ICU

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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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,…

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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…

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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.

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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.

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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…

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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.

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Pneumonia research in Spain

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

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Treatment beyond anti-infectives

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.

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Plane with full hospital landing in Port-au-Prince

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.

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Monitoring CHF patients

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…

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Large capacity intensive care ambulances

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.

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The Isolette 8000

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…

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Vexing questions for anaesthetists

How can postoperative delirium and postoperative cognitive dysfunction be avoided? How is it best to address the problem of epilepsy? How can anaesthetists cope better with a patient death under anaesthesia? These difficult questions were among many addressed by specialists at HAI 2009, the annual conference of the German Society for Anaesthesiology and Intensive Care Medicine (DGAI). Report:…

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The 2009 Bernhard Dräger Award

Dr Vasilios Papaioannou, of the Democritus University of Thrace in Alexandroupoli, Greece, received the €15,000 Bernhard Dräger Award for Advanced Treatment of Acute Respiratory Failure during the opening of The European Society for Intensive Care Medicine (ESICM) annual conference in Vienna.

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Conoxia - medizinischer Sauerstoff von PanGas

Auf der diesjährigen gemeinsamen Jahrestagung der Schweizerischen Gesellschaft für Intensivmedizin (SGI), der Schweizerischen Gesellschaft für Neurochirurgie (SGN), der Schweizerischen Gesellschaft für Neuroradiologie (SGNR), der Schweizerischen Gesellschaft für Nephrologie (SGN) und der Schweizerischen Interessengesellschaft für Intensivpflege (IGIP) stellte der Healthcare-Bereich von…

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