Issues

Volume 23 - Issue 5, 2023

Thu, 30 Nov 2023

• Patients and Families

  Prof Jean-Louis Vincent, MD, PhD

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  Collaboration between critical care doctors, patients and families is essential to managing critically ill patients. Promoting open communication, shared decision-making, and emotional support is essential to ensure a patient-centred approach in critical care settings. ‏‏ Communication plays a crucial role in a critical care setting. Critical care teams are trained to manage complex medical si...

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• Bringing Back the Forgotten Piece: Family Empowerment in the Care of the Critically Ill Patient

  Dr. Beatriz Lobo-Valbuena

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  This article aims to address patient-family-centred care programmes, starting from their origins and discussing new protocols. Critically ill patients entail a great complexity of care. ICU staff has focused on their care, with family members and surrogates put aside for decades. In recent years, we are witnessing a paradigm shift led by nursing teams (Clark and Guzzetta 2017; Davidson 2009) and...

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• The Internet & Rise of AI in CCM: Opportunities, Threats and the Practitioner-Patient Relationship

  Prof. Laura Hawryluck, MD MSc. (Bioethics) FRCPC

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  This article explores how pervasive and persuasive the internet is in current critical care practice, offers insights into how healthcare professionals, patients and fami­lies can critically appraise where information comes from and its content producers and discusses the opportunities and threats posed by AI on the physicians/team-patient/family relationships....

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• Administering Care to Critically Ill Patients with FAST HUGS IN BED PLEASE - Revisited Mnemonic

  Ernesto Arriaga-Morales, MD

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  In the ICU, providing better care with less is the holy grail. This mnemonic tries to resume a list of the key interventions for human, evidence-based and patient-centred care. In 2005, Prof Jean-Louis Vincent introduced the mnemonic "FAST HUG," advocating for a comprehensive approach to patient care encompassing seven key components: Feeding, Analgesia, Sedation, Thrombo­embolic prevention, H...

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• Long-Term Home Ventilation in Children: Facing the Challenge

  Martí Pons, MD, PhD

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  Discharging ventilated children home is a difficult challenge in which the training of families is essential. We present our hospital's transition programme for ventilated children going home, which is based on a family-centred model. The progressive improvement of neonatal intensive care (NICU) and paediatric intensive care (PICU) over the last two decades, as well as new surgical procedures f...

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• Treating the Whole Human In Intensive Care – Patient-Centred Outcomes in Sepsis, Surgery and Trauma

  Dr. Joanna Poole

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  Intensive care impacts more than the patient, with ripple effects for families, employers and wider societies. Patient-centred outcomes reiterate the need for clinical therapies targeting the biological circuitry of the big-hitting syndromes like ARDS, sepsis, delirium, renal failure and recognising they persist beyond the veil of discharge. Co-author Lucas Alvarez Belon Acute Care SHO Severn Dea...

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• Cardiovascular Management in Septic Shock: Optimising Vascular and Cardiac Function

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  An overview of vasopressor management, current evidence on its use, when to initiate vasopressor therapy for best possible patient outcome and a discussion regarding the use of landiolol in septic patients with persistent tachycardia. Patients with septic shock, and especially those with high vasopressor needs, are at risk for high mortality. The mortality rate of ICU patients with refractory...

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• Acute Subarachnoid Haemorrhage - An Epidemiological Perspective

  Etrusca Brogi, MD

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  Subarachnoid haemorrhage (SAH) carries a high disease-specific burden. Epide­miological studies have observed a reduction in the incidence of SAH from 1990 to 2019. However, the same trend was not observed for intrahospital mortality. Several studies focusing on the evaluation of SAH management across the world have shown a high heterogeneity in care standards, with potential implications on the prognosis...

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• Upcoming events/courses/congresses

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  28-1/12 Critical Care Canada Forum Toronto, Canada https://iii.hm/1nhb 29 – 1/12 DIVI 2023 - German Interdisciplinary Association for Intensive Care and Emergency Medicine Hamburg, Germany https://iii.hm/1nhc DECEMBER 6-9 ESEM 2023 - Emirates Society of Emergency Medicine Conference Dubai, UAE https://iii.hm/1nhd 10-13 International Update meeting on Acute Heart Failure Rome...

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• ICU Management & Practice 2023 Subject Index

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  Issues/Pages Volume 23, Issue 1 1-50 https://iii.hm/1jqh Volume 23, Issue 2 49-100 https://iii.hm/1k3i Volume 23, Issue 3 101-138 https://iii.hm/1kzj Volume 23, Issue 4 139-189 https://iii.hm/1mwh Volume 23, Issue 5 190-230 https://iii.hm/1nhu Subject index Airway Management Russotto V, Collino F, Sansovini C, Muraccini M, Francesconi M, Caironi P. Current Airway Manageme...

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• ICU Management & Practice 2023 Author Index

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  Abella-Álvarez AM 175 https://iii.hm/1mwz Alava FM 44 https://iii.hm/1jr4 Alcaraz AR 195 https://iii.hm/1nho Alshamsi I 95 https://iii.hm/1k9x Areny-Balagueró A 6 https://iii.hm/1jqk Arriaga-Morales E 207 https://iii.hm/1nmi Badewien C 42 https://iii.hm/1jr2 Baid H 110 https://iii.hm/1kzr Bajaña I 25 https://iii.hm/1jqq Becerra J 38 https://iii.hm/1jr0 Belletti A 63 https://iii.hm/1k97 Bel...

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