• Omitting Routine Chest Radiographs in Intensive Care Units

    The Economic Impact We studied the economic impact of omitting routine chest radiographs (CXR) in a university ICU. Additionally, we performed a prospective observational micro-costing exercise to identify the current costs of radiodiagnostic pathways, and compared the CXR cost calculation between a university hospital and a regional hospital ICU....

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  • Ultrasound-Guided Procedures: Financial and Safety Benefits

    Ultrasound Guidance Improves the Safety and Success of Needle Procedures The European Prevalence of Infection in Intensive Care study reported that 78% of critically ill patients had a central line inserted, while several million central venous catheters (CVCs) a year are placed in American hospitals (Gibbs, 2006). Since this common procedure can...

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  • Lactate Monitoring in the ICU

    The use of lactate measurements in critically ill patients has steadily increased to a level where in some cases it may be considered lactate monitoring. In this brief review we discuss the central metabolic role of lactate in animal metabolism, and address important misconceptions as well as why lactate is mainly a marker of stress and how this translates...

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  • Partnering Medicine and Public Service

    Interview With Professor Paul E. Pepe Paul E. Pepe, MD, MPH, is Professor with Tenure in Internal Medicine, Surgery, Pediatrics, Public Health &Emergency Medicine (EM) at UT Southwestern and the City of Dallas Director of Medical Emergency Services for Public Safety, Public Health & Homeland Security. Up until this spring, he served for more than...

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  • Hot Topics in Critical Care Medicine in Korea

    12th Congress of World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM) This year, the 12th Congress of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM Seoul 2015 Congress), in collaboration with the World Federation of Critical Care Nurses (WFCCN) and the World Federation of Pediatric...

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  • TestChest®: Respiratory Flight Simulator for Anaesthesia and Intensive Care

    The use of simulation-based training provides safe and effective procedures for the practice and acquisition of clinical skills needed for patient care. Medical education is required for the learning and training period in order to ensure patient safety especially in ICU. Artificial respiration education and proper setting of mechanical ventilation...

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  • Getting Started with a Health Blog

    The Internet is full of blogs. They are multithemed sites, self-managed by the authors and demonstrative of, and only limited by, the authors’ level of creativity. They are potentially accessible to anyone and everyone. There are numerous health blogs, but the proportion of health professionals who are bloggers is low. Having a blog is a cost-effective...

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  • Low-Flow Extracorporeal CO2 Removal: Enhancing Lung Protection in ARDS

    New technique provides simple, minimally invasive extracorporeal lung support. The Challenge of Optimizing Lung Protection in ARDS Despite many advances, ARDS mortality remains between 27-45%. 1 Few interventions have proven effective at improving outcomes in ARDS, a notable exception being the use of low tidal volume ( ≤...

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  • Revolutionizing Intensive Care Ventilation

    Salvia medical used to be known among major providers and insiders primarily as an innovative development company for anesthesia ventilators, intensive care ventilators, and clinical respiratory therapy devices. All of that changed when Salvia medical presented its new ventilator family at the European Anaesthesiology Congress in Sweden in 2014....

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  • Improved Microbial Diagnostics for the Critically Ill Patient with PCR/ESI-MS

    By George F. Winter Eddleston, Peeblesshire, Scotland [email protected] S epsis is a constant challenge facing those who care for critically ill patients. Sepsis and septic shock contribute substantially to morbidity and mortality in this group, and in 2012 authors of guidelines for appropriate management...

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