All Articles

ICU Management

Volume 17 - Issue 1, 2017

2017 16 Mar

Change content default value Read more

ICU Management

The AKIpredictor: An Online Calculator to Predict Acute Kidney Injury

2017 16 Mar

Acute kidney injury (AKI), a rapid decline in renal function, is highly prevalent in critically ill patients, and is associated with an increased risk of short- and long-term complications that extend beyond the acute phase (Pickkers et al. 2017). AKI is defined and classified by an increase in serum creatinine or a decline in urine output, both late... Read more

ICU Management

Surviving Sepsis Campaign 2016 Guidelines Released

2017 16 Mar

The Surviving Sepsis Campaign (SSC) (survivingsepsis.org), has released its 2016 guidelines for the management of sepsis and septic shock. The document, published simultaneously in Critical Care Medicine and Intensive Care Medicine, is an update to the 2012 SSC guidelines. The recommendations in the document cannot replace the clinician’s decisionmaking... Read more

ICU Management

Personalised Medicine in Intensive Care

2017 16 Mar

The specialty of intensive care medicine grew out of the realisation that critically ill patients needed more attention and specialised treatment than could be provided on a general ward, and that many of these patients had similar clinical problems and processes, so management would be facilitated if they were grouped together in one place. Since those early... Read more

ICU Management

Precision Medicine in Sepsis

2017 16 Mar

Multiple failed clinical trials testing immunomodulatory therapies for sepsis argue for a new approach. While precision medicine has been successfully implemented in other fields, testing it in sepsis poses challenges, which this review will discuss, along with potential implementation strategies.Sepsis has an estimated annual incidence of 1.3 million... Read more

ICU Management

ARDS and Precision Medicine

2017 16 Mar

What is the path forward for treatment of acute respiratory distress syndrome (ARDS)? Is it big trials (favoured by clinical scientists) or further insight into disease physiopathology (favoured by basic scientists)? Or both? Funding resources are limited and the debate is wide open. In the post-genomic era, a new direction is needed. On 20 January 2015,... Read more

ICU Management

Antibiotic Resistance in the ICU: Time to Take Things Seriously!

2017 16 Mar

  Multidrug resistance (MDR) is increasing worldwide and has been acknowledged as one of the major threats to healthcare by the World Economic Forum and the World Health Organization (World Health Organization 2014). Intensive care unit (ICU) patients seem to be particularly susceptible for acquiring MDR organisms, either just as colonisers, or as pathogens... Read more

ICU Management

Antimicrobial Stewardship in the ICU

2017 16 Mar

Treating patients with multidrugresistant (MDR) pathogens is an increasing challenge for intensive care unit (ICU) physicians. In the ICU, compared to other hospital departments, severe infections are most prevalent and antimicrobial use is most abundant. Not surprisingly, antimicrobial resistance (AMR) has emerged primarily in the intensive care setting, where... Read more

ICU Management

Towards Safer Ventilation in Critically ill Patients without ARDS

2017 16 Mar

Invasive ventilatory support, one of the most frequently applied strategies in intensive care unit (ICU) patients, is increasingly recognised as a potentially dangerous intervention. Recognition of so–called ventilator– induced lung injury and the broad acceptance of lung–protective ventilation strategies in ICUs worldwide led to noticeable changes... Read more

ICU Management

Quantitative EEG in ICU: Useful and Feasible

2017 16 Mar

EEG measures continuously at the bedside the human brain’s electrical activity. Its main advantages are noninvasiveness, good spatial and temporal resolution, and sensitivity to changes in both brain structure and function. In ICU, seizures are frequent in patients with/without acute brain injury. They are often difficult to recognise, because they... Read more

ICU Management

Albumin Administration in Sepsis: The Case for and Against

2017 16 Mar

Serum albumin is an essential plasma protein, with a variety of homeostatic and predictive roles in health and disease (Figure 1). Hypoalbuminaemia is common in critical illness. Human albumin solution has been administered clinically for more than five decades, but its use has been subject to marked controversy for the last twenty years (Fanali et... Read more

ICU Management

The Power of Listening: Engaging the Consumer

2017 16 Mar

Darryl O’Callaghan and Julie Vermeir are survivors of a road trauma that happened in 2010. Their article provides insight into their journey as patient and wife, and the lessons that can be learnt.   Darryl’s Story   There are many courageous souls who have lost their lives attempting to climb Mt Everest. Those who attempt such a climb arrive at the... Read more

ICU Management

Improving Healthcare: The Role of the Human Factors Specialist

2017 16 Mar

What is human factors? How would you explain to a hospital director why they should hire human factors specialists?   Human Factors (HF) is the study of how people interact physically and psychologically with their environment—this includes the products, tools, procedures and processes they interact with. HF professionals use insights about human limitations,... Read more

ICU Management

Professorial Clinical Units

2017 16 Mar

Advancing Research in the Intensive Care Unit via the Integration of a Nursing ProfessorAdvances in healthcare and management strategies for the critically ill patient continue to evolve at a rate that can become challenging for individual clinicians to keep abreast. It is crucial that medical, nursing and allied health professionals use an evidence-based... Read more

ICU Management

The ICU-Hear Project: Introducing Live Music for Critically Ill Patients

2017 16 Mar

The ICU-Hear project delivered by the charity Music in Hospitals™ provides specialised live music sessions for critically ill patients. The initiative started after Helen Ashley Taylor (a former ICU patient) met Sister Natalie Mason, Adult Critical Care Follow up Lead at Manchester Royal Infirmary at a regional support group for former ICU patients.... Read more

ICU Management

Intensive Care in China

2017 16 Mar

Medicine in mainland China has progressed rapidly during the past 20 years along with rapid economic development. Although the number of ICU beds, doctors and nurses has increased, postgraduate professional education is still lacking. This article gives an overview of the history and current state of intensive care in China.   Critical care was recognised... Read more

ICU Management

Agenda

2017 16 Mar

April 20176-8ESICM EuroasiaHong Kong, China20-24SG-ANZICS Intensive Care Medicine Forum SingaporeMay 20174-7EuroELSO 2017, Maastricht, the Netherlands10-12Smart Meeting Anesthesia Resuscitation Intensive CareMilan, Italy11-132nd Annual Dubai International Conference on Infectious Diseases and VaccinationDubai, UAE14-17Future of Critical Care - A Brainstorming... Read more

ICU Management

Embracing Safety as a Science: We Need to Tell New Stories

2017 16 Mar

Peter Pronovost, MD, PhD, FCCM, is Director, Armstrong Institute for Patient Safety and Quality, Senior Vice President, Patient Safety and Quality and Professor of Anesthesiology and Critical Care Medicine at Johns Hopkins Medicine in Baltimore, Maryland, USA. Dr. Pronovost is a leading authority on patient safety and developed a scientifically proven... Read more

ICU Management

Personalised/ Precision Medicine

2017 16 Mar

The progress towards, and potential of, personalised/ precision medicine in intensive care is the theme for our cover story. We are making progress in moving away from therapies based on poorly characterised patient populations to more personalised treatment of critically ill patients, although true precision medicine, based on individual genes, environment... Read more

ICU Management

elisa 800 VIT – Bedside VALI and VILI Detection

2017 16 Mar

Mechanical ventilation has become the established standard therapy for acute respiratory failure in modern intensive-care medicine. Although intensive-care ventilation frequently represents the only option to ensure sufficient pulmonary gas exchange and adequate tissue oxygenation, ventilation therapy can also cause further lung damage and lead to ventilation-induced... Read more