Echocardiography is Essential Tool for Fluid Responsiveness
- ICU
- 27/09/2016
Echocardiography is an essential tool to predict and measure fluid responsiveness, according to a recent article, which provides a practical guide....
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Latest News articles in icu
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The Abdomen
Managing the abdomen and its complications in the intensive care unit is the subject of our Cover Story. First, Jan de Waele considers the data on new antibiotics for complicated intra-abdominal infections. While these, singly and in combination, show promise, he cautions that recent studies have certain shortcomings from a critical care perspective,...
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Three Criteria Can Identify Out-of-Hospital Cardiac Patients for Potential Organ Donation
Three objective criteria could identify out-of hospital cardiac arrest (OHCA) patients with zero chance of survival, who can be considered for organ donation. Prof. Xavier Jouven, Georges Pompidou European Hospital, Paris, and colleagues, analysed data from two registries and a clinical trial, and found that there is essentially no chance...
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Study: Vasopressin vs. Norepinephrine in Septic Shock
A multicentre trial investigating early use of vasopressin compared to norepinephrine to treat septic shock found no reduction in the number of kidney failure-free days. The results of the VAsopressin vs. Noradrenaline as Initial therapy in Septic sHock (VANISH) trial are published in JAMA (Gordon et al. 2016). Patients who had septic...
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Candida Spp. in the Respiratory Tract
A Real Causality With Worse Outcomes or Just a Marker of Severity? Candida spp. is the most common cause of intensive care unit (ICU) invasive fungal infections worldwide. The isolation of Candida spp. from respiratory tract secretions of non-immunocompromised, mechanically ventilated patients varies between 20% and 55%, but it might represent...
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Vasoactive Drugs in Sepsis
In this update review on vasoactive drugs in sepsis, we focus on the most recent data regarding the type of vasopressors that should be used, the timing of infusion, the mean arterial pressure target and the alternative approaches. Sepsis and especially septic shock is associated with arterial vasodilation refractory to fluid challenge. The...
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Controversies in Ventilator-Associated Pneumonia Diagnosis
Ventilator-associated pneumonia is a major complication of mechanical ventilation and represents the most common reason for antibiotic prescription in ventilated patients. Incidence ranges from 1.2 to 8.5 cases per 1000 ventilator days or 9 to 27% cases per mechanically ventilated patient; attributable mortality rates vary between 0% and 70%...
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The Burden Caused by Administrators and Managers: a Euro-American Jumble
We argue that a jumble of rules, protocols, checklists has emerged, which jeopardises not only the pivotal relationship between doctor and patient, but also the quality and costs of care, and the quality of future healthcare workers. It must be emphasised that the introduction of protocols and checklists in clinical medicine has improved care...
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Telemedicine is the Future
Professor Gernot Marx is Director of the Department of Intensive Care Medicine and Intermediate Care, University Hospital Aachen, and Professor of Anaesthesiology and Operative Intensive Care Medicine at RWTH Aachen University, Aachen, Germany. Dr. Marx is a member of the Intensive Care Medicine Scientific Subcommittee of the European Society...
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Critical Care in Brazil
Brazil is the largest country in South America, and ranks fifth in the list of the most populous countries, with a population of approximately 209 million people (84% urban). It is a large country with many challenges that affect the healthcare sector, such as economic inequalities, and the demographic transition with an ageing population (>10%...
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