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    Volume 19 - Issue 2, 2019

    • ICU
    • 30/05/2019

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  • Highlights from the I-I-I Blog

    (I expert, I question, I answer)  A selection from the ICU Management & Practice I-I-I blog. Have you got something to say? Visit https://healthmanagement.org/c/icu/list/blog  or contact [email protected]     Peter Pronovost Chief Clinical Transformation Officer - University Hospitals Cleveland, USA @PeterPronovost  ...

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  • PICU-acquired complications: the new marker of the quality of care

    This article describes the rise in PICU-acquired morbidities and its impact on patient outcomes. It discusses early rehabilitation strategies to improve patient outcomes in PICU.  Introduction Critical care has traditionally been focused on early recognition of life-threatening conditions, resuscitation, and stabilisation of organ...

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  • Caring for children in the PICU

    From novel technology to family-centred care: new challenges for old needs Challenges and opportunities to improve care and practice in the PICU. “Martin, 2 years old. Sepsis and pneumoniae. High monitoring systems and modern therapies. A nurse is talking to his parents. A smile and a kind gesture help them in this overwhelming...

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  • Noise in the intensive care unit: where does it come from and what can you do about it?

    Practical measures and interventions to reduce noise levels in the ICU and to improve the patient experience. The intensive care unit (ICU) is known to be noisy and is getting louder (Busch-Vishniac et al. 2007). Despite several trials, no interventions have been able to reduce noise levels by a meaningful amount (Li et al. 2011; Boyko...

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  • Keeping the Person in Personalised Medicine

    As Personalised Medicine endeavours to discover more specific aetiologies and treatments of disease based on genetics and basic science research, it is crucial to maintain a focus on the patient-doctor relationship in order to more fully optimise patient care. In a world where the cutting edge is a crowded place, and people’s lives are at...

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  • European guidelines on the management of traumatic induced bleeding

    Interview with Rolf Rossaint, Prof. of Anaesthesiology, RWTH University Aachen, Germany. Rolf Rossaint is a Professor and Chairman of the Department of Anaesthesiology of the University Hospital at the RWTH University Aachen, Germany. Prof. Rossaint has published several high-quality studies dealing with the treatment of severe acute respiratory...

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  • Cocoon bed aims to lower ICU delirium

    The intensive care unit environment can be extremely stressful, even if they provide some of the best care in the world. It is believed that a patient in the ICU has their sleep interrupted approximately every three minutes either through noise, lights, or medical intervention. Up to 80% of patients in the ICU suffer from some form of delirium, and...

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  • Big Data and hidden subtypes of sepsis

    Results of a study conducted by the University of Pittsburgh School of Medicine suggests that sepsis is not one condition, but many conditions that could benefit from different treatments. The findings are published in JAMA and were presented at the American Thoracic Society's Annual Meeting.   Sepsis is the number one killer of hospitalised patients...

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  • Sedation with dexmedetomidine in critically ill patients

    Dexmedetomidine is used to sedate patients while maintaining a certain degree of sustainability. The use of dexmedetomidine is known to reduce the duration of mechanical ventilation and delirium among patients in the intensive care unit (ICU). However, its use as the sole sedative agent in patients undergoing mechanical ventilation has not been studied...

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