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    Volume 20 - Issue 2, 2020

    • ICU
    • 11/08/2020

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  • The Night in the ICU

    T hey say that in the world of the intensive care unit (ICU), there is no night. It can be qualified as a lesser day, but not really as a night. The hustle and bustle may be slower, patient flow and activity may be less, conversations may be negligible, and the staff on duty may be limited, but patient care continues, alarms are in place, and the...

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  • Is the Severe COVID-19 Over in Europe?

    Is the worst over? Have patients most at risk already been affected and died? Or has the SAR-CoV-2 virus mutated to a less severe form? Where exactly do we stand with COVID-19? U ndoubtedly, the COVID-19 pandemic has been a terrible experience - worse than expected for many worldwide. As we follow the COVID-19 situation, there is a tendency...

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  • Keeping Best Practices in Critical Care During COVID-19

    COVID-19 poses several challenges and has made it difficult to measure ICU performance. Sticking to evidence-based interventions can go a long way in improving outcomes and resource utilisation. How it Started Taking care of a COVID-19 patient comes with an initial surprise: there is no standard mindset to guide the physician’s...

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  • The Night Falls in the ICU: Changing Realities for Patients, Relatives & Interdisciplinary Team

    Night has fallen in the intensive care unit, and the medical team is smaller. What do physicians, nurses and patients actually feel? An overview of the night falls in the ICU - from the perspective of an ICU team. Brief Description and Comparison with the Day-Time Atmosphere During the day and at night, intensive care units (ICU)...

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  • The Night in the ICU

    An overview of the multiple characteristics of life overnight in a critical care ward, the relationships between caregivers, patients and family, and how this complex reality is embedded in an artificial and often unfriendly environment. Introduction Whether it is a matter of keeping on with the hard work - as day and night would...

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  • Sleep Deprivation and Fatigue Management in the Intensive Care Unit

    The impact of sleep deprivation and fatigue on patients and staff in the intensive care unit and how improved sleep, reduced noise disturbances, and more organised shifts could be beneficial for both patients and clinicians. T he World Health Organization (WHO) recommends that average daily sound levels in patient care areas should...

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  • Night Service in the Intensive Care Unit of a University Hospital

    This article draws attention to the extensive range of tasks and the stresses and strains during night duty in intensive care units. To this end, the range of activities of night duty nursing staff is presented using the example of the Hannover Medical School. Night Service - An Important Service in the Multiple-Shift System In...

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  • Shadowing the Nightwatch: Nocturnal Activity in the ICU

    An article exploring the experience of an intensive care registrar overnight and the evidence supporting admissions, fatigue, judgement and morality in the circadian cycle. A t night, ICU feels like a fortress that has been put to bed for the night, and as a registrar, you have a role blended from sentinel, secretary, detective and...

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  • Engaging the Night Shift Nurse With Activities & Educational Opportunities

    Providing different modalities and strategies helps engage the night shift and can enhance job satisfaction, workforce commitment, and recruitment and retention of nurses. C aring for critical care patients during the nightshift hours has many unique challenges. In order to provide high quality nursing care at the bedside, continuing...

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