Extracorporeal therapies in sepsis.

abstract：PURPOSE:Etomidate causes adrenal insufficiency. Yet in critically ill patients, it is controversial whether it increases mortality rates above that of comparator anesthetic induction agents. We postulated that etomidate would increase relative mortality rates correspondingly to the severity of illness as defined by SAP...

journal_title：Journal of intensive care medicine

authors： Albert SG,Sitaula S

更新日期：2020-09-10 00:00:00

abstract：BACKGROUND:The management of refractory septic shock remains a major challenge in critical care and its early indicators are not fully understood. We hypothesized that the maximum norepinephrine dosage within 24 hours of intensive care unit (ICU) admission may be a useful indicator of early mortality in patients with s...

journal_title：Journal of intensive care medicine

authors： Kasugai D,Hirakawa A,Ozaki M,Nishida K,Ikeda T,Takahashi K,Matsui S,Uenishi N

更新日期：2020-11-01 00:00:00

abstract：:Acute brain injury (ABI) increases morbidity and mortality in patients with veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Optimal neurologic monitoring methods have not been well-explicated. We studied the use of Near-infrared Spectroscopy (NIRS) to monitor cerebral regional oxygenation tissue saturatio...

journal_title：Journal of intensive care medicine

authors： Hunt MF,Clark KT,Whitman G,Choi CW,Geocadin RG,Cho SM

更新日期：2020-10-15 00:00:00

abstract：BACKGROUND::The diagnosis of sepsis is challenging in the absence of a gold standard test. Recent studies have explored the role of neutrophil and monocyte volume, conductivity, and scatter (VCS), derived from automated hematology analyzers, in diagnosing sepsis. We assessed the diagnostic accuracy of VCS parameters in...

journal_title：Journal of intensive care medicine

authors： Mammen J,Choudhuri J,Paul J,Sudarsan TI,Josephine T,Mahasampath G,Jeyaseelan V,Nair SC,Peter JV

更新日期：2018-12-01 00:00:00

abstract：INTRODUCTION:The Surviving Sepsis Campaign guidelines recommend early goal-directed therapy (EGDT) for the resuscitation of patients with sepsis; however, the recent evidences quickly evolve and convey conflicting results. We performed a meta-analysis to evaluate the effect of EGDT on mortality in adults with severe se...

journal_title：Journal of intensive care medicine

authors： Lu Y,Zhang H,Teng F,Xia WJ,Sun GX,Wen AQ

更新日期：2018-05-01 00:00:00

abstract：:Hospital-acquired infections (HAIs) are common in intensive care unit (ICU) patients and are associated with increased morbidity and mortality. There has been an increasing effort to prevent HAIs, and infection control practices are paramount in avoiding these complications. In the last several years, numerous develop...

journal_title：Journal of intensive care medicine

authors： Gandra S,Ellison RT 3rd

更新日期：2014-11-01 00:00:00

abstract：:The aim of the study was to describe our experience with bi-level positive airway pressure (BiPAP) ventilation in oncology children with acute respiratory failure, hospitalized in a single tertiary pediatric tertiary center. This was a retrospective cohort study of all pediatric oncology patients in our center admitte...

journal_title：Journal of intensive care medicine

authors： Schiller O,Schonfeld T,Yaniv I,Stein J,Kadmon G,Nahum E

更新日期：2009-11-01 00:00:00

abstract：:Frontal chest radiographs are the principal diagnostic imaging study to detect, verify, or exclude acute thoracic injury after trauma, and they should be obtained as quickly as possible without compromising clinical assessment and resuscitation. Chest radiographs provide important information about potentially life-th...

journal_title：Journal of intensive care medicine

authors： Mirvis SE,Shanmuganathan K

更新日期：1994-07-01 00:00:00

abstract：OBJECTIVE:When patients deteriorate after decannulation from extracorporeal membrane oxygenation (ECMO), a second run of extracorporeal support may be considered. However, repeat cannulation can be difficult and poor outcomes associated with multiple ECMO runs are a concern. The aim of this study was to evaluate outcom...

journal_title：Journal of intensive care medicine

authors： Cooper DS,Thiagarajan R,Henry BM,Byrnes JW,Misfeldt A,Frischer J,King E,Gao Z,Rycus P,Marino BS

更新日期：2020-12-22 00:00:00

abstract：:Acute kidney injury (AKI) is common in critically ill patients and associated with increased morbidity and mortality. With the increased use of renal replacement therapy (RRT) for severe AKI, the optimal time for initiation of RRT has become one of the most probed and debated topic in the field of nephrology and criti...

journal_title：Journal of intensive care medicine

authors： Karakala N,Tolwani AJ

更新日期：2019-02-01 00:00:00

abstract：:Echodynamics refers to the use of echocardiography as hemodynamic tool mostly in intensive and acute care settings. It implies a smooth drift from the classic cardiology use to a more critical care adjusted use. A more personalized approach is advocated in critical care, and echo is one way to reach such goal. Correct...

journal_title：Journal of intensive care medicine

authors： Roshdy A

更新日期：2018-08-01 00:00:00

abstract：:Heparin-induced thrombocytopenia requires immediate alternative anticoagulation to prevent or treat thromboembolic complications. Argatroban was approved based on multiple-center studies from the 1990s, but subsequent changes in prevailing awareness, diagnostic testing and therapeutic strategies for heparin-induced th...

journal_title：Journal of intensive care medicine

authors： Kodityal S,Nguyen PH,Kodityal A,Sherer J,Hursting MJ,Rice L

更新日期：2006-03-01 00:00:00

abstract：:Periodic epileptiform discharges (PEDs) are frequently encountered during continuous electroencephalography monitoring in the intensive care unit. Their implications and management are variable and highly dependent on the clinical context. This article is intended for the nonneurologist intensivist, reviews basic term...

journal_title：Journal of intensive care medicine

authors： Lahiri S,Boro AD,Shiloh AL,Milstein MJ,Savel RH

更新日期：2015-10-01 00:00:00

abstract：PURPOSE:To characterize physicians' stated practices in the treatment of patients with severe acute alcohol withdrawal syndrome (sAAWS) and to use intravenous (IV) phenobarbital as an adjuvant treatment for sAAWS. METHODS:A multidisciplinary, cross-sectional, self-administered survey at 2 large academic centers specia...

journal_title：Journal of intensive care medicine

authors： Buell D,Filewod N,Ailon J,Burns KEA

更新日期：2020-11-01 00:00:00

abstract：OBJECTIVE:To examine racial and ethnic differences in the utilization of 3 interventions (tracheostomy placement, gastrostomy tube placement, and hospice utilization) among patients with severe acute brain injury (SABI). DESIGN:Retrospective cohort study. SETTING:Data from the National Inpatient Sample, from 2002 to ...

journal_title：Journal of intensive care medicine

authors： Jones RC,Creutzfeldt CJ,Cox CE,Haines KL,Hough CL,Vavilala MS,Williamson T,Hernandez A,Raghunathan K,Bartz R,Fuller M,Krishnamoorthy V

更新日期：2020-09-10 00:00:00

abstract：BACKGROUND:Lactate clearance has become important in the management of sepsis. However, factors unrelated to sepsis-induced hyperlactatemia, including β-2 adrenergic agonists, can interfere with lactate clearance. OBJECTIVES:To investigate the association of inhaled albuterol with lactate clearance in patients with se...

journal_title：Journal of intensive care medicine

authors： Maeda T,Paralkar J,Kuno T,Patrawalla P

更新日期：2020-01-22 00:00:00

abstract：BACKGROUND:Pharmacogenomic (PGx) testing has the potential to provide information on specific drug-metabolizing enzymes that may lead to an absence, reduction, or increase in medication effect in patients. There is a paucity of prospective studies examining PGx testing in the intensive care unit (ICU) setting. RESEARC...

journal_title：Journal of intensive care medicine

authors： Peterson PE,Nicholson WT,Moyer AM,Arendt CJ,Smischney NJ,Seelhammer TG,Krecke CA,Haney RM,Yaw EJ,Chlan LL

更新日期：2020-07-31 00:00:00

abstract：:Vasopressin has gained wide support as an adjunct vasopressor in patients with septic shock. This agent exerts its vasoconstriction effects through smooth muscle V1 receptors and also has antidiuretic activity via renal V2 receptors. This interaction with the renal V2 receptors results in the integration of aquaporin ...

journal_title：Journal of intensive care medicine

authors： Salazar M,Hu BB,Vazquez J,Wintz RL,Varon J

更新日期：2015-07-01 00:00:00

abstract：PURPOSE:Reintubation following unplanned extubation (UE) is often required and associated with increased morbidity; however, knowledge of risk factors leading to reintubation and subsequent outcomes in children is still lacking. We sought to determine the incidence, risk factors, and outcomes related to reintubation af...

journal_title：Journal of intensive care medicine

authors： da Silva PSL,Reis ME,Fonseca TSM,Fonseca MCM

更新日期：2018-08-01 00:00:00

abstract：INTRODUCTION:The use of transesophageal echocardiography (TEE) by intensivist physicians (IPs) and emergency physicians (EPs) in critically ill patients is increasing in the intensive care unit, emergency department, and prehospital environments. Coagulopathy and thrombocytopenia are common in critically ill patients. ...

journal_title：Journal of intensive care medicine

authors： Wray TC,Schmid K,Braude D,Azevedo K,Dettmer T,Tawil I,Boivin M,Marinaro J

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:The efficacy of low-dose hydrocortisone therapy in the management of septic shock remains controversial in critical care for many years. Hence, we performed this meta-analysis of randomized controlled trials (RCTs) with trial sequential analysis (TSA) to evaluate its effect on clinical outcome among adult pa...

journal_title：Journal of intensive care medicine

authors： Lyu QQ,Chen QH,Zheng RQ,Yu JQ,Gu XH

更新日期：2020-10-01 00:00:00

abstract：:We report the success rate and complications of peripherally inserted central catheters (PICCs) in patients hospitalized in an intensive care unit (ICU). We performed a cohort study in the ICU of a large tertiary care, university-affiliated community hospital. All ICU patients for whom their attending physicians reque...

journal_title：Journal of intensive care medicine

authors： Ng PK,Ault MJ,Maldonado LS

更新日期：1996-01-01 00:00:00

abstract：:Sudden cardiac death (SCD) due to ventricular tachyarrhythmias is a leading cause of death in the United States. This phenomenon is associated with coronary artery disease, valvular heart disease, nonischemic cardiomyopathies, congenital heart disease, primary electrical abnormalities, autonomic nervous system abnorma...

journal_title：Journal of intensive care medicine

authors： Antezano ES,Hong M

更新日期：2003-11-01 00:00:00

abstract：OBJECTIVES:We report the case of a 28-year-old patient with systemic lupus erythematosus (SLE) with rapid onset of dyspnea and hemoptysis found to have diffuse alveolar hemorrhage (DAH) with refractory hypoxemia successfully treated with venovenous extracorporeal membrane oxygenation (ECMO). The discussion includes cli...

journal_title：Journal of intensive care medicine

authors： Patel JJ,Lipchik RJ

更新日期：2014-03-01 00:00:00

abstract：:The management of the critically ill patients with asthma can be rather challenging. Potentially devastating complications relating to this presentation include hypoxemia, worsening bronchospasm, pulmonary aspiration, tension pneumothorax, dynamic hyperinflation, hypotension, dysrhythmias, and seizures. In contrast to...

journal_title：Journal of intensive care medicine

authors： Laher AE,Buchanan SK

更新日期：2018-09-01 00:00:00

abstract：:Pulmonary embolus (PE) is estimated to cause 200 000 to 300 000 deaths annually. Many deaths occur in hemodynamically unstable patients and the estimated mortality for inpatients with hemodynamic instability is between 15% and 25%. The diagnosis of PE in the critically ill is often challenging because the presentation...

journal_title：Journal of intensive care medicine

authors： Marshall PS,Mathews KS,Siegel MD

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Admission to an intensive care unit (ICU) specialized for brain and spine injury patients is associated with improved outcome. We investigated the effects of the first dedicated, combined neurological and neurosurgical ICU (NeuroICU) in Korea on patient outcomes. METHODS:The first dedicated NeuroICU in Kore...

journal_title：Journal of intensive care medicine

authors： Jeong JH,Bang J,Jeong W,Yum K,Chang J,Hong JH,Lee K,Han MK

更新日期：2019-02-01 00:00:00

abstract：OBJECTIVE:The process of controlled donation after circulatory death (cDCD) is strongly connected with the process of withdrawal of life-sustaining therapy. In addition to impacting cDCD success, actions comprising withdrawal of life-sustaining therapy have implications for quality of palliative care. We examined pilot...

journal_title：Journal of intensive care medicine

authors： van Beinum A,Hornby L,Ramsay T,Ward R,Shemie SD,Dhanani S

更新日期：2016-05-01 00:00:00

abstract：:The ideal diagnostic approach for ventilator-associated pneumonia currently is based on invasive procedures to obtain respiratory tract cultures. Given the lack of consensus and relatively poor acceptance of full bronchoscopic bronchoalveolar lavage (BAL) and protected specimen brush (PSB), less invasive procedures ha...

journal_title：Journal of intensive care medicine

authors： Fujitani S,Yu VL

更新日期：2006-01-01 00:00:00

abstract：INTRODUCTION:Percutaneous dilational tracheostomy (PDT) is a common and increasingly used procedure in the intensive care unit (ICU). It is usually performed with bronchoscopy guidance. Ultrasound has emerged as a useful tool in order to assist PDT, potentially improving its success rate and reducing procedural-related...

journal_title：Journal of intensive care medicine

authors： Gobatto ALN,Besen BAMP,Cestari M,Pelosi P,Malbouisson LMS

更新日期：2020-05-01 00:00:00