Latest News articles in icu
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Fast-track surgery: a multidisciplinary collaboration
Prof. Henrik Kehlet reflects on the progress of fast-track surgery and the need for multidisciplinary teamwork in optimising perioperative care. You are the “father” of fast-track surgery. What motivated you to develop this concept? It all started when I was a young surgeon and had to perform some major operations. The technical aspects...
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The patient voice in Enhanced Recovery After Surgery: an Edinburgh perspective
This article will explore the ERAS Programme and provide a unique insight into perspectives and realities of surgical recovery. It will highlight the current evidence versus patients’ perceptions and expectations. Background The Enhanced Recovery After Surgery (ERAS) programme has been implemented in many surgical units around the world...
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The role of physiotherapy in Enhanced Recovery after Surgery in the intensive care unit
Enhanced recovery after surgery (ERAS) is an evidence-based, multimodal approach to optimising patient outcomes following surgery. The role of physiotherapy within ERAS and intensive care units (ICU) is important. Patients admitted to an ICU following elective major surgery may suffer from physical, psychological and cognitive problems, which can...
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Continuing rehabilitation after intensive care unit discharge
Opportunities for technology and innovation This article discusses technological innovations that promote survival and enhance recovery, starting within the ICU with developments in ventilation, sedation, early mobility and ICU design. Post-ICU, the establishment of follow-up services is discussed, as are initiatives for sharing patient information...
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The hidden faces of sepsis, what do they tell us? Focal points for improving patient outcome
Based on the patients’ perspective Nutma sheds light on the hidden faces of sepsis, calling for more expertise on sepsis sequelae. She also offers recommendations to improve recovery and outcome. It wasn’t until 2007, after my illness that: “I came to understand the extensive process of recovery after critical illness. Moreover, I came to...
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Treatment of bleeding patients during therapy with direct oral anticoagulants
Results from the French registry: GIHP-NACO Presents results from a registry detailing information about the management of bleeding patients in the emergency room, operating room or intensive care unit during therapy with direct oral anticoagulants. Background There is a large literature on the efficacy of direct oral anticoagulants...
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Fibrinogen concentrate in elective complex cardiac surgery: a monocentric trial
Presents the results from a randomised controlled trial which aimed to determine if fibrinogen concentrate infusion reduces intraoperative blood loss in cardiac surgery patients. Background Excessive bleeding is a common complication in cardiac surgery, and may result in the need for red blood cell (RBC) transfusion. Intraoperative...
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Animal-assisted activity in the intensive care unit
Outlines some basic considerations for ICU providers interested in incorporating animals into care programmes. Animals are being introduced into hospital settings in ever-increasing numbers. Emerging literature suggests that incorporating trained animals to assist with medical care and rehabilitation therapies can promote patient engagement,...
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From command and control to modern approaches to leadership
Historical command and control approaches to leadership fail in building relationships and engendering engagement and thus do not enhance performance like modern approaches to leadership. Historically, leadership in medicine was taught and practised in an approach akin to the military paradigm of command and control. It was believed that...
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Enabling machine learning in critical care
Critical care units are home to some of the most sophisticated patient technology within hospitals. In parallel, the field of machine learning is advancing rapidly and increasingly touching our lives. To facilitate the adoption of machine learning approaches in critical care, we must become better at sharing and integrating data. Greater emphasis on...
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