• Adaptive Strategies for Intensive Care During the Spread of COVID-19: The Brussels Experience

    Structured interventions and bottom-up initiatives at a tertiary Intensive Care Unit in Brussels, Belgium . Introduction Optimisation of medical response to no-notice events has been an important focus of research in the field of disaster medicine (Debacker et al. 2016). However, evidence-driven development of medical response...

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  • Tracheal Intubation in the ICU

    Making tracheal intubation safe for both patients and their health care providers. Introduction COVID-19 is a newly recognised viral infection which first appeared in Wuhan, China in late 2019. It is caused by a novel Coronavirus, Severe Acute Respiratory Syndrome-CoronaVirus-2. For the most part it results in a mild, self-limiting...

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  • COVID-19 and the History of Pandemics

    How are we dealing with the COVID-19 pandemic and the lessons we can learn from similar diseases over the last few centuries. The face of human history has always been pockmarked by disease, in more ways than one. In our current privileged world of technology, gene sequencing and micro RNA, the possibility of a new disease that kept us inside...

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  • What COVID-19 Has Taught Me…

    A personal narrative of Adrian Wong’s experience while battling COVID-19 at King’s College Hospital. These are the author’s personal opinions and do not represent the views of the institution and professional societies to which they belong. T he global COVID-19 pandemic has changed healthcare throughout the world and the specialty of...

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  • Continuous Monitoring of Urine Flow in COVID-19 and Other Critical Care Patients: Why and How

    Acute Kidney Injury (AKI) develops in over 55% of ICU patients patients (Hoste et al. 2015). As infections and the need for mechanical ventilation are known to be among the high-risk factors for the development of AKI (Bellomo et al. 2017), the incidence may be even higher in the COVID-19 era. For ICU patients with COVID-19 or other complex...

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  • Noninvasive Haemodynamic Check to Guide Educated Decisions in the Management of COVID-19 Patients

    The rapid global distribution of COVID-19 is challenging healthcare systems worldwide. In many countries hospitals and ICU departments are overloaded or fear a potential collapse - the optimal allocation of healthcare resources is required. Healthcare professionals are forced to treat severely ill patients with limited access to ventilation equipment,...

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  • Clinical Decision Support Systems: Future or Present in ICU?

    Clinical decision support systems (CDSS) are today, a reality. More complex, useful systems will be developed in the near future, forging CDSS an essential part of ICU monitoring. However, we need to understand the algorithms embedded in CDSS and to assess them correctly. They will need to first prove their worthiness before becoming indispensable....

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  • The Future of Critical Care Ultrasound (CCUS)

    Critical Care Ultrasound (CCUS) has progressed by leaps and bounds, and will continue to push boundaries, with techniques being modified to suit evolving clinical needs and new applications. Introduction With roots traceable to sonar technology developed for underwater listening and submarine detection, the era of medical ultrasound...

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  • The Intelligent Intensive Care Unit: Integrating Care, Research and Education

    Integration of care, research and education in the intelligent intensive care unit. Patients admitted to the intensive care unit suffer from a variety of symptoms, pathologies, and comorbidities and are at risk of many adverse outcomes. Healthcare and technology for this vulnerable, heterogeneous patient group have immensely developed over...

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  • ICU Management & Practice 2019 Subject Index

    Subject Index for Volume 19, issues 1-4, 2019. Issue    Pages Link Issue 1  1-64 https://iii.hm/10cv Issue 2 65-128 https://iii.hm/10cw Issue 3 129-192 https://iii.hm/10cx Issue 4  193-256 https://iii.hm/10cy   Acute Respiratory Distress Syndrome Use of sedation...

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