Latest Articles in icu
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Economic Evaluations of Therapeutic Hypothermia Perinatal Hypoxic Ischaemic Encephalopathy
Therapeutic hypothermia reduces the risk of death and neurological impairment in children with hypoxic ischaemic encephalopathy. The article reviews the published literature examining the cost effectiveness of therapeutic hypothermia to treat neonatal encephalopathy. Introduction Neonatal encephalopathy is a major cause of death...
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Optimal Nutrition Therapy in the Paediatric Intensive Care Unit
A significant proportion of infants and children admitted to the paediatric intensive care unit (PICU) are malnourished, and further deterioration of nutrition status has been observed dur- ing the course of critical illness. The prevalence of obesity is also rising in the PICU, and is as- sociated with higher rates of complications, increased length...
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Guidelines for Running an Optimised Telecardiology Service
For paediatric cardiologists, telecardiology has become a valuable tool in diagnosing and triaging newborns with suspected congenital heart disease at remote hospital nurseries. The tele-echocardiography programme developed over 15 years ago at Children's Memorial Hospital, Chicago, IL, has spawned similar programmes both in the United States and...
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Haemodynamic Monitoring and Management in Children
During the past 20 years, intensivists and anaesthesiologists have faced tremendous changes in the way haemodynamic monitoring and management is performed in adult patients. The use of the pulmonary artery catheter has dramatically decreased, leaving a strong reliance on less or non-invasive technologies that mainly rely on transpulmonary thermodilution,...
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How Should We Control Blood Glucose in 2011?
Many studies, some already published a long time ago, have reported that hyperglycaemia (Dungan et al. 2009), or “dysglycaemia” (Smith et al. 2010) as some prefer, is an independent prognostic marker in acutely ill patients. For example, after cardiac surgery, glycaemia above 180 mg/dl, implying poor glucose control, was consistently and independently...
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Education and Training in Intensive Care European Perspective
Education and training have increased its importance the last decades. Twelve years ago European Society of Intensive Care (ESICM) published a paper concerning training in intensive care (Int Care Med 1996) and the society efforts to improve training within intensive care have expanded considerably since that time. Intensive care is an established...
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Are there Compelling Data that Sepsis Bundles can Improve Patient Outcomes
Michael S. Niederman, MD Professor and Vice-Chairman, Department of Medicine SUNY at Stony Brook Chairman, Department of Medicine Winthrop University Hospital Mineola, New York [email protected] Sepsis bundles are a prescriptive approach to patient management that include a number of superfluous elements, and yet omit...
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Adverse Events in the ICU: Are We Aiming at the Wrong Target?
Several studies the last decade have revealed that errors and adverse events are common in the ICU. Errors have become the norm rather than the exception in most ICUs—for physicians as well as nurses. Efforts have been made to prevent errors and adverse events from occurring, but evidence showing that preventive measures are effective is scarce....
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Critical Care in Norway
Treatment of the critically ill is usually only infrequently debated in public in Norway. However, in the last two years there have been a few ICU cases that have generated a large amount of public interest in Norway. In these cases, the issue usually stems from a conflict between ICU physicians and relatives regarding ending life sustaining treatment....
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Therapeutic Hypothermia After Cardiac Arrest
In this article, Dr. Nolan discusses the benefits of induced hypothermia following cardiac arrest. He further explains the key factors that must be considered when implementing this therapy to optimize patient outcome. Of the patients who sustain an out-of-hospital cardiac arrest caused by cardiac disease, just 7%survive to hospital discharge...
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