• Nosocomial Pneumonia

    This review discusses some of the key advances from the 2005 ATS / IDSA guidelines publication and emphasises future research for unsolved issues.   Ten years have passed since the publication of the American Thoracic Society (ATS)/ Infectious Diseases Society of America (IDSA) guidelines on nosocomial pneumonia (NP) (2005), which defined three...

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  • Noninvasive Ventilation

    In less than two decades noninvasive mechanical ventilation (NIV) has become a cornerstone therapy of acute respiratory failure (ARF). It is now well established that NIV can reduce intubation and mortality rates in patients with acute-on-chronic respiratory failure (i.e. severe acute exacerbation of chronic obstructive pulmonary disease) (Brochard...

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  • Physiotherapy Services in the Australian ICU

    Physiotherapists are key members of the Australian intensive care unit multidisciplinary team, providing respiratory management, exercise and mobilisation. Here, evidence underpinning the roles of physiotherapists and future challenges are highlighted.   Physiotherapists have provided services to intensive care units from the early period of their establishment...

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  • Infection Prevention in the ICU

    This article highlights four interventions that combat healthcare-associated infections (HCAI), have a good evidence base, and are relatively inexpensive and cost-effective. However, they are not widely implemented into clinical practice.   HCAI, such as ventilator-associated pneumonia (VAP) and catheter-related bloodstream infections (CRBSI),...

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  • Fluids for the Patient with Leaky Lungs

    Acute respiratory distress syndrome (ARDS) is characterised by increased permeability pulmonary oedema (Ware and Matthay 2000). Patients with ARDS often experience haemodynamic instability, due either to an associated sepsis or to the consequences of mechanical ventilation with positive end-expiratory pressure (PEEP) (Fougères et al 2010). Clinicians...

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  • Water Administration in the ICU

    The management of fluids in critically ill patients is a continuing challenge. Although the infusion of generous amounts of intravenous fluids is usually required during the early stage of resuscitation, fluid restriction is often desirable after the initial phase and stabilisation. Indeed several groups reported a poorer outcome when intravenous fluids...

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  • Rationalising Standard Laboratory Measurements

    Laboratory measurements are widely used in the Intensive Care Unit (ICU). This review describes an approach to developing and implementing the use of rationalised laboratory measurements.   Drawing blood and requesting laboratory measurements is probably one of the most frequently performed interventions in critically ill patients. There is probably...

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  • Getting Started with Twitter

    If you want to know how we practised medicine 5 years ago, read a textbook. If you want to know how we practised medicine 2 years ago, read a journal. If you want to know how we practise medicine now, go to a (good) conference. If you want to know how we will practise medicine in the future, listen in the hallways and use FOAM. — From International...

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  • Agenda

    DECEMBER    3-5 International Sepsis Forum, New Challenges Paris, France www.internationalsepsisforum.com 4-5 Airway for Anaesthesiologists 2014 Copenhagen, Denmark www.airwaymanagement.dk 7-10 Update on Antibiotic Therapy in...

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  • Beyond Point-of-Care Blood Gas Analysis

    Innovative miniature in-line blood gas analyser suports rapid and frequent bedside blood gas measurements at critical times To address the challenges of maintaining control of patient physiology in the ICU and the associated need for fast response, proactive critical care, a revolutionary in-line patient dedicated arterial blood gas...

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