Latest Articles in icu
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From multiple organ support therapy to extracorporeal organ support in critically ill patients
The complex nature of the multiple organ dysfunction syndrome (MODS) requires an integrated supportive therapy. Native organs have a continuous crosstalk and have in common in most cases an altered composition of the blood circulating and perfusing them. In this article we describe the concept of extracorporeal organ support (ECOS) for the treatment...
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Chronic respiratory dialysis
Extracorporeal carbon dioxide removal is emerging as a potential strategy to manage acute hypercapnic respiratory failure. There may be an opportunity to use similar techniques to manage chronic hypercapnic respiratory failure, in what may be termed "chronic respiratory dialysis", potentially altering the physiological and clinical effects of chronic...
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Intracranial pressure monitoring devices
Intracranial pressure (ICP) monitoring is the cornerstone for treatment and management of patients, especially following traumatic brain injury (TBI) but also other clinical conditions such as non-traumatic bleeds, hydrocephalus, space-occupying lesions and cerebral oedema. The key target to monitor and treat ICP is to optimise the cerebral perfusion...
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Complications of decompressive craniectomy in neurological emergencies
There are a number of complications related to the use of decompressive surgery. The most important thing to bear in mind is these complications can impair recovery. What is a decompressive craniectomy? Decompressive craniectomy is a surgical procedure where a large section of the skull is removed and the underlying dura mater exposed. Primary...
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Being an expert witness
Describes the practicalities of being an expert witness and explains what qualities are necessary to succeed in this important role. Our legal system couldn’t function without medical expert witnesses. From personal injury claims to criminal prosecutions, there is a constant demand for experienced doctors with the necessary skills and authority...
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Developing new approaches to patient safety
International Society for Rapid Response Systems joins with the Patient Safety Congress in 2018 The International Society for Rapid Response Systems joins with the Patient Safety Congress in July 2018 to develop new approaches to managing patients at risk of deterioration. Identification and treatment of deteriorating hospital patients is a major...
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How to provide better intensive care?
Systems approach and individualised care Professor Jukka Takala, MD, PhD, is professor of Intensive Care Medicine in the University of Bern, Switzerland, Director and Chief Physician of the Department of Intensive Care Medicine, and Chair of the business unit of Intensive Care Medicine, Emergency Medicine and Anaesthesiology and Pain Medicine at...
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Facilitated glucose control in the ICU through nutrition
As recently as 2010, the view of metabolic requirements for patients admitted to ICU was that all patients had the same metabolic needs and could therefore be managed with the same nutritional product. In general, critically ill patients were fed along the same lines as healthy people in the ratio of around 50% carbohydrates, 35% lipids and 15% protein....
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The increased recognition of proteins in critical illness
There are many new concepts and old controversies surrounding nutrition in critical care such as: the role of trophic feeding, permissive underfeeding, the use of immune modulating agents, and the optimal timing of nutrient delivery. However, enteral nutrition and protein delivery have consistently been found to be beneficial. Traditionally,...
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Mindray launches BeneVision N1 for uninterrupted monitoring during patient transport
Mindray announces the release of the BeneVision N1 Patient Monitor. Designed for the varying demands of both intra and out-ofhospital patient transport, the BeneVision N1 provides a steadfast and versatile solution that integrates seamlessly into the BeneVision Patient Monitoring Solution with maximum mobility, patient-centric data continuity and streamlined...
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