• Valuing Prevention as the New Paradigm in Global Health

    Managing Population Immunity for Vaccine Preventable Diseases One lesson from progress towards polio eradication suggests that using models and measurements together to manage population immunity may play a key role in supporting the paradigm shift required to value prevention and realise...

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  • Therapeutic Hypothermia in the ICU: Indication, Sedation and Prognostication

    Mild therapeutic hypothermia (TH) applied for 24 hours in the intensive care unit (ICU) is now recommended in comatose survivors of an outof- hospital cardiac arrest (OHCA), though some uncertainty around indication, clinical management and prognostication still remains. We will probably see this exciting field of intensive care further evolve...

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  • Fluid Management in Critically Ill Patients: A Guided Approach

    Critically ill patients are at risk of developing acute cardiovascular insufficiency or shock from any cause, defined as the imbalance between oxygen delivery and tissue oxygen consumption. This state is characterised by cellular dysoxia that, maintained over time, might progress to multi-organ failure and death. In order to prevent these consequences,...

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  • A Review of the Evolving Paradigm Shift in Intensive Care Unit Sedation Practices

    Most mechanical ly vent i lated, cri t ical ly i l l adul ts wi l l require some degree of sedation during their intensive care unit (ICU) stay, an area which has been experiencing significant change in recent years. The goal of this article is to afford a concise, stateof- the-art review of the evolving paradigm shift in ICU sedation practices;...

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  • Ethics in Simulation for Intensive Care

    In this paper we investigate the relationship between simulation and ethical care in the intensive care unit (ICU), primarily analysing the uses of simulation-based training in helping learners to improve their ethical decision-making processes and better react to and reflect upon moral dilemmas.   Ethics and simulation-based training...

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    Philips Introduces Graphical Dashboard for ICU Management

    • ICU
    • 07/03/2013

    Royal Philips Electronics has launched its IntelliSpace eCareManager 3.9 health care platform, powered by orb, during the Healthcare Information

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  • Intensive Care Medicine in Portugal: Responding to Changes

    The economic crisis in Portugal has forced the Government to impose major budget cuts in the National Health Service, and although the level of care for critically ill patients until now has remained adequate, intensive care medicine in the country is feeling limitations.   Overview Since the first intensive care unit (ICU) to be established in...

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  • Optimal Nutrition in Intensive Care: Does Gender Matter?

    Several gender differences relate to optimal nutrition in intensive care. We describe these differences and their hypothetical implications for the patient.   Introduction Nutrition therapy is an integral and important part of therapy in the intensive care unit (ICU). Malnutrition leads to more complications, more infections, longer...

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  • Peri Operative Nutrition in Upper Gastrointestinal Cancer Patients

    Malnutrition is frequently observed in upper gastrointestinal cancer surgical patients; it is an independent predictor of postoperative morbidity and mortality and leads to both increased length of hospital stay and hospital costs. Consequently, every effort should be made to apply nutritional support, including both standard enteral nutrition...

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  • Developing and Harmonising a Prime Speciality: Intensive Care Medicine

    An interview with Andrew Rhodes President of the European Society of Intensive Care Medicine (ESICM), Andrew Rhodes, has committed much of his time to progressing intensive care medicine as well as introducing and strengthening strategies for raising and harmonising standards in medical practice. In this interview with Managing Editor Marianna...

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