All Articles
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Critical Care Education and Leadership
Todd Dorman takes office as President of the Society of Critical Care Medicine (SCCM) in February 2016. He is Professor of Anesthesiology and Critical Care Medicine and Vice Chair for Critical Care Services, Department of Anesthesiology/Critical Care Medicine; Senior Associate Dean for Education Coordination; Associate Dean for Continuing Medical...
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Frailty in the Critically Ill Patient
This review explores current definitions of frailty, methods available to diagnose it, and its application to perioperative and critically ill patients. Frailty is increasingly recognised as a potential contributor to patient outcome during an episode of critical illness. However, there is currently no consensus definition or assessment tool....
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Antimicrobial Copper Touch Surfaces: Reduce Infections, Liberate Resources and Cut Costs
The role of the environment in the transmission of healthcare-associated infections (HCAIs) is increasingly recognised, requiring a new approach to the selection of materials for objects frequently touched by healthcare workers, patients and visitors that can serve as reservoirs of infection. There are many technologies and materials on the market,...
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Publiometrics
The significance of research or researchers is frequently discussed and debated, so also in the medical research field. Why do we publish? This straightforward question is often difficult to answer, at least in a simple way. As a starter we can list some reasons: We wish to make a difference for the outcome of our patients; We have an obligation...
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Don't Forget to Ask! The Patient and Relative Perspective
There has been good progress in the last decade to ensure that the patient voice is heard at all levels, including in research and service planning. However there is still more to be done, and this article sets out the case for meaningful intensive care patient and relative involvement and how this can be achieved. Why Involve Former Intensive...
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A Librarian in the Critical Care Team
Knowledge about current research evidence is required by clinicians in order to practise safe and effective care. The health librarian occupies a unique position between knowledge resources and knowledge consumers. As such, the librarian is perfectly poised to channel accurate, reliable knowledge into the hands of the healthcare team, who can then...
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Six Steps to Implement Bedside Ultrasonography in Critical Care
A Roadmap to Rapid Improvements in Patient Safety This article will provide an overview of how to accelerate adoption of bedside ultrasonography, based on experience in a large hospital system. Developing an evidence-based ultrasound training programme and the economic benefits of proven safety practices, such as ultrasound-guided central venous...
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Transforming Measurement into Understanding: Quantitative Bedside Decision Support
Intensivists today are faced with a growing deluge of quantitative data, along with demands to implement evidence-based protocols of increasing number and complexity. The tools to support such implementation, including computerised decision support, have, however, seen only incremental development over the past decades. This article will attempt to...
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Lung Protective Ventilation - Twinstream® Pulsatile Bi-Level Ventilation (P-BLV)
The Twinstream® ventilator (Carl Reiner GMBH, Vienna, Austria) is an electricdriven microprocessor-controlled jet ventilator, which allows simultaneous application of two different jet streams (low frequency and high frequency), resulting in a pulsatile Bi-Level Ventilation (p-BLV) mode. ICU Management & Practice spoke to Prof. Dr. Gerfried Zobel about...
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ARDS Still Under-Recognised, Under-Treated
Acute respiratory distress syndrome (ARDS) seems to be underrecognised, under-treated and associated with a high risk of mortality, according to the results of the ESICM LUNG-SAFE observational study, published in JAMA . Speaking to ICU Management & Practice, John G. Laffey , MD, MA, of the Departments of Anesthesia and Critical Care Medicine,...
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