Latest News articles in icu
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November 2012
6-8 10th Doppler-Echocardiography in Intensive Care Medicine Brussels, Belgium www.intensive.org 7-9 Sepsis 2012 Paris, France www.sepsisforum.org 9-10 ESA Autumn Meeting Prague, Czech Republic www.euroanaesthesia.org 17 2nd International Fluid Academy Day Antwerp, Belgium www.fluid-academy.org
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The Portuguese Healthcare System: Universal and Comprehensive
Located in the south-west of Europe, with a mainland area of 91,900 km², along with the archipelagos of Açores and Madeira, Portugal is a developed country with a lot to offer, including a health system with many strengths. Amid the economic crisis and an ageing population, however, the country is facing problems in this sector. In response to this,...
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Does Intermediate Care Improve Patient Outcomes and Reduce Costs?
In an era of rapidly progressing intensive care medicine, along with rising demand and growing concern on the bottom line, hospital managers are increasingly introducing intermediate care facilities in a move to solve the problem of overcrowded ICUs in an efficient manner; but controversy exists on whether these units really provide all the answers....
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Developing and Harmonising a Prime Speciality: Intensive Care Medicine
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 Keen, he shares some of his most recent...
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Ventilator Associated Pneumonia: Breaking the Bridge
In this article we look at strategies for preventing lower airway colonisation, focusing on the factor that is widely-believed to be the main culprit forventilator associated pneumonia (VAP) development: the endotracheal tube (ETT). VAP and its Pathogenesis Ventilator associated pneumonia, defined as occurrence of pneumonia at least 48–72 hours...
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Proper Use of Vasopressors in Septic Shock
Introduction Several factors contribute to organ dysfunction in septic shock patients, and once the inflammatory response has been activated, many organ systems can be adversely affected. A marked fall in systemic vascular resistance results from arterial and venous dilatation. This is accompanied by leakage of plasma into the extravascular space,...
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Perioperative 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 (EN)...
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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 hospital stays...
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Sex in the ICU: Eliminating Genderbased Disparities in Care
The time has come to apply a sex and gender lens to quality improvement in ICU care, considering not just biological differences but also potential gender bias from decision makers, among other factors. The authors of this article explore the current context of quality standards and indicators, and assess how access, quality and outcomes across genders...
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