Latest Blog Posts in ICU

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Airway management is of key importance to all critical care providers and their patients. Unanticipated difficulties during airway management can lead to severe complications or death. However, prediction of difficulties with upper airway access is challenging. Until now the accuracy to predict a “difficult airway” with the current methods or classification... Read more

A striking mural that hangs at Toronto General Hospital of the University Health Network has an interesting story behind it, which Tilda Shalof explains.The more than 10,000 tabs, lids, pins, stoppers, pipettes, syringes, levers, screws and connectors that make up this mural all were used to deliver patient care.  After their one-off purpose, these... Read more

A young woman is brought to the emergency room after being hit by a sports utility vehicle. After 45 minutes of resuscitation, she is pronounced dead. Jonathan Bartels, RN, recalled the case and the vacancy he felt afterwards. It prompted him to develop "The Pause"—taking a few moments after the patient has died, to acknowledge their passing and the... Read more

We received a MET call (Medical Emergency Team) from the general ward to immediately come and assist. The patient's name was Mr. 'Stevens'. He was 81 and was in our hospital due to severe exacerbations of chronic obstructive pulmonary disease (COPD). He was in acute respiratory distress and had low blood pressure. There was no time to discuss whether... Read more

Lessons from a doctor turned patientDr. Rana Awdish, MD, FCCP, is a critical care physician and faculty member of Wayne State University School of Medicine in Detroit, Michigan, USA. She is Director of the Pulmonary Hypertension Program at Henry Ford Hospital and Medical Director of Care Experience for the health system. Her book In Shock, published... Read more

As I usually do when I'm writing, first I'll throw a random fact--not so random--with a slight relation with our subject. The thing is, I lack good metaphors. Some time ago I stumbled on a fantastic article by Holloway discussing a new approach to treating multi-drug-resistant tuberculosis. The climax is: in Switzerland, England and New York, tuberculosis-related... Read more

I think what is important is to have the leaders proactively thinking about the gender issue. Examples? Faculty members need to be inclusive and to mentor young women and to include them in their plans, creating the conditions to allow their participation in committees and boards preparing the next generation of leaders. Journals need to include women... Read more

SYNAPSE-ICU  An international prospective observational StudY on iNtrAcranial PreSsurE in intensive care (ICU), endorsed by the European Society of Intensive Care Medicine (ESICM), is now enrolling participant centres.   What is Synapse-ICU? Intracranial pressure (ICP) monitoring is the most common neuromonitoring modality used in neurocritical care... Read more

With a technology like point-of-care ultrasound (POCUS), there are two options for how to develop this technology and spread it in the community. Either you bring technology and have people use it, or you realise that the value of technology by itself is very limited without augmenting it by providing education. I use the example of the stethoscope,... Read more

Different preferences based on gender, influence the patient’s perspective of good quality in care and treatment.As future healthcare points towards more outpatient treatment and less hospitalisation, and as the majority of quality-studies are related to patients who are hospitalised or have chronic diseases, it seems interesting to explore the patient... Read more


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