Management of Stroke in a Non-neurointensive Care Unit
Need for intubation and/or mechanical ventilation due to Decreased conscious level (Glasgow coma scale [GCS] of 8 or less) or evidence of brain stem dysfunction or any other cause of…
Simulation Training in the Intensive Care Unit
Appearance Interaction with the learner Educational context Part-task trainer Realistic, but of a single body part Feels realistic, but limited or no response Repetitive practice of isolated skill Fully…
Transfer of the Sickest Patient in the Hospital: When How and by Whom
Fig. 14.1 North West Thames Critical Care Network Adult Critical Care Record of Transfer (Reproduced with kind permission of the North West London Critical Care Network) All transfer equipment should…
Assessment and Management of the Delirious Patient in the Intensive Care Unit
Decreased ability to direct, focus, sustain of shift attention and reduced awareness Develops over hours or a few days and usually fluctuates in severity within hours Disturbance in cognition–memory, disorientation,…
Venous Thromboembolism Prevention and the Role of Non-Coumarin Oral Anticoagulants in the Intensive Care Units
LMWH NOAC VKA Advantages Rapid onset and offset Oral agent Oral agent Extensive clinical experience Rapid onset and offset Extensive clinical experience Reliable laboratory measure of anticoagulant activity (i.e….
The Critically Ill Burn Patient: How Do We Get It Right?
Aspect of care Acute management Ongoing management Airway Assess airway involvement Intubate with ≥size 8 mm, uncut ETT if necessary Upright positioning Escharotomy of neck burns to prevent external airway…
Regional Anaesthesia in the Intensive Care Unit
Regional anaesthesia technique Indications Superficial cervical plexus block Central line insertion Analgesia for tracheostomy (bilateral blocks needed) Analgesia for superficial procedures on the anterior neck to the clavicle Infiltration below…
Neuropsychological Rehabilitation for Critically Ill Patients
On intensive care Transitional care Following discharge from hospital Adherence to PAD guidelines [19] ‘Liaison/Outreach’ nurse [39] Patient diaries [45] Use of the ‘ABCDE’ bundle [30] ‘Self-help’ manual [41] Follow-up…
Pain in Intensive Care
Physiological Psychological Ethical Financial Augmented stress response Anxiety Suffering Increased ventilated days Respiratory complications Depression Failure to adhere to legal responsibility? Increased length of stay Delayed wound healing Post-traumatic stress…
How Babies Die and Why This Is Important to Clinicians, Researchers, and Parents
Stillbirths (dead on arrival to the hospital) Stillbirths (died in utero because of withholding surgical delivery) Termination of Pregnancy (TOP) for congenital malformations “Induction” of labor for risk of extreme…
