Latest Articles in icu
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Trustworthy Artificial Intelligence in Transplantation
Artificial intelligence (AI) is increasingly used across the transplant continuum to improve organ utilisation, clinical decision-making, and personalised care. However, its adoption must address unique ethical challenges related to scarce resources, vulnerable patients, and public trust. This review emphasises trustworthiness as the foundation 1
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Cardiac Output Monitoring Made E.A.S.Y. (And Only When You Need It)
The primary barriers to the clinical adoption of cardiac output (CO) monitoring are the lack of access to and the high cost of monitoring tools. The ideal solution to improve accessibility might be a digital application (App) installed on standard multiparametric monitors, enabling instant activation of a top-tier pulse contour algorithm in pati1
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Workforce Shortages
Intensive care units (ICUs) around the globe are facing a workforce crisis. Shortages of skilled nurses, physicians, and other healthcare professionals have increased due to the cumulative effects of the COVID-19 pandemic, patient complexity, and increased burnout. The result is a fragile system in which both patient safety and staff wellbeing are1
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Preventing Burnout Among Healthcare Professionals Working in Operating Rooms
Burnout is a daily issue that particularly affects the operating room. Improvement in organisation and communication could create a more positive work environment in the operating room. Burnout: A Daily Issue Burnout is a current public health problem whose prevalence varies between countries. Among healthcare professionals, t1
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In Situ Simulation Bolsters Paediatric Cardiac Intensive Care Unit Nurse Satisfaction & Retention
Workforce shortages and employee retention present major challenges to medical institutions. Contributors to ICU nurse job satisfaction include opportunities for continuing education/personal growth, positive interprofessional team dynamics, and a safe learning environment. We will evaluate how participation in a longitudinal interprofessional s1
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Significance of Hiring Strategies: Lessons from Critical Care and Emergency Services in Brazil
Intensive care units and emergency departments necessitate highly skilled physicians with expertise in managing critically ill patients. In Brazil, medical management firms provide hospitals the opportunity to outsource their medical personnel in critical sectors. Although this appears to be a convenient and pragmatic answer, it presents numerou1
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Crisis in Physiological Reasoning in Intensive Care: Left Ventricular Systolic Function
A shortage of trained staff can compromise the cognitive environment in clinical care. Effective training should prioritise physiological reasoning, supported by robust clinical evidence. While technology can enhance decision-making, it should not replace clinical judgement. Complex concepts, such as left ventricular systolic function, require m1
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Telemedicine: Solving the Brazilian PICU Shortage
This article discusses the implementation of a telemedicine model in Brazilian public PICUs to address specialist shortages. Observations from a three-year project suggest that synchronous telerounds and integrated education may support care standardisation and clinical improvements. This collaborative framework between public and private sector1
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Rehabilitation in Guillain–Barré Syndrome: From Intensive Care to Functional Recovery
Rehabilitation in Guillain–Barré syndrome should start early and continue across all phases of care. Individualised, multimodal programmes including respiratory therapy, mobilisation, strengthening, and fatigue management improve functional recovery, independence, and quality of life, despite limited high-quality evidence. Introductio1
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Pancreatic Stone Protein for Early Sepsis Detection: Diagnostic Performance & Clinical Implications
Pancreatic stone protein (PSP) is an emerging biomarker that enables early detection of sepsis, often rising before clinical signs of organ dysfunction appear. PSP demonstrates diagnostic accuracy and consistent performance across patient subgroups, with higher levels strongly associated with sepsis. Its rapid point-of-care measurement allows ti1
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