Acute adrenal insufficiency resulting from adrenal hemorrhage as indicated by post-operative hypotension.

Abstract:

:We examined the incidence, diagnosis and therapy of acute adrenal insufficiency, secondary to adrenal hemorrhage. This insufficiency resulted in temperature irregularities. hemodynamic instability, and a large volume resuscitation requirement post-operatively. The case illustrates that a high level of suspicion should be maintained in a clinical scenario that mimics sepsis or myocardial insufficiency in the intensive care unit.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Szalados JE,Vukmir RB

doi

10.1007/BF01704704

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

216-8

issue

3

eissn

0342-4642

issn

1432-1238

journal_volume

20

pub_type

杂志文章
  • Vasopressor therapy in critically ill patients with shock.

    abstract:BACKGROUND:Vasopressors are administered to critically ill patients with vasodilatory shock not responsive to volume resuscitation, and less often in cardiogenic shock, and hypovolemic shock. OBJECTIVES:The objectives are to review safety and efficacy of vasopressors, pathophysiology, agents that decrease vasopressor ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-019-05801-z

    authors: Russell JA

    更新日期:2019-11-01 00:00:00

  • Base deficit in immediate postoperative period of coronary surgery with cardiopulmonary bypass and length of stay in intensive care unit.

    abstract:OBJECTIVE:To assess the relationship between the base deficit value in the immediate postoperative period of coronary surgery for cardiopulmonary bypass and the length of stay in the ICU. DESIGN AND SETTING:Prospective descriptive study in the department of anesthesia and cardiovascular surgery of a university hospita...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-002-1587-9

    authors: Hugot P,Sicsic JC,Schaffuser A,Sellin M,Corbineau H,Chaperon J,Ecoffey C

    更新日期:2003-02-01 00:00:00

  • The epidemiology of infections in intensive care units.

    abstract::This report identifies some of the risk factors underlying the acquisition of hospital infections in patients admitted to Intensive Care Units (ICUs). Infection rates vary in different institutes and in different types of ICUs. Patients are particularly prone to septicaemia and respiratory infections and the underlyin...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01709700

    authors: Emmerson AM

    更新日期:1990-01-01 00:00:00

  • Relationships between markers of neurologic and endothelial injury during critical illness and long-term cognitive impairment and disability.

    abstract:PURPOSE:Neurologic and endothelial injury biomarkers are associated with prolonged delirium during critical illness and may reflect injury pathways that lead to poor long-term outcomes. We hypothesized that blood-brain barrier (BBB), neuronal, and endothelial injury biomarkers measured during critical illness are assoc...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-018-5120-1

    authors: Hughes CG,Patel MB,Brummel NE,Thompson JL,McNeil JB,Pandharipande PP,Jackson JC,Chandrasekhar R,Ware LB,Ely EW,Girard TD

    更新日期:2018-03-01 00:00:00

  • The relationship between methodological trial quality and the effects of impregnated central venous catheters.

    abstract:OBJECTIVE:We assessed the methodological trial quality of individual randomized controlled studies on chlorhexidine silver sulfadiazine impregnated catheters and the effect on catheter-related infection (CRI). DESIGN:Only the studies identified in the Medline database from 1966 to December 2001 were considered, abstra...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00134-003-1646-x

    authors: Geffers C,Zuschneid I,Eckmanns T,Rüden H,Gastmeier P

    更新日期:2003-03-01 00:00:00

  • Influenza vaccination and 1-year risk of myocardial infarction, stroke, heart failure, pneumonia, and mortality among intensive care unit survivors aged 65 years or older: a nationwide population-based cohort study.

    abstract:PURPOSE:We examined whether influenza vaccination affects 1-year risk of myocardial infarction, stroke, heart failure, pneumonia, and death among intensive care unit (ICU) survivors aged ≥ 65 years. METHODS:Danish Intensive Care Database data on all elderly ( ≥ 65 years) patients hospitalized in Danish ICUs in the per...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-019-05648-4

    authors: Christiansen CF,Thomsen RW,Schmidt M,Pedersen L,Sørensen HT

    更新日期:2019-07-01 00:00:00

  • Regional tidal ventilation and compliance during a stepwise vital capacity manoeuvre.

    abstract:PURPOSE:To determine whether, during mechanical ventilation, an optimal positive end-expiratory pressure (PEEP) can be identified by measurement of regional tidal volume and compliance [V (T(reg)), C (RS(reg))]. METHODS:Sixteen anaesthetized intubated neonatal piglets underwent a stepwise vital capacity manoeuvre perf...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-010-1995-1

    authors: Dargaville PA,Rimensberger PC,Frerichs I

    更新日期:2010-11-01 00:00:00

  • The direct measurement of plasma colloid osmotic pressure is superior to colloid osmotic pressure derived from albumin or total protein.

    abstract::Plasma colloid osmotic pressure (COP) has been calculated from both serum albumin concentration and plasma total protein concentration. These values have been compared to those measured directly using a membrane-transducer oncometer in a group of normal subjects, in a group of critically-ill patients with a variety of...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00254796

    authors: Barclay SA,Bennett D

    更新日期:1987-01-01 00:00:00

  • Obesity in the critically ill: a narrative review.

    abstract::The World Health Organization defines overweight and obesity as the condition where excess or abnormal fat accumulation increases risks to health. The prevalence of obesity is increasing worldwide and is around 20% in ICU patients. Adipose tissue is highly metabolically active, and especially visceral adipose tissue h...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-019-05594-1

    authors: Schetz M,De Jong A,Deane AM,Druml W,Hemelaar P,Pelosi P,Pickkers P,Reintam-Blaser A,Roberts J,Sakr Y,Jaber S

    更新日期:2019-06-01 00:00:00

  • Oxidative parameters and mortality in sepsis induced by cecal ligation and perforation.

    abstract:OBJECTIVE:This study assessed parameters of free radical damage to biomolecules, mitochondrial superoxide production, superoxide dismutase, and catalase activities and their relationship to sepsis mortality. DESIGN AND SETTING:Prospective animal study in a university laboratory for experimental. SUBJECTS:140 male Wis...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1789-9

    authors: Ritter C,Andrades M,Frota Júnior ML,Bonatto F,Pinho RA,Polydoro M,Klamt F,Pinheiro CT,Menna-Barreto SS,Moreira JC,Dal-Pizzol F

    更新日期:2003-10-01 00:00:00

  • Combined effects of NO inhalation and intravenous PGF2 alpha on pulmonary circulation and gas exchange in an ovine ARDS model.

    abstract:OBJECTIVES:Inhalation of nitric oxide (NO) selectively dilates pulmonary vessels in well-ventilated regions. Prostaglandin F2 alpha (PGF2 alpha) is a vasoconstrictor and is reported to enhance hypoxic pulmonary vasoconstriction. The objective of this study was to examine whether the combination of intravenous PGF2 alph...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01709742

    authors: Kobayashi H,Tanaka N,Winkler M,Zapol WM

    更新日期:1996-07-01 00:00:00

  • The impact of early goal-directed fluid management on survival in an experimental model of severe acute pancreatitis.

    abstract:PURPOSE:Severe acute pancreatitis (SAP) remains a life-threatening disease with classic etiology of systemic inflammatory response and mortality between 30 and 50 %. The aim of the present study is to compare two different treatment strategies of goal-directed hemodynamic management and evaluate their impact on surviva...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2775-x

    authors: Trepte CJ,Bachmann KA,Stork JH,Friedheim TJ,Hinsch A,Goepfert MS,Mann O,Izbicki JR,Goetz AE,Reuter DA

    更新日期:2013-04-01 00:00:00

  • Effect of ventilation with positive end-expiratory pressure on the development of lung damage in experimental acid aspiration pneumonia in the rabbit.

    abstract::Sixteen anaesthetized rabbits were subjected to tracheostomy and lung damage produced by the instillation of 4.5 ml/kg hydrochloric acid (pH 1.5) into the trachea. Half of the animals were ventilated with a positive end-expiratory pressure (PEEP) of 3 cmH2O and half with a PEEP of 10 cmH2O for 5 h, the mean airway pre...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01705044

    authors: Sohma A,Brampton WJ,Dunnill MS,Sykes MK

    更新日期:1992-01-01 00:00:00

  • Airway occlusion pressure at 0.1 s (P0.1) after extubation: an early indicator of postextubation hypercapnic respiratory insufficiency.

    abstract:OBJECTIVE:To examine variables associated with postextubation respiratory distress in chronic obstructive pulmonary disease (COPD) patients. DESIGN:Prospective, clinical investigation. SETTING:Intensive care unit of a university hospital. PATIENTS:Forty COPD patients, considered ready for extubation. MEASUREMENTS A...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s001340050762

    authors: Hilbert G,Gruson D,Portel L,Vargas F,Gbikpi-Benissan G,Cardinaud JP

    更新日期:1998-12-01 00:00:00

  • Invasive group A streptococcal disease and intensive care unit admissions.

    abstract:OBJECTIVE:To determine the clinical epidemiology of invasive group A streptococcal disease (IGASD) and identify predictors of admissions into an intensive care unit (ICU). DESIGN:A cross-sectional study. SETTING:Retrospective review of data. PATIENTS:A total of 204 patients hospitalized throughout the state of Flori...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-002-1538-5

    authors: Mulla ZD

    更新日期:2002-12-01 00:00:00

  • Systemic antibiotic treatment of nosocomial pneumonia.

    abstract::Nosocomial pneumonia continues to represent a significant cause of morbidity and mortality in hospitalized patients. Bacteria are responsible for greater than 90% of the pneumonias, the most common isolates being aerobic Gram-negative bacilli and S. aureus. Cornerstones of treatment are intravenous antibiotics and sup...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01752974

    authors: Unertl KE,Lenhart FP,Forst H,Peter K

    更新日期:1992-01-01 00:00:00

  • Physical restraint in mechanically ventilated ICU patients: a survey of French practice.

    abstract:PURPOSE:To characterize the perceived utilization of physical restraint (PR) in mechanically ventilated intensive care unit (ICU) patients and to identify clinical and structural factors influencing PR use. METHODS:A questionnaire was personally handed to one intensivist in 130 ICUs in France then collected on-site 2 ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2715-9

    authors: De Jonghe B,Constantin JM,Chanques G,Capdevila X,Lefrant JY,Outin H,Mantz J,Group Interfaces Sédation.

    更新日期:2013-01-01 00:00:00

  • Metabolic arrest.

    abstract::In hypoxia sensitive cells and tissues, the rates of glucose and O2 consumption are inversely related (Pasteur Effect). Under O2 limiting conditions the demands for glucose (glycogen) in such cells may drastically rise as a means for maintaining ATP turnover close to normoxic rates; nevertheless ion and electrical pot...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00254926

    authors: Hochachka PW

    更新日期:1986-01-01 00:00:00

  • In vitro validation of a novel method for continuous intra-abdominal pressure monitoring.

    abstract:OBJECTIVE:Intra-abdominal pressure (IAP) measurement is important in daily clinical practice. Most measurement techniques vary in automaticity and reproducibility. This study tested a new fully automated continuous technique for IAP measurement, the CiMON. METHODS:Three IAP measurement catheters (a Foley manometer and...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-007-0952-0

    authors: Malbrain ML,De laet I,Viaene D,Schoonheydt K,Dits H

    更新日期:2008-04-01 00:00:00

  • Inhaled nitric oxide for a severe respiratory syncytial virus infection in an infant with bronchopulmonary dysplasia.

    abstract:OBJECTIVE:To report the first case of ARDS in children treated with nitric oxide (NO) inhalation. METHODS:A 13-months infant presented with BPD and severe hypoxemia related to RSV infection and ARDS. Inhaled NO was delivered in the ventilatory circuit of a continuous flow ventilator (Babylog 8000, Dräger) in a concent...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01711907

    authors: Leclerc F,Riou Y,Martinot A,Storme L,Hue V,Flurin V,Deschildre A,Sadik A

    更新日期:1994-08-01 00:00:00

  • Attitudinal patterns determining decision-making in the treatment of the elderly: a comparison between physicians and nurses in Germany and Sweden.

    abstract:OBJECTIVE:Do-not-resuscitate orders (DNR orders) and advance directives (AD) have been developed and their use by patients is increasing. The objective of the study was to evaluate the compliance with patient's wishes and doctors' and nurses' agreement on decision-making in the treatment of elderly patients from a cros...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340000602

    authors: Richter J,Eisemann MR

    更新日期:2000-09-01 00:00:00

  • Volumetric capnography as a bedside monitoring of thrombolysis in major pulmonary embolism.

    abstract:OBJECTIVE:To describe the use of volumetric capnography, a plot of expired CO(2) concentration against expired volume, in monitoring fibrinolytic treatment of major pulmonary embolism. DESIGN AND SETTING:Two case reports in the emergency department of a teaching hospital. PATIENTS:Two conscious and spontaneously brea...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2444-9

    authors: Verschuren F,Heinonen E,Clause D,Roeseler J,Thys F,Meert P,Marion E,El Gariani A,Col J,Reynaert M,Liistro G

    更新日期:2004-11-01 00:00:00

  • Monitoring of neuromuscular blockade: a comparison of train-of-four and the Campbell diagram.

    abstract:: ...

    journal_title:Intensive care medicine

    pub_type: 信件

    doi:10.1007/s00134-018-5420-5

    authors: Baedorf Kassis E,Train S,MacNeil B,Loring SH,Talmor D

    更新日期:2018-12-01 00:00:00

  • Delirium assessment in the critically ill.

    abstract:OBJECTIVE:To compare available instruments for assessing delirium in critically ill adults that have undergone validity testing and provide clinicians with strategies to incorporate these instruments into clinical practice. DESIGN:Medline (1966-September 2006) was searched using the key words: delirium, cognitive dysf...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-007-0603-5

    authors: Devlin JW,Fong JJ,Fraser GL,Riker RR

    更新日期:2007-06-01 00:00:00

  • Primary excision and immediate wound closure.

    abstract::Surgical principles of early excision of devitalized tissue and prompt wound closure which govern the management of all traumatic injuries have been developed in the primary treatment of burns. Topical and systemic antibodies which delay wound infection and control invasive sepsis provide an initial period of two to t...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01687263

    authors: Quinby WC Jr,Burke JF,Bondoc CC

    更新日期:1981-01-01 00:00:00

  • The "sinusogram", a real-time ultrasound sign of maxillary sinusitis.

    abstract:OBJECTIVE:To describe a real-time ultrasound sign, the visualization of the cavity and the walls of the maxillary sinus ("sinusogram"), and to assess its correlation with total opacity of the sinus. DESIGN:Prospective clinical study. SETTING:The medical ICU of a university-affiliated hospital. PATIENTS:The significa...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340050716

    authors: Lichtenstein D,Biderman P,Mezière G,Gepner A

    更新日期:1998-10-01 00:00:00

  • Prevalence, risk factors and prevention of pressure ulcers in Dutch intensive care units. Results of a cross-sectional survey.

    abstract:OBJECTIVE:Evaluating the prevalence, risk factors and prevention of pressure ulcers in Dutch intensive care units (ICUs). DESIGN:Cross-sectional design. SETTING:ICUs of acute care hospitals that participated in the 1998 and 1999 national prevalence surveys. Data were collected on 1 day in each year. PATIENTS:Eight h...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340101061

    authors: Bours GJ,De Laat E,Halfens RJ,Lubbers M

    更新日期:2001-10-01 00:00:00

  • Influence of continuous positive airway pressure on EMG activities of the cricothyroid and posterior cricoarytenoid muscles of the canine larynx.

    abstract:OBJECTIVES:We investigated the effect of different levels of continuous positive airway pressure (CPAP) on the cricothyroid (CT; a tensor muscle of the vocal folds) and posterior cricoarytenoid (PCA; sole abductor muscle of the vocal folds) muscles in dogs. DESIGN:Prospective, controlled animal study. SUBJECTS:Nine m...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01709524

    authors: Iwasaki H,Ohmori H,Sumita S,Yamauchi M,Namiki A

    更新日期:1996-08-01 00:00:00

  • Eosinopenia, an early marker of increased mortality in critically ill medical patients.

    abstract:PURPOSE:Inflammatory markers may have a role in predicting severity of illness of intensive care unit (ICU) patients. The aim of this study is to determine whether low eosinophil count can predict 28-day mortality in medical ICU. METHODS:A prospective study over a 4-month period. To evaluate the prognosis information ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-011-2170-z

    authors: Abidi K,Belayachi J,Derras Y,Khayari ME,Dendane T,Madani N,Khoudri I,Zeggwagh AA,Abouqal R

    更新日期:2011-07-01 00:00:00

  • The respiratory variation in inferior vena cava diameter as a guide to fluid therapy.

    abstract:OBJECTIVE:To investigate whether the respiratory variation in inferior vena cava diameter (DeltaD(IVC)) could be related to fluid responsiveness in mechanically ventilated patients. DESIGN:Prospective clinical study. SETTING:Medical ICU of a non-university hospital. PATIENTS:Mechanically ventilated patients with sep...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2233-5

    authors: Feissel M,Michard F,Faller JP,Teboul JL

    更新日期:2004-09-01 00:00:00