• Infection Management

    Author Jean-Louis Vincent Head, Department of Intensive Care, Erasme Hospital Free University of Brussels, Belgium   Infections are common in many hospital departments, but no more so than on the intensive care unit (ICU) where, in a recent European study of more than 3000 ICU patients, 37% were infected at some point...

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  • Optimizing Antimicrobial Therapy in Critically Ill Patients

    Author Pierre-François Laterre MD, Head of the ICU, St Luc University Hospital, UCL, Brussels   C orrespondence [email protected]   Dr Laterre presents the case for appropriate dose adjustment of antimicrobial agents with critically ill patients.   Inadequate...

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  • ICU Europe: What do We Know and How can We Improve?

    A uthors David L. Edbrooke Intensivist Gary H. Mills Intensivist Daniela Negrini Statistician Medical Economics and Research Centre Sheffield (MERCS) W ebsite www.mercs.org.uk   David Edbrooke calls for intensive care professionals to participate in a new initiative to identify and...

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  • Defibrillator/Monitors for ICU and Hospital Use

    Authors Raúl J. Gazmuri MD, PhD , FCCM Professor of Medicine and Associate Professor of Physiology and Biophysics, Rosalind Franklin University of Medicine and Science Medical Service, Section of Critical Care Medicine, North Chicago VA Medical Centre, Illinois   Erika Kube...

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  • Interview with Dr. Julian F. Bion, President of ESICM

    Interviewee Julian F. Bion, FRCP, FRCA, MD, Reader in Intensive Care Medicine, University Department of Anaesthesia & Intensive Care Medicine, Queen Elizabeth Hospital Birmingham, UK President, European Society of Intensive Care Medicine (ESICM)   In an interview with Kirstie Edwards, Dr Julian Bion...

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  • Healthcare in the Netherlands: Trends

    Author Jan C. F. M. Aghina Director of the National association of healthcare institution directors (NVZD) C orrespondence [email protected] W ebsite www.nvzd.nl   Healthcare in the Netherlands is undergoing considerable changes. Dr Aghina describes some of the current trends and  their implications...

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  • After ICU

    One of the most positive components of our roles in intensive care is that on any given day we are privy to real-life dramas wherein patients, who often enter our units with low scores and little hope of survival; endure, fight, recover and ultimately move to the wards  or leave hospital. These stories  are inspiring, and rewarding, and they remind...

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  • In Memoriam

    If ever a doctor deserved the title of “Father of Critical Care Medicine”, it is Dr. Max Harry Weil, MD, PhD, ScD (Hon). Concerned by the lack of close monitoring of critically ill patients, in 1958 Dr. Weil developed the famous Shock Unit at the University of Southern California. He was always an innovator, full of new ideas, and passionate about...

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  • A Law for End of Life Care in France

    Author François Lemaire Service de Réanimation Médicale Hôpital Henri Mondor Créteil, France C orrespondance [email protected]   Acknolodgement I am indebted to Nicolas Fulli-Lemaire for his editorial assistance   After a case of euthanasia attracted attention in France in 2003, the Parliament...

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  • Step Down Wards: Advantages and Disadvantages

    A uthor H. Burchardi Göttingen, Germany Professor Burchardi shares his views on step down wards with ICU Management readers.   Step down wards are care units between the level of an intensive care unit and the normal ward. Various types are possible: the intermediate care unit (IMC), post operative monitoring (recovery),...

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