ICU

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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…

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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.

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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…

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IT helps ensure patient safety in the ICU – and beyond

Integrated information management reduces risks and cuts cost, Finn Snyder reports. Intensive care units (ICUs) are vital in healthcare. ICUs in US hospitals, for example, treat six million of the sickest and oldest patients annually, according to a document recently published for the Massachusetts Technology Park Corporation, which states that choices about how to manage them carry high stakes:

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Traumatic brain injury: The silent epidemic

Traumatic brain injury (TBI) is one of the world’s biggest public health problems. In the USA, for example, about 1.7 million people sustain TBI every year, costing healthcare $76.5 billion. Yet, the public knows little of the significance of TBI and also it once received the nickname ‘silent epidemic’ by the American Centres for Disease Control and Prevention (CDC).

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Remote blood gas data management

The 500-bed Warrington Hospital in the north-west of England has introduced rapid, accurate POCT to its wards. The hospital was one of the first in the UK to install Siemens RAPIDLab 1200 Blood Gas Analyzers and the RAPIDComm v3.0 Data Management System. More recently, it has installed Clinitek Status Connect systems to further enhance its operations.

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Dysglycaemia

Dysglycaemia is a new term in critical care that recognises the vital importance for glucose monitoring of patients in the intensive care unit (ICU). Beyond the clinical consensus over this word for grouping critically ill patients with hyperglycaemia, hypoglycaemia or high blood sugar, there is no broad agreement on how best to manage these patients. Report: John Brosky.

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Of mounting importance

They are rarely noticed but nevertheless they carry a lot of weight in a hospital: intelligent mounting solutions for medical equipment and monitors. While the eyes of physicians, nurses and patients alike tend to be fixed on the device, hardly anybody ever looks at the way, the device is fixed to the wall or the ceiling. The engineers of CIM med, based in Munich, Germany, however did have a…

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The ‘sepsis team’

‘We are all aware of the importance of early diagnosis and rapid appropriate treatment of patients with severe sepsis. Yet, many patients still do not receive satisfactory early management and the application of recent guidelines for sepsis management is still inadequate,’ writes Jean-Louis Vincent MD PhD, from the Intensive Care Department, Erasme Hospital, Université Libre de Bruxelles,…

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Human error – or a fault in the system?

Medication errors sit among the top ten causes of harm to patients. They can, of course, occur in any department, but it’s still a surprise that they happen as frequently in anaesthetics departments, considering anaesthetists’ expertise is in handling tricky medication. However, apparently they are not the fault of the professional, but of the nature of the processes. Report: Karoline…

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Well organised against EHEC

In late May, a particularly aggressive and new strain of enterohaemorrhagic Escherichia coli (EHEC) posed an enormous challenge for northern German hospitals. In Hamburg, the focus of the epidemic, more than 1,000 people fell ill, about 180 of them seriously, after getting into contact with the bacterium. Report: Meike Lerner

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