Topic | What is important | What is new |
---|---|---|
Management of the comatose patient | GCS, brainstem reflexes, FOUR score Brain imaging (CT scan, MRI) Multimodal monitoring (ICP, brain oximetry, TCD) | Automated infrared pupillometry q-EEG Multimodal monitoring-based individualized therapy |
Management of the delirious patient | CAM-ICU, ICDSC scores Minimized targeted sedation Early active mobilization | ABCDEF, e-CASH bundles Alternative sedatives (dexmedetomidine) Prophylactic use of anti-psychotics not effective |
Management of ICU-acquired weakness | MRC muscle scale, ENMG Optimize nutrition and glycaemic control Early active mobilization | Assessment of diaphragmatic dysfunction Physical (electrical) therapy Mobilization protocols |