• Analgesia, Sedation and Neuromuscular Blockade in Critically Ill Patients

    A Practical Approach for Intensivists A practical approach to analgesia, sedation and neuromuscular blockade of critically ill patients and a discussion on potential benefits, adverse effects and current professional international recommendations. Introduction Patients hospitalised in the Intensive Care Unit (ICU) are naturally prone to...

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  • Delirium: How Can We Protect Our Patients? Detection and Treatment Strategies

    In this article, the authors aim to summarise the current management of delirium, emphasising new publications and possible new studies that will shed light on delirium management strategy. Introduction According to an updated nomenclature of delirium after an interdisciplinary panel of experts from ten medical societies (Slooter et al....

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  • Acute Pain Management

    Pain is frequently encountered in intensive care unit (ICU) patients. Several studies have shown that improved pain management is associated with improved patient outcomes. However, pain management continues to be a significant challenge in the ICU setting. Effective pain relief is one of the most important priorities in the ICU. The goal...

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  • Pain Assessment in Critical Illness

    This narrative paper reports the practical assessment of pain in critically ill (ICU) patients, based on current evidence and guidelines. Introduction Pain is one of the top stressful symptoms experienced by critically ill patients hospitalised in intensive care units (ICU) (Chanques et al. 2015). This is because critical pathologies...

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  • Practical Implementation of the Pancreatic Stone Protein Sepsis Test

    An overview of a discussion on sepsis and the Pancreatic Stone Protein (PSP) biomarker by Dr João Pereira, Hospital De Vila Franca De Xira, Portugal and how it can be used for early diagnosis of sepsis and facilitate decision-making regarding the administration of antibiotics. The discussion was chaired by Prof Pedro Póvoa, coordinator of...

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  • Sedation, Analgesia and Respiratory Drive in Mechanically Ventilated Adults

    An overview of the cardiovascular and respiratory effects of sedative agents commonly used in the ICU, emerging concepts of mechanical ventilation induced injury to the respiratory muscles and evolving concepts for sedation monitoring and sedation minimisation to achieve the goal of expeditious liberation from mechanical ventilation. The...

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  • Pain Management in Paediatric Critical Care

    An overview of the main treatment options currently available in paediatric critical care setting. Critically ill paediatric patients often suffer from pain secondary to trauma, complex medical procedures, invasive testing monitoring devices and illness-induced discomfort. Although the gold standard for assessing patient comfort is self-report,...

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  • Ten Overlooked Mistakes During Early Mobilisation in the Intensive Care Unit

    An overview of the most common mistakes in decision making and the practice of early mobilisation in the intensive care unit. Introduction Early mobilisation (EM) is a therapeutic strategy implemented to avoid and overcome impairments developed due to critical illness and ICU stay. Several benefits have been described throughout the...

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  • Perioperative Haemodynamic Optimisation of the High-Risk Surgical Patient

    An overview of evidence supporting perioperative haemodynamic optimisation in high-risk surgery patients and strategies to facilitate its implementation and adoption to improve patient outcomes. A million surgical procedures performed every year worldwide are at risk of complications that can be attributed to the nature of the surgery and/or...

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    Stanley H. Appel Receive MDA Tribute Award Honoring 40 Years of Critic

    • ICU
    • 24/05/2022

    Stanley H. Appel Receive MDA Tribute Award Honoring 40 Years of Critical Contributions in Medicine

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