Author Jean-Louis VincentEditor-in-Chief ICU ManagementHead Department of Intensive CareErasme Hospital / Free University of BrusselsBrussels, [email protected] intensive care unit is one of the most expensive parts of the hospital to run. While no intensivist would like to ration intensive care, there are possibilities for prevention


Normal day and night cycles could improve recovery from heart attack for hospitalised patients, according to researchers from the University of Guelph in Canada.   Their study shows for the first time that interrupting diurnal rhythms impairs healing immediately after a heart attack. Researchers already kn

Children who suffer out-of-hospital cardiac arrest are more likely to survive and have good brain function if call handlers/ dispatchers instruct bystanders on CPR, according to a large Japanese study published in the Journal of the American Heart Association.   “Dispatcher-assisted bystander CPR increas

Many kidney failure patients in Australia who could benefit from undergoing dialysis at home are being treated in hospitals and dialysis units, according to a study published in the Clinical Journal of the American Society of Nephrology (CJASN). This is creating significant costs for healthcare providers and causing unnecessary disruptions to patients' lives.

Depression affects more than one out of three survivors of critical illness, according to one of the largest studies to investigate the mental health and functional outcomes of critical care survivors, published in The Lancet Respiratory Medicine.   With around 5 million patients admitted to intensive care

Cover Story: Prevention

Early Recognition of SepsisPatients with sepsis, now defined as a severe infection with some degree of associated organ dysfunction, make up a large proportion of the critically ill population and, although outcomes have improved over the last decade, mortality rates remain above 20-30%, and even close to 40% when shock is present. There are no effective specific anti-sep

Authors Rajit K. Basu, MDCenter for Acute Care NephrologyCincinnati Children’s Hospital and Medical CenterUniversity of Cincinnati, Department of PediatricsCincinnati, Ohio, USA Stuart L. Goldstein, MDCenter for Acute Care NephrologyCincinnati Children’s Hospital and Medical CenterUniversity of Cincinnati, Department of PediatricsCincinnati, Ohio, USA Jo

Authors Candelaria de Haro, MDCritical Care Centre,Hospital de Sabadell Corporació Sanitària iUniversitària Parc Taulí, Universitat Autònoma deBarcelonaCIBER Enfermedades RespiratoriasSabadell, [email protected] Antonio Artigas, PhDCritical Care Centre, Hospital de SabadellCorporació Sanitària i, Universitària Parc TaulíUniversitat Autònoma de, Barcelon


Authors Xavier Monnet, MD, PhDProfessor in Intensive Care MedicineMedical Intensive Care Unit Bicêtre HospitalParis-South University HospitalsAssistance Publique-Hôpitaux de, ParisLe Kremlin-Bicêtre, [email protected] Jean-Louis Teboul, MDProfessorFaculty of Medicine, Paris-Sud UniversityLe Kremlin-Bicêtre, [email protected]


Authors Tim M. Cook, BA (Hons), MBBS (Hons), FRCA, FFICMConsultant in Anaesthesia and Intensive Care Medicine Jeremy P. Astin, MBChB (Hons), BSc (Hons), MRCP, FRCASpecialist Registrar in Anaesthesia Fiona E. Kelly, BA (Hons), MBBS, MRCP, FRCA, DICM, FFICMConsultant in Anaesthesia and Intensive Care MedicineRoyal United Hospital Combe Park, Bath, [email protected]

Authors David Osman, MDMedical Intensive Care UnitParis-South University HospitalsAssistance Publique-Hôpitaux de ParisLe Kremlin Bicêtre, France Isabelle Boytchev, MDDepartment of GastroenterologyParis-South University HospitalsAssistance Publique-Hôpitaux de ParisLe Kremlin Bicêtre, FranceIntensivists are regularly confronted 

Authors Olav Rooyackers, PhDProfessor of Anaesthesia and Intensive Care MedicineDivision of Anaesthesia at CLINTEC, Karolinska InstitutetStockholm, Sweden Jan Wernerman, MD PhDProfessor of Anaesthesiology and Intensive Care MedicineDivision of Anaesthesia at CLINTEC, Karolinska Institutet Stockholm, SwedenSenior ConsultantDepartment of Anaesthesia and Intensi

Authors Alain Broccard, MD, FCCPProfessor of MedicineDivision of Pulmonary, Allergy,Critical Care and Sleep Medicine, University of MinnesotaMedical Director of Critical Care and Respiratory ServicesFairview Southdale Hospital Edina, MN, [email protected] Damien Tagan, MD, MHALecturer, Lausanne UniversityHead of Medical Intensive Care Unit, Department of Inter


You presented at ISICEM 2014 on the Round Table conference on “Evidence-based care: New directions". What were the key themes from this? The rationale was to draw together experts from diverse areas to share ideas regarding how to do better in gathering the data needed to guide clinical practice of intensive care. As a field, we have made good progress toward improvin


Authors Courtenay R. Bruce, JD, MAAssistant Professor of Medicine and Medical EthicsCenter for Medical Ethics & Health PolicyBaylor College of MedicineHouston, Texas, USADirector of Biomedical Ethics ProgramHouston Methodist Hospital SystemHouston, Texas, USA Janice L. Zimmerman, MDDivision Head, Critical Care MedicineDepartment of MedicineHouston Methodist Ho

Country Focus: India

Author Shirish Prayag, MD, FCCMChief Consultant in Critical Care MedicineShree Medical Foundation, Pune, IndiaICU Management Editorial Board [email protected] care in India has grown from a relatively small body of professionals to a fully-fledged active speciality. The Indian Society of Critical Care Medicine publishes a MEDLINE®-indexed monthly journal, hos

AuthorPravin Amin, MD, FCCMHead, Department of Critical Care MedicineBombay Hospital Institute of Medical SciencesMumbai, India Globally neurocritical care is a well-established field in medicine. In India this discipline has developed in the major cities. However, elsewhere it is found wanting. The high incidence of head trauma and stroke and advances in neur

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