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Frugal innovation for critical care

  • Armand Mekontso Dessap
What's New in Intensive Care

Although they take care of the vast majority of critically-ill patients worldwide, intensive care units (ICUs) from low and middle income countries (LMICs) are confronted with huge challenges including medication, disposable and device shortage, in addition to human and material resource limitations. The following thoughts were driven by clinical observations during a cooperation mission in Sub-Saharan African ICUs. They aim at favoring a new approach in critical care research and innovation.

Clinical observations

The first case involved implementation of invasive monitoring of arterial pressure during shock. A young patient with septic shock from pulmonary origin, requiring mechanical ventilation and vasopressor support with norepinephrine, was equipped with an arterial radial catheter. The training focused on the use, surveillance and physiological data exploitation of such a device. Unfortunately, the patient died a few hours later due to norepinephrine shortage in the hospital and...

Notes

Compliance with ethical standards

Conflicts of interest

The author declares consultancy for Air Liquide Medical Sante.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  1. 1.AP-HP, Hôpitaux Universitaires Henri Mondor, DHU A-TVB, Service de Réanimation MédicaleCréteilFrance
  2. 2.Université Paris Est Créteil, Faculté de Médecine de Créteil, IMRB, GRC CARMASCréteilFrance
  3. 3.INSERM U955CréteilFrance

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