• Highlights from the I-I-I Blog

    (I expert, I question, I answer)  A selection from the ICU Management & Practice I-I-I blog. Have you got something to say? Visit https://healthmanagement.org/c/icu/list/blog  or contact [email protected]     Peter Pronovost Chief Clinical Transformation Officer - University Hospitals Cleveland, USA @PeterPronovost  ...

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  • Paediatrics

    It is never easy when children are in the hospital. And it is even more stressful when they're in the Paediatric Intensive Care Unit (PICU). When a child is admitted to the PICU, it means that they require the highest level of medical care. Children in the PICU present with different symptoms and conditions - from serious infections to heart conditions;...

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  • Quality improvement in the PICU – a primer for intensivists

    Quality improvement provides tools that help the transformation of an intensive care unit into a highly reliable and safe environment, that nurtures continuous learning and delivery of high-quality care that improves patient experience and outcomes.   Despite advances in healthcare and dramatic improvements in survival across the spectrum of...

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  • Virtual reality experience in the PICU

    A pilot study at the Ann & Robert H. Lurie Children's Hospital of Chicago An overview of the virtual reality programme at the Ann & Robert H. Lurie Children’s Hospital of Chicago and its potential benefits on patient outcomes. Ann & Robert H. Lurie Children's Hospital of Chicago has introduced virtual reality into their paediatric intensive...

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  • Seven steps to design, procure, implement and maintain a Clinical Information System for your ICU

    How to design, procure, test, parameterise, implement and maintain a Clinical Information System for an intensive care unit. Introduction e-Health applications, in our case Clinical Information Systems (CIS) or Patient Data Management Systems (PDMS), are taking medicine by storm, and intensive care is not an exception. Ensuring delivery...

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  • Respiratory physiotherapy in critically ill patients

    Respiratory pathologies are among the most common causes of admission to critical care. Respiratory physiotherapy represents a fundamental part of the standard practice in ICU. The following review provides a practical and feasible description of the main physiotherapeutic tools and strategies that can be applied to critically ill patients....

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  • European guidelines on the management of traumatic induced bleeding

    Interview with Rolf Rossaint, Prof. of Anaesthesiology, RWTH University Aachen, Germany. Rolf Rossaint is a Professor and Chairman of the Department of Anaesthesiology of the University Hospital at the RWTH University Aachen, Germany. Prof. Rossaint has published several high-quality studies dealing with the treatment of severe acute respiratory...

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  • Use of sedation and controlled paralysis in ICU patients with ARDS

    According to a National Institutes of Health sponsored clinical trial that was conducted at several North American hospitals and was led by clinician-scientists at the University of Pittsburgh and University of Colorado schools of medicine, reversibly paralysing and sedating hospitalised patients with severe breathing problems does not prove improve...

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  • New recommendations for stroke systems of care - American Stroke Association policy statement

    Approximately 7.2 million Americans 20 years or older have had a stroke. Nearly 800,000 people in the U.S. have a new or recurrent stroke each year. A stroke occurs every 40 seconds in the U.S., and someone dies of a stroke every four minutes.   According to a policy statement published by the American Stroke Association, and published in the journal...

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  • Cocoon bed aims to lower ICU delirium

    The intensive care unit environment can be extremely stressful, even if they provide some of the best care in the world. It is believed that a patient in the ICU has their sleep interrupted approximately every three minutes either through noise, lights, or medical intervention. Up to 80% of patients in the ICU suffer from some form of delirium, and...

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