All Articles
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Improving Obstetrical Critical Care in Developing Nations
A Thematic Review of Challenges and Solutions ringing down maternal morbidity and mortality rates and thereby improving reproductive health services has been a major concern in developing nations for the past few decades. In spite of adopting on the various measures and implementing new strategies, the adversity in maternal health...
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Pharmaconutrition with Antioxidants in the Critically Ill
Is Selenium Monotherapy the Cornerstone of this Strategy? This article explores the evolving paradigm of pharmaconutrition using antioxidant micronutrients, looking at the available evidence for antioxidant supplementation in the critically ill. In particular it discusses the protective mechanisms of action of selenite...
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Management of Candiduria: Grey Zones Still Exist
Candida species cause a wide spectrum of diseases, of which the prevalence of candiduria varies considerably between nosocomial settings, being most prevalent among patients admitted to the intensive care unit (ICU). However, lacking management and treatment guidelines and the existence of dilemmas have inhibited efforts to curtail cases of...
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Therapeutic Hypothermia in the ICU: Indication, Sedation and Prognostication
Mild therapeutic hypothermia (TH) applied for 24 hours in the intensive care unit (ICU) is now recommended in comatose survivors of an outof- hospital cardiac arrest (OHCA), though some uncertainty around indication, clinical management and prognostication still remains. We will probably see this exciting field of intensive care further evolve...
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Collective Global Action in Critical Care: An Interview with Dr. Edgar Jimenez
As President of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM), as well as Head of the Corporate Division of Critical Care Medicine at Orlando Health Physicians Group, Dr. Edgar Jimenez is an expert in intensive care on many levels. In this interview, Dr. Jimenez tells us about the most significant developments...
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Overview of Current Intensive Care Services in Hungary
Introduction The Hungarian Society of Anaesthesiology and Intensive Therapy (MAITT) was founded as a section within the Hungarian Surgical Society in 1958. Since then, anaesthesia became an independent specialty, and in 1978 it was linked with intensive care. There are four medical universities in Hungary, and during the late 1970s all of...
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Fluid Management in Critically Ill Patients: A Guided Approach
Critically ill patients are at risk of developing acute cardiovascular insufficiency or shock from any cause, defined as the imbalance between oxygen delivery and tissue oxygen consumption. This state is characterised by cellular dysoxia that, maintained over time, might progress to multi-organ failure and death. In order to prevent these consequences,...
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A Review of the Evolving Paradigm Shift in Intensive Care Unit Sedation Practices
Most mechanical ly vent i lated, cri t ical ly i l l adul ts wi l l require some degree of sedation during their intensive care unit (ICU) stay, an area which has been experiencing significant change in recent years. The goal of this article is to afford a concise, stateof- the-art review of the evolving paradigm shift in ICU sedation practices;...
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Ethics in Simulation for Intensive Care
In this paper we investigate the relationship between simulation and ethical care in the intensive care unit (ICU), primarily analysing the uses of simulation-based training in helping learners to improve their ethical decision-making processes and better react to and reflect upon moral dilemmas. Ethics and simulation-based training...
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Does Intermediate Care Improve Patient Outcomes and Reduce Costs?
In an era of rapidly progressing intensive care medicine, along with rising demand and growing concern on the bottom line, hospital managers are increasingly introducing intermediate care facilities in a move to solve the problem of overcrowded ICUs in an efficient manner; but controversy exists on whether these units really provide all the answers....
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