Search Tag: intensive care unit

ICU Management

Defining-medicines-optimisation-in-the-intensive-care-unit

2024 12 Mar

  Complex polypharmacy and pathophysiology are common in the intensive care unit (ICU). Medicines optimisation is essential to deliver safe, effective, and individualised pharmacotherapy. This is ideally performed by a specialised ICU pharmacist.   Introduction Medicines are the most common intervention in healthcare and are a central...Read more

ICU Management

Checklists-in-the-intensive-care-unit

2023 06 Dec

Checklists are cognitive aids that ensure task completion, enhance adherence to best practices, and prevent errors. In the complex environment of the ICU, checklists have been adopted to improve leadership, team performance, and patient outcomes. While research over the past two decades supports the efficacy of specific ICU checklists, the diverse...Read more

ICU Management

Soa-2023

2023 27 Jun

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ICU Management

Biomarkers-of-infection-in-the-intensive-care-unit

2023 13 Mar

Biomarkers are an area of rapid discovery in critical care medicine today. They have the potential to improve our ability to identify and manage patients at increased risk of organ failure and death. This article provides an overview of biomarkers of infection in the intensive care unit. The heterogeneity of sepsis makes its identification...Read more

ICU Management

Getinge-expands-its-virtual-hospital-to-add-more-value-for-visitors

2022 27 Oct

Since the opening in 2021, Getinge’s Virtual Hospital has offered visitors to experience hospital solutions in different rooms. The online facility is now coming together as a whole, with entire hospital departments allowing visitors the full picture of how the MedTech suppliers broad range of solutions work together throughout the clinical pathway....Read more

ICU Management

Soa-2022-state-of-the-art

2022 28 Jun

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ICU Management

The-getinge-or-days-creating-value-in-healthcare

2022 30 Mar

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ICU Management

Compassionate-care-in-the-icu

2022 15 Feb

Over the years, there have been many advancements in the understanding of critical illness pathophysiology, technologies used to support failing organ systems, and improvements in communication and shared decision-making. In this review, the authors reflect on the role of compassion and openness of critical care clinicians when supporting patients,...Read more

ICU Management

Medical-error-harm-and-patient-safety

2022 01 Mar

    Jean-Louis Vincent (MODERATOR) Editor-in-Chief  @ ICU Management & Practice Professor Department of Intensive Care Erasme Hospital Université libre de Bruxelles Brussels, Belgium   Khara M Sauro Assistant Professor  @ Departments of Community Health Sciences, Surgery and Oncology Topic : Exploring Trends...Read more

ICU Management

Management-of-pulmonary-embolism-in-the-intensive-care-unit

2021 23 Nov

Pulmonary embolism is a reason for admission to the Intensive Care Unit and this complication in hospitalised patients is associated with high morbidity and mortality. The identification and management of pulmonary embolism is a challenge for doctors. Introduction Pulmonary Embolism (PE) is the third c ardiovascular cause of death since...Read more

ICU Management

Oxygen-therapy-dose-duration-and-optimal-use

2021 06 Jul

Moderater Prof Jean-Louis Vincent Panellists Samuele Ferrari  Francesco Forfori  Jörn Grensemann Marc Leone Vincenzo Russotto Find Healthmanagement.Org On Social Media Read more

ICU Management

In-line-filtration-reduces-organ-dysfunction-inflammation

2019 01 Dec

Patients admitted to the intensive care unit are administered drugs, fluid, and blood products intravenously. In the vast majority of these patients, there are no untoward effects of the intravenous infusion. However, young children and neonates who are ill are usually administered intravenous infusions with the use of in-line filters. The philosophy...Read more

ICU Management

Promoting-family-engagement-in-the-icu

2019 23 Nov

The environment in an intensive care unit can often be intimidating for families and visitors. In addition, the machines, beeps, and all the alarms make the ICU appear foreboding. The ICU staff also have to follow rigid guidelines about patient visiting hours, allowing some visitors entry while denying others. All in all, many families and loved ones...Read more

ICU Management

Risk-factors-for-frailty-and-death-in-the-icu

2019 07 Nov

The population continues to age, and life expectancy continues to increase. While most elderly patients can be managed in the general ward, a certain percentage will need ICU admission. The number of elderly people admitted to the critical care unit has been increasing consistently. However, age alone is not a key factor for admission to the ICU....Read more

ICU Management

Intensivist-preferences-for-patient-admission-to-icu

2019 30 Oct

When patients present to the emergency room and need admission, they are first evaluated by the physician. Patients who are stable but need admission are usually admitted to the general medical floor. Those who are unstable, very old, or very young or those with numerous comorbidities are usually admitted to the intensive care unit. The ICU is...Read more

ICU Management

End-of-life-practices-in-european-icus-from-1999-to-2016

2019 12 Oct

In intensive care units, death often occurs after a decision to limit life-sustaining interventions. But there are significant differences in these practices within and between different countries and regions.  Over the past decade or so, there have been significant changes in European laws, recommendations, guidelines, and attitudes regarding...Read more

ICU Management

Infographic-1

2019 26 Sep

An overview of nutrition management in the ICU Read more

ICU Management

What-did-we-learn-from-nutritional-monitoring-1

2019 26 Sep

Monitoring nutrition in the ICU is significantly different from monitoring other activities. For example, if we look at haemodynamics, it is pretty easy. We can monitor blood pressure, cardiac output etc. We can deliver a drug and look at its effect to see if it works or not, and, if it doesn’t, we can simply change the drug. These are simple activities...Read more

ICU Management

Seven-steps-to-design-procure-implement-and-maintain-a-clinical-information-system-for-your-icu

2019 30 May

How to design, procure, test, parameterise, implement and maintain a Clinical Information System for an intensive care unit. Introduction e-Health applications, in our case Clinical Information Systems (CIS) or Patient Data Management Systems (PDMS), are taking medicine by storm, and intensive care is not an exception. Ensuring delivery...Read more

ICU Management

Noise-in-the-intensive-care-unit-where-does-it-come-from-and-what-can-you-do-about-it

2019 30 May

Practical measures and interventions to reduce noise levels in the ICU and to improve the patient experience. The intensive care unit (ICU) is known to be noisy and is getting louder (Busch-Vishniac et al. 2007). Despite several trials, no interventions have been able to reduce noise levels by a meaningful amount (Li et al. 2011; Boyko...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

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