• Quality Management: The Role of Intensive Care Registries

    To initiate, maintain and advance a quality improvement programme in your intensive care unit consumes large amounts of time and energy. There are many advantages for quality management in joining an intensive care registry; the most important is access to precisely defined data for comparative audit.   Intensive Care Registries   Joint...

    READ MORE
  • Biomarkers in Heart Failure

    Cardiac biomarkers, including natriuretic peptides and troponins, have become widely used in the treatment of heart failure and acute coronary syndrome. As we learn more about the function of these markers, their use has begun to expand. We can now track and utilise natriuretic peptides throughout hospital admission to monitor progress of heart failure...

    READ MORE
  • Difficult Intubation in the ICU: Why and How to Prevent and Manage Difficult Intubation?

    Severe hypoxaemia and cardiovascular collapse, leading to cardiac arrest, cerebral anoxia and death, are the most frequent complications related to intubation in intensive care units (ICU), associated with difficulty of intubation. To prevent and limit the incidence of difficult intubation, specific risk factors for difficult intubation in the ICU...

    READ MORE
  • Pain Assessment and Management for Intensive Care Unit Patients: Seeking Best Practices

     This review article focuses on research-based advances in pain assessment practices in intensive care units (ICUs), and stresses clinician consideration of multimodal analgesic techniques for pain management in ICUs.   Over the past 30 years, attention devoted to pain experienced by intensive care unit (ICU) patients has evolved from recognising...

    READ MORE
  • Emergency Intraosseous Access: Novel Diagnostic and Therapeutic Possibilities and Limitations

    The intraosseous needle is an essential tool in emergency settings when initial vascular access is difficult to achieve. This paper focuses on possible biochemical analyses on blood from emergency intraosseous needles, suggesting principles of use as well as pointing out advantages and shortcomings.   Intraosseous (IO) access has been used...

    READ MORE
  • Clinical Pharmacist Role in the ICU

    We provide an overview of the various facets of pharmacist practice in the intensive care unit (ICU), the current extent to which pharmacists are present in the ICU, along with a discussion on barriers and lessons learned in garnering support for such a role.   Caring for critically ill patients in an intensive care unit (ICU) is considered...

    READ MORE
  • Optimising Nutrition With an Integrated Nutrition Module: Myth or Reality?

    As a neurointensivist with a strong interest in nutritional support, I was delighted to trial a new integrated nutritional module. We know that nutrition really matters to our ICU patients in the context of first indicators. For example, our research group recently published a paper about two patients with viral meningoencephalitis. Invasive neuromonitoring...

    READ MORE
  • Does Dexmedetomidine Reduce Delirium by Improving Sleep?

    Delirium is a common complication in intensive care unit (ICU) patients and its occurrence is associated with worse outcome (Inouye et al. 2014; Abelha et al. 2013). Sleep disturbances are considered one of the important risk factors of delirium development (Flink et al. 2012). Recent evidence shows that dexmedetomidine, either at sedative or non-sedative...

    READ MORE
  • Early Mobilisation in ICU: From Concept to Reality - Four Steps to Change Patient Outcomes

    For years, 28-day survival was the holy grail of ICU physicians. As ICU survival continues to improve, a high proportion of these ICU survivors experience significant cognitive, psychological, and physically disabling side effects of their ICU stay. These consequences of critical illness, regardless of their admitting diagnosis, have a dramatic impact...

    READ MORE
  • Current State of Glycaemic Control Practice

    Elevated blood glucose is a widely recognised response to critical illness, with most non-diabetic patients exhibiting concentrations outside the normoglycaemic range and a substantial proportion having significantly or hugely elevated blood levels (Farrokhi et al. 2011). It has been 15 years since the publication of the Leuven study abruptly changed...

    READ MORE
Subscribe To HealthManagement