• Decision-Making in the ICU

      Decision-making in the ICU is a multifaceted process that involves clinical assessment, collaboration among multidisciplinary teams, ethical considerations, evidence-based practice, communication, and continuous adaptation to evolving clinical scenarios. Balancing the complex factors requires expertise, teamwork, and a patient-centred approach....

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  • Dealing With Uncertainty in ICU Decision-Making: A Practical Guide

      When the stakes are high, and the path ahead is uncertain, the decisions made, especially if a patient continues to worsen, can be sources of self-torment and can haunt us for a long time. Our goal is to suggest ways to steer decision-making for intensivists in the face of uncertainty by proposing a clear, practical, stepwise approach through...

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  • The Least Bad Decision: Crisis Standards of Care After the Pandemic

    COVID-19 was an emergency that lasted for years and left few regions of the world untouched. The pandemic shone a spotlight on both the strengths and weaknesses of our disaster planning. What worked, what did not, and how can we better plan for future emergencies?   The COVID-19 pandemic forced hospitals and health systems around the world...

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  • Decision-Making in the PICU: Ethical Aspects in Paediatric Critical Patients

      This article highlights some particularities to be considered when making decisions in paediatric ICUs and the role of parents (or legal guardians) and the physician in the dilemma involved in paediatric decision-making.   In these times, an ill individual is believed to be an autonomous moral agent to make decisions regarding...

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  • Decision-Making in Uncertainty: Time-Limited Trials

      An overview of time-limited trials (TLT), collaborative agreements between the treating team and the patient to apply life-sustaining therapies to help reduce prognostic uncertainty and foster trust between teams and patients and/or patient surrogates.   Introduction Medical indication and a patient's consent form the basis of every diagnostic...

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  • When Hospitals Shrink: Preventing Loss of Hospital Beds Through Effective Bed Management

      With an ageing population and more sophisticated treatments, hospitals must become more bed-efficient or risk contracting. Strategic management is needed since ineffective bed management can reduce bed availability.   Introduction There are multiple challenges for healthcare institutions in the coming decades. Important demographic changes...

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  • Beyond the Monitors: Redefining Connection in Intensive Care Family Meetings

      Family dynamics in ICU meetings are complex and often affected by emotions, stress, and differing perspectives. Effective communication and collaboration amid family members and healthcare professionals are crucial for steering these dynamics, facilitating shared decision-making, and assuring the best feasible patient’s care .   Introduction...

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  • Anti-Inflammatory Therapies for Severe Community-Acquired Pneumonia

      Emerging evidence highlights the potential advantages of employing anti-inflammatory therapies like macrolide antibiotics and corticosteroids in managing severe community-acquired pneumonia (CAP). Although their use remains a subject of debate, recent findings indicate improved clinical outcomes, and support the adoption of a tailored approach...

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  • Errors in Nursing Interventions in Critically Ill Patients: Less is More

      In the treatment of critically ill patients, evidence-based nursing practices are essential, highlighting the need for precision in procedural management. This discussion identifies nine common errors encountered in clinical practice.   Introduction Patient care is the essence of the nursing profession, focusing on the preservation, restoration,...

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  • Upcoming Events/Congresses

      APRIL   24-27 12th EuroELSO Congress 2024 Krakow, Poland https://iii.hm/1pcp   25-26 20th Annual Critical Care Symposium Manchester, United Kingdom https://iii.hm/1pcq   25-26 13th Ultrasound In Acute Care 2024 Manchester, United Kingdom https://iii.hm/1pcr   25-27 Urgent Care Updates...

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