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A set of guidelines concerning ethical, medical and social aspects of triage decisions, as well as of other related problems of the COVID-19 pandemic: In all cases, decisions must be based on sound, transparent and understandable rules.
If insufficient resources are available, rationing decisions will become necessary, placing considerable burdens on medical staff. This makes it all the more important that uniform criteria for ICU admission and continued occupancy should be applied throughout Switzerland.
Recommendations for the admission of patients with COVID-19 to intensive care and intermediate care units (ICUs and IMCUs)
The Swiss Society of Intensive Care Medicine (SSIM) has elaborated detailed and coherent guidelines defining the criteria for admission to the ICU in situations of bed shortage.
Implementation of a multiprofessional, multicomponent delirium management guideline in two intensive care units, and its effect on patient outcomes and nurse workload: a pre-post design retrospective cohort study
Delirium is a frequent intensive care unit (ICU) complication, affecting 26% to 80% of ICU patients, often with serious consequences. For appropriate delirium management, early identification of relevant risk factors is crucial.
Development and validation of a multivariable risk score for prolonged length of stay in the surgical intensive care unit
Chronically critical illness (CCI) is highly relevant in intensive care units (ICUs), but the definitions in literature vary greatly. The timely detection of prolonged intensive care unit length of stay could support care planning for CCI patients.
Outcome after out-of-hospital ventricular fibrillation or pulseless ventricular tachycardia: comparison of before and after the implementation of the 2010 Guidelines in a single centre
Improvements to guidelines and efforts to train and equip laypersons and medical professionals are expected to result in improvements in the outcomes of patients experiencing out-of-hospital cardiac arrest.
Outcome of inter-hospital transfer of patients on extracorporeal membrane oxygenation in Switzerland
This study reports the results of the largest ECMO transportation programme in Switzerland and describes its feasibility and safety.
The value of volume substitution in patients with septic and haemorrhagic shock with respect to the microcirculation
This review article discusses commonly used resuscitation fluids, presents the scientific evidence related to volume resuscitation in septic and haemorrhagic shock and classifies the findings with respect to impact on the microcirculation.
In the ICU, the main challenges with obese patients are to take into account the pulmonary pathophysiological characteristics when choosing the best management options.
Use of venovenous extracorporeal membrane oxygenation avoids some of the risks associated with intubation and mechanical ventilation. But it is necessary to weigh the risks and benefits before using it in morbid obesity.