Latest Articles in icu
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Sepsis Detection and Management: New KLAS Report
Healthcare providers are increasingly turning to technology to detect sepsis and report on sepsis management. As most electronic medical record (EMR) providers do not offer easily deployed sepsis modules, healthcare providers report using solutions from infection control and surveillance vendors as well as specialised sepsis solutions. KLAS Research’s...
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Denmark: Increased Bystander CPR, Decreased Mortality in Out-of-Hospital Cardiac Arrest
A registry study from Denmark has investigated the 1-year risk of anoxic brain damage or nursing home admission and of mortality among patients who survived to day 30 after an out-of-hospital cardiac arrest. The risks were analysed according to whether bystander CPR or defibrillation was performed. The study is published in the New England Journal...
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Reducing Brain Injury After Cardiac Arrest: American Academy of Neurology Practice Guideline
Therapeutic hypothermia (TH) (32-34°C for 24 hours) should be mandatory practice for patients who are comatose after being resuscitated from out-of-hospital cardiac arrest, if the initial cardiac rhythm is either pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF), according to the American Academy of Neurology (AAN)’s newly published...
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Prehospital Care for Cardiac Arrest: How to Improve Outcome
More patient lives have been saved after OHCA in recent years, but the numbers can improve further. Increased awareness, more education of laypersons and more first responders, in combination with reduced response times for the EMS and early defibrillation will save many lives The chances of surviving an out-of-hospital cardiac arrest (OHCA)...
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Extracorporeal Cardiopulmonary Resuscitation: Who Could Benefit?
This article summarises the current ratio and scientific evidence on which cardiac arrest patients could benefit from extracorporeal cardiopulmonary resuscitation. Acute cardiac arrest has a dismal prognosis even when advanced cardiac life support is initiated without delay. Extracorporeal cardiopulmonary resuscitation (eCPR) refers to a...
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Targeted Therapeutic Mild Hypercapnia After Cardiac Arrest
Cardiac arrest (CA) causes ischaemic brain injury and persistent cerebral hypoperfusion and cerebral hypoxia during the early post-resuscitation period. PaCO2 is the major physiological regulator of cerebral blood flow, is a modifiable component of care and mild hypercapnia may lead to improved neurological outcomes for resuscitated CA survivors....
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How to Run Successful Rounds in the Intensive Care Unit
Rounds in the intensive care unit (ICU) allow for scheduled discussions in which healthcare providers review clinical information and develop care plans for critically ill patients. Despite this straightforward concept, there is widespread variability in numerous components of rounds. While some of these differences are culturally rooted and, as such,...
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From Independent Attorney to Critically Ill Patient
How Acute Respiratory Distress Syndrome Changed My Life in a Split Second Life changed forever when Eileen Rubin was hospitalised with ARDS. After a slow recovery it was time to give something back, and Eileen went on to co-found the ARDS Foundation. “I can’t breathe. I think I’m dying.” Those were the words I gasped to my mother less than...
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Anaesthesiology Trainees: We Are Also Intensivists!
In 2014, a few trainees from opposite corners of Europe had the somewhat bizarre idea that all anaesthesiology trainees should be able to communicate on a common platform. What followed was an almost immediate endorsement of this plan by the European Society of Anaesthesiology (ESA) Board of Directors, which led to the first European-wide survey on...
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Intensive Care in Tunisia
According to the World Bank classification, Tunisia is considered a lower middle-income country, corresponding to a country with a Gross National Income (GNI) per capita between USD1,026 and USD4,035 (World Bank 2015). The economic growth of Tunisia has been slowed following the 2011 Arab Spring, which was initiated in this country. Despite economic...
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