ICU Management & Practice, Volume 19 - Issue 2, 2019


(I expert, I question, I answer) 

A selection from the ICU Management & Practice I-I-I blog. Have you got something to say? Visit or contact [email protected]



Peter Pronovost

Chief Clinical Transformation Officer - University Hospitals Cleveland, USA




What should the intensivist of the future look like?

“The intensivist of the future will need three sets of principles that guide everything they do: an internal set, an interpersonal set and an organisational set. Those internal principles that we should be selecting for are people who are humble, curious and compassionate. The second set of principles is to respect, appreciate and help others. The third set of behaviours is also key yet underdeveloped in healthcare. They are to be accountable to continuously improve myself, my organisation and my community.”

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Ruth Kleinpell

Director - Center for Clinical Research & Scholarship, Rush University Medical Center, USA


Vicki Good

Vice President Quality/Safety - Mercy Hospital Springfield Communities, USA



Burnout syndrome in critical care: what needs to happen now?

“One of the first things ICU leaders must do is learn how to recognise when staff is experiencing burnout syndrome. Once recognised, interventions should begin. Interventions should be based on the individual as burnout is not “equal” across everyone. One person’s burnout may be related to lack of rest from the stressful environment, therefore a vacation or not working overtime might address those concerns. Another person’s experience may be related to feeling a lack of professional/personal accomplishment. This individual might respond to projects, going back to school or engaging with a professional association.”

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Nidhi Nikhanj

Assistant Medical Director - Banner Telehealth Services Phoenix, USA



Bedside Ultrasonography: Six success factors for implementation

“The Surviving Sepsis campaign’s bundle of care practices for patients with severe sepsis or septic shock recommends bedside cardiovascular ultrasound as one of the recommended methods for evaluating volume status and tissue perfusion, with the scan to be performed with six hours of clinical presentation. Bedside echo has been shown to improve diagnostic accuracy, reduced time delays for procedures, superior accuracy in evaluating fluid status in heart failure patients, reduced cost for procedures, support for use of ultrasound as the 'third eye' to help the intensivist manage patients and assessment of shock to determine haemodynamic status, fluid resuscitation, and interventions.”

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