All Articles
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Ultrasound-Guided Procedures: Financial and Safety Benefits
Ultrasound Guidance Improves the Safety and Success of Needle Procedures The European Prevalence of Infection in Intensive Care study reported that 78% of critically ill patients had a central line inserted, while several million central venous catheters (CVCs) a year are placed in American hospitals (Gibbs, 2006). Since this common procedure can...
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Lactate Monitoring in the ICU
The use of lactate measurements in critically ill patients has steadily increased to a level where in some cases it may be considered lactate monitoring. In this brief review we discuss the central metabolic role of lactate in animal metabolism, and address important misconceptions as well as why lactate is mainly a marker of stress and how this translates...
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Early Sepsis Management
Sepsis is a recognised clinical spectrum of infection that often results in catastrophic physiologic and metabolic abnormalities. This article aims to identify the derangements associated with sepsis and to review the evidence-based literature. The tenets of early sepsis management include diagnosis, risk stratification (elevated serum lactate or hypotension),...
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Why is Drug Traceability Important in a Hospital?
Implementation at Hospital Alemán in Argentina The acute condition of hospital patients and the use of higher risk medication increases the consequences that counterfeit and illegitimate pharmaceutical products can have on them. Delivering the right and genuine product to the right patient is crucial. In our globalised economy, the risks of harming...
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Rapid Pathogen Testing With PCR/ESI-MS
The RADICAL multicentre observational study was performed to compare PCR/ESI-MS to standard microbiology in critically ill patients. Dr. David Brealey, Consultant Intensivist at University College Hospital, London, was one of the investigators in the UK arm of this trial, and explains more about the challenges of diagnosing infections in the...
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Communicating About Difficult Medical Decisions
The Most Dangerous Procedure in the Hospital? Communication is central to the human experience of illness, and therefore central to medical decision-making. Being an expert clinician now means being a skilled communicator. Fortunately, communication skills can be learnt, mastered and measured. Communication Matters Communication is increasingly recognised...
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Partnering Medicine and Public Service
Interview With Professor Paul E. Pepe Paul E. Pepe, MD, MPH, is Professor with Tenure in Internal Medicine, Surgery, Pediatrics, Public Health &Emergency Medicine (EM) at UT Southwestern and the City of Dallas Director of Medical Emergency Services for Public Safety, Public Health & Homeland Security. Up until this spring, he served for more than...
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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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World Federation of Societies of Intensive and Critical Care Medicine
Interview With Professor Jean-Louis Vincent, WFSICCM President What have been the highlights of your term of office? With modern communication means, it is easier to interact all over the world, to know each other better, and learn from each other. We have started the organisation of large trials, inviting the entire word to contribute – the ICON...
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Cost-Effectiveness
In medicine the benefits of treatment are always weighed against possible harms. In these times of budgetary constraints financial considerations also come even more into focus. Costeffectiveness in medicine works at many levels. In clinical trials the cost of quality-adjusted life years (QALYs) may be one of the outcomes measured. At a department...
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