• Current Controversies in Early Mobilisation in the ICU

      This article will address current and controversial topics regarding early mobilisation and respiratory therapy in critically ill patients in the Intensive Care Unit (ICU). We will explore the implications, challenges, and potential benefits related to these interventions, highlighting the need for ongoing research and discussion in this evolving...

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  • Early Mobilisation in ICU: Current Practice and Areas for Improvement

      A literature review to highlight how early mobilisation can improve patient-important outcomes, including length of ICU and hospital stay, duration of mechanical ventilation and overall quality of life in ICU survivors and the risks associated with EM and barriers to safe implementation of current practices, future directions, and the need for...

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  • Abionic: Vision, Key Products and Strategic Direction

      Abionic SA has appointed Patrick Pestalozzi as CEO. With three decades of global experience in management consulting and entrepreneurship, Patrick has been instrumental in creating and developing deep-tech ventures. His diverse healthcare background positions him to lead Abionic's next growth phase. ICU Management & Practice interviewed Patrick...

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  • Patient Monitoring

      Patient monitoring in the ICU is critical for providing high-quality medical care. Monitoring involves continuous surveillance of physiological parameters to assess patient condition and detect signs of deterioration promptly. This includes monitoring vital signs such as blood pressure, heart rate, respiratory rate, and body temperature; continuous...

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  • The Hazards of Monitoring – Alarm Fatigue in the ICU

    Alarm fatigue is a pressing clinical problem in our post-pandemic ICUs and can adversely impact patient outcomes. Its root causes can be classified by patient, device and organisation related. We believe it can be mitigated and we propose interventions through attention to policy, education and the creation of a meaningful culture of safety....

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  • Critical Care Monitoring: Time for Hospital-Wide Monitoring and Response Capabilities?

      Physiological monitoring has a rich 200-year history. In this article, the authors look into the components of an ideal monitoring system and highlight how advancements in modern technology could enable the development of an effective continuous monitoring and response system.   The continuous monitoring of patient vital signs is a required...

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  • Perioperative Cardiac Output Monitoring: From Yellow Catheters to Green Algorithms

      We discuss the economic and environmental advantages of green pulse wave analysis (PWA) techniques and the integration of PWA algorithms into standard bedside monitors that will likely contribute to democratisation of perioperative cardiac output monitoring.   Haemodynamic instability frequently manifests during the perioperative course...

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  • Technical Alarms During Continuous ECG Monitoring in the Intensive Care Unit

      An analysis of technical alarms to guide hospital-based alarm management strategies and inform monitoring manufacturers on needed improvements to technical alarm algorithms used in bedside ECG monitors.    Introduction Hospital-based electrocardiographic (ECG) monitors are configured to alarm for a number of different types of arrhythmias,...

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  • Mitral Systolic Anterior Motion: Beyond Cardiology and Cardiac Surgery

      Haemodynamic instability and shock are a potential everyday challenge for intensivists and anaesthesiologists. Understanding the underlying cause is pivotal for an appropriate and successful treatment. Systolic motion of the anterior mitral valve leaflet towards the left ventricular outflow tract (SAM) is a possible insidious mechanism of low...

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  • Intravenous Landiolol: Rate Control in Supraventricular Tachyarrhythmias in Patients with LVD

    Athina Nasoufidou Second Department of Cardiology Aristotle University of Thessaloniki Hippokration General Hospital Thessaloniki, Greece     A systematic review investigating landiolol's efficacy in non-septic or post-operated SVT patients with concomitant left ventricular dysfunction.   Managing Supraventricular Tachyarrhythmias...

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