Latest Articles in icu
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Fluid Overload is Not Only of Cosmetic Concern
Exploring a New Hypothesis Introduction Capillary leak complicates conditions that are characterised by inflammation, infection and resuscitation. It is important to understand the pathophysiologic basis in order to minimise fluid, electrolytes, proteins and other molecules that extravasate from the vascular space into the interstitium. Capillary...
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Early Mobilisation of Critically Ill Patients:
In our previous article, we discussed the rationale for early mobilisation and described general screening guidelines and safety issues when considering this therapy (Korupolu et al. 2009). In this second of three articles, we focus on the feasibility and benefits of early mobility, describing how ICUs use available personnel and equipment to facilitate...
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Covidien's New Alarm Management System (AMS) for the Nellcor "OxiMax"
N-600x™ pulse oximeter identifies and alerts staff to ongoing developments, such as periods of desaturation and potentially worrisome patterns. AMS includes the OxiMax SPD™ alert, which detects desaturation patterns indicative of repetitive reductions in airflow, even if the patient hasn't crossed the SpO2 threshold. AMS also includes SatSeconds™ alarm...
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We all Know Endotracheal Tubes Leak
A recent study by The New England Journal of Medicine found pneumonia to be the second most common cause of rehospitalisation within 30 days after surgery.1 It's this kind of real-world need that drives our search for relevant innovations—innovations like the Mallinckrodt™ TaperGuard™ endotracheal tube, shown to reduce microaspiration an average of...
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Series on Early Mobilisation of Critically Patients
Introduction Patients in the intensive care unit (ICU) often receive heavy sedation and bed rest, particularly while mechanically ventilated (Needham et al. 2007; Weinert & Calvin 2007; Winkelman et al. 2005). This immobility may contribute to ICU-acquired neuromuscular weakness, which can be severe and long lasting in some ICU survivors. (De Jonghe...
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Conventional and Non Conventional Interfaces for Non Invasive Respiratory Support
Paolo Pelosi , MD Department of Environmental Medicine, Health and Safety,University of Insubria Varese, Italy [email protected] Cesare Gregoretti, MD Department of Emergency and Intensive Care CTO-M. Adelaide Torino, Italy Giovanna Chidini and Edoardo Calderini Paediatric Intensive Care Unit,Department...
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Covidien Announces the Integration of Nellcor "OXIMAX" Sp02 System into Drager Patient Monitors
Combined Technology Offers Excellence in Patient Monitoring Solutions Covidien, a leading global supplier of healthcare products, with its Nellcor™ OxiMax™ oximetry system is now integrated into Dräger bedside monitors with the new Infinity® SmartPod® with Nellcor™ OxiMax™ oximetry system. Physicians now have access to the flexibility...
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The Aging of our ICU's Part III
In our third and final instalment in a series of articles in ICU Management concerning the impact of the aging population in our ICUs, we focus on an important subgroup whose special requirements in the critical care environment need to be addressed: The frail elderly. The frail elderly is a particularly problematic group of patients. Multiple...
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Therapeutic Temperature Management in Critically Ill Patients
Kees H. Polderman, MD, PhD Department of Critical Care Medicine University of Pittsburgh Medical Center Pittsburgh, U.S. [email protected], [email protected] Therapeutic temperature management is an increasingly important therapeutic intervention in critical care, particularly in patients with neurological injuries....
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Uneven Distribution of Resources in the ICU
For this edition of ICU Management, we asked four influential leaders in critical care medicine, "What was the most important or interesting development in intensive care in 2011?" with the aim of pinpointing the hot topics in critical care and emergency medicine during the year just past, and identifying trends for the future. Each contributor provided...
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