Latest Articles in icu
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Pre-ICU health organisation in Norway
Presents the main principles of the Norwegian acute healthcare system. Norway is a rather small country with a population of about 5.3 million. More than half of these inhabitants are located in and around the larger cities, with about a million in the capital region of Oslo. Hence, significant parts of the country are rural, with fjords...
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The role of speech and language therapy in critical care
The role of speech and language therapists (SLTs) in critical care can be unclear so this article sets out the scope of practice to increase awareness of the value of SLTs as part of the wider multidisciplinary team. Speech and language therapists (SLT) are trained to deliver specialist clinical services to adults with a broad range of disorders,...
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Bioengineering approach to artificial tracheas
A new paper reports an approach to growing tracheas by coaxing cells to form three distinct tissue types after assembling them into a tube structure. The research, led by Eben Alsberg, professor in Biomedical Engineering and Orthopaedic Surgery and director of the Alsberg Stem Cell & Engineered Novel Therapeutics (ASCENT) Lab at Case Western...
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Study: Aortic grafts are feasible to rebuild windpipe and airway
A French study of patients with lung cancer or end-stage tracheal lesions has successfully used cryopreserved human aortic grafts to rebuild the windpipe and airway sections removed because of disease. The study is published in JAMA, to concide with its presentation at the American Thoracic Society 2018 conference. The study, Airway and/or Pulmonary...
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ICU delirium a distinct indicator of acute brain injury
More than half of ICU patients in a new study experienced delirium for long periods during their stay. Sedative-associated delirium was most common, while longer periods of hypoxic delirium and unclassified delirium were associated with worse cognitive function at follow-up one year after hospital discharge. You might also like : Sedative prevents...
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Introduction to multiple organ support
There is a renewed interest in novel extracorporeal technologies as a means of supporting individual organ failures. An emphasis should be placed on characterising the spectrum of extracorporeal devices for various organs and understanding how devices intended for support of one organ can have an indirect or direct impact on other organs, which is particularly...
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Immune dysfunction in sepsis
An overview of the recent advances in the diagnosis and treatment of immune system dysfunction in sepsis. Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection (Singer et al. 2016). Sepsis-induced immune system dysfunction is an important sequelae of sepsis. The persistence of immune system dysfunction...
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Hypothermia in neurocritical care patients other than cardiac arrest
Hypothermia (HT) is a cornerstone of neuroprotective strategies and has been used in critical care for acutely brain injured adult patients for many years. This review aims to discuss the clinical evidence supporting the use of HT in neurocritical care patients beyond care after cardiac arrest (CA), such as traumatic brain injury (TBI), acute ischaemic...
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Establishing a relationship of trust and care
The chaplain is a resource of ethically competent support and a compassionate caring presence for patients, families and ICU staff. An admission to the intensive care unit (ICU) is often a traumatic experience for both patients and families. Although members of the critical care team are specially trained to provide care and treatment requiring...
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Dysglycaemia in the critically ill
As has been pointed out, the benefits of tight glycaemic control in the ICU have by no means been clearly established or accepted. In 2010 a meta-analysis of seven prospective randomised studies concluded that intensive insulin therapy in mixed ICU patients was not supported by evidence. 19 Today we understand that hyperglycaemia, hypoglycaemia,...
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