Latest Articles in ICU
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Combined Extracorporeal Lung and Kidney Support in Fluid Overload
During artificial organ support, kidney injury is multifactorial and related to the high severity of patients treated with extracorporeal membrane oxygenation (ECMO). The successful delivery of continuous renal replacement therapy (CRRT) during ECMO requires a clear prescription of the target solute clearance and fluid removal rate based on the cumulative...
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Which Vasopressors and Inotropes to Use in the Intensive Care Unit
Vasopressors and inotropes are frequently used in intensive care units. With a special focus on recent studies, this article summarises the key messages in the management of patients requiring inotropes and vasopressors. Introduction Cardiac output (CO) is a key determinant of oxygen delivery. Low cardiac output syndrome (LCOS) causes...
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A Very Old Patient in the ICU: Much More Than an Acute Organ Dysfunction
Treating an elderly patient in intensive therapy requires the integration of many components. The purpose of this paper is to promote a comprehensive assessment of the critically ill patient aged 80 or more years. Introduction Ageing of the population combined with a shortage of intensive care unit (ICU) beds results in a demand for...
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Kidney Replacement Therapy in the Intensive Care Unit
Kidney Replacement Therapy is a commonly used therapeutic strategy in the intensive care unit for patients who develop Acute Kidney Injury or who already have a diagnosis of chronic kidney disease. ICU staff should know when to use it and which type is most suitable for the circumstances. Epidemiology and Outcomes of AKI Acute kidney...
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Sustainability and Extracorporeal Organ Support
Extracorporeal organ support (ECOS) involves an extensive use of healthcare resources and clinical problem-solving challenges. The feasibility of applying known ecological analysis and sustainability strategies in healthcare need to be started in this setting. Introduction As with any other species, human activity modifies the environment...
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Predictive Analytics for Kidney Support in the ICU
The timing and application of dialysis in the ICU is highly variable contributing to poor outcomes. A clinical decision support system (CDSS) incorporating a dynamic predictive algorithm for organ support could improve outcomes. Background Multiorgan failure (MOF) and acute kidney injury (AKI) are frequently encountered in critically...
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Organ Support
Organ support is a life-saving measure and crucial in many critically ill patients. However, organ support can be associated with complications. Join our panellists as they discuss progress in the management of multiorgan failure and different forms of organ support and treatment strategies for acute kidney injury, respiratory failure, cardiac failure...
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Upcoming events/courses/congresses
APRIL 26-28 Emergency Medicine Workshop (EuSEM) Budapest, Hungary https://iii.hm/1k5s 26-29 11 th EuroELSO Lisbon, Portugal https://iii.hm/1k5t 27-28 19 th Annual Critical Care Symposium Manchester, United Kingdom https://iii.hm/1k5u 27-28 12 th Ultrasound in Acute Care Manchester, United...
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Biomarkers as Prognostic Predictors and Guide in Critically Ill Patients
An overview of promising biomarkers in critical care, characteristics a biomarker should have and how to ensure their usefulness in clinical practice. Introduction Precision medicine is a medical approach that tailors treatments based on individual patient characteristics and their unique response to therapies for a particular disease....
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Detecting Euglycaemic Diabetic Ketoacidosis Associated With SGLT2 Inhibitors
SGLT2 inhibitor associated EDKA is becoming more prevalent due to the increasing use of SGLT2 inhibitors in cardiovascular medicine and type 2 diabetes. Physician awareness and knowledge about the disease and diagnostic tools need to improve for better management. Point of care blood testing for ketones can allow for rapid and accurate diagnosis....
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