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Twenty Lessons from 2020: With a Focus on the ICU Perspective
2020 has been an unusual year. As we begin 2021, it is important for intensivists to look back over what has happened and see whether lessons can be learned from our combined experiences . T he year 2020 has been unusual in so many ways and as we start a new year, it is interesting and important as intensivists to look back and reflect on what...
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Is Videolaryngoscopy the New Gold Standard for Intubation Following the COVID-19 Crisis?
Videolaryngoscopy may be the new gold standard for tracheal intubation following the COVID-19 pandemic onset. Introduction Patients admitted to Intensive Care Units (ICU) often require respiratory support. Orotracheal intubation is one of the most frequent procedures performed in ICU (Lascarrou et al. 2017; Roux et al. 2014; Martin et al....
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Prioritisation: A Physicians’ Problem? An Opinion
In light of harsh criticism regarding physicians’ prioritising scarce resources during the COVID-19 pandemic, the question arises: is prioritising truly a physicians’ problem? The COVID-19 pandemic has led to pronounced discrepancies between the need for medical care and the ability of many health care systems to provide it. Subsequently,...
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How the Pandemic Changed Telemedicine
An overview of the large-scale transition to telemedicine at Mayo Clinic during the COVID-19 pandemic and how it happened in a matter of days and represented one of the most rapid transformations of healthcare in history. Impact of the Pandemic on Society The 2019 Coronavirus Disease (COVID-19) pandemic has affected nearly all aspects...
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Rethinking Critical Care - Use and Challenges of Artificial Intelligence
Why digitalisation of intensive care medicine means less rather than more data Intensive Care Medicine is generating an amount of data that is hardly analysable by humans. Digitalising and using artificial intelligence has to focus on providing less rather than more data. Introduction - AI in Intensive Care Medicine: Ghost or Glimmer...
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Why Do We Need Sedation in Critically-Ill COVID-19 Patients?
C OVID-19 patients present to the hospital with lung involvement and interstitial pneumonia eventually associated with lung collapse. The clinical picture is dominated by severe hypoxaemia without dyspnoea/tachypneoa and normal respiratory mechanics; this condition has been defined as silent hypoxia. The picture may evolve, and these patients may...
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Nutrition Management of COVID-19 Patients in the ICU and Post-ICU
This article is a summary of a webinar series where three nutritional experts discussed a practical approach on how to feed and how to provide high-quality nutritional therapy to critically ill patients during hospitalisation. Prof Elizabeth De Waele, Dr Arthur Van Zanten and Prof Paul Wischmeyer in the webinar series discuss nutrition support for...
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How To Ventilate COVID-19 Patients?
TwinStream ® ICU with p-BLV ® (Pulsatile Bilevel Ventilation) T he Austrian critical care ventilator TwinStream ® ICU was designed with the explicit purpose of saving critically respiratory-distressed patients. In particular those patients with severe lung diseases (e.g. ARDS) who can no longer be supported with conventional ventilation. ...
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20 Lessons from 2020
The COVID-19 pandemic has had a significant impact on ICUs and critical care healthcare providers all across the globe. As of this week, 110 million people have been infected with the virus worldwide, and 2.4 million have died. Many of the infected patients need hospitalisation and admission to the ICU. A high percentage of severely ill patients with...
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Sedation in Critically-Ill COVID-19 Patients
Report of a Symposium Presented at LIVES 2020 33rd Congress of the European Society of Intensive Care Medicine Moderator Vito Marco Ranieri (Bologna, Italy) Speakers Why Do We Need Sedation in Critically-Ill COVID-19 Patients? Salvatore Maurizio Maggiore (Chieti, Italy) How Should We Manage Sedation in Critically-Ill...
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