Intubated critically ill patients are susceptible to secretion accumulation because of compromised airway clearance. Various airway clearance interventions are employed to prevent complications arising from mucus retention. This Delphi study aims to collect global opinions in an international expert …

After the blind insertion of a nasogastric tube (NGT) in critically ill patients, verifying its position is important, as misplacement can lead to severe complications such as pneumonia, pneumothorax, or death. While X-ray remains the gold standard for NGT verification [1,2], readily available methods, …

Introduction High mechanical power is associated with mortality in patients who are critically ill and require invasive ventilation. It remains uncertain which components of mechanical power – volume, pressure or rate – increase mechanical power the most. Methods We conducted a post hoc analysis of a …

Onder- en overvoeding op Intensive Care-afdelingen (IC's) wordt in verband gebracht met een langere ziekenhuisopname, een verhoogde morbiditeit en een verhoogde mortaliteit, en een verhoogde mortaliteit. Deze studie onderzoekt of IC-patiënten optimaal gevoed werden volgens de European Society voor Klinische …

Pregnancy and early parenthood mark a transformative period where women become caregivers and assume a new role with new responsibilities. While often portrayed positively, the transition to motherhood can be overwhelming. This is especially true for women living in adverse circumstances, presenting …

Megagames are large-scale collaborative games with elements of role-playing and board games. Players need to solve wicked problems together and explore multiple solutions. When applied to higher education, megagames create opportunities for learners to work in multidisciplinary teams solving ill-structured …

BACKGROUND: Physical activity is essential in burn care to counteract the effects of severe burns and inactivity during hospitalization. However, detailed knowledge of performed physical activities is lacking. This study evaluated the feasibility of a dual accelerometer-based method to assess type, frequency, …

Increased protein provision might ameliorate muscle wasting and improve long-term outcomes in critically ill patients. The aim of the PRECISe trial was to assess whether higher enteral protein provision (ie, 2·0 g/kg per day) would improve health-related quality of life and functional outcomes in critically …

Background Increased protein provision might ameliorate muscle wasting and improve long-term outcomes in critically ill patients. The aim of the PRECISe trial was to assess whether higher enteral protein provision (ie, 2·0 g/kg per day) would improve health-related quality of life and functional outcomes …

Introduction Mechanical power of ventilation, a summary parameter reflecting the energy transferred from the ventilator to the respiratory system, has associations with outcomes. INTELLiVENT–Adaptive Support Ventilation is an automated ventilation mode that changes ventilator settings according to algorithms …