Latest Articles in icu
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Management of Acute Ischaemic Stroke
Defining the Role of the Intensive Care Unit This review article aims to alter the preconceived mindset that surrounds the intensive care unit (ICU) and the patient with an acute ischaemic stroke (AIS). A contemporary body of evidence is emerging that shows that specific interventions can improve outcomes, and this article highlights key evidence-based...
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Survey: In-Hospital Care of Critically Ill Patients in France
When patients present with organ failure to French teaching hospitals, the receiving hospitals have very varied staffing and organisation, according to a survey by the French Society of Anaesthesia & Intensive Care - Sociéte française d’anesthésie et de réanimation (SFAR). The results have been published in the Society’s journal, Anaesthesia Critical...
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Critical Care in Canada
Interview With Professor Claudio Martin, President, Canadian Critical Care Society Claudio M. Martin is President of the Canadian Critical Care Society. Dr. Martin is Professor in the Department of Medicine, Chair/Chief of Critical Care Western (Schulich School of Medicine and Dentistry, Western University) and Medical Director of Critical Care...
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Intensive Care Systems Research-Interview With Associate Professor Hannah Wunsch
H annah Wunsch is Associate Professor of Anesthesiology, Department of Anesthesia, University of Toronto, Canada. She is Staff Physician, Department of Critical Care Medicine, Sunnybrook Hospital; Senior Scientist, Trauma, Emergency & Critical Care Research Program, Sunnybrook Research Institute and Visiting Assistant Professor...
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Benchmarking: Lessons Learnt
Benchmarking —comparing your own results with those of others—has the potential to reveal areas in which your unit could improve. However, there are pitfalls you should be aware of. When he was the CEO of Xerox Corporation, David T. Kearns stated, “Quality improvement can’t be measured in a meaningful way against standards of your own internal...
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Nutrition Monitoring
Most important when monitoring nutrition is to decide upon the nutritional goal for the individual patient. Technically nutrition balance, indirect calorimetry and blood chemistry are the cornerstones. To monitor nutrition is not complicated or difficult. What is more problematic is to monitor nutritional risk and to define the purpose...
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Fluid Choices in Brain Injury
Fluid management for acute brain damage has changed profoundly in the last decades. In the recent past brain oedema has been identified at autopsies as an overwhelming cause of raised intracranial pressure (ICP) and death after brain injury. In order to reduce the brain water content, dehydration, and even drastic dehydration, with 250 ml/day total,...
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Sedation in Acute Brain Injury: Less is More?
Over the past decades, landmark interventional studies in general intensive1!care unit (ICU) patients have taught us that efforts to reduce the use of sedatives, by daily interruption (Kress et al. 2000; Girard et al. 2008), by not using sedatives as standard practice (Strøm et al. 2010), or by tapering sedatives to an awake but comfortable state (Mehta...
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ICU-Related Dysphagia
Epidemiology, Pathophysiology, Diagnostics and Treatment Due to malnutrition and aspiration dysphagia in critically ill patients on the ICU is an extremely important symptom with crucial impact on outcome and mortality. A broad variety of pathogenetic factors can lead to severe dysphagia in non-intubated and intubated patients followed by...
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Cognitive Impairment After Critical Illness: Prevention and Treatment
Why did you decide to investigate NTF-prep? Long-term cognitive impairment after critical illness (CIACI) was first described in 1999 (Hopkins 1999). In 1992 we noticed that in cardiac surgery with extracorporeal circulation patients there was a correlation between jugular bulb lactic acid and cognitive decline. We concluded that CIACI was a real...
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