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    ISICEM18: Breaking bad news in the ICU

    • ICU
    • 20/03/2018

    Communication is key to breaking bad news in the ICU, and intensivists need to learn to listen more when talking to families, said J. Randall...

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    ISICEM18: More good studies needed, says Vincent

    • ICU
    • 20/03/2018

    Intensivists need to learn from their oncologist colleagues by running trials with carefully selected patient groups, as medicine moves from...

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    New method for rapid sepsis diagnosis

    • ICU
    • 20/03/2018

    Sepsis is a life-threatening condition and early diagnosis is crucial to ensure that treatment is not delayed. However, as current diagnostic methods...

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    Volume 18 - Issue 1, 2018

    • ICU
    • 16/03/2018

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  • Understanding LVAD & artificial hearts

    Regarding the growing number of patients with long-term mechanical assist devices, intensivists need to understand the physiology of the devices, their functioning, potential complications and their management. Long-term mechanical circulatory support (MCS) is being used increasingly for patients at risk of dying from heart failure and cardiogenic...

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  • Nutritional challenges in ICU patients

    This symposium explored controversial aspects of the nutritional management of patients in the ICU. There are new concepts and old controversies such as the role of permissive underfeeding and the optimal timing of nutrient delivery. Glucose control is also one such area where there is still no widespread agreement on optimal targets for blood...

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  • Supporting the patient innovator

    Their inability to communicate effectively whilst he had a tracheostomy on the intensive care unit (ICU), had such a profound impact on Duncan Buckley and his wife, Lisa-Marie, that they developed a concept for a novel interactive communication device, called ‘ICU CHAT’. Together, they have been embedded within the multidisciplinary ICU research...

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  • The critical care resuscitation unit

    A new paradigm for optimising inter-hospital transfer of patients with non-trauma time sensitive critical conditions The number of clinical conditions which have improved outcomes associated with shorter time to specialised resuscitation and definitive intervention continues to increase. Many of these time-sensitive conditions have improved outcomes...

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  • Caring for critically ill immunocompromised patients

    We can do better! Élie Azoulay, MD, PhD, is Professor of Medicine in Specialty Pulmonary Medicine and Critical Care at Saint Louis Teaching Hospital and Université Paris Diderot in France. He is the Director of the medical intensive care unit (ICU). He leads the French programme for the care of critically ill immunocompromised patients, and is...

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  • Optimising patient-ventilator synchronisation

    Dr. Lluís Blanch, Dr. Jean-Michel Arnal and Prof. Francesco Mojoli discuss why patient-ventilator synchrony is important, how to detect asynchronies, and technical solutions for optimising synchronisation.  Definition and clinical effects Patient-ventilator asynchrony occurs when there is a mismatch between the patient’s inspiratory time...

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