All Articles
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Beyond Point-of-Care Blood Gas Analysis
Innovative miniature in-line blood gas analyser suports rapid and frequent bedside blood gas measurements at critical times To address the challenges of maintaining control of patient physiology in the ICU and the associated need for fast response, proactive critical care, a revolutionary in-line patient dedicated arterial blood gas...
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Goal-Directed Therapy
Goal-directed therapy (GDT) continues to be a subject of controversy in intensive care medicine, especially after the results of recent trials exploring its effectiveness. Our cover story this issue looks at two aspects of GDT. Azriel Perel addresses some of the remaining questions about the practice of perioperative goal-directed therapy. Despite...
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Perioperative Goal-Directed Therapy
Some Remaining Questions What is Perioperative Goal-Directed Therapy? Perioperative mortality of patients undergoing high-risk surgery has been steadily declining over recent years. And yet this reduced mortality rate is still considered to be higher than anticipated (Pearse et al. 2012). Newer approaches aimed at improving perioperative outcome...
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Early Goal-Directed Therapy Following Cardiac Surgery
Early goal-directed therapy (EGDT) is a therapeutic strategy based on haemodynamic monitoring and pre-defined goals. The roots of this approach come from observational studies in non-cardiac surgery that showed that poor post-operative outcomes and higher mortality were associated with decreased oxygen delivery in the perioperative period (Clowes et...
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Health: The Economic Growth Engine of the 21st Century
Is there a correlation between health and economic growth? Can the healthcare sector be an answer to the current weak economic growth in the leading industrial nations? So far, the economic development of the industrialised nations has been disappointing during the 21st century. And the situation would be even worse, had the administrations not...
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Prevention of Venous Thromboembolism in Critical Care
Key Messages 1. We need to Identify high risk patients early on during their hospital admission. 2. Recognise anticoagulant prophylaxis may not be suitable for all patients therefore consider other interventions to protect against VTE. 3. Focus on sustained education of healthcare professionals to increase Venous thromboembolism...
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State of Intensive Care in Turkey
The history of intensive care (IC) in Turkey has followed a somewhat similar pattern to other European countries (see Figure 1). The first intensive care unit (ICU) was founded in a state hospital in Istanbul in 1959. The first attempts to institute intensive care in several cities were performed almost exclusively by anaesthesiologists. In 1977 those...
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Hot Topics in Intensive Care in Turkey
In Turkey intensive care was not a separate specialty for years, and was managed mainly as a subspecialty of anaesthesiology. In 2009 a new regulation was announced by the Ministry of Health (MoH) in which intensive care medicine (ICM) was recognised as a supraspecialty. Regarding this regulation, ICM education has a duration of three years after primary...
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ICS UK State Meeting preview
Highlights of the State of the Art Meeting 2014 Would you want to be admitted to hospital on a Sunday? As the NHS implements its drive to a full 7-day service, many in intensive care will say “we’re there already!” On Day 1 of the conference, Professor Julian Bion will outline a project examining (in the light of the higher mortality rate associated...
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