• Greener ICU

    Intensive care units are essential in providing life-saving care to critically ill patients. However, ICUs can have an environmental impact. Approximately  5% of worldwide anthropogenic greenhouse gases  result from healthcare activities.   ICUs use significant energy to power equipment, ventilators, monitoring systems, and other life-support...

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  • The Green Intensive Care: From Environmental Hotspot to Action

    Together we must reduce the impact of the healthcare sector and shift towards a circular economy. This paper describes the shift of three ICU environmental hotspots: gloves, gowns, and CRRT bags.   Introduction The healthcare sector is one of the most carbon-intensive sectors, contributing to 4.4% of global net greenhouse gas emissions...

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  • Intravenous Fluids in Critically Ill Patients: When Less is Better

    While intravenous fluids have traditionally been a routine treatment for most critically ill patients, many severe pathologies now suggest a preference for conservative fluid therapy over liberal fluid administration.   Introduction Intravenous fluid resuscitation began in 1832 during the cholera pandemic, improving intravascular volume...

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  • Current Airway Management During Anaesthesia - The STARGATE Study

    An overview of the International obServational sTudy on AiRway manaGement in operAting room and non-operaTing room anaEsthesia (STARGATE study) that will collect information on peri-intubation adverse events and airway management procedures in adult patients undergoing general anaesthesia to receive surgery or other diagnostic/therapeutic procedures....

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  • Medical Errors in the Preanalytical Phase of Blood Gases Test

    The preanalytical phase of the blood gases study is the most susceptible to errors, causing increased time and costs for patients and hospitals. Knowledge and training of the involved health personnel must be constant to improve results.   Introduction Arterial or venous blood gases test is a frequent tool in the Intensive Care Unit (ICU)...

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  • Upcoming events/courses/congresses

    MAY   31-2 JUN 9th World Congress of the ERAS® Society 2023 Lisbon, Portugal https://iii.hm/1kvk   JUNE   3-5 Euroanaesthesia 2023 Glasgow, Scotland https://iii.hm/1kvl   9-11 6th EuroAsia Conference Mumbai, India https://iii.hm/1kvm   12-14 41st Vicenza Course on AKI & CRRT Vice

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  • Call for a Green ICU

    Intensive care units are carbon hotspots that contribute three times the GHG emissions as acute care units per bed day. Clinical staff must be aware of GHG production's impact and potential mitigations. This article summarises key points and initiatives to make this happen.     Healthcare contributes approximately 5% of worldwide greenhouse...

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  • Organ Support

    When patients are critically ill, one or more organs may not function optimally or even fail, so organ support is an important component of ICU management.   However, organ support can be associated with complications such as infections, bleeding, and damage to surrounding tissue or organs. These complications can alter the patient's condition,...

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  • Early Mobilisation in Patients Undergoing Extracorporeal Membrane Oxygenation

    Extracorporeal membrane oxygenation is a resource that is accessible in hospitals and intensive care units all over the world. In serious situations, ECMO therapy is intended to provide haemodynamic and/or ventilatory support. Because of this, many people refer to the ECMO patient as "the most critical patient." As a result, there is a very high...

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  • Heparin-Induced Thrombocytopaenia

    Heparin-induced thrombocytopaenia (HIT) is an immune complication of heparin therapy. This review discusses the pathophysiology, incidence, clinical manifestations, diagnostic approach, and management of patients with HIT.   Pathophysiology HIT is an immune complication of heparin therapy caused by IgG antibodies to complexes of platelet...

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