Latest Articles in icu
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Podcasting
The Story Behind Critical Care Practitioner Podcasts are audio files made available regularly to occasional listeners or subscribers (usually a free subscription). The ‘pod’ in the name comes from iPod, and although that device is no longer manufactured, podcasting goes from strength to strength. Listening to a podcast is as simple as clicking a...
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Resource Allocation in Healthcare: Have We Misjudged Societal Values?
Equitable Healthcare With increased emphasis on financial constraint in healthcare, resource allocation discussions are heard more commonly in clinical departments. As agents of the patient, clinicians are faced with struggles to ensure that individual patients can receive costly treatments, despite growing demands for healthcare throughout society....
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Perioperative Respiratory Management of Morbidly Obese Patients
Obese patients without other major co-morbidities are categorised as class II according to the American Society of Anesthesiologists (ASA) physical status classification ( https://iii.hm/38j ). If additional organ dysfunction is present they are categorised as ASA III. These patients are at increased risk for metabolic, cardiovascular and pulmonary complications....
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Safe Transport of Critically Ill Patients
The transport of critically ill patients for diagnostic or therapeutic procedures carries a particular risk and requires therefore a careful risk-benefit assessment. Transport-related risks can be reduced by increased awareness and education, adequate staffing, proper choice and handling of equipment and the use of error-preventive tools like checklists....
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Biomarkers for Acute Kidney Injury
Where Are We Now? Acute kidney injury (AKI) has been recognised as a major public health problem. It affects >50% of patients in the Intensive Care Unit (ICU) and is associated with serious short- and long-term complications, premature death and high financial healthcare costs (Mehta et al. 2015; Hoste et al. 2015; Lewington et al. 2013). The consensus...
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Patient Safety and Social Media
Patientsafe represents a group of healthcare staff focused on introducing effective and sustainable healthcare solutions. ICU Management & Practice emailed the team to find out more about their Twitter account and blog. Your Twitter strapline is "Front Line Staff Implementing Effective Safety Solutions” Who’s behind patientsafe? Patientsafe...
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Making the MAGIC
Guiding Vascular Access Selection for Intensive Care - a Summary of Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) Determining appropriateness for vascular access devices limits the risk of complications in critically ill patients. Michigan Appropriateness Guide to Intravenous Catheters (MAGIC) establishes evidence-based indications as...
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An Introduction to Robots in Anaesthesia
Technological advancement has made robots an integral part of several fields, including medicine. This article provides an overview of the application of robots to anaesthesia, highlighting recent developments. Pharmacological robots are closed-loop systems, able to precisely titrate the dose of anaesthetic drugs to a preset value, concerning hypnosis,...
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Chain of Survival after Out-of-Hospital Cardiac Arrest
The Final Link The "Chain of Survival" Concept After Out-of-Hospital Cardiac Arrest To overcome a time-sensitive and severe condition with a low survival rate—out-of-hospital cardiac arrest (OHCA)—the following four links of the “chain of survival” concept were introduced by Newman in the 1980s (Newman 1989): Early access to emergency medical...
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Potential Nutritional Strategies to Reduce Muscle Wasting in Early Critical Illness
This review will briefly discuss the potential role of nutrition and the schedule of delivery on reducing skeletal muscle wasting in early critical illness. Increasing numbers of patients are surviving critical illness due to treatment advances in the early management of acutely unwell patients. This survival advantage is reflected as an increase...
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