Latest Articles in icu
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Extracorporeal Membrane Oxygenation for Immunocompromised Patients with ARDS
Improved Outcomes of Immunocompromised Patients Admitted to the ICU Immunocompromised patients, who include patients with haematological malignancies (HMs), solid tumours, solid-organ transplants, human immunodeficiency virus (HIV) or long-term corticosteroid use, are increasingly admitted to intensive care units (ICUs). Their survival has improved...
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Extracorporeal Lung Support in Trauma Patients
The rationale, indications and challenges of extracorporeal lung assist in trauma patients with severe acute respiratory distress syndrome is given on the basis of clinical and scientific experience. Traumatic lung injury is often present in multiple trauma with a wide spectrum of severity. In a large cohort study, patients with multiple trauma...
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European Perfusionists in ECLS/ECMO: Roles & Responsibilities
Since its first clinical use in the 1950s, the set-up and management of the heart-lung machine (HLM) has been the responsibility of the perfusionist, who has a documented competency in every facet of extracorporeal technology because of their theoretical and practical training. In contrast, when this technology leaves the operating room to provide...
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Critical Care Education and Leadership
Todd Dorman takes office as President of the Society of Critical Care Medicine (SCCM) in February 2016. He is Professor of Anesthesiology and Critical Care Medicine and Vice Chair for Critical Care Services, Department of Anesthesiology/Critical Care Medicine; Senior Associate Dean for Education Coordination; Associate Dean for Continuing Medical...
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Frailty in the Critically Ill Patient
This review explores current definitions of frailty, methods available to diagnose it, and its application to perioperative and critically ill patients. Frailty is increasingly recognised as a potential contributor to patient outcome during an episode of critical illness. However, there is currently no consensus definition or assessment tool....
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Antimicrobial Copper Touch Surfaces: Reduce Infections, Liberate Resources and Cut Costs
The role of the environment in the transmission of healthcare-associated infections (HCAIs) is increasingly recognised, requiring a new approach to the selection of materials for objects frequently touched by healthcare workers, patients and visitors that can serve as reservoirs of infection. There are many technologies and materials on the market,...
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Six Steps to Implement Bedside Ultrasonography in Critical Care
A Roadmap to Rapid Improvements in Patient Safety This article will provide an overview of how to accelerate adoption of bedside ultrasonography, based on experience in a large hospital system. Developing an evidence-based ultrasound training programme and the economic benefits of proven safety practices, such as ultrasound-guided central venous...
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Transforming Measurement into Understanding: Quantitative Bedside Decision Support
Intensivists today are faced with a growing deluge of quantitative data, along with demands to implement evidence-based protocols of increasing number and complexity. The tools to support such implementation, including computerised decision support, have, however, seen only incremental development over the past decades. This article will attempt to...
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Lung Protective Ventilation - Twinstream® Pulsatile Bi-Level Ventilation (P-BLV)
The Twinstream® ventilator (Carl Reiner GMBH, Vienna, Austria) is an electricdriven microprocessor-controlled jet ventilator, which allows simultaneous application of two different jet streams (low frequency and high frequency), resulting in a pulsatile Bi-Level Ventilation (p-BLV) mode. ICU Management & Practice spoke to Prof. Dr. Gerfried Zobel about...
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ARDS Still Under-Recognised, Under-Treated
Acute respiratory distress syndrome (ARDS) seems to be underrecognised, under-treated and associated with a high risk of mortality, according to the results of the ESICM LUNG-SAFE observational study, published in JAMA . Speaking to ICU Management & Practice, John G. Laffey , MD, MA, of the Departments of Anesthesia and Critical Care Medicine,...
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