ICU Management & Practice, Volume 23 - Issue 4, 2023
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Editorial
Artificial Intelligence in the ICU
Artificial Intelligence (AI) is making significant strides in healthcare, and its application in critical care is no exception. AI technologies can potentially enhance patient care, improve clinical outcomes, and streamline healthcare operations in the ICU. There are numerous ways in which AI can be effectively utilised in the ICU. AI algorithms can analyse patient data in real-time to detect sub...
Cover Story
Towards Artificial Intelligence as a Decision Support Tool to Combat AMR in the ICU
Ongoing research and challenges regarding the use of Artificial Intelligence and Machine Learning to leverage data and identify complex interactions to address antimicrobial resistance in the ICU. The possibilities of artificial intelligence (AI), and more specifically, machine learning (ML), are being researched across almost all domains of medicine, and the field of intensive care medicine is cert...
Point-of-View - Sepsis
Cardiovascular Management in Sepsis: Improving Cardiac and Vascular Functions
Vasopressin and landiolol are critical therapies for ensuring the vascular and cardiac systems are as close to optimal conditions as possible during septic shock. Better cardiovascular management in septic shock can help improve septic shock management. Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection (Singer et al. 2016). Septic shock is defined as...
Point-of-View - ECMO
Neonatal Extracorporeal Membrane Oxygenation
Xenios sponsored a lunch symposium at the 16th European Conference on Paediatric and Neonatal Ventilation (EPNV) in Montreux (CH) in May 2023. Matteo Di Nardo (Italy) introduced the audience to extracorporeal membrane oxygenation (ECMO) in neonates. Florian Kipfmüller (Germany) presented current knowledge and his experience with ECMO in neonates with congenital diaphragmatic hernia (CDH). Heleen van Ommen...
Why Artificial Intelligence is Not Fixing the Problem of Sepsis in the Hospital
The use of Artificial Intelligence in detecting sepsis, AI prediction/detection models and how these healthcare tools need to complement clinical expertise. The potential of Artificial Intelligence (AI) in healthcare has generated significant excitement and discussion. However, it's important to distinguish between the theoretical promise and the current state of evidence-based applications. AI h...
Artificial Intelligence in Anaesthesia and Critical Care - Temptations and Pitfalls
Big data, Artificial Intelligence (AI) and machine learning are buzzwords. In this article, we briefly discuss what they mean for anaesthesiologists and intensivists, focusing on existing clinical applications. We are today able to collect and store a considerable amount of patient-related data. These “big” data are typically part of Electronic Medical Record (EMR) systems and usually combine...
Point-of-View – iMg Testing
Using iMg Testing for Clinical Management in the ICU
An overview of ionised serum magnesium as an important biomarker for critically ill patients and how iMg testing is utilised at Mater Intensive Care. Magnesium is the fourth most common cation in the body and the second most abundant intracellular cation, exceeded only by potassium. The bulk of it is found in the intracellular space, with the greatest proportion in bone, around one-third in mus...
Transforming a PICU in the Digital Age
Digitalisation is ultimately the driving force behind digital transformation. It will take us from a reactive healthcare system to a proactive one that focuses on prediction and prevention. The digital transformation has left a few things untouched in recent years, radically changing healthcare management for citizens, professionals, and public health departments. In the medical field, this dig...
Point-of-View – Sepsis
Applying International Sepsis Guidelines by Screening High-Risk Hospitalised Patients With PSP
Hospital and ICU nosocomial sepsis screening for acutely ill and high-risk patients and daily measurement of PSP to diagnose nosocomial sepsis three to five days before the onset of symptoms. Sepsis is a major public health threat and is responsible for 11 million deaths per year (Rudd et al. 2020) among 48.9 million cases. Sepsis and septic shock can be prevented if diagnosed and treated early by...
Other Feature Articles
Individualisation of Mechanical Ventilation in Obstructive Lung Disease: Not All Patients Have ARDS
Chronic obstructive pulmonary disease and asthma are pathologies par excellence with an obstructive pattern. It is important to understand the fundamentals of mechanical ventilation management in these patients. Therefore, it is crucial to perform proper measurement of respiratory mechanics in patients with obstructive pathology Chronic obstructive pulmonary disease (COPD) and asthma are pathologie...
Mechanical Power for Protective Mechanical Ventilation in Patients With and Without ARDS
Mechanical power is an easy bedside tool to guide lung protective ventilation, as it is an index of the energy load applied to the lung during mechanical ventilation and expresses in one formula all the main determinants of ventilator-induced lung injury. Although a threshold value has not already been defined, a mechanical power greater than 17 J/min has been demonstrated to be associated with the risk of...
Seven Myths of Mechanical Ventilation in Paediatric and Neonatal Patients
In this article, we will examine clinical concepts that have persisted over time, despite advancements in our understanding of physiology and technological innovations that have demonstrated their inapplicability in the routine clinical care of paediatric patients requiring respiratory support. These enduring beliefs have effectively transformed into myths. Invasive mechanical ventilation (IMV) in...
Agenda
Upcoming events/courses/congresses
21-25 ESICM LIVES 2023 Milan, Italy https://iii.hm/1mdz 23-25 Air Medical Transport Conference (AMTC) 2023 Columbus, OH USA https://iii.hm/1me0 23-2 WCID 2023 - 5th Edition of World Congress on Infectious Diseases 2023 Boston, USA https://iii.hm/1me1 26-28 77th National Congress SIAARTI Milan, Italy https://iii.hm/1me2 6-12 International Emergency Departm...