Search Tag: ICU
2022 17 Feb
The transmission of information (TOI) in extremely variable environments, such as the ICU, is crucial. The content and how it is transmitted can be decisive in the safe care of the critical patient. Introduction In an Intensive Care Unit (ICU), we attend people with a wide range of pathologies. All the information obtained...Read more
2022 17 Feb
Some of the most common interventions in the ICU can be associated with poor results. We present ten situations in which doing less is better for the critically ill patient. Introduction For decades, the focus of patient management in the Intensive Care Unit (ICU) has been to perform a large number of interventions in critically ill patients,...Read more
2022 17 Feb
Medication errors are common in the complex environment of the ICU. This article provides an overview of the prevalence and impact of these errors and the processes that could help reduce their incidence. Introduction Medicines are the most widely used intervention in the critical care environment, and errors in medication use are a well-established...Read more
2022 17 Feb
Post-operative hypotension is a frequent occurrence that is unrecognised with intermittent spot checks based monitoring in most hospital ward patients. Myocardial injury is strongly associated with hypotension in this period of recovery from surgery. Upgrading ward monitoring to portable, smart, and continuous systems with effective alarm management...Read more
2022 17 Feb
This article highlights the effects of the COVID-19 pandemic on patient quality and safety and discusses an academy designed to support nurses to design and implement innovative solutions. Introduction The COVID-19 pandemic has heightened the crisis of patient safety with an increase in hospital-acquired conditions (HACs) after more than...Read more
2022 17 Feb
There is little information in the current literature on the organisation of mortality review committees in paediatric and maternity hospitals. This article aims to explain the objectives and function of the mortality review committee of our hospital, an articulated tool to improve the quality of patient care based on reviews of deaths in our centre....Read more
2022 17 Feb
An overview of estimated plasma volume (ePVS), recent evidence supporting the association of ePVS with clinical congestion and whether it can help improve outcomes in patients with heart failure (HF). Plasma volume (PV) is the level of intravascular fluid minus the red blood cells, white blood cells and platelets. PV in heart failure (HF) patients...Read more
2022 17 Feb
Healthcare professionals/trainees are often unprepared to experience and learn from errors due to structural characteristics of our systems and training programmes. Restructuration is needed to allow learning from errors. Introduction Medical error is considered one of the ten leading causes of death and disability in the world and as many...Read more
2022 21 Jan
One clinical factor complicating the work of ICU physicians and nurses is the difficulty of diagnosing nonconvulsive status epilepticus (NCSE)—an invisible condition that must be managed aggressively to prevent lasting damage to the brain. Because the prevalence of NCSE among neurological patients can reach up to 60%, and because it becomes increasingly...Read more
2022 17 Feb
Speakers Rolando Claure-Del Granado, MD, FASN Director, AKI/CRRT Program Hospital Obrero, Cochabamba, Bolivia Dennis Begos, MD, FACS, FACRS Medical Director, Medical and Scientific Affairs Nova Biomedical Read more
2021 23 Nov
P atients in the intensive care unit frequently report haematological issues. These issues are often a result of critical illness. The most common haematological complications seen in the ICU include thrombocytopenia, anaemia, leukocytosis, thrombocytosis, and coagulopathies. In addition, emergencies in malignant haematology are commonly seen in...Read more
2021 23 Nov
Anaemia is commonly encountered in the critically ill and is associated with poor outcomes. The cause is multifactorial and includes high hepcidin levels and a blunted response to erythropoietin. A naemia is defined by haemoglobin (Hb) < 12 g/dL for women and Hb below 13 g/dL for men, according to the WHO (1968). Anaemia is a prevalent...Read more
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
2021 23 Nov
An overview of emergencies that are commonly seen in malignant haematology, side effects of novel therapies, and complications of allogeneic haematologic stem cell transplant. Introduction Critical illness is common in patients with haematologic malignancies. Recent data demonstrate that 14% of patients will require ICU admission...Read more
2021 23 Nov
Recommendations for the management of nutrition of COVID-19 patients provide guidelines for nutrition risk screening, requirements, timing, route and mode of feeding, monitoring, equipment and workforce requirements. The worldwide pandemic of COVID-19 continues to impact all aspects of intensive care unit (ICU) management, including nutritional...Read more
2021 23 Nov
An overview of the physiological aspects of indirect calorimetry, its limitations in use, the available literature and future prospects for tailored nutrition. Introduction Medical nutrition therapy (MNT) is an essential part of patient care in the intensive care unit (ICU) setting. Similar to mechanical ventilation and haemodynamic...Read more
2021 23 Nov
The complexity of glucose testing, the limitations of point-of-care blood glucose monitoring systems and the need for accuracy and reliability to ensure optimised patient outcomes. C ritically ill patients are not found just in intensive care units, but throughout the hospital: emergency departments, post-anaesthesia care units,...Read more
2021 23 Nov
Join our panellists on November 30 at 16:00 CET as they discuss coagulation, anaemia, haematological malignancy, and other important presentations of haematological disease in critical care. Register here ! Moderator Jean-Louis Vincent Editor-in-Chief ICU Management & Practice Professor Department of Intensive Care Erasme...Read more
2021 30 Nov
Moderator Jean-Louis Vincent Editor-in-Chief ICU Management & Practice Professor Department of Intensive Care Erasme Hospital Université libre de Bruxelles Brussels, Belgium [email protected] Panellists Topic: Reversal of Direct Oral Anticoagulants Charles Marc Samama Professor of Anaesthesiology Editor-in-Chief, European Journal...Read more
2021 09 Nov
The frequency of antibiotic-resistant pathogens continues to increase, resulting in higher community-acquired infections and high mortality rates in critically ill patients. In this review, the researchers critically appraise available evidence through a comprehensive literature review to investigate effective empiric antibiotic administration...Read more
2021 03 Nov
During magnetic resonance imaging (MRI) technology’s dawn years, the cost vs the performance gains associated with stronger magnetic fields were open questions. The idea of using low-field MRI (< 1.5 T of magnetic field) is not new, but the performance cost equation favoured larger magnetic fields. For the last 30 years, the MRI standard has been 1.5...Read more
2021 19 Oct
Severe infections are common among patients in the ICU. According to findings from the Extended Study on Prevalence of Infection in Intensive Care III (EPIC III), 54% of the study patients had at least one suspected or proven infection on the study day, and 24% of these patients had more than one suspected or proven infection. These infections...Read more
2021 12 Oct
During the COVID-19 pandemic, hospitals have implemented policies that limit family presence. In a recent analysis, researchers aimed to determine whether a restrictive visitor policy inadvertently lengthened the decision-making process for dying inpatients without COVID-19. The primary outcome of the study was ICU length of stay. Secondary...Read more