• The hidden faces of sepsis, what do they tell us? Focal points for improving patient outcome

    Based on the patients’ perspective Nutma sheds light on the hidden faces of sepsis, calling for more expertise on sepsis sequelae. She also offers recommendations to improve recovery and outcome.   It wasn’t until 2007, after my illness that: “I came to understand the extensive process of recovery after critical illness. Moreover, I came to...

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  • Treatment of bleeding patients during therapy with direct oral anticoagulants

    Results from the French registry: GIHP-NACO  Presents results from a registry detailing information about the management of bleeding patients in the emergency room, operating room or intensive care unit during therapy with direct oral anticoagulants.   Background   There is a large literature on the efficacy of direct oral anticoagulants...

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  • Fibrinogen concentrate in elective complex cardiac surgery: a monocentric trial

    Presents the results from a randomised controlled trial which aimed to determine if fibrinogen concentrate infusion reduces intraoperative blood loss in cardiac surgery patients.   Background   Excessive bleeding is a common complication in cardiac surgery, and may result in the need for red blood cell (RBC) transfusion. Intraoperative...

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  • Treatment of trauma-induced coagulopathy with factor concentrates

    RETIC study  Presents results of the RETIC study that compared treatment of trauma-induced coagulopathy using coagulation factor concentrates or fresh frozen plasma.   Background   Trauma-induced coagulopathy (TIC) represents a clinical picture resulting from severity of injury, hypoperfusion, blood loss, consumption, dilution and...

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  • Current challenges in paediatric sedation

    Report of the Primex Pharmaceuticals Symposium, Euroanaesthesia 2017, Geneva, Switzerland, 4 June 2017  Current treatment options and challenges - Dr. K. Becke   Background   An increasing number of diagnostic and treatment procedures are performed outside the operating room. Without sedation even minor procedures such as vaccination...

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  • Ultrasound-guided mechanical ventilation

    Point-of-care ultrasound (POCUS) is now a tool used worldwide, integrating clinical assessment of the critically ill. In this review, we focus on lung, diaphragm and cardiac ultrasound in the management of the mechanically ventilated patient. Ultrasound provides useful information to assess and monitor lung aeration, to set mechanical ventilation...

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  • Haemodynamic monitoring: stuff we never talk about

    In order to make haemodynamic monitoring clinically successful it seems mandatory to have a comprehensive view on the incorporation of the measured variables in a team-adapted strategy.   Over the last decades the evolution of haemodynamic monitoring in critically ill patients has not been unequivocal. On the one hand it may be argued that haemodynamic...

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  • Animal-assisted activity in the intensive care unit

    Outlines some basic considerations for ICU providers interested in incorporating animals into care programmes.   Animals are being introduced into hospital settings in ever-increasing numbers. Emerging literature suggests that incorporating trained animals to assist with medical care and rehabilitation therapies can promote patient engagement,...

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  • From command and control to modern approaches to leadership

    Historical command and control approaches to leadership fail in building relationships and engendering engagement and thus do not enhance performance like modern approaches to leadership.     Historically, leadership in medicine was taught and practised in an approach akin to the military paradigm of command and control. It was believed that...

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  • Enabling machine learning in critical care

    Critical care units are home to some of the most sophisticated patient technology within hospitals. In parallel, the field of machine learning is advancing rapidly and increasingly touching our lives. To facilitate the adoption of machine learning approaches in critical care, we must become better at sharing and integrating data. Greater emphasis on...

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