Clinical information systems in the intensive care unit: primum non nocere

Information and communication technology has the potential to address many problems encountered in intensive care unit (ICU) care, namely managing large amounts of patient and research data and reducing medical errors. The paper by Morrison and colleagues in the previous issue of Critical Care describes the adverse impact of introducing an electronic patient record in the ICU on multi-disciplinary communication during ward rounds. The importance of evaluation and technology assessment in the implementation and use of new computing technology is highlighted

Pro/con debate: Should synthetic colloids be used in patients with septic shock?

You have recently heard reports that synthetic colloids may be associated with renal failure and other morbidities in certain populations of critically ill patients. You have been asked by the hospital chief of staff whether there should be a suspension of the use of synthetic colloids until further information is available. You need to make a decision

Wireless technology in the ICU: boon or ban?

Wireless communication and data transmission are playing an increasing role in the critical care environment. Early anecdotal reports of electromagnetic interference (EMI) with intensive care unit (ICU) equipment resulted in many institutions banning these devices. An increasing literature database has more clearly defined the risks of EMI. Restrictions to the use of mobile devices are being lifted, and it has been suggested that the benefits of improved communication may outweigh the small risks. However, increased use of cellular phones and ever changing communication technologies require ongoing vigilance by healthcare device manufacturers, hospitals and device users, to prevent potentially hazardous events due to EMI

Gerald Lapinsky

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