All Articles
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Book Review: The Organization of Critical Care
There are not many good books on this topic, and the present one includes contributions from North American and Australian experts in the field. The book has three main sections: organisation, improvement and integration, and a shorter fourth section on global and future perspectives. The list of topics is quite comprehensive, from ICU practitioners...
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Sedation in Acute Brain Injury: Less is More?
Over the past decades, landmark interventional studies in general intensive1!care unit (ICU) patients have taught us that efforts to reduce the use of sedatives, by daily interruption (Kress et al. 2000; Girard et al. 2008), by not using sedatives as standard practice (Strøm et al. 2010), or by tapering sedatives to an awake but comfortable state (Mehta...
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ICU-Related Dysphagia
Epidemiology, Pathophysiology, Diagnostics and Treatment Due to malnutrition and aspiration dysphagia in critically ill patients on the ICU is an extremely important symptom with crucial impact on outcome and mortality. A broad variety of pathogenetic factors can lead to severe dysphagia in non-intubated and intubated patients followed by...
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Cognitive Impairment After Critical Illness: Prevention and Treatment
Why did you decide to investigate NTF-prep? Long-term cognitive impairment after critical illness (CIACI) was first described in 1999 (Hopkins 1999). In 1992 we noticed that in cardiac surgery with extracorporeal circulation patients there was a correlation between jugular bulb lactic acid and cognitive decline. We concluded that CIACI was a real...
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Clinical Benefits of Rapid Pathogen Testing with PCR/ESI-MS
Dr. Mark Wilks, Clinical Scientist, Microbiology at Barts Health NHS Trust in London, UK, talks about their experiences of using PCR/ESI-MS technology over a period of 18 months. During its use for the RADICAL study, the department also ran clinical samples of interest through the technology. Which patient groups could potentially benefit...
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The Brain
Treatment of neurological illnesses and complications in the intensive care unit remains a challenge. And as intensivists we are aware of the risks of cognitive impairment for many ICU patients. For our cover story this issue we address practical brain matters. Nino Stochetti explains how to choose fluids for brain injured patients to achieve the...
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Reducing the Risk of Recurrence of C. Diff Infection
A study published in JAMA has shown that drinking a non-toxic strain of Clostridium difficile bacteria could help reduce the incidence of recurrent infection caused by the toxic strains of the bacteria. C. difficile is the most common cause of healthcare-associated infection in U.S. hospitals, and recurrence occurs in 25 to 30 percent of patients....
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Critical Care Medicine in Korea
The Past, The Present and the Future History of Critical Care in Korea and the Korean Society of Critical Care Medicine The first intensive care unit (ICU) in Korea was established in 1968 with six beds in a university hospital in Seoul, and the number has since expanded to 220 ICUs taking care of 3197 patients (data from a one-day survey in 2009)....
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Hot Topics in Critical Care Medicine in Korea
12th Congress of World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM) This year, the 12th Congress of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM Seoul 2015 Congress), in collaboration with the World Federation of Critical Care Nurses (WFCCN) and the World Federation of Pediatric...
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