Green ICU-4Ps: It Is Not An Option To Not Accomplish It
2023 26 May
The critically ill patient should be framed within sustainable medicine. It is crucial to mitigate the causes so that we do not have to adapt to the undesirable effects of the unsustainability of our clinical practice. We propose a simultaneous approach to sustainability in people, products, processes, and our planet. Introduction and Justification...Read more
The Importance of Accurate Glucose Monitoring in Critically Ill Patients
2021 23 Nov
The complexity of glucose testing, the limitations of point-of-care blood glucose monitoring systems and the need for accuracy and reliability to ensure optimised patient outcomes. C ritically ill patients are not found just in intensive care units, but throughout the hospital: emergency departments, post-anaesthesia care units,...Read more
Technology innovations in delivering accurate nutrition
2019 14 Mar
Preventing malnutrition and enforcing nutritional guidelines An overview of the key obstacles for the enforcement of nutritional guidelines and innovative approaches that can be used to overcome these obstacles. Recent studies suggest that nutritional guidelines across the majority of intensive care units (ICUs) are not being implemented...Read more
Improving access to safe anaesthesia
2018 16 Oct
Interview with Jannicke Mellin-Olsen, President, World Federation of Societies of Anaesthesiologists. Jannicke Mellin-Olsen, MD, DPH is Consultant Anaesthesiologist at the Department of Anaesthesia, Intensive Care and Emergency Medicine, Bærum Hospital, Norway. She is President of the World Federation of Societies of Anaesthesiologists, and...Read more
The Accelerate Pheno™ system in clinical practice: fast and accurate turnaround for critical results
2018 01 Jun
Our clinical experiences of using the Accelerate Pheno™ system have greatly benefited patient care, providing earlier diagnostic certainty. Two complex sepsis cases are discussed, where the impact of rapid identification, with antibiotic sensitivities, of the causative organism from blood cultures is described. At Hampshire Hospitals NHS...Read more
Free Open-Access Medical education (FOAM) and critical care
2017 22 Nov
This article describes the nature of FOAM (Free Open-Access Medical education), its strengths and weaknesses, and how it can be used effectively by critical care clinicians, educators, and students. “…and to teach them this art — if they desire to learn it — without fee and covenant.” — excerpt from the Hippocratic Oath FOAM, or ‘Free...Read more
Emergency Intraosseous Access: Novel Diagnostic and Therapeutic Possibilities and Limitations
2016 30 Nov
The intraosseous needle is an essential tool in emergency settings when initial vascular access is difficult to achieve. This paper focuses on possible biochemical analyses on blood from emergency intraosseous needles, suggesting principles of use as well as pointing out advantages and shortcomings. Intraosseous (IO) access has been used...Read more
SMACC Chicago
2015 22 May
Social Media and Critical Care (smacc)’s third meeting takes place in Chicago from 23-26 June. ICU Management spoke to one of the smacc founders, Dr. Roger Harris, to find out more. What is the background to smacc? Oliver Flower and I started our website www. intensivecarenetwork.com , and began collaborating with a similar site run by Chris...Read more
Accuracy of Field Triage of Trauma Patients
2013 15 Aug
Authors Marius Rehn, PhD student Department of Research, Norwegian Air Ambulance Foundation Drøbak, Norway and Akershus University Hospital [email protected] Andreas Krüger, PhD student Department of Research Norwegian Air Ambulance Foundation, Drodak, Norway, and Department of Anaethesiology and Emergency Medicine,...Read more
Use of Induced Hypothermia: Acceptance and Implementation Issues
2013 15 Aug
Author Prof . Armand R.J. Girbes Department of Intensive Care, University Hospital VU Medical Center Amsterdam, The Netherlands [email protected] or [email protected] In this article, Professor Girbes discusses the difficulties a manager may face when introducing the practice of therapeutic hypothermia...Read more
Immune System Tricked to Accept Mismatched Donor Organs
2012 04 May
A group of scientists have found a method for deceiving the immune system so that it will accept organs from an incompatible donor, a finding that could help patients avoid a lifetime of medication to prevent rejection of the organ. The procedure involves suppressing the patient’s bone marrow with chemotherapy and radiation before they undergo surgery;...Read more
