Editorial

As medical professionals, we are always seeking new, improved ways to save lives and provide a high quality of care. Coupled with the increasing pressure being applied during these increasingly unstable economic times, it comes as no surprise that one of the growing topics is that of addressing and achieving costeffectiveness. How can we create an optimally financially sustainable environment in the...

News

The Armstrong Institute for Patient Safety and Quality of Johns Hopkins Medicine is collaborating with the Lockheed Martin Corporation, a global security and technology company, to create a safer and more efficient hospital intensive care unit (ICU) model. The two organisations will work to streamline complex and fragmented clinical systems and processes to reduce medical errors and improve the quality...

The European Centre for Disease Prevention and Control (ECDC) is releasing new European-wide surveillance data showing that the percentage of carbapenem-resistant Klebsiella pneumoniae is increasing within the European Union. Several Member States are now reporting that between 15 and almost 50 percent of K. pneumoniae from bloodstream infections are resistant to carbapenems. Carbapenems are the major...

The Society for Healthcare Epidemiology of America shared that a new report studying hand hygiene of healthcare workers in the emergency department found certain care situations, including bed location and type of healthcare worker performing care, resulted in poorer hand hygiene practice. The study was reported in the November issue of Infection Control and Hospital Epidemiology, the journal of the...

Cover Story

AuthorArzu Topeli Iskit, MDDirectorMedical Intensive Care Unit and Division of General Internal MedicineHacettepe University Faculty of MedicineAnkara, [email protected] (PCT) is a biomarker which is used extensively, both as a surrogate marker to distinguish bacterial infections from other causes of infection (such as viral infections), and to distinguish sepsis from other...

Kees H. Polderman, MD, PhDDepartment of Critical Care MedicineUniversity of Pittsburgh Medical CenterPittsburgh, [email protected],[email protected] temperature management is an increasingly important therapeutic intervention in critical care, particularly in patients with neurological injuries. This applies both to induced therapeutic hypothermia and fever management. It has been...

Robert D. Barraco, MD, MPH, FACS, FCCPChiefSections of Geriatric Trauma and [email protected] Ethics CommitteeLehigh Valley Health NetworkAllentown, Pennsylvania, USADelirium was described in the first century AD by Celsus as “mental disorders such as hysteria, depression or mania, during fever or head trauma”. The word delirium comes from the Latin de...

Advances in Mechanical Ventilation

Tom Piraino, RRTBest Practice Clinical EducatorRespiratory Therapy ServicesSt. Joseph's Healthcare,Hamilton, [email protected] Clinical Professor (Adjunct)Department of Anaesthesia (Critical Care)Faculty of Health Sciences,McMaster University, Hamilton, Ontario,CanadaMechanical ventilation in the intensive care unit (ICU) is usually guided by arterial blood gases, and the parameters...

Series

Saïd Hachimi-Idrissi,PhD, MD, FCCMCoordinatorClinical Skills and Simulation Centre;Professor in Critical Care Medicine,Emergency Medicine and Paediatrics;Head PICU, andChairman of the CerebralResuscitation Research GroupUniversity Hospital of Brussels (UZBrussels)Brussels, [email protected] ScharffEditorEditorial and Publications SectionEuropean Society of Intensive C

Dr. Bruce J. KimuraMedical DirectorCardiovascular UltrasoundDepartment of [email protected] Stan A. AmundsonDirectorInternal Medicine ResidencyDr. David ShawDirectorGraduate Medical EducationScripps Mercy HospitalSan Diego, CaliforniaAccurate First Impressions Crucial Obtaining an accurate initial diagnostic assessment is the goal of every clinician, but has particular...

Matrix

Robert ForsythBruno RaeymaekersARCADIS Community of Practice (COP) for Data [email protected] IT applications are taking a central position in the functioning of any healthcare facility. Existing sites are commonly relying on older IT and technical facilities, not able to support the new and demanding requirements of tomorrow’s organisations. Cooperation with other similar...

Viewpoints

Intensivists are used to describing the patient’s condition at the time of handover or when speaking to family members as stable, suggesting that nothing new has happened during the last period of clinical treatment or evaluation, usually one day. Families generally receive this information as positive news, thinking that as there has been no further deterioration, that this will give space for future...

For this edition of ICU Management, we asked four influential leaders in critical care medicine, "What was the most important or interesting development in intensive care in 2011?" with the aim of pinpointing the hot topics in critical care and emergency medicine during the year just past, and identifying trends for the future. Each contributor provided a different and important viewpoint that identifies...

For this edition of ICU Management, we asked four influential leaders in critical care medicine, "What was the most important or interesting development in intensive care in 2011?" with the aim of pinpointing the hot topics in critical care and emergency medicine during the year just past, and identifying trends for the future. Each contributor provided a different and important viewpoint that identifies...

Prof. Dr. Dominique VandijckDept. of Public Health and Health EconomicsDept. of General Internal Medicine and Infectious DiseasesGhent University HospitalGhent, BelgiumDept. of Health Economics and Patient SafetyHasselt UniversityHasselt, BelgiumFor years, some have tried to deny their value, but today we can no longer ignore the increasing importance of applying measures to monitor and evaluate the...

Interview

Zlatina Alexieva, MDDepartment ofAnaesthesiology andIntensive Care MedicineMilitary Medical AcademySofia, BulgariaNikolay Petrov, MDDepartment ofAnaesthesiology andIntensive Care MedicineMilitary Medical AcademySofia, BulgariaThe accession of Bulgaria as a member of the European Union in 2007, has meant that in recent years, there is an increasing drive to reset Bulgaria’s healthcare system along...

Nikolay Petrov, MDAssociate ProfessorDepartment ofAnaesthesiology andIntensive Care MeicineMilitary Medical AcademySofia, [email protected], President of Society ofAnaesthesiologists in BulgariaPresident of BULSPEN (Bulgarian Societyfor Parenteral and Enteral Nutrition)Stefan Bakalov, MDDepartment ofAnaesthesiology andIntensive Care MeicineMilitary Medical AcademySofia, Bulgariastefan...


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