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.
ICU
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.
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.
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.
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.
Breathing space
If the hopes of inventors are to be believed, in around 20 years’ time there will be ‘real artificial lungs -- for now the endpoint of a history that began 84 years ago with the invention of the iron lung. Until then, non-invasive and invasive mechanical respiration will continue to dominate the hospital, complemented by extracorporeal procedures for blood oxygenation and decarbonisation,…
Sepsis – a Global Medical Emergency
The Global Sepsis Alliance (GSA) is urging healthcare providers, patients and policymakers worldwide to treat sepsis as a medical emergency. “Tens of millions of people die from sepsis each year, making it the likely leading cause of death worldwide. Sepsis kills regardless of age, ethnicity, location and access to care,” said Konrad Reinhart, M.D., Chairman of the GSA and director of the…
The 40th International Congress of Intensive Care Medicine
Held at La Defense in January, the International Congress of Intensive Care Medicine, sponsored by Société de Réanimation de Langue Française (SRLF) – the French Society for Intensive Care – is, with more than 3,500 participants, one of the major intensive care meetings to take place in 2012, Jane Mac Dougall reports.
Precision scales save lives
There are times when the timely detection of a patient’s weight change could save a life. Regular weight checks can reveal an unexplained loss of fluids due to diarrhoea, vomiting and third-degree burns in time to prevent complications.
Centralising critical care to save funds
Professor Timothy Evans, a leading intensive care specialist believes regionalising critical care into major centres across England and Wales is an ‘inevitable step’ as the UK’s National Health Service (NHS) seeks to make the best use of resources, Mark Nicholls reports.
MRI will improve the treatment of wake-up strokes
Neurointensivists need to act quickly and carefully – as well as consider later complications or the psychological impact on stroke victims. This potentially debilitating disease was a central discussion among 1,400 participants from 10 countries during the three-day 29th Annual Conference of Neurointensive Medicine (ANIM), an event hosted in January by The German Society for Neuro-Intensive…
Better safe than sorry
Five recommendations to prevent central venous catheter-related infections. Catheter-related bloodstream infections are the third frequent infection in the intensive care unit (ICU) after pneumonia and peritonitis worldwide. The incidence of CVC infections lies between 1-4 for 1,000 catheterdays. This means for the USA, as an example, that more than five million patients annually need a central…