Transforming healthcare
Philips at MEDICA: New healthcare solutions developed with users and patients help improve the recovery process and treatment options for patients while supporting medical staff in their work
ICU
HES: class of drugs threatened with withdrawal of approval
Infusion solutions on the basis of HES (hydroxyethyl starch) are blood volume substitutes. They replace missing blood volume in patients with high blood loss, they stabilize the blood circulation and restore oxygen and nutrient supply to organs.
The time machine
While the benefits of extracorporeal membrane oxygenation (ECMO) as a temporary respiratory support for adult patients are still debated, it is undisputed that for many infants ECMO is the only chance to survive, because it provides them with time to strengthen their lungs
Delirium – an under-recognised risk factor
Disorientation, anxiety and hallucinations are symptoms of delirium, which may also occur after major surgery. Older people are particularly affected by postoperative delirium. Delirium after surgery occurs in up to 70% of cases, Anja Behringer reports
The 33rd International Symposium on Intensive Care and Emergency Medicine
Belgium – Last year, the annual ISICEM event attracted almost 6,000 participants from 101 countries. Its chairman, Professor Jean-Louis Vincent, from the Intensive Care Medicine Department in Erasme University Hospital, Brussels, offered EH a few reasons for its continuing success.
Ventilator-associated pneumonia
The use of endotracheal tubes with a dorsal lumen to allow drainage of respiratory secretions is currently not common in Germany, although two meta-analyses from the USA and Canada have already demonstrated that this special technique can reduce ventilator-associated pneumonia (VAP) by 45-50%.
Traumatic brain injury
Traumatic brain injury (TBI) is the main cause of accidental death in Europe and all highly developed countries, accounting for around 40% of all accidental mortality.
More sleep can reduce delirium in intensive care patients
A hospital is not the best place to get a good night’s sleep, especially in a noisy intensive care unit.
Sepsis diagnosis and treatment
‘We need an ECG for Sepsis,’ urged Professor Konrad Reinhart during this year’s Anaesthesiology and Intensive Care Medicine (HAI) Congress in Berlin.
Article • Still a challenge
Perioperative anaesthesia for patients with heart failure
Can an anaesthetist treat a patient with heart failure (HF) without any specialist knowledge of cardiology? That was the question posed by Dr Florian Weis, from the Clinic of Anaesthesiology at the University Hospital of the Ludwig Maximilian University Munich, when lecturing on perioperative management of this patient group.
Controlling antimicrobial resistance
There is no other way: We need a comprehensive approach, with everyone living up to their responsibility to combat this serious health threat in their respective areas. The most basic instinct of every living organism is survival. What selects one organism or species over another, in fact, is its capacity to withstand any kind of adverse condition that comes its way – what scientist Herbert…
GE unveils avance CS2 Anaesthesia Delivery System
Leveraging more than 100 years of anaesthesia expertise, GE Healthcare introduces ecoFLOW technology option to help guide clinicians in agent delivery, while providing economic and environmental benefits.
GE introduces Giraffe Stand Alone Resuscitation System
GE Healthcare yesterday announced the availability of the Giraffe® Stand-Alone Infant Resuscitation (STAR) System, which integrates critical capabilities to enhance effective resuscitation of newborns.
Acute hospital care in England could be on the verge of collapse
With growing bed shortages and increased demand on clinical services, the Royal College of Physicians (RCP) says that the country’s National Health Service (NHS) is approaching the point where acute care cannot keep pace in its current form, Mark Nicholls reports
Giving the tiniest patients a chance
The number of premature births increases continuously in all European countries – with the exception of Sweden. Every year around 500,000 children – every 10th baby – in Europe are premature, i.e. born before the end of the 37th week of pregnancy and with a birth weight below 2,500g.
The chronic lack of donor organs
4,500 scientists, transplant teams and related social groups from 94 countries gathered in Berlin for the International Congress of the Transplant Society.
A gem of transplantation medicine celebrates its 30th year
The Collaborative Transplant Study has evaluated data on approximately 500,000 transplantations worldwide, providing a scientific basis for organ allocation and transplant treatment.
Article • Infections
Maintain perioperative normothermia
Even mild perioperative hypothermia can have significant effects on rates of surgical site infections (SSIs), morbid myocardial outcomes, blood loss and transfusion requirements, altering the response to drugs, extending recovery rates, hospital stay and patient discomfort.
A ‘Sky(I)CU’ for the world travel champions
In 2011, among Germany’s 82 million people 69.5 million holiday trips were made, each lasting at least five days; 47.8 million (68.8%) of these were abroad.
Organ donation
Rumour had it for a while, and many found out when the bomb was finally dropped at, of all places, the Congress of the International Transplantation Society, held in Berlin this July – the waiting list for donor organs in the database of the Eurotransplant Foundation had been manipulated.
England creates multiple Major Trauma Centres
Around 20,000 people become major trauma victims every year in England. Studies have shown that Major Trauma Centres (MTCs) with dedicated personnel and specialist equipment save more lives and reduce the risk of serious disability. Thus, to offer such victims better chances of survival, a new network of 22 MTCs has been established across the country to provide centralised care, with experts…
Safer sleep, safer sugar
Ensuring the safety of hospitalised patients is vital – and brought under a particularly strong focus in anaesthesiology. Launched in 2010, the Helsinki Declaration provided a further boost. Report: Holger Zorn
Neonatologists recommend volume-targeted ventilation for premature babies
Volume-targeted ventilated premature babies have a higher survival rate and suffer less ventilation-related lung damage – this is the result of a survey amongst international neonatologists.