Invited Commentary  January 31, 2024 Time to First Whole Blood Associated With Survival—First (Whole) Blood? Jason L. Sperry, Matthew D. Neal JAMA Surg. Published online January 31, 2024. doi:10.1001/jamasurg.2023.7186 Despite significant advances in resuscitation and management over time, mortality from traumatic injury continues to occur early, commonly within hours of arrival to definitive trauma care.1,2 Literature consistently has d...

ICU Management & Practice, Volume 23 - Issue 4, 2023 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 mech...

ICU Management & Practice, Volume 23 - Issue 4, 2023 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 theo...

ICU Management & Practice, Volume 23 - Issue 4, 2023 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...

ICU Management & Practice, Volume 23 - Issue 4, 2023 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...

Artificial Intelligence and the Future of Publishing Artificial intelligence (AI) can revolutionise medical publishing. The advantages of AI can be observed in three key areas: content, peer review, and post-publication. AI can enhance each process's speed, accuracy, and efficiency. AI can streamline content creation. It can assist researchers in analysing vast amounts of data, extracting relevant information, and synthesising it into comprehensive manuscri...

COMMENT|ONLINE FIRST The efficiency of computerised clinical decision support systems Andre Carlos Kajdacsy-Balla Amaral, Brian H Cuthbertson Lancet Published: January 20, 2024 DOI: https://doi.org/10.1016/S0140-6736(23)02839-8 The rapid increase in the uptake of electronic medical records over the past decade is leading to an increased deployment of computerised clinical decision support systems (CDSSs). These range from simple pop-up a...

Critical Care Staffing in Pandemics The COVID-19 pandemic has had significant impact on healthcare, with millions of cases and deaths reported globally. Healthcare workers have been particularly affected, experiencing increased mental health issues, burnout, and moral distress. The pandemic has led to higher levels of anxiety, depression, stress reactions, sleep disturbances, and posttraumatic stress disorder among healthcare staff. Prolonged exposure to high-inten...

COMMENT|ONLINE FIRST The efficiency of computerised clinical decision support systems Andre Carlos Kajdacsy-Balla Amaral, Brian H Cuthbertson Lancet Published: January 20, 2024 DOI: https://doi.org/10.1016/S0140-6736(23)02839-8 The rapid increase in the uptake of electronic medical records over the past decade is leading to an increased deployment of computerised clinical decision support systems (CDSSs). These range from simple pop-up alerts about serious ...

ICU Management & Practice, Volume 23 - Issue 5, 2023 Acute Subarachnoid Haemorrhage - An Epidemiological Perspective Subarachnoid haemorrhage (SAH) carries a high disease-specific burden. Epide­miological studies have observed a reduction in the incidence of SAH from 1990 to 2019. However, the same trend was not observed for intrahospital mortality. Several studies focusing on the evaluation of SAH management across the world have shown a high heterogeneity...