Search Tag: Analgesia

ICU Management

Administering-care-to-critically-ill-patients-with-fast-hugs-in-bed-please-revisited-mnemonic

2023 30 Nov

In the ICU, providing better care with less is the holy grail. This mnemonic tries to resume a list of the key interventions for human, evidence-based and patient-centred care.     Background In 2005, Prof Jean-Louis Vincent introduced the mnemonic "FAST HUG," advocating for a comprehensive approach to patient care encompassing seven...Read more

ICU Management

Analgesia-sedation-and-neuromuscular-blockade-in-critically-ill-patients

2022 25 May

A Practical Approach for Intensivists A practical approach to analgesia, sedation and neuromuscular blockade of critically ill patients and a discussion on potential benefits, adverse effects and current professional international recommendations. Introduction Patients hospitalised in the Intensive Care Unit (ICU) are naturally prone to...Read more

ICU Management

Findings-from-the-samds-icu-survey

2022 08 Feb

Pain is one of the most distressful symptoms among critically ill patients, along with shortness of breath and delirium. Pain is reported by 38 to 51% of patients at risk of dying. Delirium is highly prevalent among patients who are critically ill and is associated with worse short-term and long-term outcomes, including in-hospital mortality, longer...Read more

ICU Management

12-things-to-do-to-improve-wellbeing-in-the-icu

2021 19 Apr

An overview of strategies and measures that can be implemented to improve wellbeing of staff and patients in the ICU. 1. Make the patient the centre of our preoccupations This is the first principle of wellbeing in the ICU and should be written in large letters when one enters an ICU. Wellbeing must concern first and foremost the patient....Read more

ICU Management

Top-five-priorities-for-a-new-icu-director-during-the-first-year

2021 19 Apr

During the first year, the ICU director should take a snapshot of the ICU situation and invest time and resources to acquire good and real data that will drive priorities of care and management. After that, implementation of basic protocols and creating a programme to engage and protect the staff against burnout should be considered. Finally, we...Read more

ICU Management

Volume-21-issue-1-2021-1

2021 24 Feb

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ICU Management

Why-do-we-need-sedation-in-critically-ill-covid-19-patients

2021 22 Feb

C OVID-19 patients present to the hospital with lung involvement and interstitial pneumonia eventually associated with lung collapse. The clinical picture is dominated by severe hypoxaemia without dyspnoea/tachypneoa and normal respiratory mechanics; this condition has been defined as silent hypoxia. The picture may evolve, and these patients may...Read more

ICU Management

How-should-we-manage-sedation-in-critically-ill-covid-19-patients

2021 22 Feb

Clinical Practice Guidelines The Choosing Wisely top five guidelines published a few years ago by the Chest Association of Physicians, the American Thoracic Society, the Society of Critical Care Medicine, and the American Association of Critical Care Nurses state that mechanically ventilated patients should not be deeply sedated without a specific...Read more

ICU Management

Important-questions-answered

2021 22 Feb

During the question/answer session, Prof Vito Marco Ranieri discussed some important questions with Prof Salvatore Maurizio Maggiore and Prof Boris Jung regarding sedation regimen, respiratory muscle paralysis, sedation in COVID-19 patients specifically and how it is different from other regular ICU patients. Ranieri: What is your opinion...Read more

ICU Management

Sedation-in-critically-ill-covid-19-patients

2021 22 Feb

Report of a Symposium Presented at LIVES 2020  33rd Congress of the European Society of Intensive Care Medicine  Moderator  Vito Marco Ranieri (Bologna, Italy)  Speakers  Why Do We Need Sedation in Critically-Ill COVID-19 Patients?  Salvatore Maurizio Maggiore (Chieti, Italy)  How Should We Manage Sedation in Critically-Ill...Read more

ICU Management

Volume-19-issue-4-winter-2019-2020

2020 15 Jan

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ICU Management

The-future-icu

2020 15 Jan

Critical Care Medicine has existed for many years, but was only recognised as a specialty in the last 40 years or so. However, during this time, there has been a tremendous amount of change. Over the years, our understanding of different critical illnesses has improved, and our treatment strategies have become more effective. Technology has also played...Read more

ICU Management

Future-strategies-in-sedation-and-analgesia

2020 15 Jan

From massive sedation in the past, through current patient-centred sedation protocols, the future may further improve sedation in the ICU. Introduction The concepts for an optimal sedation in the intensive care unit (ICU) should include: Definition of the optimal depth of sedation; The need for agents with on/off effects; The...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

Volume-16-issue-4-2016-1

2016 30 Nov

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ICU Management

Perioperative-respiratory-management-of-morbidly-obese-patients

2016 30 May

Obese patients without other major co-morbidities are categorised as class II according to the American Society of Anesthesiologists (ASA) physical status classification ( https://iii.hm/38j ). If additional organ dysfunction is present they are categorised as ASA III. These patients are at increased risk for metabolic, cardiovascular and pulmonary complications....Read more

ICU Management

Volume-16-issue-2-2016

2016 27 May

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ICU Management

Trial-patient-controlled-analgesia-in-the-ed-is-effective-for-non-traumatic-abdominal-pain

2015 23 Jun

Two randomised controlled trials of patient-administered patient relief in the emergency department have found that they are effective in reducing pain. Currently, patients arriving in emergency departments may be administered morphine intravenously by a nurse. Whilst this is safe and works, it takes up nursing time. Two randomised controlled trials...Read more