The 31st ISICEM
Jean-Louis Vincent, Chairman of the Dept of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, welcomes visitors to this year’s International Symposium on Intensive Care and Emergency Medicine.
ICU
Blood glucose monitoring in the ICU
Although there is still disagreement as to ‘how’, when it comes to the question of whether the glucose level affects the prognosis for intensive care patients, the answer is a definite ‘yes’. ‘
Electrical impedance tomography
This March, Dräger Medical will bring to the bedside of respiratory patients an innovative new monitor that vividly shows, breath-by-breath, their response to treatment. After shifting a patient’s position, or adjusting the respirator setting, or delivering a drug to open airways, physicians and nurses will be able to watch in real-time the response inside the patient’s lungs.
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
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.
Welch Allyn – one year on
At Medica 2009, Julie Shimer, CEO of Welch Allyn, described her company’s future plans in an interview with European Hospital. Medica 2010 brought us another opportunity to meet, this time to hear how those aims were achieved in the past year.
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.
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’.
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…
IT-assisted triage
The project consortium Alarm has developed new software to enable a computer-assisted triage-system for mass accidents and catastrophes. Torsten Schröder, emergency physician at the Charité Clinic for Anaesthesiology, with the focus on operative Intensive Care Medicine in Berlin, gave a mid-term review of the project and explained the advantages of the IT-supported triage-system 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…
Environmental risk assessment of pharmaceuticals inadequate
The strategies used to assess the environmental risks posed by pharmaceuticals are not enough to protect natural microbial communities, reveals a researcher from the University of Gothenburg, Sweden, who is calling for better environmental risk assessments.
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…
Stiff heart - The ‘stepchild’ of cardiology
Patients with heart failure with normal ejection fraction (HFNEF) also referred to as ‘stiff heart’, show a normal ejection fraction and severe diastolic dysfunction. President of the Austrian Society of Cardiology, Professor Irene Lang warns: ‘It is particularly concerning that stiff heart is a little known and insufficiently researched cardiac condition -- a stepchild in research,…
Diabetes management in the hospital
Diabetes mellitus is a lingering disease – for a long time it causes subjectively few complaints or no complaints at all. Despite this, it is life-threatening – especially if undiagnosed, or diagnosed too late. However, although diabetes is the most widespread disease it is often only discovered by accident in a hospital, where many hospital doctors feel that diabetology is the responsibility…
Wireless communication links medical devices and accessories
Radio Frequency Identification (RFID), a wireless technology primarily known from the field of logistics, has become a focal point in hospitals and similar areas. RFID makes it possible to manage hospital beds from a central location or track the whereabouts of surgical instruments.
Burnout prevention in the ICU
In intensive medicine, burnout has a major impact on the quality of care. For example, in intensive care units, where the staff suffers burnout, statistics indicate that patients remain longer in an artificial coma than in ICUs that are more or less free of burnout. ‘Obviously, that does not happen consciously,’ says Prof. Wolfgang Lalouschek, Medical Director of The Tree Health Care Centre…
Intelligent temperature management
The normal regulation of the core body temperature of a healthy, resting adult human (around 37°C) is affected during surgery, which can lead to an increased rate of wound infections, bleeding and cardiac complications. The manufacturer of MoeckWarming System reusable blankets reports that these provide comprehensive temperature management to ensure patients remain normothermic.
Negative pressure wound therapy
Quality in wound care no longer centres only on a successful healing process but is taking a more holistic, patient-orientated approach. Wounds cause pain, impair quality of life, and make treatment far more complex for medical teams. Approaches that facilitate a painless change of dressings and less wound trauma are therefore welcome – and advancing.
Mortality rates: success and failure
If patients suffering acute myocardial infarction, heart failure, or pneumonia are admitted to hospitals that frequently treat these illnesses they are less likely to die, according to research published in the New England Journal of Medicine.
Surgical site infections
Post-operative wound infection occurs after an estimated 17% of surgical operations – sometimes with devastating consequences for the patient. The list of preventive measures is manifold and long. However, one strategy is increasingly moving into the spotlight: the use of antibacterial coated sutures. Ethicon Products is at the cutting edge in this field. Sandra Rasche, head of this Business…
New GE technology powers sick babies’ journeys within hospitals
GE Healthcare has introduced to the European market the Giraffe® Shuttle transportable power source for its Giraffe and Panda families of incubators and warmers. By transforming these healing environments into transport devices, the Giraffe Shuttle eliminates the need for transferring premature and sick babies to and from transport incubators.
New ABL90 FLEX analyzer puts time on the caregiver’s side
35 seconds. That's how fast caregivers can get blood gas results on the ABL90 FLEX, Radiometer's next-generation, cassette-based analyzer. The unmatched short time to results enables caregivers to spend less time on testing and more on patient care. The ABL90 FLEX measures 17 parameters, including blood gas, electrolytes, metabolites and CO-oximetry from just 65μL of whole blood.
Your map of anaesthesia
Dräger SmartPilot View is a software, which, for the first time, provides a two-dimensional representation of the current and the forecasted course of anaesthesia. Similar to a GPS device, this "map of anaesthesia" shows the anaesthetist at which stage of the anaesthesia the patient is. Like a pilot, the software supports the anaesthetist in optimally guiding the patient through the anaesthesia.
