All Articles
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Dealing With Uncertainty in ICU Decision-Making: A Practical Guide
When the stakes are high, and the path ahead is uncertain, the decisions made, especially if a patient continues to worsen, can be sources of self-torment and can haunt us for a long time. Our goal is to suggest ways to steer decision-making for intensivists in the face of uncertainty by proposing a clear, practical, stepwise approach through...
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The Least Bad Decision: Crisis Standards of Care After the Pandemic
COVID-19 was an emergency that lasted for years and left few regions of the world untouched. The pandemic shone a spotlight on both the strengths and weaknesses of our disaster planning. What worked, what did not, and how can we better plan for future emergencies? The COVID-19 pandemic forced hospitals and health systems around the world...
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Errors in Nursing Interventions in Critically Ill Patients: Less is More
In the treatment of critically ill patients, evidence-based nursing practices are essential, highlighting the need for precision in procedural management. This discussion identifies nine common errors encountered in clinical practice. Introduction Patient care is the essence of the nursing profession, focusing on the preservation, restoration,...
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Pharmacist in the ICU
Pharmacists play a crucial role in the ICU, where patients often require complex medication regimens, including multiple medications and intravenous therapies. The role of a critical care pharmacist is multifaceted and vital to ensuring optimal patient care in the critical care setting. Critical care pharmacists ensure patients receive safe,...
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Defining Medicines Optimisation in the Intensive Care Unit
Complex polypharmacy and pathophysiology are common in the intensive care unit (ICU). Medicines optimisation is essential to deliver safe, effective, and individualised pharmacotherapy. This is ideally performed by a specialised ICU pharmacist. Introduction Medicines are the most common intervention in healthcare and are a central...
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Critical Care Pharmacists Save Lives
The purpose of this review is to discuss the role of critical care pharmacists on the interprofessional healthcare team in the care of critically ill patients and explore current gaps in the provision of comprehensive medication management. Introduction “The patient’s neurological exam was concerning, new fixed and dilated pupils...
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Clinical Pharmacists in Intensive Care in Europe: From Basement to Bedside
Evidence regarding the impact of the ICU pharmacist demonstrates improved outcomes in ICU patients, with a significant impact on the cost of care. This evidence comes from multiple studies performed in different countries. What happens in Europe at the moment? This article describes clinical pharmacy services in a number of Intensive Care Units...
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Haemoadsorption in Critically Ill Patients: The New Frontier
Haemoadsorption may represent the new frontier in extracorporeal blood purification. Haemoadsorption has demonstrated effective extraction of a variety of toxins and drugs during episodes of sepsis, acute kidney injury or intoxication. Selective haemoadsorption can be performed by endotoxin-binding polymyxin B functionalised polystyrene fibres....
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Upcoming Events/Congresses
MARCH 19-22 43rd ISICEM Brussels, Belgium https://iii.hm/1orw APRIL 6 SYNCOPE 2024- International Interdisciplinary Symposium Berlin, Germnay https://iii.hm/1orx 10-13 ISHLT 2024 - 44 th Annual Meeting & Scientific Sessions Prague, Czech Republic https://iii.hm/1ory 24-27 12th EuroELSO 2024...
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Introduction to Landiolol in Acute Cardiac Care
An overview of landiolol, a potent and cardioselective beta-blocker offering a promising addition to the armamentarium for managing acute cardiac conditions for rapid and effective rate control with minimal adverse effects. Cardiac emergencies present complex challenges in emergency medical settings, requiring prompt and effective management...
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