• Do Patient Data Management Systems Affect Revenue in the ICU?

    A recent article in BMC Medical Informatics and Decision Making by Ixchel Castellanos and colleagues looked at the financial implications of introducing a Patient Data Management System. This study was a retrospective observational and explorative analysis of cost and reimbursement data of a hospital ICU in Germany for three years before and three...

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  • Prevention of Ventilator-Associated Pneumonia (Matthieu Boisson, Olivier Mimoz)

    Authors Matthieu Boisson , MD Chief Resident of Department of Anesthesiology and Intensive Care, University Hospital of Poitiers Poitiers, France Inserm U1070, Faculty of Medicine and Pharmacy University of Poitiers, Poitiers, France [email protected]   Olivier Mimoz, MD, PhD...

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  • Best Practices for Tele-ICUs: NEHI Brief

      NEHI, a national nonprofit health policy institute published a brief in November, which outlines best practices for tele-ICUs. While the technology used in the tele-ICUs surveyed in the United States is similar, practices vary. The NEHI argues that these emerging new patterns of use have the potential to make tele-ICU coverage more scalable...

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  • Mobile Critical Care (Michael C. Reade)

    Author Lieutenant Colonel Michael C. Reade, MBBS MPH DPhil FANZCA FCICM Intensivist & Australian Defence Force Professor of Military Medicine and Surgery Burns, Trauma and Critical Care Research Centre, University of Queensland and Joint Health Command, Australian Defence Force Brisbane, Queensland, Australia [email protected]...

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  • Impact of Rapid Response Teams on ICU (Christian P. Subbe)

    Author Christian P. Subbe, MD Senior Clinical Lecturer in Acute and Critical Care Medicine, School of Medical Sciences, Bangor University & Consultant in Acute, Respiratory and Intensive Care Medicine Ysbyty Gwynedd, Bangor, UK [email protected]   Rapid Response Systems (RRSs) improve timely referral...

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  • VAP, VAC, IVAC and Ventilator-Associated Events: The Need for Objectivity for Surveillance

    Authors David Pearson, MB BChir, MA (Cantab), FCICM Staff Specialist, Intensive Care Unit, Gold Coast University Hospital, Southport, Queensland, Australia [email protected] & [email protected]   Yoshiro Hayashi , MD, PhD Director of Intensive Care Medicine, Kameda Medical...

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  • Inhaled Antibiotics in the ICU (Michael S. Niederman)

    Michael S. Niederman, MD Professor of Medicine SUNY at Stony Brook Chairman, Department of Medicine Winthrop-University Hospital Mineola, NY Introduction Inhaled antibiotics have been available for use in patients with a wide range of respiratory infections, but their role in mechanically ventilated patients has not...

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  • Tele-Intensive Care Medicine: High Potential of Enhancing Healthcare Outcomes

    Authors Univ.-Prof. Gernot Marx , MD, FRCA Head Department for Intensive medicine and Intermediate care University Hospital RWTH Aachen, Germany   Rainer Beckers, MPH, MA Managing Director ZTG Zentrum für Telematik und Telemedizin GmbH Bochum, Germany   Ageing society will...

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  • The Role of Blood Lactate (Jan Bakker)

    Professor Jan Bakker is Professor of Medicine and Vice-chair of the Department of Intensive Care Adults at Erasmus Medical Centre in Rotterdam in the Netherlands. He is Visiting Professor at Columbia University - New York Presbyterian, U.S. and a Visiting Professor at the University Hospital Pontificia Catolica de Chile.   Can you explain...

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  • Fluids and Nutrition in Acute Kidney Injury

    This article focuses on the impact of fluid and nutrition administration on kidney function. It discusses the deleterious effects of accumulating fluid overload leading to kidney oedema and worsening kidney function, and provides advice on how to adapt nutrition in the different stages of AKI, with or without RRT. Finally, information on the cardio-abdominal-renal...

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