Editorial

Author Jean-Louis Vincent Editor-in-Chief ICU Management, Head Department of Intensive Care Erasme Hospital / Free University of Brussels, Brussels, Belgium [email protected]   In this issue our cover story focuses on one organ in particular, the kidney. As a commonly occurring complication in the ICU, acute kidney injury (AKI) has received much attention from intensive care clinicians in...

News

Critical care treatment for patients that was perceived to be futile cost an estimated US$2.6 million at one academic medical centre during a three-month period, according to a study first published online last month in JAMA Internal Medicine. One in five patients in the study received treatment the physicians perceived as futile or potentially futile.   Thanh N. Huynh, of the David Geffen School...

Graduates of the Hebrew University of Jerusalem’s Biodesign programme revealed in August a prototype robotic intubation device. GuideIN Tube automatically identifies the lungs using an infrared source and navigates toward it. The device was successfully tested on cadavers at the Hadassah Medical Center, and clinical trials will begin as soon as next year. The device targets a $3 billion market, which...

Cover Story:The Kidney

Author Lakhmir S. Chawla, MD Department of Anesthesiology and Critical Care Medicine George Washington University Hospital Washington DC, USA   John A. Kellum, MD Professor and Vice Chair for Research Department of Critical Care Medicine University of Pittsburgh, Pittsburgh, USA [email protected]   Acute kidney injury (AKI) is a syndrome of decreased renal function associated with

Author   Patrick M. Honoré, MD, PhD Professor of Intensive Care, Medicine & Head of Clinics Director of Critical Care,Nephrology Platform Intensive Care Dept Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel Brussels, Belgium [email protected]   Rita Jacobs, MD Head of Clinics, Intensive Care Dept, Universitair Ziekenhuis Brussel   Olivier Joannes-Boyau, M

Authors Nakshatra Saxena, MBBS Division of Nephrology University of Alabama at Birmingham Birmingham, USA   Ashita Tolwani, MD, MSc Division of Nephrology University of Alabama at Birmingham Birmingham, USA [email protected]   Keith Wille, MD, MSPH Division of Pulmonary, Allergy, and Critical Care Medicine University of Alabama at Birmingham Birmingham, USA   • Anticoagulation

This article focuses on the impact of fluid and nutrition administration on kidney function. It discusses the deleterious effects of accumulating fluid overload leading to kidney oedema and worsening kidney function, and provides advice on how to adapt nutrition in the different stages of AKI, with or without RRT. Finally, information on the cardio-abdominal-renal syndrome (CARS) is provided, since...

Authors Max Bell, MD, PhD Department of Physiology and Pharmacology Section of Anaesthesia and Intensive Care Medicine Karolinska Institutet Stockholm, Sweden [email protected]   Johan Mårtensson, MD, PhD Department of Physiology and Pharmacology Section of Anaesthesia and Intensive Care Medicine Karolinska Institutet Stockholm, Sweden   Renal recovery after acute kidney injury is

Matrix Features

Authors Martí Manyalich, MD Hospital Clinic of Barcelona Barcelona, Spain [email protected]   Ricard Valero, MD Hospital Clinic of Barcelona Barcelona, Spain   Jesús Carazo, MD Hospital del Mar, Parc de Salut Mar Barcelona, Spain   Organ transplantation has become a successful therapy for end-stage organ failure thanks to major advances in fields as essential as immunosuppres

Authors Yuda Sutherasan, MD IRCCS AOU San Martino-IST Department of Surgical Sciences and Integrated Diagnostics University of Genoa, Genoa, Italy Ramathibodi Hospital, Mahidol University Bangkok, Thailand [email protected]   Iole Brunetti, MD IRCCS AOU San Martino-IST Department of Surgical,Sciences and Integrated Diagnostics University of Genoa, Genoa, Italy [email protected]..

European hospitals are in a constant struggle with healthcare associated infections (HAI). While some infections, although not ideal, are easily treatable, others have serious effects on both patient health and the hospital budget. New programmes and initiatives for reducing infection in our hospitals appear every day, ranging from communication and awareness to new protocols and even new technologies....

Management

Author Christina Jones, PhD Nurse Consultant, Critical Care Rehabilitation Whiston Hospital Prescot, UK Honorary Reader Institute of Ageing & Chronic Disease University of Liverpool, Liverpool, UK [email protected]   This article discusses the pros and cons of physical restraint of ICU patients during critical illness.   Introduction The debate about physical restraint of

Interview

Professor Gordon Rubenfeld is Chief of the Trauma, Emergency & Critical Care Program at Sunnybrook Health Sciences Centre and Professor of Medicine at the University of Toronto, Canada. His research focuses on the clinical epidemiology and outcomes of critical illness syndromes, the transfer of evidence into clinical practice, and end-of-life care issues in the intensive care unit. He has served on...

Country Focus:France

Authors Yen- Lan Nguyen, MD,PHD MICU, Cochin Academic Hospital, APHP Paris, France & INSERM U707   Bertrand Guidet,MD INSERM U707 MICU, Saint Antoine Academic Hospital, APHP Paris, France & Université Pierre et Marie Curie Paris, France   Access to Critical Care • The French Healthcare System The French social security system was formalised by the Ordinance of October 4th 19

Authors Catherine Paugam- Burtz, MD,PHD Anaesthesia and Critical Care Department AP-HP Hôpitaux Universitaires Paris Nord Val de Seine Hôpital Beaujon, Clichy, France Diderot University Paris, France [email protected]   Samir Jaber, MD, PHD Anaesthesia and Critical Care Department B Saint Eloi Teaching Hospital Unité INSERM U1046 Centre Hospitalier Universitaire Montpellier...


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