• Dose-Finding and Optimisation Designs

    Author Ajmal Eusuf, MB, BS, FRCA Malachy Columb, MB, BCh, BAO., FRCA Acute Intensive Care Unit University Hospital of South Manchester, Wythenshawe, UK   Introduction Knowledge of the issues related to clinical research is a requirement to the fuller understanding of the practice...

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  • Recognition of the Critically Ill, the Use of Early Warning Scores

    Authors AJ Turley Cardiology Specialist Registrar   J Gedney Consultant anaesthetist and intensivist The James Cook University Hospital, Marton Road, Middlesbrough, UK   “Patients do not die of their disease. They die of the physiological abnormalities of their disease.” Sir William Osler...

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  • PCA Infusion Pumps

    ECRI Europe Weltech Centre, Ridgeway Welwyn Garden City, Herts AL7 2AA, United Kingdom Tel. +44 (0)1707 871511 Fax. +44 (0)1707 393138 [email protected]   www.ecri.org.uk   ECRI is a totally independent nonprofit research agency designated as a Collaborating Center of the World Health Organization...

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  • Change Management: Part 1 – Sources of and Barriers to Change

    Author Ronald Pauldine, MD Assistant Professor, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Bayview Medical Center, Baltimore, USA   Todd Dorman, MD, FCCM Associate Professor, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins...

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  • Combining Medicine and Justice: ICU Nurses can Help Heal Patients’ Lives

    Author Constance A. Hoyt, MSN, RN University of California, Riverside, California, USA   Critical care providers are often confronted with patients who may have been victims of crime, neglect or abuse. Nurses can easily combine their regular patient care duties with some basic forensic practices to help identify...

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  • Risk Analysis: Techniques for Improving Patient Safety in Critical Care

    Author Andrew Smith, FRCA, MRCP Royal Lancaster Infirmary and Institute for Health Research, Lancaster University, UK   Introduction The ‘patient safety’ movement has come about through an appreciation that the techniques and approaches that have been used to improve safety in other industries can be applied...

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  • An Interview with Dr. Claudio Ronco

    Prof. Claudio Ronco shares his management experience and vision as Director of the Nephrology Department at St. Bortolo Hospital, Vicenza, Italy.   May I Ask You, by Way of Introduction to Our Readers, How Long You’ve Been the Director of Your Unit? I have been director of the Department of Nephrology Dialysis and Renal Transplantation...

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  • The Healthcare System in Poland

    Author Jacek Lukomski Director of Regional Hospital, Poznan Vice President of Union of Polish Health Care Employers, Poland   The reforms of the healthcare system in Poland were initiated in 1989 along with the reforms of the national economy. Their positive effects were manifested mainly by shorter hospitalisations,...

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  • Intensive Care in Poland

    Author Adam Mikstacki, MD, PhD ESICM Council Member, Department of Anaesthesiology and Intensive Therapy, Karol Marcinkowski University of Medical Sciences, Regional Hospital, Poznan, Poland   The development of intensive care (IC) in Poland has been closely connected to the advances in anaesthesiology....

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  • Polish Working Group for Sepsis

    Author Prof. Andrzej Kuebler Head of Working Group for Sepsis, Polish Society of Anaesthesiology and Intensive Care, Poland   On November 19 th , 2001 the Polish Society of Anaesthesiology and Intensive Therapy established a Working Group for Sepsis, motivated by the increasing worldwide interest in the syndrome...

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