• The role of physiotherapy in Enhanced Recovery after Surgery in the intensive care unit

    Enhanced recovery after surgery (ERAS) is an evidence-based, multimodal approach to optimising patient outcomes following surgery. The role of physiotherapy within ERAS and intensive care units (ICU) is important. Patients admitted to an ICU following elective major surgery may suffer from physical, psychological and cognitive problems, which can...

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  • Innovations in monitoring: from smartphones to wearables

    This article describes recent advances and perspectives in cardiorespiratory monitoring for surgical patients, from prehabilitation to rehabilitation, from smartphones to wearable sensors.   There are over 320 million inpatient surgical procedures worldwide (Weiser et al. 2015). We learnt from the recent International Surgical Outcomes (ISOS)...

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  • Physical rehabilitation in the ICU: understanding the evidence

    Reviews the latest evidence evaluating physical rehabilitation in the intensive care unit setting and future directions for the field.   Survivors of critical illness frequently experience poor physical outcomes, including persistent impairments in muscle strength, exercise capacity and physical function (Pfoh et al. 2016; Herridge et al. 2011;...

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  • Treatment of bleeding patients during therapy with direct oral anticoagulants

    Results from the French registry: GIHP-NACO  Presents results from a registry detailing information about the management of bleeding patients in the emergency room, operating room or intensive care unit during therapy with direct oral anticoagulants.   Background   There is a large literature on the efficacy of direct oral anticoagulants...

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  • Fibrinogen concentrate in elective complex cardiac surgery: a monocentric trial

    Presents the results from a randomised controlled trial which aimed to determine if fibrinogen concentrate infusion reduces intraoperative blood loss in cardiac surgery patients.   Background   Excessive bleeding is a common complication in cardiac surgery, and may result in the need for red blood cell (RBC) transfusion. Intraoperative...

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  • Treatment of trauma-induced coagulopathy with factor concentrates

    RETIC study  Presents results of the RETIC study that compared treatment of trauma-induced coagulopathy using coagulation factor concentrates or fresh frozen plasma.   Background   Trauma-induced coagulopathy (TIC) represents a clinical picture resulting from severity of injury, hypoperfusion, blood loss, consumption, dilution and...

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  • Current challenges in paediatric sedation

    Report of the Primex Pharmaceuticals Symposium, Euroanaesthesia 2017, Geneva, Switzerland, 4 June 2017  Current treatment options and challenges - Dr. K. Becke   Background   An increasing number of diagnostic and treatment procedures are performed outside the operating room. Without sedation even minor procedures such as vaccination...

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  • Enabling machine learning in critical care

    Critical care units are home to some of the most sophisticated patient technology within hospitals. In parallel, the field of machine learning is advancing rapidly and increasingly touching our lives. To facilitate the adoption of machine learning approaches in critical care, we must become better at sharing and integrating data. Greater emphasis on...

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  • Agenda

    For a full listing of events visit https://iii.hm/aly OCTOBER   3-5    Critical Care Canada Forum 2017   Toronto, Canada 11-13 ANZICS/ACCCN Annual Scientific Meeting 2017   Broadbeach, Australia     21-25 ANESTHESIOLOGY® 2017   Boston,...

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  • Europe: Wide Variation in Severe Critical Events in Paediatric Anaesthesia

    A Europe-wide observational study of anaesthesia practice in children has shown wide variation in severe critical events and a higher incidence than previously understood. The study was run by the European Society of Anaesthesiology and the results are published in Lancet Respiratory Medicine.   The Anaesthesia PRactice In Children Observational...

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