Editorial

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, effective, and appropriate medication therapy. They work with...

Cover Story

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. Medicines are the most common intervention in healthcare and are a central component of the life-saving treatment offered in the intensive care unit (ICU) (...

Point-of-View - 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 to improve patient outcomes (Bezati et al. 2023). Beta-blo...

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. “The patient’s neurological exam was concerning, new fixed and dilated pupils and an absent cough reflex, so the team wanted to initiate conversations ab...

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 across Europe. Patients admitted to Intensive Care U...

Critical care pharmacists use their specialist knowledge to optimise medication for their patients. This article looks at the various roles of the critical care pharmacist within the multidisciplinary team. The pharmacist's role in critical care is well-developed in the United Kingdom (UK), USA, Australia, New Zealand, Canada and some parts of Europe. In this article, we describe the multiple roles...

Critical care pharmacists have grown in numbers and effectiveness, but their need exceeds availability. Their contributions, role, and benefits are discussed with how to justify adding these highly trained practitioners to your critical care team. I was asked recently what the most important change I had seen during the last four decades of critical care (CC) pharmacy. While there have been amazing...

Other Feature Articles

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. The clinical application of non-selective haemoadsorption i...

Corticosteroids are commonly used drugs in multiple diseases and conditions of critically ill patients. In this article, we review the pharmacology of corticosteroids and provide recommendations for their use in the ICU based on the best available evidence. Corticosteroids are hormones synthesised in the adrenal cortex from cholesterol. They are classified into mineralocorticoids and glucocorticoid...

Agenda

19-22 43rd ISICEM Brussels, Belgium https://iii.hm/1orw 6 SYNCOPE 2024- International Interdisciplinary Symposium Berlin, Germnay https://iii.hm/1orx 10-13 ISHLT 2024 - 44th Annual Meeting & Scientific Sessions Prague, Czech Republic https://iii.hm/1ory 24-27 12th EuroELSO 2024 Krakow, Poland https://iii.hm/1orz 25-26 20th Annual Critical Care Symposium Manche...


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