Search Tag: Analgesia

ICU Management

12 Things to Do to Improve Wellbeing in the ICU

2021 19 Apr

An overview of strategies and measures that can be implemented to improve wellbeing of staff and patients in the ICU. 1. Make the patient the centre of our preoccupations This is the first principle of wellbeing in the ICU and should be written in large letters when one enters an ICU. Wellbeing must concern first and foremost the patient.... Read more

ICU Management

Top Five Priorities for a New ICU Director During the First Year

2021 19 Apr

During the first year, the ICU director should take a snapshot of the ICU situation and invest time and resources to acquire good and real data that will drive priorities of care and management. After that, implementation of basic protocols and creating a programme to engage and protect the staff against burnout should be considered. Finally, we... Read more

ICU Management

Volume 21 - Issue 1, 2021

2021 24 Feb

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ICU Management

Why Do We Need Sedation in Critically-Ill COVID-19 Patients?

2021 22 Feb

C OVID-19 patients present to the hospital with lung involvement and interstitial pneumonia eventually associated with lung collapse. The clinical picture is dominated by severe hypoxaemia without dyspnoea/tachypneoa and normal respiratory mechanics; this condition has been defined as silent hypoxia. The picture may evolve, and these patients may... Read more

ICU Management

How Should We Manage Sedation in Critically-Ill COVID-19 Patients?

2021 22 Feb

Clinical Practice Guidelines The Choosing Wisely top five guidelines published a few years ago by the Chest Association of Physicians, the American Thoracic Society, the Society of Critical Care Medicine, and the American Association of Critical Care Nurses state that mechanically ventilated patients should not be deeply sedated without a specific... Read more

ICU Management

Important Questions Answered

2021 22 Feb

During the question/answer session, Prof Vito Marco Ranieri discussed some important questions with Prof Salvatore Maurizio Maggiore and Prof Boris Jung regarding sedation regimen, respiratory muscle paralysis, sedation in COVID-19 patients specifically and how it is different from other regular ICU patients. Ranieri: What is your opinion... Read more

ICU Management

Sedation in Critically-Ill COVID-19 Patients

2021 22 Feb

Report of a Symposium Presented at LIVES 2020  33rd Congress of the European Society of Intensive Care Medicine  Moderator  Vito Marco Ranieri (Bologna, Italy)  Speakers  Why Do We Need Sedation in Critically-Ill COVID-19 Patients?  Salvatore Maurizio Maggiore (Chieti, Italy)  How Should We Manage Sedation in Critically-Ill... Read more

ICU Management

Volume 19 - Issue 4, Winter 2019/2020

2020 15 Jan

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ICU Management

The Future ICU

2020 15 Jan

Critical Care Medicine has existed for many years, but was only recognised as a specialty in the last 40 years or so. However, during this time, there has been a tremendous amount of change. Over the years, our understanding of different critical illnesses has improved, and our treatment strategies have become more effective. Technology has also played... Read more

ICU Management

Future Strategies in Sedation and Analgesia

2020 15 Jan

From massive sedation in the past, through current patient-centred sedation protocols, the future may further improve sedation in the ICU. Introduction The concepts for an optimal sedation in the intensive care unit (ICU) should include: Definition of the optimal depth of sedation; The need for agents with on/off effects; The... Read more