Latest Articles in ICU

Ageing Population

T he process of ageing cannot be defined by a number. The World Health Organization classifies anyone over the age of 65 as elderly. However, it is important to understand that ageing is a complex process, and we must consider physiological and cognitive vulnerabilities when talking about ageing

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Lessons from COVID-19: ICU Preparedness, Ethical Issues and Digital Congresses

Jean-Louis Vincent is a Consultant in the Department of Intensive Care at Erasme University Hospital in Brussels and a Professor of Intensive Care at the Université libre de Bruxelles.He is the editor-in-chief of ICU Management & Practice, Critical Care, and Current Opinion in Critical Care an

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Predicament Prevention for Pandemics

COVID-19 has resulted in an enormous demand for critical care personnell and increased consumption of resources. How can healthcare systems prepare for the allocation of scarce resources? Introduction Health care crises, like the COVID-19 pandemic, can lead to a pronounced regional

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Challenges in the Management of Severe SARS-CoV2 Infection in Elderly Patients

Elderly patients have damaging and serious complications when they acquire SARS-CoV2 infection. It is thus important to consider this particular age group for better management of COVID-19. The gradual reversal of the population pyramid that has developed in recent decades has res

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PCT-guided Antibiotic Stewardship in COVID-19 Patients

PCT recognized by WHO as an aid to fight antibiotic resistance PCT included on the Essential In Vitro Diagnostics List of the World Health Organization to aid in antibiotic stewardship.  Ref-1 The challenge: Antibiotic resistance is an increasing threat to public health Antibiot

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Lessons From the “Very Old Intensive Care Patients” (VIP) Project

An overview of the VIP project that studies a subgroup of patients  ≥  80 years, the oldest old, since both ICU mortality and morbidity are increased with advanced age. D uring the last 10 years, we have observed an increased interest in research into our oldes

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In Search of a Crystal Ball: Predicting Long-term Outcomes in Critically Ill Older Adults

Older adults who survive critical illness are at risk of adverse long-term outcomes, including long-term mortality and impairment in physical function, cognitive function, and mental health. In this article, we discuss the evidence behind prediction of these outcomes in older ICU survivors, an

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Nutritional Management of the Critically Ill Older Adult

A review of available evidence and an overview of recommendations for the nutritional management of the critically ill older adult. Introduction Worldwide, there is a shift in the distribution of the population towards older ages. This shift is similarly being experienced in the In

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What Intensivists Can Learn From Geriatric Medicine

In this article we discuss mind, mobility, medications, multi-complexity, and what matters most. These are key domains from geriatric medicine that are relevant to the practice of intensive care medicine. The notion that advanced age is a sufficient reason to decline admission to

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Infographic

Problems associated with ageing, complications of critical illness in the elderly patient, and an overview of the gaps in the treatment of critically ill older adults.

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