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Greener ICU
Intensive care units are essential in providing life-saving care to critically ill patients. However, ICUs can have an environmental impact. Approximately 5% of worldwide anthropogenic greenhouse gases result from healthcare activities. ICUs use significant energy to power equipment, ventilators, monitoring systems, and other life-support...
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The Green Intensive Care: From Environmental Hotspot to Action
Together we must reduce the impact of the healthcare sector and shift towards a circular economy. This paper describes the shift of three ICU environmental hotspots: gloves, gowns, and CRRT bags. Introduction The healthcare sector is one of the most carbon-intensive sectors, contributing to 4.4% of global net greenhouse gas emissions...
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Moving Environmental Sustainability from the Fringe to the Centre Ground in Critical Care
Critical care must move to a way of working that recognises climate change is a medical emergency, necessitating us all to put sustainability at the forefront of our actions as a multidisciplinary team working together in the best interests of our patients, our environment and our resources. Planetary Health and Public Health People’s...
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Carbon Footprint in ICU: A New Meaningful Outcome in Research Trials
Reducing the carbon footprint in healthcare is a requirement for guaranteeing the best future for humanity. Here we suggest that the carbon footprint be assessed as a potential endpoint for future trials in critical care. Environmental Impact in Critical Care The climate crisis is a threat to global health. The temperature of the atmosphere...
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Intravenous Fluids in Critically Ill Patients: When Less is Better
While intravenous fluids have traditionally been a routine treatment for most critically ill patients, many severe pathologies now suggest a preference for conservative fluid therapy over liberal fluid administration. Introduction Intravenous fluid resuscitation began in 1832 during the cholera pandemic, improving intravascular volume...
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Current Airway Management During Anaesthesia - The STARGATE Study
An overview of the International obServational sTudy on AiRway manaGement in operAting room and non-operaTing room anaEsthesia (STARGATE study) that will collect information on peri-intubation adverse events and airway management procedures in adult patients undergoing general anaesthesia to receive surgery or other diagnostic/therapeutic procedures....
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Medical Errors in the Preanalytical Phase of Blood Gases Test
The preanalytical phase of the blood gases study is the most susceptible to errors, causing increased time and costs for patients and hospitals. Knowledge and training of the involved health personnel must be constant to improve results. Introduction Arterial or venous blood gases test is a frequent tool in the Intensive Care Unit (ICU)...
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Call for a Green ICU
Intensive care units are carbon hotspots that contribute three times the GHG emissions as acute care units per bed day. Clinical staff must be aware of GHG production's impact and potential mitigations. This article summarises key points and initiatives to make this happen. Healthcare contributes approximately 5% of worldwide greenhouse...
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Radionuclide Therapy in Paediatric Patients
Radionuclide therapy uses radioactive substances for the selective delivery of radiation to tumors or target organs, providing a valid alternative to surgery or traditional medical treatments in paediatric patients. In particular, it combines the advantage of target selectivity and therapeutic strategy with curative intent or for disease control...
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Central Role of Nuclear Medicine in Personalised Medicine
Molecular radionuclide imaging and therapies have a central role in the management of some oncological diseases, in particular they find a central application in neuroendocrine tumours (NETs). Peptide receptor imaging is a fundamental part of the tumour staging, preoperative imaging, therapy selection and restaging. Using the same drug, labelled...
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