Latest Articles in icu
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Science and Research
The ICU stands at the forefront of modern medicine, tasked with managing life-threatening conditions in the most vulnerable patients. Treatment success and patient survival depend on robust scientific inquiry and rigorous research. From developing life support technologies to refining clinical protocols, evidence-based practice is the engine that...
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Using Recovery Rooms (PACUs) Differently: Addressing the Hidden Pandemic
There is increasing interest in extending PACU-based care in order to better address the growing problem of early postoperative complications and their impact on patient and hospital outcomes. There is promising evidence of benefit in this approach, but still a great deal to be learned, such as the optimal target patient population, the precise value...
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Rethinking Delirium in Critical Care
Delirium is a common but under-recognised ICU complication with short and long term cognitive, psychological, and functional consequences. It urges for a cultural change in critical care using routine screening, multidisciplinary prevention, and patient and family centred interventions to prioritise mental recovery alongside physical survival....
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Bedside Monitoring of Respiratory Effort in Patients Undergoing Assisted Mechanical Ventilation
This review explores bedside methods for monitoring respiratory effort in patients undergoing assisted mechanical ventilation. It highlights the risks of lung and diaphragm injury from excessive or insufficient patient effort, reviews invasive and non-invasive pressure-based techniques, and discusses their strengths, limitations, and proposed safety...
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Nutrition in Critical Care: Evidence-Based Management
Nutritional support is vital in critical care, yet optimal timing, dose, and composition are debated. Guidelines often conflict with recent trials showing that even lower early goals versus aggressive or early escalating dose may be harmful or not relevant. This review synthesises current evidence, highlighting guideline–trial discrepancies and proposing...
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Electrical Impedance Tomography in Critical Children
Electrical impedance tomography (EIT) provides a non-invasive, bedside, radiation-free method for monitoring regional ventilation and pulmonary perfusion in critically ill children. Introduction Electrical impedance tomography (EIT) is a non-invasive, radiation-free imaging tool that enables real-time monitoring of regional lung...
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Rapid Blood Pressure Lowering in ICH: Evidence-Based Practice or Persisting Dogma
This review examines blood pressure management in intracerebral haemorrhage, highlighting the need to prevent haematoma expansion without causing cerebral hypoperfusion. Guidelines recommend early intervention with systolic targets of 130–150 mmHg, avoiding levels below 130 mmHg. The absence of standardised regimens underscores the need for individualised,...
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Establishing an Awake and Walking ICU: Fundamental Concepts and a Case Report
Immobilism Syndrome is an often neglected disorder in the critical care setting. The repercussions of this condition are frequently detrimental and enduring, leading to a significant decline in patients' overall ability to operate. Enabling the movement of patients, even when they are undergoing mechanical ventilation and other artificial organ supports,...
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Moral Distress and Heroic Life-Sustaining Treatment: The Mitigating Role of the Patient Perspective
This article illustrates two cases of critically ill patients where protracted and burdensome life-saving measures led to discord and moral distress among the ICU team, eventually mitigated by eliciting clear goals and wishes from the patient despite the plan of care and clinical interventions remaining unchanged. The takeaway in these cases is how...
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Upcoming Events/Courses/Congresses
For a full listing of events visit https://iii.hm/icuevents2025 OCT 18–19 SECC Congress 2025 Taipei, Taiwan https://iii.hm/1x5m 21-25 WSES Congress Antalaya, Turkey https://iii.hm/1x5n 25-29 ESICM LIVES 2025 Munich, Germany https://iii.hm/1x5o 31-3 XXII ESRA Eastern European Cadaver...
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