Latest Articles in icu
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Critical Care Pharmacists Save Lives
The purpose of this review is to discuss the role of critical care pharmacists on the interprofessional healthcare team in the care of critically ill patients and explore current gaps in the provision of comprehensive medication management. Introduction “The patient’s neurological exam was concerning, new fixed and dilated pupils...
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Clinical Pharmacists in Intensive Care in Europe: From Basement to Bedside
Evidence regarding the impact of the ICU pharmacist demonstrates improved outcomes in ICU patients, with a significant impact on the cost of care. This evidence comes from multiple studies performed in different countries. What happens in Europe at the moment? This article describes clinical pharmacy services in a number of Intensive Care Units...
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The Multiple Roles of the Critical Care Pharmacist
Critical care pharmacists use their specialist knowledge to optimise medication for their patients. This article looks at the various roles of the critical care pharmacist within the multidisciplinary team. Introduction The pharmacist's role in critical care is well-developed in the United Kingdom (UK), USA, Australia, New Zealand,...
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Critical Care Pharmacists Contribute to Patient and Economic Outcomes Worldwide
Critical care pharmacists have grown in numbers and effectiveness, but their need exceeds availability. Their contributions, role, and benefits are discussed with how to justify adding these highly trained practitioners to your critical care team. Introduction I was asked recently what the most important change I had seen during the...
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Haemoadsorption in Critically Ill Patients: The New Frontier
Haemoadsorption may represent the new frontier in extracorporeal blood purification. Haemoadsorption has demonstrated effective extraction of a variety of toxins and drugs during episodes of sepsis, acute kidney injury or intoxication. Selective haemoadsorption can be performed by endotoxin-binding polymyxin B functionalised polystyrene fibres....
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Corticosteroids in the Intensive Care Unit: Evidence-Based Recommendations
Corticosteroids are commonly used drugs in multiple diseases and conditions of critically ill patients. In this article, we review the pharmacology of corticosteroids and provide recommendations for their use in the ICU based on the best available evidence. Corticosteroids: Pharmacology and General Aspects Corticosteroids are...
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Administering Care to Critically Ill Patients with FAST HUGS IN BED PLEASE - Revisited Mnemonic
In the ICU, providing better care with less is the holy grail. This mnemonic tries to resume a list of the key interventions for human, evidence-based and patient-centred care. Background In 2005, Prof Jean-Louis Vincent introduced the mnemonic "FAST HUG," advocating for a comprehensive approach to patient care encompassing seven...
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Long-Term Home Ventilation in Children: Facing the Challenge
Discharging ventilated children home is a difficult challenge in which the training of families is essential. We present our hospital's transition programme for ventilated children going home, which is based on a family-centred model. Introduction The progressive improvement of neonatal intensive care (NICU) and paediatric intensive...
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Treating the Whole Human In Intensive Care – Patient-Centred Outcomes in Sepsis, Surgery and Trauma
Intensive care impacts more than the patient, with ripple effects for families, employers and wider societies. Patient-centred outcomes reiterate the need for clinical therapies targeting the biological circuitry of the big-hitting syndromes like ARDS, sepsis, delirium, renal failure and recognising they persist beyond the veil of discharge....
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Cardiovascular Management in Septic Shock: Optimising Vascular and Cardiac Function
An overview of vasopressor management, current evidence on its use, when to initiate vasopressor therapy for best possible patient outcome and a discussion regarding the use of landiolol in septic patients with persistent tachycardia. Optimising Vasopressin Initiation in Septic Shock Patients with septic shock, and especially...
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