The Healthcare Management and Leadership Portal

Disorders of Consciousness in the ICU

ICU
18/03/2025

A roundtable discussion at the ISICEM Congress in Brussels on disorders of consciousness (DoC) focused on enhancing understanding, diagnosis, and prognosis for patients in ICUs. Th

SESAR Trial: Inhaled Sedation in Acute Respiratory Distress Syndrome

ICU
18/03/2025

Acute respiratory distress syndrome (ARDS) is common in ICU patients and has high mortality rates (35%-46%). Mechanical ventilation is essential for ARDS management and often requires sedation, thoug

Optimal Vasopressin Initiation in Septic Shock

ICU
18/03/2025

Sepsis is a common and potentially fatal condition, causing over 270,000 deaths annually in the U.S. Emergency treatment involves fluids and vasopressors, with norepinephrine as the first-line choice

Withdraw or Withhold Life-Sustaining Therapies in Patients With and Without Acute Brain Injury

ICU
18/03/2025

The decision to withdraw or withhold life-sustaining therapies (WLST) is a significant factor in many ICU deaths, influenced by patient factors such as age, comorbidities, illness severity, and patie

Benefit From Adjuvant Therapy With Corticosteroids in Community-Acquired Pneumonia

ICU
12/03/2025

Community-acquired pneumonia (CAP) is a leading cause of hospitalisation with high mortality. It can be caused by various pathogens, including viruses, bacteria, and fungi, complicating treatment....

The Future of Extracorporeal Care

ICU
04/03/2025

The incidence of long COVID is estimated to be between 6% and 40%. This highlights the need for ongoing care beyond initial survival. However, healthcare often focuses on survival as a binary outcome

Variability in Interprofessional ICU Staffing

ICU
04/03/2025

ICU staffing varies widely due to factors like physician work-hour limitations, increased use of advanced practice providers (NPs and PAs), telemedicine, and shortages of healthcare workers, includin

Update: Guidelines on Adult Critical Care Ultrasonography

ICU
04/03/2025

Critical care ultrasonography (CCUS) is a point-of-care tool used by clinicians to aid diagnosis, manage care, and guide procedures for critically ill patients. It has become widely adopted in critic

Precision in Nutrition Therapy

ICU
24/02/2025

A recent review discusses the challenges of evaluating nutrition strategies in critically ill patients through multicenter randomised controlled trials (RCTs). While smaller observational studies...

Propranolol to Reduce Sedatives for Patients Receiving Mechanical Ventilation

ICU
24/02/2025

Critically ill patients require sedation for mechanical ventilation, with dexmedetomidine and propofol being the first-line options. However, the COVID-19 pandemic led to global shortages of propofol