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’.
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…
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.
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…
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.
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…
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 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…
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.
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…
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.
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.
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.
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…
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.
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.
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.
In November 2009 about 150 leading infectious disease researchers gathered in Berlin for the National Forum for Innovation in Medicine. During the meeting, Professor Antoni Torres MD (Hospital Clinic-Ciberes, University of Barcelona) gave Meike Lerner insights into community acquired pneumonia research projects and findings
Professor Norbert Suttorp and his team at the Clinic for Infectology and Pneumonology, Charité University Hospital Berlin, have been working on the understanding of the basic mechanisms of inflammation and infection -- and utilising them. Professor Suttorp has been working for many years on questions relating to the subject Therapy in addition to antibiotics.
Doctors Without Borders/Médecins Sans Frontières (MSF) urges that its cargo planes carrying essential medical and surgical material be allowed to land in Port-au-Prince in order to treat thousands of wounded waiting for vital surgical operations. Priority must be given immediately to planes carrying lifesaving equipment and medical personnel.
Comen Medical instruments Co. Ltd, which manufactures a range of advanced ECG machines, is showing its CM1200 12-channel ECG machine with 12.1" fold-up colour TFT screen, which provides a more comfortable multi-angle observation, the firm reports.
Close monitoring of vital signs such as ECG, BP and body weight are vital for many patients suffering cardiovascular disease. MyHeart, an integrated project involving 10 EU Member States, aims to produce better devices and better parameters than currently available, i.e. traditional sensor systems with digital upgrades. The ongoing clinical study has involved six European academic centres and 200…
In March 2008 over 200 cars were involved in a mass traffic accident caused by fog between Abu Dhabi and Dubai. Six passengers were killed; hundreds were injured. Similar road traffic accidents, airplane crashes on the most frequented hub in the region and fires in factories and skyscrapers are among the mass casualty events that the Dubai Centre of Ambulance Services face on a daily basis.
The new Isolette 8000 is the latest model in Dräger’s respected Isolette series of infant incubators that introduced innovations such as the patented Dual Air Curtain, known from the Isolette C2000. ‘This thermal management capability, which is also part of the Isolette 8000, reduces radiant heat loss from the infant and contributes to a cocoon-like environment, where the neonate can…
One of the most comprehensive articles on non-invasive ventilation (NIV) has been published this September. Specialists can access this online (e-medicine.medscape.com/article/304235-overview).