• Corticosteroids in the Intensive Care Unit: Evidence-Based Recommendations

      Corticosteroids are commonly used drugs in multiple diseases and conditions of critically ill patients. In this article, we review the pharmacology of corticosteroids and provide recommendations for their use in the ICU based on the best available evidence.   Corticosteroids: Pharmacology and General Aspects Corticosteroids are...

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  • Patients and Families

    Collaboration between critical care doctors, patients and families is essential to managing critically ill patients. Promoting open communication, shared decision-making, and emotional support is essential to ensure a patient-centred approach in critical care settings.   ‏ ‏ Communication plays a crucial role in a critical care setting....

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  • Bringing Back the Forgotten Piece: Family Empowerment in the Care of the Critically Ill Patient

    This article aims to address patient-family-centred care programmes, starting from their origins and discussing new protocols.     Critically ill patients entail a great complexity of care. ICU staff has focused on their care, with family members and surrogates put aside for decades. In recent years, we are witnessing a paradigm shift...

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  • Administering Care to Critically Ill Patients with FAST HUGS IN BED PLEASE - Revisited Mnemonic

    In the ICU, providing better care with less is the holy grail. This mnemonic tries to resume a list of the key interventions for human, evidence-based and patient-centred care.     Background In 2005, Prof Jean-Louis Vincent introduced the mnemonic "FAST HUG," advocating for a comprehensive approach to patient care encompassing seven...

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  • Long-Term Home Ventilation in Children: Facing the Challenge

    Discharging ventilated children home is a difficult challenge in which the training of families is essential. We present our hospital's transition programme for ventilated children going home, which is based on a family-centred model.     Introduction The progressive improvement of neonatal intensive care (NICU) and paediatric intensive...

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  • Treating the Whole Human In Intensive Care – Patient-Centred Outcomes in Sepsis, Surgery and Trauma

    Intensive care impacts more than the patient, with ripple effects for families, employers and wider societies. Patient-centred outcomes reiterate the need for clinical therapies targeting the biological circuitry of the big-hitting syndromes like ARDS, sepsis, delirium, renal failure and recognising they persist beyond the veil of discharge....

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  • Cardiovascular Management in Septic Shock: Optimising Vascular and Cardiac Function

    An overview of vasopressor management, current evidence on its use, when to initiate vasopressor therapy for best possible patient outcome and a discussion regarding the use of landiolol in septic patients with persistent tachycardia.    Optimising Vasopressin Initiation in Septic Shock   Patients with septic shock, and especially...

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  • Acute Subarachnoid Haemorrhage - An Epidemiological Perspective

    Subarachnoid haemorrhage (SAH) carries a high disease-specific burden. Epide­miological studies have observed a reduction in the incidence of SAH from 1990 to 2019. However, the same trend was not observed for intrahospital mortality. Several studies focusing on the evaluation of SAH management across the world have shown a high heterogeneity in...

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  • Upcoming events/courses/congresses

    NOVEMBER 28-1/12 Critical Care Canada Forum Toronto, Canada https://iii.hm/1nhb 29 – 1/12 DIVI 2023 - German Interdisciplinary Association for Intensive Care and Emergency Medicine Hamburg, Germany https://iii.hm/1nhc DECEMBER 6-9 ESEM 2023 - Emirates Society of Emergency Medicine Conference Dubai, UAE https://iii.hm/1nhd...

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  • ICU Management & Practice 2023 Subject Index

    Issues/Pages Volume 23, Issue 1 1-50 https://iii.hm/1jqh Volume 23, Issue 2 49-100 https://iii.hm/1k3i Volume 23, Issue 3 101-138 https://iii.hm/1kzj Volume 23, Issue 4 139-189 https://iii.hm/1mwh Volume 23, Issue 5 190-230 https://iii.hm/1nhu     Subject index   Airway Management...

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