Susceptibility to critical illness: reserve, response and therapy.

Abstract:

:Risk of critical illness is determined both by genetic and environmental influences, particularly those relating to infectious and cardiovascular diseases. Physiologically-based scoring systems cannot measure prior risk because they do not quantify physiological reserve independently of the acute illness. Genetic profiling could be useful for risk assessment. Early detection of critical illness involves identifying physiological 'triggers' for referral; this requires the education of nursing and medical staff in their significance. Analysis of the relationship between risk factors and interventions may need complex modelling techniques. Therapeutic strategies depend on the nature of the underlying problem: the most useful are likely to be those which enhance tissue oxygen delivery and resistance to infection.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Bion JF

doi

10.1007/s001340051120

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

S57-63

eissn

0342-4642

issn

1432-1238

journal_volume

26 Suppl 1

pub_type

杂志文章,评审
  • Research priorities in critical care medicine in the UK.

    abstract:OBJECTIVES:To establish priorities for research in critical care medicine in the UK using survey and nominal group (NG) techniques. DESIGN:The senior doctor and nurse from 325 intensive care units (ICUs) in the UK were invited to contribute up to ten research questions relevant to intensive care organisation, practice...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340000628

    authors: Goldfrad C,Vella K,Bion JF,Rowan KM,Black NA

    更新日期:2000-10-01 00:00:00

  • Ethical assessment of pediatric research protocols.

    abstract::Specific regulations regarding oversight of research in children vary from country to country, but most share common principles derived from major consensus documents. Whereas the permissibility of research on adults depends heavily upon the informed consent of the subject, the regulation of research in pediatrics is ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-007-0917-3

    authors: Truog RD

    更新日期:2008-01-01 00:00:00

  • An unusual case of non-traumatic pneumococcal mediastinal abscess.

    abstract::A 16-month old baby developed severe respiratory failure because of acute laryngitis and required mechanical ventilation. Intubation was complicated by aspiration and development of chemical pneumonia. Following 4 days of treatment the child was successfully extubated. Thirty six hours after extubation the patient aga...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00256065

    authors: Lotan C,Boneh A,Tamir I,Goitein KJ

    更新日期:1985-01-01 00:00:00

  • Early and late onset bacteremia have different risk factors in trauma patients.

    abstract:OBJECTIVE:The aim of this study was to identify risk factors and to describe epidemiological patterns for early-(EOB) and late-onset bacteremias (LOB) after trauma. DESIGN:A prospective study conducted on 141 consecutive trauma patients. SETTING:A general intensive care unit (ICU) of a university hospital. PATIENTS:...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01709514

    authors: Antonelli M,Moro ML,D'Errico RR,Conti G,Bufi M,Gasparetto A

    更新日期:1996-08-01 00:00:00

  • Reproducibility of the respiratory dead space measurements in mechanically ventilated children using the CO2SMO monitor.

    abstract:OBJECTIVES:To assess the reproducibility of respiratory dead space measurements in ventilated children. DESIGN:Prospective study. SETTING:University pediatric intensive care unit. PATIENTS:Thirty-two mechanically ventilated children (0.13-15.4 years) who were clinically stable. METHODS:The single-breath CO(2) test ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2288-3

    authors: Riou Y,Leclerc F,Neve V,Dupuy L,Noizet O,Leteurtre S,Sadik A

    更新日期:2004-07-01 00:00:00

  • Respiratory compliance and resistance in mechanically ventilated patients with acute respiratory failure.

    abstract::The purpose of this study was noninvasive assessment of respiratory compliance and resistance in mechanically ventilated patients with acute respiratory failure (ARF). To this end, flow, change in lung volume, and airway pressure were measured at the proximal tip of the endotracheal tubes in twenty nine critically ill...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00263528

    authors: Bernasconi M,Ploysongsang Y,Gottfried SB,Milic-Emili J,Rossi A

    更新日期:1988-01-01 00:00:00

  • Independent lung ventilation in patients with unilateral pulmonary contusion. Monitoring with compliance and EtCO(2).

    abstract:OBJECTIVE:a) to describe a non-barotraumatic ventilatory setting for independent lung ventilation (ILV); b) to determine the utility of single lung end-tidal CO(2) (EtCO(2)) monitoring to evaluate the ventilation to perfusion (V/Q) matching in each lung during ILV and for ILV weaning. DESIGN:prospective study. SETTIN...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00134-001-1149-6

    authors: Cinnella G,Dambrosio M,Brienza N,Giuliani R,Bruno F,Fiore T,Brienza A

    更新日期:2001-12-01 00:00:00

  • Intensive care management of children following heart and heart-lung transplantation.

    abstract::We report the intensive care management of 23 children (age 3-15 years) following orthotopic heart (HT) and combined heart and lung transplantation (HLT) performed at our 2 institutes between February 1985 and August 1989. Cyclosporin A, azathioprine and steroids were given as routine immunosuppression, whilst anti-th...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01711219

    authors: Whitehead B,James I,Helms P,Scott JP,Smyth R,Higenbottam TW,McGoldrick J,English TA,Wallwork J,Elliott M

    更新日期:1990-01-01 00:00:00

  • Transcranial Doppler ultrasound goal-directed therapy for the early management of severe traumatic brain injury.

    abstract:OBJECTIVE:To evaluate the usefulness of early transcranial Doppler ultrasound (TCD) goal-directed therapy after severe traumatic brain injury initiated before invasive cerebral monitoring is available. DESIGN:Prospective, observational clinical study. SETTING:Surgical intensive care unit, university hospital. PATIEN...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-007-0558-6

    authors: Ract C,Le Moigno S,Bruder N,Vigué B

    更新日期:2007-04-01 00:00:00

  • High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study.

    abstract:PURPOSE:Little evidence of increased thrombotic risk is available in COVID-19 patients. Our purpose was to assess thrombotic risk in severe forms of SARS-CoV-2 infection. METHODS:All patients referred to 4 intensive care units (ICUs) from two centers of a French tertiary hospital for acute respiratory distress syndrom...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00134-020-06062-x

    authors: Helms J,Tacquard C,Severac F,Leonard-Lorant I,Ohana M,Delabranche X,Merdji H,Clere-Jehl R,Schenck M,Fagot Gandet F,Fafi-Kremer S,Castelain V,Schneider F,Grunebaum L,Anglés-Cano E,Sattler L,Mertes PM,Meziani F,CRICS TR

    更新日期:2020-06-01 00:00:00

  • Sonoclot signature during normal pregnancy.

    abstract:OBJECTIVE:The Sonoclot analyser provides global measurement of haemostasis, including plasma coagulation, platelet function and fibrinolysis. Benefits of its use in cardiovascular and hepatic surgery are well-documented and it may be useful in managing obstetric complications. The aim of this study was to determine ran...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340050047

    authors: Kjellberg U,Hellgren M

    更新日期:2000-02-01 00:00:00

  • Chronic antiplatelet therapy is not associated with alterations in the presentation, outcome, or host response biomarkers during sepsis: a propensity-matched analysis.

    abstract:PURPOSE:Sepsis is a major health burden worldwide. Preclinical investigations in animals and retrospective studies in patients have suggested that inhibition of platelets may improve the outcome of sepsis. In this study we investigated whether chronic antiplatelet therapy impacts on the presentation and outcome of seps...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-015-4171-9

    authors: Wiewel MA,de Stoppelaar SF,van Vught LA,Frencken JF,Hoogendijk AJ,Klein Klouwenberg PMC,Horn J,Bonten MJ,Zwinderman AH,Cremer OL,Schultz MJ,van der Poll T,MARS Consortium.

    更新日期:2016-03-01 00:00:00

  • Torsade de pointes as a complication of brainstem encephalitis.

    abstract::A case of brainstem encephalitis complicated by torsade de pointes is described. The possible occurrence of ventricular arrhythmias may contribute to the mortality in this condition. We recommend the admission of patients with brainstem encephalitis to an intensive care unit, for a period of electrocardiographic monit...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00263564

    authors: De Keyser J,De Boel S,Ceulemans L,Ebinger G

    更新日期:1987-01-01 00:00:00

  • Influence of antipseudomonal agents on Pseudomonas aeruginosa colonization and acquisition of resistance in critically ill medical patients.

    abstract:OBJECTIVE:To assess the role of antipseudomonal agents on Pseudomonas aeruginosa colonization and acquisition of resistance. DESIGN:Prospective cohort study. SETTING:Two medical intensive care units. PATIENTS AND PARTICIPANTS:346 patients admitted for >or= 48 h. INTERVENTION:Analysis of data from an 8-month study c...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1326-y

    authors: Martínez JA,Delgado E,Martí S,Marco F,Vila J,Mensa J,Torres A,Codina C,Trilla A,Soriano A,Alquezar A,Castro P,Nicolás JM

    更新日期:2009-03-01 00:00:00

  • Serum procalcitonin levels in critically ill patients colonized with Candida spp: new clues for the early recognition of invasive candidiasis?

    abstract:OBJECTIVE:Invasive candidiasis (IC) outcomes in intensive care units (ICUs) could be improved by the early administration of antifungals. The Candida Score (CS) prediction rule has been proposed for the selection of patients who could develop IC. Procalcitonin (PCT) levels allow prompt identification of sepsis, but the...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-009-1623-0

    authors: Charles PE,Castro C,Ruiz-Santana S,León C,Saavedra P,Martín E

    更新日期:2009-12-01 00:00:00

  • Influence of cardiac output on thermal-dye extravascular lung water (EVLW) in cardiac patients.

    abstract::The influence of varying cardiac output (CO) on thermal-dye extravascular lung water (EVLW) was investigated in a total of 40 cardiac surgery patients before the onset of the operation. EVLW was measured by means of the double indicator dilution technique with indocyanine green as the non-diffusible indicator and a mi...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00255785

    authors: Boldt J,Kling D,von Bormann B,Scheld HH,Hempelmann G

    更新日期:1987-01-01 00:00:00

  • Inhaled nitric oxide (NO) for the treatment of early allograft failure after lung transplantation. Munich Lung Transplant Group.

    abstract:OBJECTIVE:Inhalation of high concentrations of nitric oxide (NO) has been shown to improve gas exchange and to reduce pulmonary vascular resistance in individuals with ischemia-reperfusion injury following orthotopic lung transplantation. We assessed the cardiopulmonary effects of low doses of NO in early allograft dys...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s001340050741

    authors: Kemming GI,Merkel MJ,Schallerer A,Habler OP,Kleen MS,Haller M,Briegel J,Vogelmeier C,Fürst H,Reichart B,Zwissler B

    更新日期:1998-11-01 00:00:00

  • The relationship between oxygen demand, oxygen uptake, and oxygen supply.

    abstract::Results of the relationships between oxygen supply, demand, and uptake can be used to interpret cardiac output values, identify types of acute circulatory failure, guide attempts to improve cellular function, and thus prevent the development of multiple organ failure and death. Five steps in the interpretation of card...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01785244

    authors: Vincent JL

    更新日期:1990-01-01 00:00:00

  • The endothelium: physiological functions and role in microcirculatory failure during severe sepsis.

    abstract::The endothelium is a highly dynamic cell layer that is involved in a multitude of physiological functions, including the control of vascular tone, the movement of cells and nutrients, the maintenance of blood fluidity and the growth of new vessels. During severe sepsis, the endothelium becomes proadhesive, procoagulan...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-010-1893-6

    authors: Ait-Oufella H,Maury E,Lehoux S,Guidet B,Offenstadt G

    更新日期:2010-08-01 00:00:00

  • Is research from databases reliable? Not sure.

    abstract:: ...

    journal_title:Intensive care medicine

    pub_type: 评论,社论

    doi:10.1007/s00134-018-5498-9

    authors: Varkila MRJ,Cremer OL

    更新日期:2019-01-01 00:00:00

  • The Crystalloid versus Hydroxyethyl Starch Trial: protocol for a multi-centre randomised controlled trial of fluid resuscitation with 6% hydroxyethyl starch (130/0.4) compared to 0.9% sodium chloride (saline) in intensive care patients on mortality.

    abstract:PURPOSE:The intravenous fluid 6% hydroxyethyl starch (130/0.4) (6% HES 130/0.4) is used widely for resuscitation but there is limited information on its efficacy and safety. A large-scale multi-centre randomised controlled trial (CHEST) in critically ill patients is currently underway comparing fluid resuscitation with...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00134-010-2117-9

    authors: Crystalloid versus Hydroxyethyl Starch Trial (CHEST) Management Committee.

    更新日期:2011-05-01 00:00:00

  • Rescue treatment for noninvasive ventilation failure due to interface intolerance with remifentanil analgosedation: a pilot study.

    abstract:PURPOSE:To assess the feasibility of remifentanil-based sedation in hypoxemic acute respiratory failure (HARF) patients refusing to continue noninvasive ventilation (NPPV) for intolerance to two different interfaces-helmet and total face mask. DESIGN AND SETTING:Prospective uncontrolled clinical investigation in a 14-...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00134-010-2026-y

    authors: Rocco M,Conti G,Alessandri E,Morelli A,Spadetta G,Laderchi A,Di Santo C,Francavilla S,Pietropaoli P

    更新日期:2010-12-01 00:00:00

  • Infusion pump performance with vertical displacement: effect of syringe pump and assembly type.

    abstract:OBJECTIVE:To evaluate the effect of different infusion pump models on continuity of drug delivery during vertical displacement of syringe pumps. DESIGN:Zero-drug delivery time (ZDDT), retrograde aspiration volume, and infusion bolus were recorded using the same syringe in three different models of syringe pump after l...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340000784

    authors: Neff TA,Fischer JE,Schulz G,Baenziger O,Weiss M

    更新日期:2001-01-01 00:00:00

  • Comparison of electrocardiograms recorded with standard leads and derived from the vectorcardiographic frank leads in high risk patients.

    abstract::Dynamic vectorcardiography (VCG) is increasingly employed for ischaemia monitoring with the use of a computerized method for recording and on-line analysis by the calculation of trend parameters. To elucidate how well the derived electrocardiogram (dECG), calculated from the VCG, compares with the simultaneously regis...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s001340050455

    authors: Gannedahl PE,Ljungqvist OH,Lundin P,Edner M

    更新日期:1997-10-01 00:00:00

  • A multi-faceted strategy to reduce ventilation-associated mortality in brain-injured patients. The BI-VILI project: a nationwide quality improvement project.

    abstract:PURPOSE:We assessed outcomes in brain-injured patients after implementation of a multi-faceted approach to reduce respiratory complications in intensive care units. METHODS:Prospective nationwide before-after trial. Consecutive adults with acute brain injury requiring mechanical ventilation for ≥24 h in 20 French inte...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00134-017-4764-6

    authors: Asehnoune K,Mrozek S,Perrigault PF,Seguin P,Dahyot-Fizelier C,Lasocki S,Pujol A,Martin M,Chabanne R,Muller L,Hanouz JL,Hammad E,Rozec B,Kerforne T,Ichai C,Cinotti R,Geeraerts T,Elaroussi D,Pelosi P,Jaber S,Dalicha

    更新日期:2017-07-01 00:00:00

  • Disseminated zygomycosis and systemic lupus erythematosus.

    abstract::A young woman with long-standing systemic lupus erythematosus and rheumatic fever presented with deteriorating renal function. She had severe gastritis treated with cimetidine and received methylprednisolone when her blood cultures were repeatedly negative. She developed spontaneous bruising and bleeding from venepunc...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01724803

    authors: Bloxham CA,Carr S,Ryan DW,Kesteven PJ,Bexton RS,Griffiths ID,Richards J

    更新日期:1990-01-01 00:00:00

  • Genetic variants in the angiopoietin-2 gene are associated with increased risk of ARDS.

    abstract:OBJECTIVE:Angiopoietin-2 (Ang-2) is a potent regulator of vascular permeability and inflammation in acute lung injury and acute respiratory distress syndrome (ARDS). Genetic variants in the Ang-2 gene may lead to altered activities of Ang-2 (or ANGPT2) gene. The aim of this study was to assess if genetic variants of An...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-009-1413-8

    authors: Su L,Zhai R,Sheu CC,Gallagher DC,Gong MN,Tejera P,Thompson BT,Christiani DC

    更新日期:2009-06-01 00:00:00

  • Cognitive and perceived health status in patient with chronic obstructive pulmonary disease surviving acute on chronic respiratory failure: a controlled study.

    abstract:OBJECTIVE:To evaluate the perceived health and cognitive status in survivors of chronic obstructive pulmonary disease (COPD) exacerbations requiring mechanical ventilation. DESIGN AND SETTING:Prospective controlled cohort study in a respiratory intermediate intensive care unit. PATIENTS:Sixty-three COPD patients at t...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00134-001-1165-6

    authors: Ambrosino N,Bruletti G,Scala V,Porta R,Vitacca M

    更新日期:2002-02-01 00:00:00

  • Effects of levosimendan and dobutamine in experimental acute endotoxemia: a preliminary controlled study.

    abstract:OBJECTIVE:To test the hypothesis that levosimendan increases systemic and intestinal oxygen delivery (DO(2)) and prevents intramucosal acidosis in septic shock. DESIGN:Prospective, controlled experimental study. SETTING:University-based research laboratory. SUBJECTS:Nineteen anesthetized, mechanically ventilated she...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-006-0519-5

    authors: Dubin A,Murias G,Sottile JP,Pozo MO,Barán M,Edul VS,Canales HS,Etcheverry G,Maskin B,Estenssoro E

    更新日期:2007-03-01 00:00:00

  • Significance of electrical brain activity in brain-stem death.

    abstract::A 46-year-old man was diagnosed clinically brain dead after sustaining head trauma. The patient was in deep coma, brain nerves were unresponsive and spontaneous breathing was absent. However, EEG showed well preserved activity, but no reactivity to external stimuli. EEG activity disappeared within 40 h. BAEP were high...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF02425159

    authors: Kaukinen S,Mäkelä K,Häkkinen VK,Martikainen K

    更新日期:1995-01-01 00:00:00