• Humanizing Intensive Care

    ICU Management interviewed Gabriel Heras La Calle MD (Intensive Care Physician, blogger of TheIC-HU Project: Humanizing Intensive Care ) about the blog. In just 8 months of existence, the IC-HU Project has been awarded the Best Health Ideas 2014 Award by Diario Médico in the legal, ethical and deontological section.   When and why did you start...

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  • Editorial

    A warm welcome to Brussels for the 35th International Symposium on Intensive Care and Emergency Medicine. In 1980 we welcomed just a few hundred delegates to Brussels - pre-mobile phones and pre-Internet! While networking has become even easier with mobile and online technology, nothing beats meeting our colleagues in person. This year more than...

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  • 35 Years of ISICEM

    Prof. Antonio Artigas Director, Critical Care Centre, Sabadell Hospital, Barcelona, Spain ICU Management Editorial Board Member   1. What were you doing 35 years ago? I was working in the Intensive Care Service at Hospital de la Santa Creu i Sant Pau in Barcelona. 2. What do you love about ISICEM? ISICEM is a good opportunity...

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  • ICU Management Welcomes New Editorial Board Members

    Editor-in-Chief, Professor Jean-Louis Vincent, has welcomed three distinguished intensivists to the ICU Management Editorial Board.   Prof. Jan de Waele, MD, Phd (Belgium) Prof. De Waele is an intensivist at the Surgical ICU of the Ghent University Hospital in Ghent, Belgium. As the current President of WSACS – the Abdominal Compartment Society,...

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  • Nosocomial Pneumonia

    This review discusses some of the key advances from the 2005 ATS / IDSA guidelines publication and emphasises future research for unsolved issues.   Ten years have passed since the publication of the American Thoracic Society (ATS)/ Infectious Diseases Society of America (IDSA) guidelines on nosocomial pneumonia (NP) (2005), which defined three...

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  • Noninvasive Ventilation

    In less than two decades noninvasive mechanical ventilation (NIV) has become a cornerstone therapy of acute respiratory failure (ARF). It is now well established that NIV can reduce intubation and mortality rates in patients with acute-on-chronic respiratory failure (i.e. severe acute exacerbation of chronic obstructive pulmonary disease) (Brochard...

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  • Physiotherapy Services in the Australian ICU

    Physiotherapists are key members of the Australian intensive care unit multidisciplinary team, providing respiratory management, exercise and mobilisation. Here, evidence underpinning the roles of physiotherapists and future challenges are highlighted.   Physiotherapists have provided services to intensive care units from the early period of their establishment...

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  • Infection Prevention in the ICU

    This article highlights four interventions that combat healthcare-associated infections (HCAI), have a good evidence base, and are relatively inexpensive and cost-effective. However, they are not widely implemented into clinical practice.   HCAI, such as ventilator-associated pneumonia (VAP) and catheter-related bloodstream infections (CRBSI),...

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  • Fluids for the Patient with Leaky Lungs

    Acute respiratory distress syndrome (ARDS) is characterised by increased permeability pulmonary oedema (Ware and Matthay 2000). Patients with ARDS often experience haemodynamic instability, due either to an associated sepsis or to the consequences of mechanical ventilation with positive end-expiratory pressure (PEEP) (Fougères et al 2010). Clinicians...

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  • Water Administration in the ICU

    The management of fluids in critically ill patients is a continuing challenge. Although the infusion of generous amounts of intravenous fluids is usually required during the early stage of resuscitation, fluid restriction is often desirable after the initial phase and stabilisation. Indeed several groups reported a poorer outcome when intravenous fluids...

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