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Obesity
The World Health Organi sation predicts there will be 2.3 billion overweight adults in the world by 2015 and more than 700 million of them will be obese. Within the critical care field, this changing population is set to trigger a new set of requirements for clinicians – both with regards to equipment and staffing needs and demands as well as for specific...
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WHO Pandemic Updates
Public Health Significance of Virus Mutation Detected in Norway The Norwegian Institute of Public Health has informed the World Health Organisation (WHO) of a mutation detected in three H1N1 viruses. The viruses were isolated from the first two fatal cases of pandemic influenza in the country and one patient with severe illness. Norwegian scientists...
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Obese Paediatric Patients Requiring Intensive Care
Childhood obesity is increasing in prevalence worldwide. In the United States, studies estimate that among children aged six to nineteen, 16.5% are overweight (Body Mass Index [BMI] 85th to 94th percentile for age and gender) and 17.1% are obese (BMI ≥ 95th percentile for age and gender) (Ogden et al. 2006). This trend will likely lead to an increase...
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Optimal Positioning of Critically Ill Obese Patients
In endotracheally intubated, mechanically ventilated obese patients, head-up positions seem not to be as effective as in extubated, spontaneously breathing obese ones. Sprung et al. (2003) reported that although initial arterial oxygenation was worse in patients with massive obesity when compared with normal-weight patients, gas exchange remained...
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A Physiological Based Approach of Perioperative Management in Obese Patients
The high-risk non-cardiac surgical population represents a major global healthcare challenge. Recent estimates suggest that 234 million major surgical procedures are performed worldwide each year (Weiser et al. 2008). Complications following major surgery are a leading cause of morbidity and mortality (Head et al. 2008; Jencks et al. 2009). Previous...
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Early Mobilisation of Critically Ill Obese Patients
Obesity is increasing at an alarming rate across many countries throughout the world. As a consequence, we are more frequently challenged with the management of obese patients in our Intensive Care Units (ICUs) (Akinnusi et al. 2008; Hogue, Jr. et al. 2009; Oliveros and Villamor 2008). Obese patients have an increased risk for thromboembolic disease,...
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Risk Assessment of Patients with Severe Community-Acquired Pneumonia
Severe Community-Acquired Pneumonia is the main single cause of mortality from infectious diseases in developed countries. Risk stratification is essential for patients presenting to the emergency department to allow a precise definition of need of intensive care and the initiation of adjuvant therapies. Numerous scoring systems have been developed...
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Prioritising: Is it the Way to Counter Today's Economic Crisis within the Healthcare System?
In response to the current economic constraints within healthcare systems, different action plans and reforms, including tax increases, have been deployed to decrease the se and to increase healthcare's effectiveness. It is, however, the time to realise that these measures are not enough and prioritisation might be the only way to cure this chronic...
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The Healthcare System in Germany
Reunification in 1990 transformed Germany, by a significant margin, into Europe’s largest country, with 16 states (Länder) and an area of over 350,000 square kilometers. With 83 million people, Germany has Europe’s largest population and its biggest economy. The country lies in the heartland of the European landmass, bordering the Baltic Sea and...
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A Glimpse of Healthcare's Sustainable Future
Author Paul Whaley, is Communications Coordinator for Health Care Without Harm Europe, and Editor of Health & Environment Sustainability concepts are taking root in healthcare, the subject of more and more discussion as the spectre of climate change looms larger. The pressure to reduce environmental impact...
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