All Articles
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Prolonged Intubation and Tracheostomy in COVID-19 Survivors
Consequences and Recovery of Laryngeal Function Intubation and tracheostomy as a result of COVID-19 critical illness may result in laryngeal dysfunction, which can lead to serious consequences. This article provides assessment and rehabilitation recommendations for those working with critically ill COVID-19 patients in the ICU. Introduction...
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Innovations in ICU Expansion Solutions: From Tents to Modified Shipping Container Mobile Pods
This article discusses the 2020 innovations in ICU surge capacity, their benefits and challenges and how they may prevent or delay the need to enact triage criteria /decision-making in pandemic and mass casualty situations. Introduction Even though governments in many countries have taken unprecedented steps to shut down their economies...
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Why Intensivists Should Participate in Home Ventilation Teams
A historical review of the birth of intensive care medicine and home mechanical ventilation; and an opinion piece on the merits of intensivists participating in home ventilation care teams. T he world is currently reeling from the ravages of COVID-19. It is still too early to know how healthcare will be transformed as a result of this...
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Treatment of Catecholamine Refractory Hypotension in Septic Shock: Beyond First Line Vasopressor
Hypotension during septic shock is a strong indicator of patient outcome and mortality. Arginine vasopressin is a naturally produced human hormone with vasoconstriction effect via V1 receptor activation and a short 5-20 minutes half-life and is recommended by the Surviving Sepsis Campaign guidelines to be added as a second-line vasoactive agent when...
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Biomarkers and Their Impact in ICU Patient Outcomes
The laboratory plays a critical role in ensuring optimal outcomes for ICU patients. Several biomarkers are valuable in this context and can help clinicians achieve improved patient outcomes and decreased expenses for healthcare. I mproving both in-ICU and post-ICU clinical outcomes often depends on actions taken much sooner in a patient’s...
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The Seraph® 100: Evidence and Perspectives
An overview of the clinical application and future perspective of the Seraph® 100 haemoperfusion in critically ill patients with sepsis. Background Over the last few decades, sepsis has been spreading worldwide to such an extent that it has been declared global health priority by the World Health Organization (Reinhart et al. 2017)....
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Post-Intensive Care Syndrome - Patients and Families Need to Know They are Not Alone
In this article, we aim to summarise the current management of Post Intensive Care Syndrome (PICS) and Post-Intensive Care Syndrome – Family (PICS-F), understanding the need for continuum assessment and support throughout critical disease. Illustrating PICS People who have been admitted to an Intensive Care Unit report a reduced quality...
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The Post-ICU Patient - Management of Long-Term Impairments After Critical Illness
Survivors of critical illness and their caregivers frequently face long-term impairments of cognition, mental health, mobility and beyond, which demand for a patient-centred transition management and well-coordinated, outpatient post-ICU care. Introduction In recent years, the post-ICU sequelae of survivors of critical illness have become...
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Post-intensive Care Syndrome – The Paediatric Perspective
This article outlines the current understanding, prevalence, risk factors and management of the post-intensive care syndrome in paediatrics. Introduction Persistent critical illness acquired morbidities have been well known to affect adults since our attention was drawn to this in the landmark publication by Herridge et al. in 2003....
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The Post-ICU Patient
“The success of intensive care has not to be measured only by survival statistics, as though each death is a medical failure. It has to be measured by the quality of lives preserved or restored and by the quality of dying of those in whose interest is to die.” This statement of G. R. Dunstan, Prof. of Morals and Social Theology, dating back to 1995,...
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