Search Tag: ICU
Choosing Wisely: The Next Five Recommendations
2021 07 Mar
In 2010, Howard Brody, a medical ethicist and family physician, authored "Medicine's Ethical Responsibility for Healthcare Reform - The Top Five List". His list challenged medical societies to identify five interventions in healthcare that were overused, and that did not provide patient benefit. Following the same logic, the American Board of Internal... Read more
20 Lessons from 2020 – Join the Live Discussion
2021 27 Feb
To round up the first issue of ICU Management & Practice this year, experts from critical care will gather together and discuss the most important lessons learned in 2020 from a critical care perspective. You are invited to join us live on 9 March 2021, 16:00 CET. You might also like : 20 Lessons from 2020 The COVID-19 pandemic... Read more
Use of Opioids After Intensive Care
2021 01 Feb
A study was conducted to evaluate opioid use in the ICU and identify factors associated with chronic opioid use after critical care. It also aimed to determine if chronic opioid use was associated with an increased risk of death. Over the last few years, opioid misuse has become a major public health issue in many countries. Pharmaceutical companies... Read more
Prevalence and Risk Factors for Delirium in COVID-19 ICU Patients
2021 12 Jan
According to findings from a large study, COVID-19 patients admitted to the ICU in the early months of the pandemic had a higher burden of delirium and coma than is typically found in patients with acute respiratory failure. The findings are published in The Lancet Respiratory Medicine. Study investigators tracked the incidence of delirium and... Read more
Tocilizumab and COVID-19 Pneumonia
2020 26 Oct
Tocilizumab is a humanised monoclonal antibody that binds human interleukin 6 (IL-6) receptors. It is generally used in inflammatory arthritis, giant cell arteritis and cytokine release syndrome after chimeric antigen receptor T-cell therapy. Tocilizumab has come under close scrutiny during the COVID-19 pandemic. Early observations from China... Read more
Increasing Efficiency Without Affecting Patient Outcomes
2020 11 Oct
The economic and clinical fragilities of healthcare systems around the globe have never been more visible than during the COVID-19 pandemic. In particular, the importance of resource allocation has been at the forefront. Weighing safety against costs when dealing with critically ill patients has been a source of dilemma for many healthcare professionals. ... Read more
Promising Techniques in Sepsis After Cardiac Surgery
2020 14 Sep
The purpose of this article is to give an up-to-date, comprehensive review on the utilisation of extracorporeal blood purification techniques and immunostimulation in septic patients after cardiac surgery. Introduction Sepsis is a potentially life-threatening state caused by an infection and an inadequate, dysregulated host immune... Read more
The Future of Critical Care: The Human Capital
2020 14 Sep
This article will focus on the non-clinical, human aspects of critical care, namely the patient and the ICU team. The modern concepts of humanising ICU care, the healing environment and future-proofing the ICU team will be discussed. Introduction Despite being a relatively young specialty, critical care has made remarkable progress... Read more
Ethics as Superpower - Primum Non Nocere Against All Pandemic Odds
2020 14 Sep
Use Case COVID-19-ICU Bethany Hospital Germany Medicine is an activity of special dignity at all times. Healthcare professionals are responsible actors and have to consider the business of operating ethics. Weighing up values under considerable time pressure, existential fates and critically discussed evidence is a considerable challenge for them,... Read more
Advances in Sepsis Research – New Tools Against One of the Oldest Diseases?
2020 14 Sep
Sepsis and septic shock are the leading causes of death in the ICU. With an estimated mortality rate of 40-60%, septic shock is in the focus of adult critical care medicine. It is broadly accepted that intervention in the very early phase of sepsis before the complex inflammatory host response is initiated should be one major area that clinical research... Read more