ICU

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Treatment options for atrial fibrillation to prevent a stroke

Neurocardiology – especially atrial fibrillation (AF) – was the key topic during a press conference held during the 55th Annual Congress of the Germany Society for Clinical Neurophysiology and Functional Imaging (DGKN) this March. For good reason: Worldwide, there are around six million AF sufferers -- and it is one of the most common causes of stroke because this cardiac irregularity can…

Critical care outside hospital across UK

The critical care expertise available before a severely injured person can be admitted to hospital is “incomplete, unpredictable, and inconsistent,” shows research published online in Emergency Medicine Journal. Ambulance services are often reliant on volunteer doctors with variable levels of expertise and the availability of specialist doctors is patchy, particularly over evenings or…

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Easy breathe - new tools for prolonged lung support

Often a life-saving intervention, mechanical ventilation also has some serious drawbacks: the need for sedation, the risk of ventilator associated pneumonia, intubation or tracheostomy related complications. In 1972, Donald Hill from Pacific Medical Centre, Los Angeles, reported the first successful long-term mechanical lung assist device with extracorporeal membrane oxygenation (ECMO).

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POCT brings values

Bedside testing of parameters has been introduced in clinical practice much earlier than laboratory testing: In past centuries, not only were temperature or pulse rate taken at the point of care (POC), but also qualitative blood or urine analysis were performed right next to a patient’s bed

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Contec - bringing innovation to patient monitoring devices

While Contec’s broad range covers 13 product categories, the accent over the past year has been on enhancing patient-centred devices with fresh features developed by the firm’s research & development team. For example, while the typical screen size for patient monitors is 12-inches, Contec recently introduce models that both increase and reduce that size in response to customer demand.

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Europe's inconsistent use of device therapy in the prevention of sudden cardiac death

Even though the use of implantable devices for the treatment of heart failure and heart rhythm disturbances has increased enormously in Europe in recent years, there still remain large differences between countries. Indeed, a report last year in the European Journal of Heart Failure found that there is an underuse of devices in many of the European countries surveyed.(1) This is especially so in…

A Faculty of Intensive Care Medicine

Critical care, worldwide, has been closely related to anaesthesia and traditionally considered the role of anaesthetist. However, about 30 years ago critical care expanded and intensive care unit (ICU) teams increasingly spread expertise to critically ill patients in other hospital wards, ultimately to become intrinsic in decisions on patients with co-morbities.

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No more machines!

For many ICU patients, entering the Kloster Grafschaft, in Schmallenberg, Germany, a hospital specialised in pneumology and allergology, is a last resort. On average, they have been in an ICU for seven weeks and have failed three attempts to be weaned from the ventilator. They have been deemed ‘unweanable’.

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Ventilation-associated pneumonia

Every year in German hospitals about 15,000 patients acquire ventilation-associated pneumonias (VAP). This number, and the associated mortality, is striking enough to make it one of the topics at HAI 2010, the annual conference of the German Society for Anaesthesiology and Intensive Care Medicine (DGAI). Like many physicians, Dr Maria Deja, senior physician at the Charité Clinic for…

World Stroke Day

With the “World Stroke Day” the World Stroke Organization (WSO) aims to communicate a unified message to the world: stroke is a preventable and treatable catastrophe, and together we can fight this growing epidemic. This year’s theme is “Stroke‐What can I do?” The answer is ‐ a lot. The WSO prompts individuals, groups and governments to take action against stroke either at a…

Standardised algorithms and protocols for diabetic in-patients

Dr Susan S Braithwaite, a visiting clinical professor in endocrinology at the Department of Medicine, University of Illinois, Chicago, specialises in the management of hyperglycaemia among hospitalised patients. Hyperglycaemia, the presence of an abnormally high concentration of glucose in the blood, is a common occurrence in adults who are hospital in-patients, especially among diabetic…

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