Qua pote quisque, in ea conterat arte diem: COVID-19 and Australian and New Zealand intensive care

2020 ◽  
Vol 22 (2) ◽  
pp. 103-104
Author(s):  
Andrew Udy ◽  
◽  

The current global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has thrust intensive care medicine to the forefront of health care practice in Australia and New Zealand. Indeed, reports from other countries and jurisdictions convey highly confronting statistics about the scale of this public health emergency, particularly in terms of the demand on intensive care unit (ICU)services. Whether this occurs here remains to be seen, although if such a scenario does eventuate, it will represent an unprecedented challenge to our community. In parallel, these events offer the opportunity for greater coordination, improved communication, and innovation in clinical care, which are principles that in many ways define our specialty.

Health ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 1598-1608 ◽  
Author(s):  
Chihiro Kawai ◽  
Feni Betriana ◽  
Tetsuya Tanioka ◽  
Yuko Yasuhara ◽  
Hirokazu Ito ◽  
...  

2007 ◽  
Vol 8 (02) ◽  
pp. 170 ◽  
Author(s):  
Donna M. Meagher-Stewart ◽  
Megan L. Aston ◽  
Nancy C. Edwards ◽  
Linda Young ◽  
Donna Smith

2017 ◽  
Vol 18 (4) ◽  
pp. 282-288 ◽  
Author(s):  
Michael E O’Connor ◽  
Sarah L Jones ◽  
Neil J Glassford ◽  
Rinaldo Bellomo ◽  
John R Prowle

Design and objectives To identify and compare how intensive care unit specialists in the United Kingdom and Australia and New Zealand self-reportedly define, assess and manage fluid overload in critically ill patients using a structured online questionnaire. Results We assessed 219 responses. Australia and New Zealand and United Kingdom intensive care unit specialists reported using clinical examination findings, bedside tools and radiological features to assess fluid status, diagnose fluid overload and initiate fluid removal in the critically ill. An elevated central venous pressure is not regarded as helpful in diagnosing fluid overload and targeting a clinician-set fluid balance is the most popular management strategy. Renal replacement therapy is used ahead of more diuretic therapy in patients who are oligo/anuric, or when diuretic therapy has not generated an adequate response. Conclusions This self-reported account of practice by United Kingdom and Australia and New Zealand intensivists demonstrates that fluid overload remains poorly defined with variability in both management and practice.


2019 ◽  
pp. 249-260
Author(s):  
Jessica Solomon Fisher ◽  
Kellie L. Teter

Innovation can come in many forms, this chapter states: changes in current processes that make them more efficient or effective; shifts toward different processes to achieve the same goal; or larger changes that may include rethinking the task itself. While innovation can be part of the normal work flow, innovation is disruptive when it changes established roles and relationships. The chapter looks at the role of innovation in aims at improving public health. Innovation is hard to define, and means different things to different people. Innovation is occurring in population health care practice. We should embrace the characteristics of innovation, the chapter concludes.


2021 ◽  
Vol 3 (2) ◽  
pp. 79-85
Author(s):  
Iqbal Hanash Dhefer

The pathogen of the new 2019 coronavirus disease (COVID-19), the sever acute respiratory syndrome coronavirus 2 (SARS-Cov-2), presented a significant risk to health care. The WHO has described the SARS-CoV-2 infection outbreak as an international public health emergency. The main damage caused by the infection with SARS-CoV-2 was known to be lung infections. Previous research revealed that liver damage is prevalent in patients infected with the additional widely zoonotic coronaviruses, Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS), and has been reviewed in relation to the severity of MERS, SARS, and COVID-19 diseases. Likewise, the mechanism and features of liver damage and liver injury has also been observed, as outlined in this review, which results in extreme cases during the phases of the disease.


2011 ◽  
Vol 152 (24) ◽  
pp. 946-950 ◽  
Author(s):  
Miklós Gresz

According to the Semmelweis Plan for Saving Health Care, ”the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present”. Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary because patients occupying these beds were discharged to their homes directly from the intensive care unit. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.


1984 ◽  
Vol 15 (2) ◽  
pp. 211-230 ◽  
Author(s):  
S. Linder-Pelz ◽  
S. Levy ◽  
A. Tamir ◽  
T. Spenser ◽  
L. M. Epstein

2019 ◽  
Vol 2 (1) ◽  
pp. 27-34
Author(s):  
Richard Moreno ◽  
◽  
Cristinel Ștefănescu ◽  
Beatrice Gabriela Ioan ◽  
Mariana Cuceu ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document