• Cardiorespiratory Compromise in the Perioperative Environment - Prediction, Quality, Analytics & AI

    Perioperative cardiorespiratory compromise is common and goes largely undetected. Predictive cardiorespiratory indices can help in early detection of harmful deviations and guide preemptive treatment. Using continuous cardiorespiratory monitoring coupled with these tools, we now know which patients are likely to decompensate both within and outside...

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  • Sedation in Critically-Ill COVID-19 Patients

    Report of a Symposium Presented at LIVES 2020  33rd Congress of the European Society of Intensive Care Medicine  Moderator  Vito Marco Ranieri (Bologna, Italy)  Speakers  Why Do We Need Sedation in Critically-Ill COVID-19 Patients?  Salvatore Maurizio Maggiore (Chieti, Italy)  How Should We Manage Sedation in Critically-Ill...

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  • Prolonged Intubation and Tracheostomy in COVID-19 Survivors

    Consequences and Recovery of Laryngeal Function Intubation and tracheostomy as a result of COVID-19 critical illness may result in laryngeal dysfunction, which can lead to serious consequences. This article provides assessment and rehabilitation recommendations for those working with critically ill COVID-19 patients in the ICU. Introduction...

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  • COVID-19, Corticosteroids and the Road to Enlightenment

    The use of corticosteroids for respiratory diseases has been a matter of discussion. Here, we present recent evidence of corticosteroids benefits for COVID-19, including improvements in mortality and ventilator-free days. M ore than six months riding treacherous waves in the COVID-19 storm had passed until a glimpse of a rudimentary...

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  • Innovations in ICU Expansion Solutions: From Tents to Modified Shipping Container Mobile Pods

    This article discusses the 2020 innovations in ICU surge capacity, their benefits and challenges and how they may prevent or delay the need to enact triage criteria /decision-making in pandemic and mass casualty situations. Introduction Even though governments in many countries have taken unprecedented steps to shut down their economies...

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  • The Post-ICU Patient - Management of Long-Term Impairments After Critical Illness

    Survivors of critical illness and their caregivers frequently face long-term impairments of cognition, mental health, mobility and beyond, which demand for a patient-centred transition management and well-coordinated, outpatient post-ICU care. Introduction In recent years, the post-ICU sequelae of survivors of critical illness have become...

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  • Nutrition in the Post ICU Period: Where is the Evidence?

    This article summarises the current nutrition evidence in the phase of recovery that occurs following critical illness. Introduction It is plausible that the importance of nutrition may differ across different phases of illness. Reflecting this, the most recently updated clinical nutrition practice guidelines for critical care from the...

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  • Post-intensive Care Syndrome – The Paediatric Perspective

    This article outlines the current understanding, prevalence, risk factors and management of the post-intensive care syndrome in paediatrics. Introduction Persistent critical illness acquired morbidities have been well known to affect adults since our attention was drawn to this in the landmark publication by Herridge et al. in 2003....

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  • Using Realistic Simulation to Design a New PICU - Building Before Building

    Designing the Dream PICU Hospital Sant Joan de Déu (HSJD) is a paediatric and maternity hospital located in Barcelona. In 2018 the new 24-bed Pediatric Intensive Care Unit (PICU) was inaugurated, featuring modern facilities and the latest technology. We moved from an area with open spaces to a unit structured into individual rooms, in order to...

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  • Intensive Care Medicine: Reflections on the Gender Gap

    Is the gender gap a concern for intensive care medicine (ICM)? ICM is not gender friendly by design and this could have a major impact on the discipline given the increase in the number of female doctors. What are the main barriers to career progression for women in ICM? Members of the iWIN Foundation present their views. S everal authors...

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