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12 Things to Do to Improve Wellbeing in the ICU 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. The patient should be positioned, figuratively, at the centre of the ICU room,...
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Post-Acute Sequalae of COVID-19 Findings from a large comprehensive study of COVID-19 show that COVID-19 survivors - even those with mild symptoms - have to deal with a variety of health problems long after the infection has resolved. Study findings show that COVID-19 survivors, including those not hospitalised, had an increased risk of death six months after a COVID-19 diagnosis.  These findings highlight the long-term burden of this disease and how i...
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Antibiotic Delay Intervals, Mortality Among Patients With Suspected Sepsis Timely delivery of antibiotics is a major cornerstone of sepsis therapy. Clinical evidence suggests that every one-hour delay in antibiotics after emergency department (ED) triage or the onset of organ dysfunction or shock could result in a 3-7% increase in the odds of a poor outcome. The Surviving Sepsis Campaign (SSC) guidelines recommend antibiotic initiation within one hour of ED triage,...
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5G-Powered Robot-Assisted Teleultrasound Diagnostic System In situations where there are limited medical resources and a lack of expertise, and where the risk of infection is also high, teleultrasound can provide an effective solution.  A study was conducted to explore the feasibility of the application of a 5G-powered robot-assisted teleultrasound diagnostic system in an ICU. Robot-assisted ultrasound diagnostic systems allow dynamic observation ...
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Anticoagulation Therapy in Patients With COVID-19 No therapy is currently recommended for COVID-19. Some data from registries and autopsies suggest a potential role for coagulopathy in influencing outcome in patients with COVID-19. In COVID-19 patients with respiratory insufficiency, a combination of disseminated intravascular coagulation and localised pulmonary thrombotic microangiopathy may be present. Hence, anticoagulation therapy could be used in some COVID-19...
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Delayed Initiation Strategy for Renal Replacement Therapy Delaying renal replacement therapy (RRT) in critically ill patients with severe kidney injury and no severe complication is safe and can allow optimisation of the use of medical devices. However, uncertainty still remains regarding the duration for which RRT can be delayed without risk to the patient. In this study, the researchers evaluate a more-delayed initiation strategy and whether it would result in mo...
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ICU Management & Practice, Volume 21 - Issue 1, 2021 Nutrition Management of COVID-19 Patients in the ICU and Post-ICU This article is a summary of a webinar series where three nutritional experts discussed a practical approach on how to feed and how to provide high-quality nutritional therapy to critically ill patients during hospitalisation. Prof Elizabeth De Waele, Dr Arthur Van Zanten and Prof Paul Wischmeyer in the webinar series discuss nutrition supp...
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ICU Management & Practice, Volume 21 - Issue 1, 2021 Cardiorespiratory Compromise in the Perioperative Environment - Prediction, Quality, Analytics & AI Perioperative cardiorespiratory compromise is common and goes largely undetected. Predictive cardiorespiratory indices can help in early detection of harmful deviations and guide preemptive treatment. Using continuous cardiorespiratory monitoring coupled with these tools, we now know which patients are ...
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ICU Management & Practice, Volume 21 - Issue 1, 2021 Is Videolaryngoscopy the New Gold Standard for Intubation Following the COVID-19 Crisis? Videolaryngoscopy may be the new gold standard for tracheal intubation following the COVID-19 pandemic onset. Introduction Patients admitted to Intensive Care Units (ICU) often require respiratory support. Orotracheal intubation is one of the most frequent procedures performed in ICU (Lascarrou et al. 2017; Roux...
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Impact of Stress and Shortages on Critical Care Physicians As hospitals continue to struggle with accelerating rates of coronavirus infections, hospitalisations, and deaths, the impact of the pandemic and the experiences of critical care physicians caring for the sickest COVID-19 patients should be examined. This is especially important because infection rates are increasing, and there are concerns about the capacity of the acute care system to care for severely il...
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