Search Tag: ICU

ICU Management

#ISICEM19: Opioids in critical care - Professor Hannah Wunsch

2019 20 Mar

At the 39th International Symposium on Intensive Care and Emergency Medicine , Prof. Hannah Wunsch , senior scientist at the Sunnybrook Health Sciences Centre, talked about the use of opioids in the ICU and how it could be related to patient use of opioids after hospitalisation. She highlighted the importance of exploring the opioid prescribing... Read more

ICU Management

#ISICEM19: Prof. Vincent talks about greater collaboration and a broader view

2019 19 Mar

The 39th International Symposium on Intensive Care and Emergency Medicine opened today in Brussels, Belgium. Professor Jean-Louis Vincent kicked off the proceedings with an insightful discussion on intensive care and emergency medicine. Prof. Vincent thanked the organisers and the scientific advisors from all over the world who were attending... Read more

ICU Management

Innovation

2019 14 Mar

The burden of critical illness is a major concern in healthcare. This burden is expected to continue to increase as our population ages. Our cover story Innovation highlights the growing problem of critical illness and the need to develop improved practices and implement new and advanced solutions to meet the expected challenges. Our contributors... Read more

ICU Management

Data-driven management for intensive care units

2019 14 Mar

This article focuses on the clinical and practical application of current available cloud-based data analysis to benchmarking in real-time and to optimise clinical care in the ICU.   Introduction   The ICU is a highly technological environment where each patient data generates thousands of data-points per day. However, most of this data is... Read more

ICU Management

Managing delirium in the ICU with sleep guardians

2019 14 Mar

Sleep guardians - a quality improvement initiative at the Lancashire and South Cumbria Critical Care Network (LSCCCN) to reduce and implement change while managing delirium in critical care patients   Introduction   Up to 85% of critical care patients may experience some form of delirium, but it can be very easily missed (Inouye et al.... Read more

ICU Management

The need to humanise the ICU

2019 14 Mar

Susan East, a patient speaker at the ATS 2017 International Conference in Washington D.C. and a three times ARDS survivor shares her experience about her stay in the ICU.   I am Susan East, a three times ARDS survivor.   July 3, 2008, I had ARDS! I went to my primary physician on June 30, 2008 with symptoms of a sinus infection. He diagnosed... Read more

ICU Management

How to manage sedation analgesia for patient-centred care in the ICU

2019 14 Mar

Managing sedation analgesia for patient-centred care in the ICU   Pain management and sedation are closely linked in the intensive care unit. In the past, clinicians were using sedative agents too liberally, often with benzodiazepines. And several issues were observed in the ICU, including the problems of delirium, weakness and prolonged ICU... Read more

ICU Management

Sedation and Analgesia

2019 14 Mar

How to manage sedation analgesia for patient-centred care in the ICU.   In the concept of patient-centered care, sedation and analgesia have high importance. Intensive care is sometimes invasive and very painful. Patients in the ICU are seriously ill and often suffer from anxiety, agitation, and pain. There is sometimes a need to use deep and... Read more

ICU Management

Pain management through multimodal analgesia in the ICU

2019 14 Mar

Overview and focus on regional anaesthesia   Opioid dependency is a serious problem in the ICU. Opioids are effective at providing pain relief because they reduce the perception of the pain signal. At the same time, opioids are associated with respiratory depression, cough suppression, confusion, and drowsiness. In addition, there is a risk... Read more

ICU Management

Concluding remarks

2019 14 Mar

Reducing sedation and managing and treating pain are important objectives for clinicians. The primary goal should always be to promote the comfort of the patient and to minimise pain through the proper use of multimodal analgesia. The use of opioid drugs should be avoided unless absolutely necessary; and focus should be placed on achieving pain control... Read more