tele-critical care delivery. Legislation and credentialing continue to significantly influence the pace of tele-critical care growth and adoption. CONCLUSIONS: Tele-critical care is an established mechanism to leverage critical care expertise to ICUs and beyond, but systematic research comparing different models, approaches, and technologies is still needed.
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