Latest Articles in icu
-
Recovery
Recovery after critical illness has received increasing attention in recent years, and rightly so. We highlighted neglect of recovery as one of the ten big mistakes in intensive care medicine (Vincent et al. 2014). While survival has improved tremendously, for a long time insufficient attention was given to how patients (and their families and caregivers)...
READ MORE -
The role of autophagy in the metabolism and outcomes after surgery
Increasing evidence implicates autophagy as repair process crucial for recovery from critical illness-induced vital organ failure and muscle weakness. This article summarises recent evidence and highlights potential implications for therapy. Progress in intensive care medicine has resulted in improved survival from acute life-threatening...
READ MORE -
Fast-track surgery: a multidisciplinary collaboration
Prof. Henrik Kehlet reflects on the progress of fast-track surgery and the need for multidisciplinary teamwork in optimising perioperative care. You are the “father” of fast-track surgery. What motivated you to develop this concept? It all started when I was a young surgeon and had to perform some major operations. The technical aspects...
READ MORE -
The patient voice in Enhanced Recovery After Surgery: an Edinburgh perspective
This article will explore the ERAS Programme and provide a unique insight into perspectives and realities of surgical recovery. It will highlight the current evidence versus patients’ perceptions and expectations. Background The Enhanced Recovery After Surgery (ERAS) programme has been implemented in many surgical units around the world...
READ MORE -
Outcomes after 1 week of mechanical ventilation for patients and families
We review recent findings on outcomes in adults after mechanical ventilation for one week or more in the intensive care unit, exploring both patients and their family perspectives. Critical illness survivorship carries a burden of physical and neuropsychological disabilities (Griffiths and Jones 1999; Herridge and Cameron 2013). These determine...
READ MORE -
Continuing rehabilitation after intensive care unit discharge
Opportunities for technology and innovation This article discusses technological innovations that promote survival and enhance recovery, starting within the ICU with developments in ventilation, sedation, early mobility and ICU design. Post-ICU, the establishment of follow-up services is discussed, as are initiatives for sharing patient information...
READ MORE -
The hidden faces of sepsis, what do they tell us? Focal points for improving patient outcome
Based on the patients’ perspective Nutma sheds light on the hidden faces of sepsis, calling for more expertise on sepsis sequelae. She also offers recommendations to improve recovery and outcome. It wasn’t until 2007, after my illness that: “I came to understand the extensive process of recovery after critical illness. Moreover, I came to...
READ MORE -
Haemodynamic monitoring: stuff we never talk about
In order to make haemodynamic monitoring clinically successful it seems mandatory to have a comprehensive view on the incorporation of the measured variables in a team-adapted strategy. Over the last decades the evolution of haemodynamic monitoring in critically ill patients has not been unequivocal. On the one hand it may be argued that haemodynamic...
READ MORE -
Animal-assisted activity in the intensive care unit
Outlines some basic considerations for ICU providers interested in incorporating animals into care programmes. Animals are being introduced into hospital settings in ever-increasing numbers. Emerging literature suggests that incorporating trained animals to assist with medical care and rehabilitation therapies can promote patient engagement,...
READ MORE -
From command and control to modern approaches to leadership
Historical command and control approaches to leadership fail in building relationships and engendering engagement and thus do not enhance performance like modern approaches to leadership. Historically, leadership in medicine was taught and practised in an approach akin to the military paradigm of command and control. It was believed that...
READ MORE
INFO
IMAGING
ICU
EXEC
IT
CARDIOLOGY
JOURNALS
EVENTS
FACULTY
PARTNERS
BLOG
VIDEOS
CONTACT US
