2010 Annual Evidence Update on Critical Illness Rehabilitation

For this annual evidence update a detailed literature review was undertaken to retrieve any evidence published subsequent to the literature search which formed the basis for the NICE guideline. A total of 29 articles were selected for review and appraisal by a team of critical care practitioners. In this context it has to be noted that the evidence base on the subject is still relatively small. For the original guideline only 12 articles were selected as evidence which addressed the review questions. This evidence update intends to give an indication of encouraging trends within critical illness rehabilitation

Acute Kidney Injury in the Elderly: A review

The world?s population is aging with proportionately larger increase at the upper extremes of age. Elderly patients not only exhibit age related renal changes and dysfunction, they also suffer from multiple comorbidities. Age related morphological changes in the kidney, functional alterations and accompanying comorbidities make elderly more vulnerable to AKI. Early diagnosis of AKI in these patients is vital as is its prevention. Awareness of the possibility of development of AKI, identifying patients at risk and its prompt recognition are keys to anaesthesia and critical care management of elderly patients