All Articles
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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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Angela Maas
Professor of Women’s Cardiac Health Department of Cardiology - Radboud University Medical Center Nijm egen, the Netherlands Never give up. What is your top management tip? Don't forget your personal life, because although ambition is important there is always a personal life behind. What...
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Pursuing a Culture of Safety: The Importance of Self-Regulation
Professional self-regulation is effective when dealing with staff with high numbers of patient complaints and coworker observations. The Vanderbilt Center for Patient and Professional Advocacy is dedicated to making medicine kinder, safer, and more reliable by supporting their partners’ objectives of using professionalism as the...
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