Latest Articles in icu
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Quality and Costs of Intensive Care – A Conflict?
A uthor J. Takala, M.D., Ph.D. Clinic of Intensive Care Medicine University Hospital Bern (Inselspital) Bern, Switzerland e-mail: [email protected] S ummary Professor Takala argues the case that optimization of the processes of intensive care may allow relevant cost control without...
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First Study on the Prevalence of Severe Sepsis and Septic Shock in ICUs in Germany
A uthor F. M. Brunkhorst, M.D. , K. Reinhart, M.D. SepNet Office, Dept. of Anaesthesiology and Intensive Care Medicine Friedrich-Schiller-University Jena e- mail: [email protected] S ummary A new study, the results of which are shortly to be presented at the ESICM...
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Fact File
Statistics for German Intensive Care Units Although several authorities provide data to the public on health care across Europe (see later for figures on Germany) statistics on intensive care in Germany are difficult to acquire. The number of ICU departments, number of ICU beds, annual admissions and average length of stay in ICU, mortality rates...
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Obesity
The World Health Organi sation predicts there will be 2.3 billion overweight adults in the world by 2015 and more than 700 million of them will be obese. Within the critical care field, this changing population is set to trigger a new set of requirements for clinicians – both with regards to equipment and staffing needs and demands as well as for specific...
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WHO Pandemic Updates
Public Health Significance of Virus Mutation Detected in Norway The Norwegian Institute of Public Health has informed the World Health Organisation (WHO) of a mutation detected in three H1N1 viruses. The viruses were isolated from the first two fatal cases of pandemic influenza in the country and one patient with severe illness. Norwegian scientists...
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Obese Paediatric Patients Requiring Intensive Care
Childhood obesity is increasing in prevalence worldwide. In the United States, studies estimate that among children aged six to nineteen, 16.5% are overweight (Body Mass Index [BMI] 85th to 94th percentile for age and gender) and 17.1% are obese (BMI ≥ 95th percentile for age and gender) (Ogden et al. 2006). This trend will likely lead to an increase...
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Optimal Positioning of Critically Ill Obese Patients
In endotracheally intubated, mechanically ventilated obese patients, head-up positions seem not to be as effective as in extubated, spontaneously breathing obese ones. Sprung et al. (2003) reported that although initial arterial oxygenation was worse in patients with massive obesity when compared with normal-weight patients, gas exchange remained...
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Early Mobilisation of Critically Ill Obese Patients
Obesity is increasing at an alarming rate across many countries throughout the world. As a consequence, we are more frequently challenged with the management of obese patients in our Intensive Care Units (ICUs) (Akinnusi et al. 2008; Hogue, Jr. et al. 2009; Oliveros and Villamor 2008). Obese patients have an increased risk for thromboembolic disease,...
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Risk Assessment of Patients with Severe Community-Acquired Pneumonia
Severe Community-Acquired Pneumonia is the main single cause of mortality from infectious diseases in developed countries. Risk stratification is essential for patients presenting to the emergency department to allow a precise definition of need of intensive care and the initiation of adjuvant therapies. Numerous scoring systems have been developed...
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Prioritising: Is it the Way to Counter Today's Economic Crisis within the Healthcare System?
In response to the current economic constraints within healthcare systems, different action plans and reforms, including tax increases, have been deployed to decrease the se and to increase healthcare's effectiveness. It is, however, the time to realise that these measures are not enough and prioritisation might be the only way to cure this chronic...
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