Latest Articles in icu
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Pathophysiology of Trauma and Revised European Trauma Guidelines
The fifth edition of the European Trauma Treatment Guidelines that have already been cited 1650 times and downloaded from the original home page nearly 600,000 times. The European trauma treatment guidelines have significantly changed the treatment modalities of trauma patients around the world. The guidelines have also been endorsed...
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Coagulopathy During Cardiac Surgery: The Role of Factor Concentrates
The EACTS/EACTA Guidelines on patient blood management for adult cardiac surgery. The EACTS/EACTA guidelines were published jointly by the Society of Cardiothoracic Anesthesia and Cardiac Surgery for patient blood management. In the bleeding patient with a low fibrinogen level (<1.5 g/L), fibrinogen substitution may be considered to reduce...
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Treatment Options for Factor-Xa Inhibitor-Related Bleeding
Specific treatment options for factor Xa inhibitor-related bleeding, focusing on drugs like rivaroxaban, apixaban, and edoxaban. Non-vitamin K oral anticoagulants (NOACs/DOACs) are direct reversible inhibitors of factor Xa. These drugs are also reversible inhibitors versus warfarin or other vitamin K antagonist that are used in Europe. Anticoagulants...
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New ESPEN Guidelines for Nutrition in the Critically Ill: Help, What Happened!?
ESPEN guidelines for nutrition in critical illness have shifted from optimistic anticipative nutritional pharmacotherapy towards cautious and balanced metabolic support. This important new orientation in ICU nutrition management is a consequence of recent strong RCT-based evidence. Introduction Recently, the new ESPEN guidelines for critically...
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The Role of Speech and Language Therapy Supporting Nutritional Management in ICU
Speech and language therapists play an integral role in identifying dysphagia risk factors, facilitating oral intake, and improving clinical outcomes. Speech and Language Therapists (SLT) are recognised members of the multi-disciplinary team working in the Intensive Care Unit (ICU), with a focus on the rehabilitation of communication and swallowing...
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Virtual Reality in the Intensive Care Unit: State of Play and Future Prospects
An overview of the practical uses of virtual reality in the ICU and the benefits it can provide. One way of defining virtual reality (VR) is as the set of techniques and systems required for human beings to enter computer-generated synthetic worlds. VR techniques are based on real-time interaction with an artificial immersive world using behavioural...
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The Expanding Boundaries of ICU Nutrition
This symposium explores the different aspects of nutrition in the ICU and how nutritional requirements of the critically ill patient are met effectively. There is an overview of nutritional monitoring practices and how we could improve them for better nutritional delivery. There is also an overview of the DIVINE study which investigates the use of different...
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DIVINE Nutritional Management in ICU
The following is an overview of the DIVINE trial (Dietary Management of Glucose Variabilty in the ICU) as well as a quick summary of the role of glucose control and outcomes in critically ill patients. The DIVINE study was funded by Nestlé. Clinical studies show that goal nutrition may not result in the best outcomes. Available data suggest that...
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The Metabolic Phenotype of Skeletal Muscle During Early Critical Illness
The Muscle UK Critical Care program was set up 10 years ago and focused on the association between muscle and skeletal muscle wasting to weakness to clinical outcome. There are a total of five pivotal trials, including Bernhard Jonghe et al. 1 and Herridge M. 2 that looked at skeletal muscle weakness and its impact on patients. In the Herridge study,...
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