#ICU

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Weaning off

These patients need more attention

A study on weaning patients in intensive care units (ICUs) has compared those who underwent prolonged weaning off mechanical ventilation (MV) with patients classified as undergoing ‘simple’ or ‘difficult’ weaning. It shows that patients who experienced ‘prolonged’ weaning from mechanical ventilation show significantly higher mortality rates. Report: Mark Nicholls

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Respiratory support

Extracorporeal technology eases stress

Conventional therapy for ARDS patients and for patients with exacerbation of chronic obstructive pulmonary disease (COPD) has relied on invasive mechanical ventilation. Mechanical ventilation, however, has several major drawbacks: sedation has to be induced and the air being pressed into the lungs with positive pressure can damage the pulmonary alveoli or the diaphragm. Moreover, even maximum…

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POCT

Evolutionary POCT

A growing number of clinical tests are being delivered in community hospitals with more patients receiving quicker, accurate diagnoses closer to home, without stays in acute hospital beds. Professor Daniel Lasserson, an Associate Professor in the Nuffield Department of Primary Care Health Sciences at Oxford University, shares the opinion that using point-of-caretesting (POCT) to facilitate high…

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Who benefits from a catheter - and who does not?

A new detailed guide gives doctors and nurses information to help decide which hospital patients may benefit from a urinary catheter - and which ones do not. That should help spare patients the pain, embarrassment, and potentially serious side effects that can come with having a catheter placed - which may bring more risk than benefit to the patient.

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First hand experience

Improving point-of-care ultrasound training in intensive care medicine

Dr Sven Ballnus is Director of the Department of Intensive Care Medicine at the Hospital Centre Biel/Bienne, Switzerland, and an active member of the European Society of Intensive Care Medicine. Formerly a chief consultant in intensive care medicine at Westküstenkliniken in Heide, Schleswig-Holstein, Germany, he oversaw the development of an ultrasound course focusing on the specific needs of…

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Non-invasive Ventilation

Two in one

The recently launched Respironics V680 ventilator, from Philips Healthcare EMEA, was guided onto the market by Arne Cohrs, its Sales and Marketing Director of Therapeutic Care in Patient Care and Monitoring. We asked him about his department and the merits of non-invasive and invasive ventilators. Report: Chrissanthi Nikolakudi

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Intensive Care

The 35th ISICEM

Held every year in March, for the past 35 years, the International Symposium on Intensive Care and Emergency Medicine has been organised by the Departments of Intensive Care and Emergency Medicine at Erasme University Hospital, Université Libre de Bruxelles, in association with the Belgian Society of Intensive Care and Emergency Medicine (SIZ). For three and a half decades, the event’s main…

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Critical care

European launch of in-line blood gas analyser

Sphere Medical, launches its in-line patient dedicated arterial blood gas analyser in Germany, Netherlands and Belgium at ISICEM 2015. The advanced Proxima System delivers true point-of-care testing (POCT) by enabling critical care staff to obtain frequent laboratory accurate blood gas measurements without leaving the patient’s bedside. This facilitates effective and timely clinical decisions…

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ICU

New care model enhances recovery of ICU survivors

The Critical Care Recovery Center care model - the first collaborative care concept focusing on the extensive cognitive, physical and psychological recovery needs of intensive care unit survivors - decreases the likelihood of serious illness after discharge from an ICU, according to a new study from the Regenstrief Institute and the Indiana University schools of medicine and nursing.

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Paediatrics

New for paediatric intensive care

Critically ill children hospitalised with traumatic injuries have a high risk of acquiring nosocomial infections, especially if their immune function is impaired. A nosocomial infection, such as sepsis, can become as deadly as a traumatic injury, the leading cause of death in children. Report: Cynthia E Keen

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Zero percent and other illusions

Professor Tobias Welte MD, President of the 24th International Congress of the European Respiratory Society, gave EH some personal views on the symposium ‘New perspectives in the management of nosocomial pneumonia’. Interview: Ralf Mateblowski

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Gathering to beat pain

This March, the Complesso Monumentale Santo Spirito in Sassia, Rome, was the unique and original venue for the 6th Annual SIMPAR Meeting, which aims to spread and support a wider scientific and cultural awareness of pain. Jane MacDougall interviewed Professor Massimo Allegri, President of organising committee, about the meeting and his own pain research projects.

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