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User Experience of a Bespoke Videoconferencing System for Web-Based Family Visitation for Patients in an Intensive Care Unit: 1-Year Cross-Sectional Survey of Nursing Staff

User Experience of a Bespoke Videoconferencing System for Web-Based Family Visitation for Patients in an Intensive Care Unit: 1-Year Cross-Sectional Survey of Nursing Staff

All ICU nursing staff were eligible to participate in this study. Nursing staff were the primary users and facilitators of the ICU Family Link system. The system was mainly used for web-based bedside visits, rather than formal medical updates from the ICU medical team, although it was available if needed. The survey was open to any ICU staff member. Staff were recruited via emails, verbal reminders at nursing handover, and paper copies of surveys left in break rooms and main staff areas.

Aoife Murray, Irial Conroy, Frank Kirrane, Leonie Cullen, Hemendra Worlikar, Derek T O'Keeffe

JMIR Hum Factors 2025;12:e54560

Large Language Model–Based Critical Care Big Data Deployment and Extraction: Descriptive Analysis

Large Language Model–Based Critical Care Big Data Deployment and Extraction: Descriptive Analysis

ICU-GPT does not develop new LLM models but utilizes and is compatible with all Open AI application programming interface (API) models. We chose Open AI API-compatible models for ICU-GPT development for several reasons. First, our research team is more familiar with Open AI. There is also a large number of models compatible with the Open AI API, including GPT-3.5, GPT-4o, and GPT-4o mini, offering wide applications and cost-effectiveness.

Zhongbao Yang, Shan-Shan Xu, Xiaozhu Liu, Ningyuan Xu, Yuqing Chen, Shuya Wang, Ming-Yue Miao, Mengxue Hou, Shuai Liu, Yi-Min Zhou, Jian-Xin Zhou, Linlin Zhang

JMIR Med Inform 2025;13:e63216

Kangaroo Stimulation Game in Tracheostomized Intensive Care–Related Dysphagia: Interventional Feasibility Study

Kangaroo Stimulation Game in Tracheostomized Intensive Care–Related Dysphagia: Interventional Feasibility Study

This intricate physiological course of muscle events and interactions may become disturbed in patients treated in the intensive care unit (ICU). Swallowing impairment or dysphagia is not uncommon in ICU patients with a reported prevalence of up to 62% of those who were recently extubated [3].

Marjolein Jansen, Ingrid D van Iperen, Anke Kroner, Raphael Hemler, Esther Dekker-Holverda, Peter E Spronk

JMIR Serious Games 2025;13:e60685

Validation of the Nociception Level Index for the Detection of Nociception and Pain in Critically Ill Adults: Protocol for an Observational Study

Validation of the Nociception Level Index for the Detection of Nociception and Pain in Critically Ill Adults: Protocol for an Observational Study

Although individual vital signs (eg, heart rate, blood pressure) are easily accessible through continuous bedside monitoring, they are not valid for ICU pain assessment due to inconsistent findings across studies and clinically insignificant variation in their values ( Although the validity of the NOL is supported in anesthesia, its use in the ICU is new. To our knowledge, we are the first research team to have pilot-tested the use of the NOL for nociception and pain assessment in the ICU.

Céline Gélinas, Shiva Shahiri T, Han Ting Wang, Maria Cecilia Gallani, Walid Oulehri, Denny Laporta, Philippe Richebé

JMIR Res Protoc 2025;14:e60672

Predicting Agitation-Sedation Levels in Intensive Care Unit Patients: Development of an Ensemble Model

Predicting Agitation-Sedation Levels in Intensive Care Unit Patients: Development of an Ensemble Model

Agitation can lead to the accidental removal of tubes and catheters, compromising patient safety, extending ICU stays, and causing complications [5]. Throughout the treatment period, nurses must regularly evaluate the levels of agitation and sedation and titrate the dosages of sedatives accordingly for patient care. Various scales have been developed for measuring sedation effects. Among them, the Richmond Agitation-Sedation Scale (RASS) is the most reliable and effective [6].

Pei-Yu Dai, Pei-Yi Lin, Ruey-Kai Sheu, Shu-Fang Liu, Yu-Cheng Wu, Chieh-Liang Wu, Wei-Lin Chen, Chien-Chung Huang, Guan-Yin Lin, Lun-Chi Chen

JMIR Med Inform 2025;13:e63601

Effectiveness of Continuous Glucose Monitoring on Short-Term, In-Hospital Mortality Among Frail and Critically Ill Patients With COVID-19: Randomized Controlled Trial

Effectiveness of Continuous Glucose Monitoring on Short-Term, In-Hospital Mortality Among Frail and Critically Ill Patients With COVID-19: Randomized Controlled Trial

The participants were randomly assigned to the intervention and control groups in a 1:1 ratio at the time of admission to the ICU. The randomization sequence was generated by the staff. No blinding was applied during the study period. Anthropometric and clinical data were collected from the patients’ self-reporting or the electronic medical records at baseline and at the end of their ICU stay or death after the intervention.

Jiawei Shang, Ziming Yuan, Zuoyan Zhang, Quanhong Zhou, Yan Zou, Wei Wang

J Med Internet Res 2025;27:e67012

Capturing Requirements for a Data Annotation Tool for Intensive Care: Experimental User-Centered Design Study

Capturing Requirements for a Data Annotation Tool for Intensive Care: Experimental User-Centered Design Study

To understand how clinicians approach and reason about the data annotation process, we conducted an experimental study that involved members of the clinical staff from the ICU manually annotating excerpts of time-series data printed on paper. Observations taken during task completion served as a basis for analysis and were used to derive the requirements for the data annotation software.

Marceli Wac, Raul Santos-Rodriguez, Chris McWilliams, Christopher Bourdeaux

JMIR Hum Factors 2025;12:e56880

Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis

Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis

Within the intensive care unit (ICU), ECMO is one of the most complicated therapies, requiring not only extensive knowledge of cardiopulmonary physiology and expertise with intricate circuit components but also skills to rapidly respond to emergent situations [2]. Therefore, high-fidelity simulation trainings are critical to practice skills and work through different emergency scenarios, such as the blood pump falling from the drive unit [3].

Joan Brown, Sophia De-Oliveira, Christopher Mitchell, Rachel Carmen Cesar, Li Ding, Melissa Fix, Daniel Stemen, Krisda Yacharn, Se Fum Wong, Anahat Dhillon

JMIR Med Educ 2025;11:e57424

AI Interventions to Alleviate Healthcare Shortages and Enhance Work Conditions in Critical Care: Qualitative Analysis

AI Interventions to Alleviate Healthcare Shortages and Enhance Work Conditions in Critical Care: Qualitative Analysis

Our study of the sociotechnical integration of AI centers around critical care teams, specifically intensive care unit (ICU) nurses and physicians. The ICU context was selected due to the particularly high job demands and increased rates of burnout, which were exacerbated by the extreme work conditions during the SARS-Co V-2 pandemic [35-37].

Nadine Bienefeld, Emanuela Keller, Gudela Grote

J Med Internet Res 2025;27:e50852