Latest News articles in icu
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COVID-19, Corticosteroids and the Road to Enlightenment
The use of corticosteroids for respiratory diseases has been a matter of discussion. Here, we present recent evidence of corticosteroids benefits for COVID-19, including improvements in mortality and ventilator-free days. M ore than six months riding treacherous waves in the COVID-19 storm had passed until a glimpse of a rudimentary...
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Innovations in ICU Expansion Solutions: From Tents to Modified Shipping Container Mobile Pods
This article discusses the 2020 innovations in ICU surge capacity, their benefits and challenges and how they may prevent or delay the need to enact triage criteria /decision-making in pandemic and mass casualty situations. Introduction Even though governments in many countries have taken unprecedented steps to shut down their economies...
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Why Intensivists Should Participate in Home Ventilation Teams
A historical review of the birth of intensive care medicine and home mechanical ventilation; and an opinion piece on the merits of intensivists participating in home ventilation care teams. T he world is currently reeling from the ravages of COVID-19. It is still too early to know how healthcare will be transformed as a result of this...
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Treatment of Catecholamine Refractory Hypotension in Septic Shock: Beyond First Line Vasopressor
Hypotension during septic shock is a strong indicator of patient outcome and mortality. Arginine vasopressin is a naturally produced human hormone with vasoconstriction effect via V1 receptor activation and a short 5-20 minutes half-life and is recommended by the Surviving Sepsis Campaign guidelines to be added as a second-line vasoactive agent when...
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Nutrition in the Post ICU Period: Where is the Evidence?
This article summarises the current nutrition evidence in the phase of recovery that occurs following critical illness. Introduction It is plausible that the importance of nutrition may differ across different phases of illness. Reflecting this, the most recently updated clinical nutrition practice guidelines for critical care from the...
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Post-intensive Care Syndrome – The Paediatric Perspective
This article outlines the current understanding, prevalence, risk factors and management of the post-intensive care syndrome in paediatrics. Introduction Persistent critical illness acquired morbidities have been well known to affect adults since our attention was drawn to this in the landmark publication by Herridge et al. in 2003....
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The Post-ICU Patient
“The success of intensive care has not to be measured only by survival statistics, as though each death is a medical failure. It has to be measured by the quality of lives preserved or restored and by the quality of dying of those in whose interest is to die.” This statement of G. R. Dunstan, Prof. of Morals and Social Theology, dating back to 1995,...
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Intensive Care Medicine: Reflections on the Gender Gap
Is the gender gap a concern for intensive care medicine (ICM)? ICM is not gender friendly by design and this could have a major impact on the discipline given the increase in the number of female doctors. What are the main barriers to career progression for women in ICM? Members of the iWIN Foundation present their views. S everal authors...
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The Post-ICU Patient
N umerous patients are admitted to the Intensive Care Unit (ICU) every year. Many of these critically ill patients receive multiple interventions to treat and manage acute conditions and prevent further deterioration. However, these treatments can often affect a patient's mind and body. That is why many ICU survivors, as they transition out of the...
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Agenda
JANUARY 11 NEUROINTENSIVE CARE: Update 2021 – 4th edition Online course https://iii.hm/161x FEBRUARY 31-12 SCCM – 50th Critical Care Congress Virtual conference https://iii.hm/161y MARCH 19-20 2020 World Critical Care and Anesthesiology Conference Bangkok, Thailand https://iii.hm/161z...
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