Latest Articles in icu
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The Abdomen
Managing the abdomen and its complications in the intensive care unit is the subject of our Cover Story. First, Jan de Waele considers the data on new antibiotics for complicated intra-abdominal infections. While these, singly and in combination, show promise, he cautions that recent studies have certain shortcomings from a critical care perspective,...
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Three Criteria Can Identify Out-of-Hospital Cardiac Patients for Potential Organ Donation
Three objective criteria could identify out-of hospital cardiac arrest (OHCA) patients with zero chance of survival, who can be considered for organ donation. Prof. Xavier Jouven, Georges Pompidou European Hospital, Paris, and colleagues, analysed data from two registries and a clinical trial, and found that there is essentially no chance...
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Update on Intra-Abdominal Hypertension
Knowledge of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) is crucial for successful treatment of critically ill patients, whether medical or surgical, young or old (Kirkpatrick et al. 2013). Today we understand that IAH and ACS are frequent causes of increased morbidity and mortality (De Waele et al. 2016). More importantly,...
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POCTED: Use of Point of Care Test Devices in Emergency Department
Use of point-of-care test devices in the emergency department has shown significant benefits in patient management. A proper governance policy will ensure credible, effective and safe practice. Emergency Department (ED) practices have evolved, modified and developed pathways over the years to recognise and initiate appropriate early treatment...
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Candida Spp. in the Respiratory Tract
A Real Causality With Worse Outcomes or Just a Marker of Severity? Candida spp. is the most common cause of intensive care unit (ICU) invasive fungal infections worldwide. The isolation of Candida spp. from respiratory tract secretions of non-immunocompromised, mechanically ventilated patients varies between 20% and 55%, but it might represent...
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Vasoactive Drugs in Sepsis
In this update review on vasoactive drugs in sepsis, we focus on the most recent data regarding the type of vasopressors that should be used, the timing of infusion, the mean arterial pressure target and the alternative approaches. Sepsis and especially septic shock is associated with arterial vasodilation refractory to fluid challenge. The...
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Women in Leadership in Intensive Care Medicine
There is a significant gender imbalance in positions of leadership in intensive care medicine. This complex problem requires action to ensure high quality and sustainable leadership for our specialty in the future. Despite an increasing proportion of women in the medical specialty workforce, there are few female doctors in positions of...
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Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE)
A New Model for ICU Rehabilitation It is now well established that many patients and caregivers suffer physical, psychological and social problems in the years and months following critical care discharge (Herridge et al. 2011). Similar to many centres, our intensive care unit (ICU) had no follow-up service available to support patients...
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The Burden Caused by Administrators and Managers: a Euro-American Jumble
We argue that a jumble of rules, protocols, checklists has emerged, which jeopardises not only the pivotal relationship between doctor and patient, but also the quality and costs of care, and the quality of future healthcare workers. It must be emphasised that the introduction of protocols and checklists in clinical medicine has improved care...
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Telemedicine is the Future
Professor Gernot Marx is Director of the Department of Intensive Care Medicine and Intermediate Care, University Hospital Aachen, and Professor of Anaesthesiology and Operative Intensive Care Medicine at RWTH Aachen University, Aachen, Germany. Dr. Marx is a member of the Intensive Care Medicine Scientific Subcommittee of the European Society...
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