Editorial

AuthorJean-Louis Vincent Head Department of Intensive Care,Erasme Hospital  Free University of Brussels Brussels, Belgium   Sepsis is one of the most difficult and challenging conditions to manage in our ICUs, as it can develop in many different situations and its’ course varies widely from patient to patient.   As the incidence of sepsis increases, so too does our resolve to find eff

News

Europe Survey: EU Doctors Slow to Adopt eHealth Practices The use of ICT in the healthcare sector is becoming a daily practice, as general practitioners increasingly use computers either to store medical patients' data or assist patient consultation, according to a recent survey.   A report entitled 'Benchmarking ICT use among general practitioners in Europe', one of several EU pilots on eHealth...

Cover Story: Sepsis

AuthorR. Phillip Dellinger M.D.Christa Schorr, R.N., BSNCooper University Hospital,Camden USAMitchell Levy, M.D.Sean Townsend, M.D.Rhode Island Hospital,Providence USA The Surviving Sepsis Campaign (SSC), an initiative of the European Society of Intensive Care Medicine, the International Sepsis Forum, and the Society of Critical Care Medicine, was developed to improve the treatment of sepsis. The...

AuthorSean R. Townsend, MDIntensivist, Pulmonary and Critical Care UnitBrown University & RhodeIsland Hospital,Institute for Healthcare ImprovementProvidence, Rhode Island,USA There is considerable controversy and debate surrounding much of what we do at the bedside in critical care, and the management of sepsis is no exception. Developing a global standard of care for sepsis management, based on...

AuthorsJérôme Pugin, MDProfessor, Head PhysicianIntensive Care DepartmentUniversity Hospitals of Geneva,[email protected] Nobre, MDResearch FellowIntensive Care DepartmentUniversity Hospitals of Geneva, Switzerland A new set of guidelines has been published recently in Critical Care Medicine and Intensive Care Medicine (Dellinger et al. 2008a; Dellinger et al. 2008b),...

Michael S. Niederman, MDProfessor and Vice-Chairman, Department of MedicineSUNY at Stony Brook Chairman, Department of MedicineWinthrop University Hospital Mineola, New [email protected] Sepsis bundles are a prescriptive approach to patient management that include a number of superfluous elements, and yet omit important interventions that can improve patient outcome. The benefits and limitations...

Matrix Features

Part 2:Diagnosis and Antimicrobial ManagementAuthorKaren Pickett MB, BCh Medical Writer/Editor Dept of Intensive Care Erasme Hospital Brussels, Belgium A recent meeting in Berlin gathered six experts in the field of ventilator associated pneumonia (VAP) to present an overview of the many aspects related to VAP that remain poorly defined. In part I of this report (ICU Management, March 2008), we...

AuthorsEric Nulens, MDMedical Microbiologist,Medical MicrobiologistDepartment-Algemeen Ziekenhuis, Sint-JanBruges, BelgiumEllen Broex Msc,Ed SmeetsEllen Stobberingh ,MD,PhDRuud Deurenberg, Ph.DMedical MicrobiologyDepartment- University HospitalMaastricht,The [email protected] A recent meeting in Berlin gathered six experts in the field of ventilator associated pneumonia (VAP) to present an...

AuthorsPaul R. vanOstenberg,DDS,MSExecutive Director,Department of StandardsDevelopment and InterpretationJoint Commission InternationalOak Brook, Illinois, USA.Paul ReisManager of PublicationsJoint Commission ResourcesOak Brook, Illinois, USA. Preventable medical errors threaten patient safety and are all too common in hospitals throughout the world. These errors-the most severe of which are called...

Product Comparison

ECRI Institute Recommendations Included in the accompanying comparison chart are ECRI Institute's recommendations for minimum performance requirements for anaesthesia units. The recommendations are listed in two categories: basic and high performance. ECRI Institute considers certain minimum safety measures necessary for all anaesthesia units. Among these measures are:   • O2 fail-safe and hypoxic...

ECRI Institute is a totally independent nonprofit research agency designated as a Collaborating Center of the World Health Organization (WHO). Such organizations are appointed to contribute to WHO’s public health mission by providing specialized knowledge, expertise, and support in the health field to the WHO and its member nations. ECRI Institute is widely recognized as one of the world’s leading...

Management

AuthorsChristian Zugck, MD,Assistant ProfessorHead of the working group on telemedicineDepartment of Cardiology,Angiology and Respiratory MedicineUniversity of Heidelberg,Medical CentreHeidelberg, [email protected] Radeleff, MDDepartment of Cardiology,Angiology and Respiratory MedicineUniversity of Heidelberg,Medical CentreHeidelberg, GermanyLutz Frankenstein, MDDepartment...

Views and Interviews

AuthorsMariam Ali Alansari,MD,FRCSIConsultant Intensivist,Critical Care UnitSalmaniya Medica Complex,Manama,[email protected] Maghrabi, MDConsultant Intensivist,Section of Critical Care MedicineDepartment of MedicineKing Faisal Specialist HospitalRiyadh, Saudi Arabia Although all patient care settings present safety challenges, observational studies support that intensive care units...

Country Focus:Greece

AuthorsGregory Roumeliotis,MPhilGeneral Manager Cryo Save BalcanicaVice President of [email protected] Chronis, MScAdministrative DirectorPolyclinic Health Unit SA [email protected] The Country Greece covers an area of 131,957 km2, with hundreds of scattered islands around its coastline. The country is divided into 13 administrative regions.   Over the last 15 years, a great many...

AuthorGeorge J. Stathis Health Management Consultant President of GHSMA [email protected] The current hospital system in Greece is a direct result of Act 1397/1983 that established the National Health System (NHS). Laws that were later enforced brought about some changes, but did not modify the basic characteristics of the system.   The Greek National Health System is responsible for 327 ho...

Hospitals Run on Scant Staff Many state hospitals are operating at below the emergency-staff level due to a chronic absence of personnel, says the leader of the country's hospital workers' union.   Even university hospitals are unable to maintain self-sufficient specialist units as there are too few employees to staff them, according to the president of the Panhellenic Federation of Public Hospital...

Congress Review

AuthorJean-Louis Vincent Dept of Intensive Care Erasme Hospital Free University of Brussels,Belgium28th ISICEM –Reflections The 28th ISICEM, held in Brussels from March 18-21, was attended by almost 5000 participants from 84 countries. With a program of more than 700 separate sessions, it is difficult to select individual highlights and every attendee will have their own key points. So, rather...

Congress Preview

AuthorsAndrew Rhodes Chairman of the ESICM Congress Committee Rui P Moreno ESICM President Elect The 21st Annual Congress of the European Society of Intensive Care Medicine will be held in Lisbon, Portugal from September 21-24, 2008. This congress is likely to be the biggest critical care meeting taking place in the world this year. Held over three days, it will feature ten parallel sessions with over...


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