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] The 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 and early recognition of critical...

News

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 knew that circadian rhythms can affect timing of a heart attack. This study shows the im...

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 increased bystander CPR delivery rate and was associated with improved one-month favourable neu...

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.   Home dialysis is more convenient...

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 units (ICUs) in the United States alone, it is a major public health issue, according...

Cover Story: Prevention

Early Recognition of Sepsis Patients 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-sepsis treatments, and management...

Authors Rajit K. Basu , MD Center for Acute Care Nephrology Cincinnati Children’s Hospital and Medical Center University of Cincinnati, Department of Pediatrics Cincinnati, Ohio, USA Stuart L. Goldstein , MD Center for Acute Care Nephrology Cincinnati Children’s Hospital and Medical Center University of Cincinnati, Department of Pediatrics Cincinnati, Ohio, USA John A. Kellum...

Authors Candelaria de Haro , MD Critical Care Centre, Hospital de Sabadell Corporació Sanitària i Universitària Parc Taulí, Universitat Autònoma de Barcelona CIBER Enfermedades Respiratorias Sabadell, Spain [email protected] Antonio Artigas , PhD Critical Care Centre, Hospital de Sabadell Corporació Sanitària i, Universitària Parc Taulí Universitat Autònoma de, Barcelona CIBER Enfermedades...

Series

Authors Xavier Monnet , MD, PhD Professor in Intensive Care Medicine Medical Intensive Care Unit Bicêtre Hospital Paris-South University Hospitals Assistance Publique-Hôpitaux de, Paris Le Kremlin-Bicêtre, France [email protected] Jean-Louis Teboul , MD Professor Faculty of Medicine, Paris-Sud University Le Kremlin-Bicêtre, France [email protected] Introduction...

Matrix

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

Authors David Osman , MD Medical Intensive Care Unit Paris-South University Hospitals Assistance Publique-Hôpitaux de Paris Le Kremlin Bicêtre, France Isabelle Boytchev, MD Department of Gastroenterology Paris-South University Hospitals Assistance Publique-Hôpitaux de Paris Le Kremlin Bicêtre, France Intensivists are regularly confronted with the questi

Authors Olav Rooyackers , PhD Professor of Anaesthesia and Intensive Care Medicine Division of Anaesthesia at CLINTEC, Karolinska Institutet Stockholm, Sweden Jan Wernerman, MD PhD Professor of Anaesthesiology and Intensive Care Medicine Division of Anaesthesia at CLINTEC, Karolinska Institutet Stockholm, Sweden Senior Consultant Department of Anaesthesia and Intensive Care Medicine,...

Authors Alain Broccard , MD, FCCP Professor of Medicine Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota Medical Director of Critical Care and Respiratory Services Fairview Southdale Hospital Edina, MN, USA [email protected] Damien Tagan , MD, MHA Lecturer, Lausanne University Head of Medical Intensive Care Unit, Department of Internal Medicine...

Interview

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 improving rescue and survival,...

Management

Authors Courtenay R. Bruce , JD, MA Assistant Professor of Medicine and Medical Ethics Center for Medical Ethics & Health Policy Baylor College of Medicine Houston, Texas, USA Director of Biomedical Ethics Program Houston Methodist Hospital System Houston, Texas, USA Janice L. Zimmerman, MD Division Head, Critical Care Medicine Department of Medicine Houston Methodist Hospital Ho...

Country Focus: India

Author Shirish Prayag , MD, FCCM Chief Consultant in Critical Care Medicine Shree Medical Foundation, Pune, India ICU Management Editorial Board Member [email protected] Critical 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, hosts...

Author Pravin Amin, MD, FCCM Head, Department of Critical Care Medicine Bombay Hospital Institute of Medical Sciences Mumbai, 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 neurosurgical...



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