Latest Articles in icu
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Revolutionising Critical Care with AI
The intensive care unit (ICU) remains one of the most complex, data-rich, and time-pressured environments in healthcare. Artificial intelligence (AI) promises a profound transformation of critical care, offering the potential to improve diagnosis, monitoring, and therapeutic decision-making in ways that can reshape ICU workflows, enhance patient 1
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The Measure of AI: An ABCDEF Framework for Critical Care Clinicians
Artificial intelligence holds unprecedented potential to transform healthcare, yet the current evidence base for AI applications in critical care remains limited. This article presents the ABCDEF framework to guide critical care clinicians in evaluating AI-based tools and demonstrate safety and effectiveness in real-world clinical environments. 1
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Risk Prediction of ICU Admission and Artificial Intelligence: A Narrative Review
Postoperative ICU admission is a complex clinical decision influenced by multiple factors, including patient characteristics, surgical type, intraoperative variables and organisational constraints. Traditional risk stratification tools have limitations in accuracy and consistency. Artificial intelligence models demonstrate promising predict1
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Defining the Smart ICU: Aligning Innovation With What Matters Most
As intensive care units worldwide face mounting pressure from staffing shortages, technological complexity, and the need for improved patient outcomes, Mindray convened a roundtable of leading critical care experts to envision the future of the smart ICU. With ICUs around the world under growing strain from workforce shortages, expandi1
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Vasopressin in 2025: Emerging Data Converge on Earlier, Smarter Intervention
Vasopressin, an adjunctive vasopressor agent in septic shock, is increasingly supported by evidence favouring early, targeted intervention. Recent research, from mechanistic reviews to artificial intelligence-driven modelling, converges on a coherent strategy: initiate vasopressin earlier, at lower norepinephrine doses, and before severe metabol1
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Echocardiography and Cardiac Output Monitoring: Towards Techquity
We explore how echocardiography and cardiac output monitoring are becoming more accessible through AI-enabled ultrasound tools and the recent integration of pulse contour analysis into standard multiparameter bedside monitors. Echocardiography has become an indispensable diagnostic tool in the intensive care unit (ICU), providing criti1
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How Computer Vision Can Change Medicine: From Missed Observations to Continuous Insight
Computer vision (CV) technology offers transformative potential for continuous patient monitoring in healthcare settings. By leveraging artificial intelligence to interpret visual data, CV systems can detect subtle physiological and behavioural changes that may be missed between routine observations. This article explores the evolution of CV fro1
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Humanising the Escalation of Care: Developing COURAGE as a Tool for Patient Safety
Working in the ICU can be stressful, especially when the stakes are high, patients' conditions are complex and deteriorating, and life or death decisions need to be made quickly. Many challenges to patient safety can and do arise, often engaging one of the most difficult tasks: the need to escalate. Failures to escalate are a significant cause o1
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Volume Responsiveness in the Obese Patient: An Unresolved Challenge
Dynamic indices have been introduced as a complementary tool for haemodynamic monitoring, leveraging cardiopulmonary interactions to assess fluid responsiveness in mechanically ventilated patients. In patients with obesity, fluid management poses an even greater challenge due to marked cardiovascular and pulmonary alterations that can compromise1
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ANDROMEDA-SHOCK 1 to ANDROMEDA-SHOCK 2: Capillary Refill Time & Personalised Haemodynamic Management
From ANDROMEDA-SHOCK 1 to ANDROMEDA-SHOCK 2, capillary refill time evolved from a bedside sign to a personalised, physiology-based resuscitation target with direct implications for clinical practice and ICU organisation. Introduction The evolution of haemodynamic resuscitation in septic shock reflects the identity of critical care1
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