• Whole-body ultrasound in the intensive care unit

    Bedside ultrasound of the whole body Whole-body ultrasound can be used in the evaluation of many critical conditions including encephalopathy where brain and ocular ultrasound combined with transcranial Doppler can identify elevated intracranial pressure. Hypoxaemia is mostly related to pulmonary disease and lung ultrasound can rapidly identify...

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  • Clinical assessment of critically ill patients by whole-body ultrasonography

    In this article we focus on the evidence of whole-body ultrasonography used for hypotension or shock. We first highlight individual ultrasound components in association to hypotension and shock. Second, we provide an outline of current literature on whole-body ultrasonography, its effect on outcome, and try to integrate the previous observations....

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  • How to manage severe dengue infection

    A review of diagnosis and treatment of dengue, a mosquito-borne febrile illness caused by flavivirus with a clinical spectrum ranging from self-limited fever to dengue haemorrhagic fever with shock.   Dengue is a febrile illness, caused by one of the serotypes of Flavivirus (DENV1-4), transmitted by Aedes aegypti and Aedes albopictus mosquitoes...

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  • Antifungal treatment in the ICU

    Best practice in managing fungal infections Invasive candidiasis: Every milligram of antifungal counts! Think Aspergillus!   Invasive fungal infections (IFIs) are a major cause of morbidity and mortality in critically ill patients. Almost 80% of IFIs are due to Candida spp., which are the third most common isolated microorganisms in the...

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  • ICU Management & Practice 2018 Subject Index

    Subject Index for Volume 18, issues 1-4, 2018. Issue  Pages Short URL 1 1-80 https://iii.hm/r8z 2 81-144 https://iii.hm/r90 3 145-224 https://iii.hm/r91                           4 225-288 https://iii.hm/r92 A -B  C &nbsp

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  • ICU Management & Practice 2018 Author Index

    A   B   C   D   E    F    G   H   I    J   K   L   M   N   O   P -Q   R   S   T -U   V   W   X -Y   Z A Author  Page  Short URL Abrams D   8, 16 https://iii.hm/hwy ,  

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  • Fluids in shock

    Fluid management during shock from physiology to bedside. Shock is a common life-threatening, generalised form of acute circulatory failure in critically ill patients, which is usually managed by infusing fluids to increase cardiac output and supply the systemic oxygen request. International guidelines recommend use of an aggressive fluid...

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  • It is time for improved fluid stewardship

    A conceptual framework for developing institutional programmes and guidelines to enhance fluid stewardship (especially in the intensive care unit [ICU] environment), an activity that includes appropriate selection, dosing, duration, de-escalation, and monitoring of fluid therapy. The primary goal of fluid stewardship is to optimise clinical...

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  • Optimising sleep in the ICU

    Disordered sleep is common in ICU patients. While many of the reasons for this are impossible to modify, and others rely on improvement in the underlying condition, many directly depend on the actions of the treating team: for example, exposure to noise, timing of therapeutic procedures, tapering of sedating drug doses, and daytime mobilisation....

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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] Jean Baptiste Lascarrou Medical Intensive Care Unit, Nantes University Hospital, France @jblascarrou Epinephrine for out-of-hospital cardiac arrest “Epinephrine...

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