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New Standards of Care
The healthcare industry is one of the most regulated sectors in the world. That is primarily because the quality and level of care provided to patients could determine the course of their lives. We need standards because, in healthcare, the patient is always the top priority. Standards in healthcare promote transparency, accountability, governance,...
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Biparametric MRI: A New Standard for Prostate Cancer Imaging?
A lone and discordant voice supported by few at first, biparametric prostate magnetic resonance imaging has been gradually gaining attention and visibility as a reliable, faster, and cheaper alternative to conventional multiparametric magnetic resonance imaging and could become a new standard of care in the near future. Key Points The role...
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Telestroke 2.0: Innovative Approach to Optimise Timing and Automate Workflow
Rapid stroke care that allows early detection and treatment is essential for optimal recovery and evolution of patients. For this reason, Catalonia has a telestroke network that connects regional hospitals with reference hospitals where emergency neurologists are located. Through telemedicine tools, they achieve a rapid response to possible cases...
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Apnoeic Oxygenation for Intubation - Where is the Evidence?
Apnoeic oxygenation can be used in critically ill patients, without replacing preoxygenation. Introduction Hypoxaemia is one of the most common complications during tracheal intubation of critically ill patients (Jaber et al. 2006; Russotto et al. 2021) with an incidence of severe hypoxaemia reaching up to 50% (De Jong et al. 2013; Jaber et...
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New Applications of Pulse Oximetry
The clinical applications of pulse oximetry go far beyond the mere monitoring of SpO 2 . From home to ICUs, pulse oximeters may help to improve quality of care in patients with respiratory and circulatory disorders, in particular those with the coronavirus disease 2019 (COVID-19). P ulse oximetry was developed in the 1970’s to monitor...
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Practical Strategies in Mechanical Ventilation for Patients With COVID-19 Acute Respiratory Failure
COVID-19 represents a challenge in respiratory therapy. Evidence-guided protective mechanical ventilation is essential to reduce mortality. “Only a set of well-directed strategies can combat a formidable enemy.” Introduction The SARS-CoV-2 virus responsible for the COVID-19 pandemic has a wide variety of clinical presentations. Age...
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Airway Management in Critically Ill Patients – Striving to Improve Outcomes
Tracheal intubation in critically ill patients requires planning, preparation and optimisation of patient’s physiology prior to the procedure. Reducing repeated attempts at tracheal intubation, improving peri-intubation oxygenation, and haemodynamic optimisation, are some of the steps that can reduce the antecedent morbidity and mortality. ...
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Hyperoxia – A Journey to the Centre of the Cell
An overview of hyperoxia, effect of reactive oxygen species on biological processes and tissues and effective strategies for oxygen therapy. The reliance of life on oxygen is a modern and terra-centric view. Oxygen only appeared on the scene about 450 million years ago – wiping out many life forms or forcing them to trap oxygen with...
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Diaphragm Ultrasonography in ICU: Why, How, and When To Use It?
An overview of the principles and current applications of diaphragm ultrasound and innovative ultrasound-based techniques. Introduction In the intensive care unit (ICU), ultrasound imaging has become increasingly popular for the diagnosis and to guide treatment in critically ill patients (Volpicelli et al. 2020). The use of ultrasound to...
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