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  • Value-based healthcare and the doctor-patient relationship

    The doctor-patient relationship can be considered a gateway to value-based care. Healthcare organisations that want to implement a value-based care model need to see the patient as their most important long-term asset.   What is value-based care?   Value-based care refers to a care-delivery model that is based on delivering...

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  • Imaging and ICU

    Advice from a radiologist   For the Imaging issue, ICU Management & Practice spoke to radiologist Dr. Marcelo Sanchez about radiology-ICU collaboration.   How can communication between radiology and ICU be optimised as both specialities become ever more complex?    The collaboration must be maintained by establishing protocols and...

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  • Advances in monitoring expired CO2 in critically ill patients

    Reviews the potential uses and pitfalls of capnography in critically ill patients, especially for haemodynamic and respiratory monitoring.   Expired CO 2 can be easily monitored in the intensive care unit (ICU), especially in patients under invasive mechanical ventilation, using infrared measurement by sampling mainstream expiratory flow...

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  • How to manage severe dengue infection

    A review of diagnosis and treatment of dengue, a mosquito-borne febrile illness caused by flavivirus with a clinical spectrum ranging from self-limited fever to dengue haemorrhagic fever with shock.   Dengue is a febrile illness, caused by one of the serotypes of Flavivirus (DENV1-4), transmitted by Aedes aegypti and Aedes albopictus mosquitoes...

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  • Antifungal treatment in the ICU

    Best practice in managing fungal infections Invasive candidiasis: Every milligram of antifungal counts! Think Aspergillus!   Invasive fungal infections (IFIs) are a major cause of morbidity and mortality in critically ill patients. Almost 80% of IFIs are due to Candida spp., which are the third most common isolated microorganisms in the...

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  • Safety first: insights from clinical pharmacists

    A critical care pharmacist’s perspective and advice on medication safety around sedative and analgesic therapy in the ICU. Medication errors occur at every stage of the drug therapy process. A recent report on medicines processes in English hospitals identified notably high error rates in prescribing (8.8%) and preparation and administration...

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  • What a difference a drug makes?

    Asking why the patient needs to be sedated is as important as the choice of drug for sedation.   Why use sedation?   Intensivists should ask why they use sedation every time they order it. Sedation is used to reduce the burden and stress of critical illness. Sedative agents mixed with analgesic agents reduce pain and keep the patient calm,...

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  • Good past—better future?

    From massive sedation in the past, through current sedation practice relying on cooperation between patients and care providers, the future may further improve sedation in the ICU.   The concepts for good sedation include defining the range of sedation, the need for agents with rapid response that can be easily and rapidly varied in restless...

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  • Interprofessional teamwork in the ICU

    Panacea or illusion? Reflections on key research insights into interprofessional teamwork in the ICU with a critical yet optimistic view for its future. Over the years, interprofessional teamwork in the intensive care unit (ICU) has been viewed as a panacea to most ills and indeed described as a core value of critical care practice...

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