News
Evaluating Remote Patient Monitoring for Reducing Return Visits to the Emergency Department
2024 30 Apr
Return visits to the emergency department (ED) pose a challenge to healthcare organisations, with significant financial and care implications. About 20% of patients return to the ED within 30 days, with some visits being preventable. Factors contributing to return visits include fear, anxiety, convenience, and expedited evaluation. While the correlation...Read more
Understanding Respiratory Drive
2024 30 Apr
Understanding respiratory drive is crucial in managing critically ill patients. Recent data suggest high and low respiratory drive can negatively impact patient outcomes. However, “respiratory drive” can be ambiguous without understanding its determinants and underlying pathophysiology. In critically ill patients, ventilatory demands reflected...Read more
Transforming Research to Improve Therapies for Trauma
2024 30 Apr
The impact of trauma on global health is significant, resulting in millions of deaths and disabilities annually, with a particularly high toll on young people. However, the elderly are also increasingly affected. Variances in trauma-related death patterns worldwide are influenced by factors such as prompt treatment availability and the prevalence...Read more
Low vs High Blood Pressure Targets in Critically Ill and Surgical Patients
2024 25 Apr
The treatment of critically ill and perioperative patients often involves targeting blood pressure as a cornerstone of haemodynamic management. Current guidelines suggest maintaining high blood pressure targets for these patients based on observational studies linking hypotensive events to adverse outcomes. However, these recommendations are not based...Read more
INSPIRE Trial: Improving Antibiotic Selection for Pneumonia
2024 25 Apr
Over 1.5 million adults are hospitalised in the U.S. each year due to pneumonia, with about half of them receiving unnecessary extended-spectrum antibiotics. This overuse contributes to the risk of antibiotic resistance and other adverse effects. Current strategies to improve antibiotic prescribing mainly focus on shortening the duration or de-escalating...Read more
Articles
Dealing With Uncertainty in ICU Decision-Making: A Practical Guide
2024 19 Apr
When the stakes are high, and the path ahead is uncertain, the decisions made, especially if a patient continues to worsen, can be sources of self-torment and can haunt us for a long time. Our goal is to suggest ways to steer decision-making for intensivists in the face of uncertainty by proposing a clear, practical, stepwise approach through...Read more
The Least Bad Decision: Crisis Standards of Care After the Pandemic
2024 19 Apr
COVID-19 was an emergency that lasted for years and left few regions of the world untouched. The pandemic shone a spotlight on both the strengths and weaknesses of our disaster planning. What worked, what did not, and how can we better plan for future emergencies? The COVID-19 pandemic forced hospitals and health systems around the world...Read more
Decision-Making in the PICU: Ethical Aspects in Paediatric Critical Patients
2024 19 Apr
This article highlights some particularities to be considered when making decisions in paediatric ICUs and the role of parents (or legal guardians) and the physician in the dilemma involved in paediatric decision-making. In these times, an ill individual is believed to be an autonomous moral agent to make decisions regarding...Read more
Decision-Making in Uncertainty: Time-Limited Trials
2024 19 Apr
An overview of time-limited trials (TLT), collaborative agreements between the treating team and the patient to apply life-sustaining therapies to help reduce prognostic uncertainty and foster trust between teams and patients and/or patient surrogates. Introduction Medical indication and a patient's consent form the basis of every diagnostic...Read more
Patient and Family Partnerships in the ICU: History, Benefits, and Strategies for the Future
2024 19 Apr
The seamless integration of patient- and family-centred care in the critical care setting remains elusive. This review discusses the history and benefits of patient- and family-centred care, plus strategies for partnering with patients and families in the critical care setting. Introduction Patient and family partnerships in the...Read more
Events
17th World Congress of Intensive & Critical Care 2025
2025 16 Sep
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DIVI24:Congress of the German Interdisciplinary Association for Intensive Care & Emergency Medicine
2024 04 Dec
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