ICU Management & Practice, Volume 22 - Issue 5, 2022
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Editorial
Imaging the Critically Ill
Imaging is integral to managing critically ill patients in the ICU as it is a key source of diagnostic information to guide clinical decision-making. In recent years, there has been significant evolution in the field of critical care imaging with an increased focus on improving imaging modalities and methodologies and increasing access to imaging findings. Whether it is critical care ultrasound (including...
Point-of-View
Guiding Clinical Care Using Pancreatic Stone Protein
The role of point-of-care testing in the early identification and management of sepsis, the need for better markers to identify sepsis, an overview of the Pancreatic Stone Protein (PSP) and clinical evidence highlighting its effectiveness as a biomarker. Infections are a leading cause of morbidity and mortality among critically ill patients. The early detection of severe infections is essential to improve...
Imaging the Critically Ill
The Use of Critical Care Ultrasound
Critical care ultrasound examination should be considered in specific situations in the intensive care unit. It has become increasingly important to understand and master all the possible applications and future innovations of ultrasonography in the critical care setting. Point of care application of ultrasound has been widely validated as an essential imaging technique in the management of critical...
The Role of Lung Imaging to Personalise Lung Ventilation in ARDS Patients
Computed tomography (CT) remains an invaluable technique to evaluate lung morphology and response to ventilatory strategy and to understand the pathophysiology of Acute Respiratory Distress Syndrome (ARDS) patients. The first report of Acute Respiratory Distress Syndrome (ARDS) in 1967 described patients with severe hypoxaemia and bilateral chest x-ray infiltrates (Nash et al. 1967). After more than fifty...
Imaging the Critically Ill Patient: Echocardiography
Current applications and limitations of critical care echocardiography in the critical care context and its use in guiding the care of the critically ill patient. Echocardiography is currently considered an essential diagnostic tool at the disposal of the intensivist – a significant change from less than two decades ago when editorials were still advocating for its uptake by critical care physicians (Ch...
Point of Care Ultrasound: The Critical Imaging Tool for the Critically Unwell
This article aims to discuss the specific role of point of care ultrasound (POCUS) in the diagnosis and management of pathology in the critical care setting, as well as a specific tool to aid in invasive procedures. We discuss the ABCDE assessment of patients within critical care using POCUS. Since its introduction, the use of bedside ultrasound has become a ubiquitous examination tool in modern i...
Rapid Assessment of Fluid Responsiveness and Tolerance With Ultrasound of the Neck Vessels
Ultrasonographic assessment of the neck vessels in critically ill patients contributes to rapid and non-invasive management of fluids to evaluate responsiveness and tolerance and blood volume status. There are multiple ways to evaluate the responsiveness and tolerance to IV fluids, as well as venous congestion, in critically ill patients. For these purposes, some static variables have traditionall...
POCUS in Critical Care Physiotherapy: Give Me Sight Beyond Sight
An overview of the main ultrasonographic tools that allow physiotherapists to improve their evaluation in the critical patient, described through the mnemonic PHISIO. Ultrasound is considered to be the fifth pillar of the physical examination to provide and improve patient care (Narula et al. 2018). In critically ill patients, the limited time to make differential diagnoses and decisions in treatment are...
Bedside Point-of-Care Ultrasound Use in the Critically Ill
Critical Care Ultrasound is a rapidly evolving field with an ever-expanding footprint in ICUs. While much progress has been made, ongoing efforts need to continue towards demonstrating impact on patient-oriented outcome measures and on defining educational curricula and competency requirements. Point-of-care ultrasound (POCUS) is the real-time acquisition, interpretation, and clinical application o...
Point-of-View
Improving Haemodynamic Management of ICU Patients: Decatecholaminisation & Cardiac Stress Reduction
A summary of a symposium organised by AOP Health with presentations from Ricard Ferrer, Vall d’Hebron University Hospital, Barcelona, Spain; Bruno Levy, Centre Hospitalier Universitaire de Nancy, CHU Nancy · Réanimation Médicale Brabois, France; and Michael Fries, St. Vincenz Krankenhaus Limburg, Department of Anesthesiology, Germany. Sepsis in critically ill patients should be considered a medical...
The Clinical Utility of Estimated Plasma Volume in Critical Care
An overview of clinical evidence that demonstrates the prognostic value of estimated plasma volume (ePVS) in critically ill patients. Plasma volume (PV) is the total volume of blood plasma – the extracellular fluid volume of the vascular space. It is associated with regulating interstitial and intravascular spaces; hence it can be an effective marker for volume overload (Kim et al. 2022). Monitoring...
Agenda
Upcoming events/courses/congresses
11-14 Blood Diseases in the ICU Paris, France https://iii.hm/1in3 15-18 18th Annual International Meeting of the Pediatric Cardiac Intensive Care Society (PCICS) Miami, Florida, USA https://iii.hm/1in4 9-13 Blood Diseases in the ICU Paris, France https://iii.hm/1in5 11-14 Society for Technology in Anesthesia Annual Meeting 2023 Las Vegas, Nevada, USA https://iii.hm/1in6 21-24 2023 SCCM Critical...
Annual Index
ICU Management & Practice 2022 Subject Index
Issues/ Pages Volume 22, Issue 1 1-50 https://iii.hm/1el0 Volume 22, Issue 2 51-100 https://iii.hm/1ey0 Volume 22, Issue 3 101-154 https://iii.hm/1g6a Volume 22, Issue 4 155-200 https://iii.hm/1i0a Volume 22, Issue 5 201-250 https://iii.hm/1ikw Subject index Antibiotic Resistance Algethamy H. Reducing Antibiotic Resistance in the ICU. 22(4):188-192. https://iii.hm/1i0p Bautista-Aguilar GA, Peñ...
ICU Management & Practice 2022 Author Index
Adel A 56 https://iii.hm/1ey6 Algethamy H 188 https://iii.hm/1i0p Alpert EA 96 https://iii.hm/1eyk Altman M 40 https://iii.hm/1ek3 Ambriz-Alarcón MA 78 https://iii.hm/1eyc Balaguer M 136 https://iii.hm/1g6p Bartock JL 88 https://iii.hm/1eyg Bautista-Aguilar GA 173 https://iii.hm/1i0h Boelens J 160 https://iii.hm/1i0d Bozzetti G 206 https://iii.hm/1iko Brinker D 40 https://iii.hm/1ek3 Brogi E 194...