Latest Articles in icu
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Keeping the Person in Personalised Medicine
As Personalised Medicine endeavours to discover more specific aetiologies and treatments of disease based on genetics and basic science research, it is crucial to maintain a focus on the patient-doctor relationship in order to more fully optimise patient care. In a world where the cutting edge is a crowded place, and people’s lives are at...
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Innovation
The burden of critical illness is a major concern in healthcare. This burden is expected to continue to increase as our population ages. Our cover story Innovation highlights the growing problem of critical illness and the need to develop improved practices and implement new and advanced solutions to meet the expected challenges. Our contributors...
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Protecting ward patients
Finding patients before they crash might be the next major opportunity to improve patient safety. This article describes recent advances and perspectives for ward monitoring with wearable sensors and smart algorithms. Hospital wards are dangerous. Indeed, they are where most unexpected deaths occur within institutions. In a UK national audit...
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The role of disruptive and hybrid technologies in acute care
Section Editor Theodorus Kyprianou introduces the “Informatics and Technology” section of ICU Management & Practice. It is with great pleasure that I introduce today “Informatics and Technology,” an open forum to discuss the role of new, disruptive, hybrid technologies in acute, emergency and intensive care medicine. This brand-new section...
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Extravascular lung water as a target for intensive care
The paper highlights the present clinical rationale for extravascular lung water measurement as a key to personalisation of haemodynamic therapy. Introduction Extravascular lung water (EVLW) remains a useful guide for monitoring pulmonary oedema (PO) and vascular permeability in sepsis, acute respiratory distress syndrome (ARDS),...
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Managing delirium in the ICU with sleep guardians
Sleep guardians - a quality improvement initiative at the Lancashire and South Cumbria Critical Care Network (LSCCCN) to reduce and implement change while managing delirium in critical care patients Introduction Up to 85% of critical care patients may experience some form of delirium, but it can be very easily missed (Inouye et al....
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Highlights from the I-I-I Blog
(I expert, I question, I answer) Have you got something to say? Visit https://healthmanagement.org/c/icu/list/blog or contact [email protected] Stacey Brown Critical Care Nurse, Canada @simplicity4jc From code cart to comfort cart in the ICU “When the time has come where having the code cart with the...
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How to manage sedation analgesia for patient-centred care in the ICU
Managing sedation analgesia for patient-centred care in the ICU Pain management and sedation are closely linked in the intensive care unit. In the past, clinicians were using sedative agents too liberally, often with benzodiazepines. And several issues were observed in the ICU, including the problems of delirium, weakness and prolonged ICU...
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Sedation and Analgesia
How to manage sedation analgesia for patient-centred care in the ICU. In the concept of patient-centered care, sedation and analgesia have high importance. Intensive care is sometimes invasive and very painful. Patients in the ICU are seriously ill and often suffer from anxiety, agitation, and pain. There is sometimes a need to use deep and...
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Results of the ABATE infection trial
According to results of the ABATE infection trial, daily bathing with an antiseptic soap, plus nasal ointment for patients with prior antibiotic-resistant bacteria reduced hospital-acquired infections among patients with central venous catheters and other devices. The ABATE infection trial included 340,000 patients from 53 hospitals. The study...
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