Management of obese patients with ARDS
- ICU
- 12/03/2019
At least one fifth of all patients admitted to the ICU are obese, and these patients are at risk of developing lung de-recruitment and then atelectasi
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Latest News articles in icu
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Protecting ward patients
Finding patients before they crash might be the next major opportunity to improve patient safety. This article describes recent advances and perspectives for ward monitoring with wearable sensors and smart algorithms. Hospital wards are dangerous. Indeed, they are where most unexpected deaths occur within institutions. In a UK national audit...
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Innovations in ICU ventilation
The future delivered In this article, we aim to summarise the developments in mechanical ventilation that we believe are shaping the present and will shape the future ahead. Introduction Many centuries ago, Socrates stated that “the secret of change is to focus all of your energy, not on fighting the old, but on building the...
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Data-driven management for intensive care units
This article focuses on the clinical and practical application of current available cloud-based data analysis to benchmarking in real-time and to optimise clinical care in the ICU. Introduction The ICU is a highly technological environment where each patient data generates thousands of data-points per day. However, most of this data is...
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Managing delirium in the ICU with sleep guardians
Sleep guardians - a quality improvement initiative at the Lancashire and South Cumbria Critical Care Network (LSCCCN) to reduce and implement change while managing delirium in critical care patients Introduction Up to 85% of critical care patients may experience some form of delirium, but it can be very easily missed (Inouye et al....
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The establishment and provision of an acute kidney injury service at a tertiary renal centre
An overview of the acute kidney injury service launched at the Lancashire Teaching Hospitals NHS Foundation Trust The acute kidney injury service at Lancashire Teaching Hospitals NHS Foundation Trust was launched in October 2015. Key stakeholders were identified and included in the service development from the beginning and throughout which...
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Communication myths of anaesthetists
Vital minutes before unconsciousness Anaesthesia is a diverse specialty with a wide range of necessary skills, one of which is effective communication. The myth that anaesthetists pick the specialty ‘because you don’t need to talk to your patients’ persists. Whether said in jest or disdain this concept gains ground because, yes...
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How to manage sedation analgesia for patient-centred care in the ICU
Managing sedation analgesia for patient-centred care in the ICU Pain management and sedation are closely linked in the intensive care unit. In the past, clinicians were using sedative agents too liberally, often with benzodiazepines. And several issues were observed in the ICU, including the problems of delirium, weakness and prolonged ICU...
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Trends in epidemiology and antimicrobial resistance in intensive care units
The intensive care unit has a unique environment, mainly because it treats severe and critically ill patients who require special care. Critical care patients often require high-risk surgeries, and there is also a frequent need for invasive devices such as central or peripheral venous catheters, urinary catheters or tracheal tubes, among others. This...
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Results of the ABATE infection trial
According to results of the ABATE infection trial, daily bathing with an antiseptic soap, plus nasal ointment for patients with prior antibiotic-resistant bacteria reduced hospital-acquired infections among patients with central venous catheters and other devices. The ABATE infection trial included 340,000 patients from 53 hospitals. The study...
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