VOLUME 23
2023
ISSUE 5
Patients
and
Families
Bringing Back the Forgotten Puzzle Piece: Family Long-Term Home Ventilation in Children: Facing the
Empowerment in the Care of the Critically Ill Patient, Challenge, M Pons, E Esteban, P Corniero, GD Carrillo,
B Lobo-Valbuena, S Garcia-Manzanedo, AR Alcaraz, FJC Lasaosa
M-M Garcia-Arias, F Gordo
Treating the Whole Human In Intensive Care –
The Internet and the Rise of Artificial Intelligence in Patient-Centred Outcomes in Sepsis, Surgery and
Critical Care Medicine: Opportunities, Threats, and Trauma, LA Belon, J Poole
the Practitioner-Patient Relationship, L Hawryluck,
MJ Douma, PG Brindley Acute Subarachnoid Haemorrhage - An Epidemio-
logical Perspective, E Brogi, L Querci, A Chierega
Administering Care to Critically Ill Patients with
FAST HUGS IN BED PLEASE - Revisited Mnemonic,
E Arriaga-Morales, OR Pérez-Nieto, D Cuellar-Mendoza,
GBE Sánchez de la Barquera, AC Siller-Serna,
E Deloya-Tomas
INTENSIVE CARE I EMERGENCY MEDICINE I ANAESTHESIOLOGY icu-management.org @ICU_Management
, 207 PATIENTS AND FAMILIES
Ernesto Arriaga-
Morales
Emergency Department. Hos-
Administering Care to Critically Ill
Patients with FAST HUGS IN BED
pital San Ángel Inn Sur
Ciudad de México, México.
@Ernesto_AM_MD
PLEASE - Revisited Mnemonic
Orlando R. Pérez-
Nieto
Intensive Care Unit In the ICU, providing better care with less is the holy grail. This mnemonic tries to resume
Hospital General San Juan
del Río
a list of the key interventions for human, evidence-based and patient-centred care.
Querétaro, México.
@OrlandoRPN
Background Tetanus prophylaxis; Head elevation (30°)
for intubated patients; proactive Ulcer
In 2005, Prof Jean-Louis Vincent introduced
prophylaxis; vigilant Glucose control; thor-
the mnemonic "FAST HUG," advocating
ough Skin and Eyecare, along with proper
Daniela Cuellar- for a comprehensive approach to patient
suctioning; management of Indwelling
Mendoza care encompassing seven key components:
catheters; Nasogastric tube maintenance;
Intensive Care Unit Feeding, Analgesia, Sedation, Thrombo-
Hospital General San Juan meticulous Bowel care; Environment opti-
embolic prevention, Head-of-bed eleva-
del Río misation (including temperature control
Querétaro, México. tion to 30-45°, stress Ulcer prophylaxis,
and conducive surroundings for delirium
and Glucose control (Vincent 2005). This
@Daniela90CM management); De-escalation strategies
paradigm shift has had a profound impact
(pertaining to end-of-life decisions and
within the critical care domain, fostering
cessation of unnecessary treatments);
a patient-centred approach that priori-
and comprehensive Psychosocial support
George B. Edgar tises mental well-being, reduces invasive
for patients, families, and staff (Nickson
Sánchez de la Bar- interventions, and promotes judicious
quera 2021). This updated rendition provides a
fluid management.
Anatomy Department more encompassing framework, render-
Faculty of Medicine Subsequently, in 2009, William Vincent ing it a highly practical tool. Within our
UNAM and Kevin Hatton refined the mnemonic medical practices, it has been embraced
Ciudad de México, México
to "FAST HUGS BID", tailoring it for across the spectrum - from the intensive
surgical patients. This expanded version care unit to the emergency department
incorporates additional elements: Fluid and hospital wards.
management, consideration of Spontaneous
Ana Cristina Siller
Serna breathing trials, meticulous Bowel care,
Private Practice timely removal of Indwelling catheters, Administering Care to Critically
Ciudad de México, México and prudent De-escalation of antibiotic Ill Patients with FAST HUGS IN
@anacris_97
use (Vincent and Hatton 2009). BED PLEASE
In a more contemporary context, 2021 We present a revised iteration of the
saw Chris Nickson's contribution through mnemonic, incorporating often over-
the "Life in the Fast Lane" blog, wherein looked aspects:
the mnemonic was further enhanced
Ernesto Deloya- to "FAST HUGS IN BED Please". This F: Feeding
Tomas iteration takes into account the intrica- Conduct a thorough nutritional assess-
Intensive Care Unit
Hospital General San Juan cies of care in the emergency department, ment and provide support as required.
del Río encompassing Fluid therapy and Feeding; Emphasise the importance of adequate
Querétaro, México.
Adequate Analgesia, administration of nourishment, as prolonged fasting can
@E_DeloyaMD Antiemetics, and provision of Diphtheria detrimentally impact outcomes. Even
booster/vaccine; thoughtful Sedation and in surgical scenarios, short fasting is the
consideration of Spontaneous breathing prevailing practice. In the emergency
trials; Thromboprophylaxis measures; department, proactive measures can be
ICU Management & Practice 5 - 2023
2023
ISSUE 5
Patients
and
Families
Bringing Back the Forgotten Puzzle Piece: Family Long-Term Home Ventilation in Children: Facing the
Empowerment in the Care of the Critically Ill Patient, Challenge, M Pons, E Esteban, P Corniero, GD Carrillo,
B Lobo-Valbuena, S Garcia-Manzanedo, AR Alcaraz, FJC Lasaosa
M-M Garcia-Arias, F Gordo
Treating the Whole Human In Intensive Care –
The Internet and the Rise of Artificial Intelligence in Patient-Centred Outcomes in Sepsis, Surgery and
Critical Care Medicine: Opportunities, Threats, and Trauma, LA Belon, J Poole
the Practitioner-Patient Relationship, L Hawryluck,
MJ Douma, PG Brindley Acute Subarachnoid Haemorrhage - An Epidemio-
logical Perspective, E Brogi, L Querci, A Chierega
Administering Care to Critically Ill Patients with
FAST HUGS IN BED PLEASE - Revisited Mnemonic,
E Arriaga-Morales, OR Pérez-Nieto, D Cuellar-Mendoza,
GBE Sánchez de la Barquera, AC Siller-Serna,
E Deloya-Tomas
INTENSIVE CARE I EMERGENCY MEDICINE I ANAESTHESIOLOGY icu-management.org @ICU_Management
, 207 PATIENTS AND FAMILIES
Ernesto Arriaga-
Morales
Emergency Department. Hos-
Administering Care to Critically Ill
Patients with FAST HUGS IN BED
pital San Ángel Inn Sur
Ciudad de México, México.
@Ernesto_AM_MD
PLEASE - Revisited Mnemonic
Orlando R. Pérez-
Nieto
Intensive Care Unit In the ICU, providing better care with less is the holy grail. This mnemonic tries to resume
Hospital General San Juan
del Río
a list of the key interventions for human, evidence-based and patient-centred care.
Querétaro, México.
@OrlandoRPN
Background Tetanus prophylaxis; Head elevation (30°)
for intubated patients; proactive Ulcer
In 2005, Prof Jean-Louis Vincent introduced
prophylaxis; vigilant Glucose control; thor-
the mnemonic "FAST HUG," advocating
ough Skin and Eyecare, along with proper
Daniela Cuellar- for a comprehensive approach to patient
suctioning; management of Indwelling
Mendoza care encompassing seven key components:
catheters; Nasogastric tube maintenance;
Intensive Care Unit Feeding, Analgesia, Sedation, Thrombo-
Hospital General San Juan meticulous Bowel care; Environment opti-
embolic prevention, Head-of-bed eleva-
del Río misation (including temperature control
Querétaro, México. tion to 30-45°, stress Ulcer prophylaxis,
and conducive surroundings for delirium
and Glucose control (Vincent 2005). This
@Daniela90CM management); De-escalation strategies
paradigm shift has had a profound impact
(pertaining to end-of-life decisions and
within the critical care domain, fostering
cessation of unnecessary treatments);
a patient-centred approach that priori-
and comprehensive Psychosocial support
George B. Edgar tises mental well-being, reduces invasive
for patients, families, and staff (Nickson
Sánchez de la Bar- interventions, and promotes judicious
quera 2021). This updated rendition provides a
fluid management.
Anatomy Department more encompassing framework, render-
Faculty of Medicine Subsequently, in 2009, William Vincent ing it a highly practical tool. Within our
UNAM and Kevin Hatton refined the mnemonic medical practices, it has been embraced
Ciudad de México, México
to "FAST HUGS BID", tailoring it for across the spectrum - from the intensive
surgical patients. This expanded version care unit to the emergency department
incorporates additional elements: Fluid and hospital wards.
management, consideration of Spontaneous
Ana Cristina Siller
Serna breathing trials, meticulous Bowel care,
Private Practice timely removal of Indwelling catheters, Administering Care to Critically
Ciudad de México, México and prudent De-escalation of antibiotic Ill Patients with FAST HUGS IN
@anacris_97
use (Vincent and Hatton 2009). BED PLEASE
In a more contemporary context, 2021 We present a revised iteration of the
saw Chris Nickson's contribution through mnemonic, incorporating often over-
the "Life in the Fast Lane" blog, wherein looked aspects:
the mnemonic was further enhanced
Ernesto Deloya- to "FAST HUGS IN BED Please". This F: Feeding
Tomas iteration takes into account the intrica- Conduct a thorough nutritional assess-
Intensive Care Unit
Hospital General San Juan cies of care in the emergency department, ment and provide support as required.
del Río encompassing Fluid therapy and Feeding; Emphasise the importance of adequate
Querétaro, México.
Adequate Analgesia, administration of nourishment, as prolonged fasting can
@E_DeloyaMD Antiemetics, and provision of Diphtheria detrimentally impact outcomes. Even
booster/vaccine; thoughtful Sedation and in surgical scenarios, short fasting is the
consideration of Spontaneous breathing prevailing practice. In the emergency
trials; Thromboprophylaxis measures; department, proactive measures can be
ICU Management & Practice 5 - 2023
