News • Brain imaging
FDA approves first neonatal MRI
The U.S. Food and Drug Administration cleared the first MRI device specifically for neonatal brain and head imaging in neonatal intensive care units.
ICU
News • Anxiety management
Self-administered sedatives can help the critically ill
New research takes a novel approach to traditional, clinician-only sedative delivery, finding that select critically ill patients can safely self-administer sedatives to manage their anxiety during mechanical ventilation.
Article • Infections
Call to re-evaluate sepsis screening tool
New criteria used as an initial screening tool in the emergency department need to be re-evaluated, a specialised surgeon highlighted in a dedicated talk during the Spanish national congress of surgery this November.
Article • Teamwork
Emergency ultrasound
Resuscitation is always a desperate attempt by an entire team to save a human life. If a reversible cause can be discovered, a patient’s chances of survival increase considerably. All medics therefore know the ‘4 Hs’ and ‘HITS’. Report: Brigitte Dinkloh
Article • 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
Article • Emergency
POC ultrasound flies to work
The massive earthquake in Nepal in April 2015 killed more than 9,000 people and injured more than 23,000. Within days, medical teams from other countries had offered services to the disaster relief effort.
Sponsored • 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…
Sponsored • POC
SonoSite’s X-Porte® helps to provide continuity of care
Point-of-care ultrasound systems play an important role in the treatment of complicated medical cases at the Royal Surrey County Hospital in Guildford, as consultant intensivist and anaesthetist Dr Justin Kirk-Bayley explained.
Article • 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…
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.
Sponsored • 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…
Article • 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
Article • 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…
Sponsored • 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…
News • 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.
News • European focus
Cross-border intensive care medicine
Anyone who becomes seriously ill or has an accident while on holiday would like to be treated as well as they are at home. It is vitally important for the patient that the doctor has been well trained, in particular in intensive care medicine
News • ICU
Patients on ventilators often able to communicate
A new study reveals that more than half of patients in intensive care units (ICU) using ventilators to help them breathe could benefit from assistive communication tools.
Article • Emergency Medicine
POC ultrasound takes to the skies
Given their quality, small size, portability and robustness, SonoSite point-of-care ultrasound systems play vital roles in hectic A&E and surgical departments, and also in monitoring patients in transit.
Article • 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
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
ICU-quality respiratory technology enters home care
John Power is breathing easier after agreeing to let the Philips Home Healthcare deal with the complex and competitive consumer market for medical technology.
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.
‘Huge progress’ in the ICU
You’ll find Élie Azoulay everywhere during this year’s International Symposium on Intensive Care and Emergency Medicine (ISICEM).
Improved catheters and biopatch
Patients in intensive care units in hospitals across the UK are benefiting from a combination of new techniques and technology with changes in clinical practice that help to dramatically cut incidences of infection.
Optimising peri-operative procedures
Many physiological and observational studies indicate that non-invasive ventilation (NIV) after both thoracic and abdominal surgery is helpful and non-randomised trials have indeed confirmed the benefits.