Who Is Safe to Extubate in the Neuroscience Intensive Care Unit?

abstract：:Despite recent advances in understanding, the management of acute respiratory distress syndrome (ARDS) remains a challenging clinical problem. Optimization of gas exchange and preventing the iatrogenic propagation of lung injury are cornerstones of its clinical management. A number of novel approaches and adjuncts to ...

journal_title：Seminars in respiratory and critical care medicine

authors： Kress JP,Marini JJ

更新日期：2001-06-01 00:00:00

abstract：:Pulmonary veno-occlusive disease (PVOD) is a rare disorder and can be misdiagnosed as idiopathic pulmonary arterial hypertension (iPAH). PVOD and iPAH often share a similar clinical presentation, genetic background, and hemodynamic profile. PVOD accounts for 5 to 10% of cases initially considered as iPAH. When compare...

journal_title：Seminars in respiratory and critical care medicine

authors： Montani D,Kemp K,Dorfmuller P,Sitbon O,Simonneau G,Humbert M

更新日期：2009-08-01 00:00:00

abstract：:A significant number of drugs and toxins have been associated with eosinophilic pneumonia. Antibiotics and NSAID, are the most commonly reported drugs. Toxins suspected to cause eosinophilic pneumonia include cigarette smoke and illicit drugs. Drug- or toxin-induced eosinophilic pneumonia is indistinguishable from idi...

journal_title：Seminars in respiratory and critical care medicine

authors： Solomon J,Schwarz M

更新日期：2006-04-01 00:00:00

abstract：:Asthma is a heterogeneous disorder with a complex etiology. Prevalence rates for asthma have been increasing in many countries over the past few decades. While it is unclear why this increase is occurring, the variation reported in asthma prevalence and severity associated with ethnicity offers some insight into the d...

journal_title：Seminars in respiratory and critical care medicine

authors： Moraes TJ,Sears MR,Subbarao P

更新日期：2018-02-01 00:00:00

abstract：:Patients with severe infections are often treated with multiple courses of antibiotics in the intensive care unit (ICU), making the ICU a true antibiotic hotspot. The increasing incidence of multidrug resistance worldwide emphasizes the need for continued efforts in developing and implementing antibiotic stewardship p...

journal_title：Seminars in respiratory and critical care medicine

authors： Fierens J,Depuydt PO,De Waele JJ

更新日期：2019-08-01 00:00:00

abstract：:Bleeding from gastroesophageal varices is a frequent complication of cirrhosis. Mortality from a variceal bleeding episode has decreased in the last 2 decades from 40% to 15 to 20% due to the implementation of effective treatments and improvement in the general medical care. Initial treatment should include adequate f...

journal_title：Seminars in respiratory and critical care medicine

authors： García-Pagán JC,Reverter E,Abraldes JG,Bosch J

更新日期：2012-02-01 00:00:00

abstract：:Shock is a broad category of injury to the human body caused by a variety of insults. Fluid resuscitation is the cornerstone of initial therapy for nearly all forms of shock. This article reviews the basic physiology determining body fluid composition, the goals of fluid resuscitation in shock, the types of fluids ava...

journal_title：Seminars in respiratory and critical care medicine

authors： Martin GS,Lewis CA

更新日期：2004-12-01 00:00:00

abstract：:The median age of presentation with lung cancer is 71, making the elderly the dominant subgroup. Although some elderly patients are frail, others have great physiological reserve. Geriatric assessment can clarify the specific strengths and weaknesses of older patients, improving management. This assessment should, at ...

journal_title：Seminars in respiratory and critical care medicine

authors： Weiss J,Langer C

更新日期：2013-12-01 00:00:00

abstract：:Lung cancer is the leading cause of cancer death in the world. However, there is large geographic variation internationally and within nations. Despite the fact that many causes of lung cancer have been established, cigarette smoking is the principal cause. Accounting for historical prevalence of cigarette smoking is ...

journal_title：Seminars in respiratory and critical care medicine

authors： Alberg AJ,Nonemaker J

更新日期：2008-06-01 00:00:00

abstract：:Evaluation of a patient with hypoventilation requires a combination of clinical history, physical examination, pulmonary function testing, and chest radiography to help determine the cause. Specialized testing such as measurement of respiratory muscle strength and assessment of ventilatory control may also be needed. ...

journal_title：Seminars in respiratory and critical care medicine

authors： Berry RB,Sriram P

更新日期：2009-06-01 00:00:00

abstract：:Venous thromboembolism (VTE) is a frequent complication in surgical patients, with the potential for long-term disability or fatal outcome. The rationale behind routine use of thromboprophylaxis can be summarized in three points: (1) VTE is frequent in certain surgical populations, (2) VTE may be fatal, (3) thrombopro...

journal_title：Seminars in respiratory and critical care medicine

authors： Petralia GA,Kakkar AK

更新日期：2008-02-01 00:00:00

abstract：:Lung transplantation is a therapeutic option for patients with end stage lung diseases, but long-term survival remains poor, primarily due to chronic allograft rejection. Bronchiolitis obliterans (BO), a fibrotic process resulting in progressive narrowing of bronchiolar lumens and airflow obstruction, is a manifestati...

journal_title：Seminars in respiratory and critical care medicine

authors： Belperio JA,Lake K,Tazelaar H,Keane MP,Strieter RM,Lynch JP 3rd

更新日期：2003-10-01 00:00:00

abstract：:Assisted mechanical ventilation (MV) may be a favorable alternative to controlled MV at the early phase of acute respiratory distress syndrome (ARDS), since it requires less sedation, no paralysis and is associated with less hemodynamic deterioration, better distal organ perfusion, and lung protection, thus reducing t...

journal_title：Seminars in respiratory and critical care medicine

authors： Saddy F,Sutherasan Y,Rocco PR,Pelosi P

更新日期：2014-08-01 00:00:00

abstract：:Patients with cystic fibrosis (CF) exhibit significant variability in the course and severity of the disease, and this variability is best interpreted in the context of an interaction between genetic and nongenetic determinants. While a small number of patients with "mild" mutations in the CF transmembrane conductance...

journal_title：Seminars in respiratory and critical care medicine

authors： Schechter MS

更新日期：2003-12-01 00:00:00

abstract：:Sarcoidosis is a granulomatous disease of unknown etiology that involves the lungs or intrathoracic lymph nodes in more than 90% of patients. The clinical spectrum of sarcoidosis is protean, but pulmonary manifestations often dominate. Chest radiographs are abnormal in 90 to 95% of patients with sarcoidosis; the most ...

journal_title：Seminars in respiratory and critical care medicine

authors： Lynch JP 3rd

更新日期：2003-08-01 00:00:00

abstract：:Multiorgan dysfunction syndrome represents a continuum of cumulative organ dysfunction from very mildly altered function to total and, rarely, irreversible organ failure and is the major cause of death in the intensive care unit (ICU). The terms multiple organ failure syndrome (MOFS), multiple organ system failure (MO...

journal_title：Seminars in respiratory and critical care medicine

authors： Ferreira AM,Sakr Y

更新日期：2011-10-01 00:00:00

abstract：:This review summarizes the effects of beta2-agonists on asthma severity. There has been a controversy as to whether the regularly scheduled use of beta2-adrenergic agonists increases the risk of adverse outcomes in asthma. A number of epidemiological and clinical studies have found an association between the regularly...

journal_title：Seminars in respiratory and critical care medicine

authors： Ford JG,Iqbal J,Sunmonu Y

更新日期：2002-08-01 00:00:00

abstract：:In endemic areas, dimorphic fungal infections due to Histoplasma capsulatum, Blastomyces dermatitidis, and Coccidioides posadasii/immitis account for up to 30% of cases of community-acquired pneumonia. Because respiratory manifestations are often indistinguishable from common bacterial causes of pneumonia, the diagnos...

journal_title：Seminars in respiratory and critical care medicine

authors： Azar MM,Malo J,Hage CA

更新日期：2020-08-01 00:00:00

abstract：:The evolution of scientific investigation in acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) is replete with examples of effective bench-to-bedside transitions, pioneering research methodology, and international collaboration. This article highlights for clinicians a selection of challenges and ...

journal_title：Seminars in respiratory and critical care medicine

authors： Meade MO,Lamontagne F

更新日期：2013-08-01 00:00:00

abstract：:Mortality from the adult respiratory distress syndrome (ARDS) and the infant respiratory distress syndrome remains high despite numerous interventions and modalities. Perfluorocarbons (PFC) are inert liquids that can dissolve large amounts of oxygen and carbon dioxide and can be used as respiratory media. Partial liqu...

journal_title：Seminars in respiratory and critical care medicine

authors： Hadjiliadis D

更新日期：2000-01-01 00:00:00

abstract：:Critically ill intensive care unit (ICU) patients often require sedation to tolerate life-saving interventions such as mechanical ventilation. Pain, anxiety, and delirium all contribute to patient distress and agitation which can interfere with ICU medical care if not addressed and treated appropriately. Sedation prac...

journal_title：Seminars in respiratory and critical care medicine

authors： DeBiasi EM,Akgün KM,Pisani M

更新日期：2015-12-01 00:00:00

abstract：:Invasive candidiasis (IC) is the most frequent health care associated invasive fungal infection. It is also associated with high morbidity, mortality, and cost. The most frequent etiologic agent is Candida albicans, but non-albicans species are increasing and associated with reduced antifungal susceptibility and outbr...

journal_title：Seminars in respiratory and critical care medicine

authors： Gonzalez-Lara MF,Ostrosky-Zeichner L

更新日期：2020-02-01 00:00:00

abstract：:The diaphragm is the most important muscle of ventilation. Its contraction is key to the development of intrathoracic pressures. Diseases that affect diaphragmatic function result in decreased pressure-generating capacity by the respiratory muscles. If the involvement is severe or if there is underlying respiratory pa...

journal_title：Seminars in respiratory and critical care medicine

authors： Celli BR

更新日期：2002-06-01 00:00:00

abstract：:Daily oral care with chlorhexidine for mechanically ventilated patients is ubiquitous in contemporary intensive care practice. The practice is predicated upon meta-analyses suggesting that adding chlorhexidine to daily oral care regimens can reduce ventilator-associated pneumonia (VAP) rates by up to 40%. Close analys...

journal_title：Seminars in respiratory and critical care medicine

authors： Klompas M

更新日期：2017-06-01 00:00:00

abstract：:Hyperoxia, or excess oxygen supplementation, prevails in the intensive care unit (ICU) without a beneficial effect and, in some instances, may cause harm. Recent interest and surge in clinical studies in mechanically ventilated critically ill patients has brought this to the attention of clinicians and researchers. Hy...

journal_title：Seminars in respiratory and critical care medicine

authors： Pannu SR

更新日期：2016-02-01 00:00:00

abstract：:In the past 5 years, there has arguably been a shift in the pathologic diagnosis of lung cancer, especially adenocarcinoma, moving toward a more patient-centered approach to reporting that works to incorporate information that may be clinically meaningful to prognosis and impactful to clinical management strategy. As ...

journal_title：Seminars in respiratory and critical care medicine

authors： Konopka KE

更新日期：2016-10-01 00:00:00

abstract：:Healthcare-associated pneumonia (HCAP) represents one of the largest subsets of patients with pneumonia. Based on epidemiological projections for the aging U.S. population, the number of hospitalizations for HCAP is expected to increase exponentially for the next several decades. The unique risk factors for colonizati...

journal_title：Seminars in respiratory and critical care medicine

authors： Morrow LE

更新日期：2009-02-01 00:00:00

abstract：:Lung-protective ventilator strategies are considered standard practice in the care of patients with the acute respiratory distress syndrome (ARDS). To minimize ventilator-induced lung injury, attention is directed at avoidance of alveolar overdistention and cyclical opening and closing. The lowest possible plateau pre...

journal_title：Seminars in respiratory and critical care medicine

authors： Hess DR

更新日期：2014-08-01 00:00:00

abstract：:The sleep of intensive care unit (ICU) patients is remarkably disrupted. Several studies, employing both subjective and objective measures of sleep quality, have demonstrated that critically ill patients exhibit severe sleep fragmentation and reduced restorative sleep, particularly a suppression of rapid eye movement ...

journal_title：Seminars in respiratory and critical care medicine

authors： Cooper AB,Gabor JY,Hanly PJ

更新日期：2001-01-01 00:00:00

abstract：:Antimicrobial resistance has generally increased over the past 5 decades, with occasional brief respites following the introduction of new antimicrobial classes. Resistance has been driven by bacterial genetic events, antibiotic pressures, and lapses in hospital hygiene. Recently promoted solutions to the problem of h...

journal_title：Seminars in respiratory and critical care medicine

authors： Weinstein RA

更新日期：2003-02-01 00:00:00