Titel Deelnemers "Management of neutropenic patients in the intensive care unit (NEWBORNS EXCLUDED) recommendations from an expert panel from the French Intensive Care Society (SRLF) with the French Group for Pediatric Intensive Care Emergencies (GFRUP), the French Society" "David Schnell, Elie Azoulay, Dominique Benoit, Benjamin Clouzeau, Pierre Demaret, Stéphane Ducassou, Pierre Frange, Matthieu Lafaurie, Matthieu Legrand, Anne-Pascale Meert, Djamel Mokart, Jérôme Naudin, Frédéric Pene, Antoine Rabbat, Emmanuel Raffoux, Patricia Ribaud, Jean-Christophe Richard, François Vincent, Jean-Ralph Zahar, Michael Darmon" "Pharmacokinetic variability and exposures of fluconazole, anidulafungin, and caspofungin in intensive care unit patients : data from multinational Defining Antibiotic Levels in Intensive care unit (DALI) patients study" "Mahipal G Sinnollareddy, Jason A Roberts, Jeffrey Lipman, Murat Akova, Matteo Bassetti, Jan De Waele, Kirsi-Maija Kaukonen, Despoina Koulenti, Claude Martin, Philippe Montravers, Jordi Rello, Andrew Rhodes, Therese Starr, Steven C Wallis, George Dimopoulos" "Determinants of procedural pain intensity in the intensive care unit : the Europain® study" "Kathleen A Puntillo, Adeline Max, Jean-François Timsit, Lucile Vignoud, Gerald Chanques, Gemma Robleda, Ferran Roche-Campo, Jordi Mancebo, Jigeeshu V Divatia, Marcio Soares, Daniela C Ionescu, Ioana M Grintescu, Irena L Vasiliu, Salvatore Maurizio Maggiore, Katerina Rusinova, Radoslaw Owczuk, Ingrid Egerod, Elizabeth DE Papathanassoglou, Maria Kyranou, Gavin M Joynt, Gastón Burghi, Ross C Freebairn, Kwok M Ho, Anne Kaarlola, Rik T Gerritsen, Jozef Kesecioglu, Miroslav MS Sulaj, Michelle Norrenberg, Dominique Benoit, Myriam SG Seha, Akram Hennein, Fernando J Periera, Julie S Benbenishty, Fekri Abroug, Andrew Aquilina, Júlia RC Monte, Youzhong An, Elie Azoulay" "What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine" "Geert Meyfroidt" "Since their widespread introduction more than half a century ago, intensive care units (ICUs) have become an integral part of the health care system. Although most ICUs are found in high-income countries, they are increasingly a feature of health care systems in low- and middle-income countries. The World Federation of Societies of Intensive and Critical Care Medicine convened a task force whose objective was to answer the question ""What is an ICU?"" in an internationally meaningful manner and to develop a system for stratifying ICUs on the basis of the intensity of the care they provide. We undertook a scoping review of the peer-reviewed and gray literature to assemble existing models for ICU stratification. Based on these and on discussions among task force members by teleconference and 2 face-to-face meetings, we present a proposed definition and classification of ICUs. An ICU is an organized system for the provision of care to critically ill patients that provides intensive and specialized medical and nursing care, an enhanced capacity for monitoring, and multiple modalities of physiologic organ support to sustain life during a period of life-threatening organ system insufficiency. Although an ICU is based in a defined geographic area of a hospital, its activities often extend beyond the walls of the physical space to include the emergency department, hospital ward, and follow-up clinic. A level 1 ICU is capable of providing oxygen, noninvasive monitoring, and more intensive nursing care than on a ward, whereas a level 2 ICU can provide invasive monitoring and basic life support for a short period. A level 3 ICU provides a full spectrum of monitoring and life support technologies, serves as a regional resource for the care of critically ill patients, and may play an active role in developing the specialty of intensive care through research and education. A formal definition and descriptive framework for ICUs can inform health care decision-makers in planning and measuring capacity and provide clinicians and patients with a benchmark to evaluate the level of resources available for clinical care." """Piece"" of mind: end of life in the intensive care unit statement of the Belgian Society of Intensive Care Medicine" "Miet Schetz, Alexander Wilmer" "Intensive insulin therapy in the intensive care unit" "Greet Van den Berghe, Dieter Mesotten, Ilse Vanhorebeek" "Prevalence of perceptions of inappropriate care among intensive care unit healthcare providers and reasons why disproportional care is continued : the APPROPRICUS study" "Ruth Piers, Elie Azoulay, Dominique Benoit, Bara Ricou, Freda DeKeyser, Adeline Max, Andrej Michalsen, Radoslaw Owczuk, Paulo Azevedo Maia, Francesca Rubulotta, An Reyners, Anne-Pascale Meert, Andrew Aquilina, Wim Schrauwen, Nele Van Den Noortgate" "Perceptions of appropriateness of care among European and Israeli intensive care unit nurses and physicians" "Ruth Piers, Elie Azoulay, Bara Ricou, Freda DeKeyser Ganz, Adeline Max, Andrej Michalsen, Paulo Azevedo Maia, Radoslaw Owczuk, Francesca Rubulotta, Anne-Pascale Meert, Anna K Reyners, Andrew Aquilina, Maarten Bekaert, Nele Van Den Noortgate, Wim J Schrauwen, Dominique Benoit" "Focus on ethics and palliative care in the intensive care unit" "Katherine R Courtright, Dominique Benoit, J Randall Curtis" "In-hospital end-of-life care in the old : a retrospective study of intensive care unit use and do-not-resuscitate forms in patients deceased in a Belgian university hospital" "Nele Van Den Noortgate, Ruth Piers" "Objectives To explore the quality of in-hospital end-of-life care in adult patients with special attention to those 75 years and older and to make a comparison with the situation 10 years ago. Methods Data were retrospectively collected on adult patients who deceased at Ghent University Hospital between September 2018 and December 2019. The main outcome measures were 'ICU use' and 'presence of DNR forms on non-ICU units' in the final hospitalization. In order to identify possible risk factors for ICU use, logistic regression was performed. Results In total, 762 people died, of whom 35% were 75 or older. Just as 10 years ago, one-third (31%) died in the ICU versus 49% of those younger than 75 years (p < 0.001). Of people >= 75 years, 38%, compared to 42% 10 years ago, received an ICU treatment during their final hospitalization. The median length of an ICU stay was 4 versus 3 days 10 years ago. After adjusting for gender, comorbidities and the Charlson Comorbidity Index, factors associated with less ICU use were higher age, active malignancy and dementia (OR 0.838, 0.116 and 0.098 respectively). Seventy-nine percent of older patients on non-ICU wards died with a DNR form (versus 87% 10 years ago). Conclusion Although there was an increase in the presence of DNR forms in the final hospitalization, no significant differences were seen in actual ICU use compared to 10 years ago. Factors associated with less ICU use were higher age, active malignancy and dementia."