Latest Articles in icu
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Nutrition
The critically ill patient is often unable to feed by mouth. This condition, in some patients, can range from days to months. It is imperative that these patients receive macronutrients either through enteral or parenteral nutrition. If they don't, there is a risk of an energy deficit that could lead to loss of lean body mass and subsequently, other...
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New Trends in ICU Nutrition
The new trends in nutrition management included in the last guidelines are discussed, in particular the route and the dose of calories and proteins recommended. During the last decade, numerous paradigms and dogmas based on observational cohort studies were challenged by the publication of large multicentre prospective randomised controlled...
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Emerging Concepts in Nutritional Therapy for the Critically Ill Child
Prudent strategies to optimise nutrition for the critically ill child, improving long-term outcomes, and preserving quality of life. Introduction Optimal delivery of nutrients to the critically ill patient might prevent nutritional deterioration and expedite recovery. Prospective cohort studies have demonstrated the independent association...
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Obesity and Nutrition in Critical Illness
The role of nutrition in obese critically ill patients and an overview of the clinical guidelines for nutrition provision in this patient population. Introduction The World Health Organization defines obesity as an excess of abdominal fat that poses an increased risk to health. Characterised by a body mass index (BMI) ≥30 kg/m2, obesity...
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Pre-packed Critical Care Drug Pouch for Acute Patient Care
Human factors are significant contributors to drug error. To overcome some of these human factors, we propose standardisation and consolidation of agreed drugs and equipment into a compact pre-packed critical care drug pouch (CCP) for use in non-theatre environments. Introduction Emergency and sedation drugs availability and preparation...
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Knowledge Transfer to Improve Outcomes in Critically Ill Immunocompromised Patients
An overview on sharing information, improving clinician skills, and transferring knowledge to ICU specialists about the care of immunocompromised patients. Background Studies have reported a volume-outcome relationship for cancer patients admitted to the ICU. In acute respiratory failure, mortality in ICUs managing more than 2 patients...
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Challenges in the Management of the Critically Ill Patient
Interview with Massimo Antonelli, Professor of Intensive Care and Anaesthesiology, Università Cattolica del Sacro Cuore, Rome, Italy Massimo Antonelli is a Professor of Intensive Care and Anesthesiology at the Università Cattolica del Sacro Cuore, Rome, Italy. He serves as the Director of the Dept. of Anesthesiology and Intensive Care and Emergency...
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Upcoming Events/Congresses/Courses
OCTOBER 10-12 8th Annual Johns Hopkins Critical Care Rehabilitation Conference Baltimore, USA 12-16 EUSEM 2019: 13th European Emergency Medicine Congress Prague, Czech Republic 14-18 World Congress of Intensive Care 2019 Melbourne, Australia 15-16 ESA Focus Meeting on Perioperative Medicine 2019: Mother and child Rome, Italy...
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What Did We Learn From Nutritional Monitoring?
Monitoring nutrition in the ICU is significantly different from monitoring other activities. For example, if we look at haemodynamics, it is pretty easy. We can monitor blood pressure, cardiac output etc. We can deliver a drug and look at its effect to see if it works or not, and, if it doesn’t, we can simply change the drug. These are simple activities...
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Caring for children in the PICU
From novel technology to family-centred care: new challenges for old needs Challenges and opportunities to improve care and practice in the PICU. “Martin, 2 years old. Sepsis and pneumoniae. High monitoring systems and modern therapies. A nurse is talking to his parents. A smile and a kind gesture help them in this overwhelming...
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