Serotonin syndrome. A clinical update.

abstract：:In summary, interventional techniques are well-established and offer safe and effective alternatives for management of patients in the intensive care unit or other setting. It is likely that the radiologist will become more involved in the management of ill children and adults. It is hoped that this will reduce the ne...

journal_title：Critical care clinics

authors： Towbin RB,Kaye R,Bron K

更新日期：1994-04-01 00:00:00

abstract：:Total parenteral nutrition was developed in the 1960s and has since been implemented commonly in the intensive care unit (ICU). Studies published in the 1980s and early 1990s indicate that the use of total parenteral nutrition is associated with increased mortality and infectious morbidity. These detrimental effects w...

journal_title：Critical care clinics

authors： Thibault R,Pichard C

更新日期：2010-07-01 00:00:00

abstract：:Approximately 20% of all mechanically ventilated patients fail their first attempt to wean. Prolonged mechanical ventilation increases morbidity, mortality, and costs. No single weaning parameter predicts patient ability to wean. Weaning studies suggest that daily trials of spontaneous breathing for appropriate patien...

journal_title：Critical care clinics

authors： Eskandar N,Apostolakos MJ

更新日期：2007-04-01 00:00:00

abstract：:It is important that educators in the intensive care unit (ICU) provide physicians in training with the guidance and experience requisite in developing foundational skills in value-based medical practice. This article discusses the underlying philosophy of ethically based medical decision making and describes the comp...

journal_title：Critical care clinics

authors： Crausman RS,Armstrong JD 2nd

更新日期：1996-01-01 00:00:00

abstract：:In July 2001, the United States Joint Commission on Accreditation of Health care Organizations adopted a new leadership standard that requires department heads in health care organizations to perform at least one Failure Mode and Effects Analysis (FMEA) every year. This proactive approach to error prevention has prove...

journal_title：Critical care clinics

authors： Duwe B,Fuchs BD,Hansen-Flaschen J

更新日期：2005-01-01 00:00:00

abstract：:Ethical issues that arise in the care of pregnant women are challenging to physicians, especially in critical care situations. By familiarizing themselves with the concepts of medical ethics in obstetrics, physicians will become more capable of approaching complex ethical situations with a clear and structured framewo...

journal_title：Critical care clinics

authors： Ali N,Coonrod DV,McCormick TR

更新日期：2016-01-01 00:00:00

abstract：:The proportion of hospitalized patients with pulmonary embolism (PE) is increasing. Whether this represents more admissions with PE or more diagnoses made in hospitalized patients is uncertain. The proportion of hospitalized patients with deep venous thrombosis has decreased precipitously as a result of home treatment...

journal_title：Critical care clinics

authors： Stein PD,Matta F

更新日期：2011-10-01 00:00:00

abstract：:Sepsis is caused by a dysregulated host response to infection. Immune responses determine the characteristics of sepsis. The body's protection against infection involves danger signal surveillance and recognition from nonself, effector functions in response to sensing danger signals, homeostatic regulation, and genera...

journal_title：Critical care clinics

authors： Conway-Morris A,Wilson J,Shankar-Hari M

更新日期：2018-01-01 00:00:00

abstract：:Telestroke and teleneurologic intensive care units (teleneuro-ICUs) optimize the diagnosis and treatment of neurologic emergencies. Establishment of a telestroke or teleneuro-ICU program relies on investment in experienced stroke and neurocritical care personnel as well as advanced telecommunications technologies. Tel...

journal_title：Critical care clinics

authors： Klein KE,Rasmussen PA,Winners SL,Frontera JA

更新日期：2015-04-01 00:00:00

abstract：:The endothelial glycocalyx (EG) is the most luminal layer of the blood vessel, growing on and within the vascular wall. Shedding of the EG plays a central role in many critical illnesses. Degradation of the EG is associated with increased morbidity and mortality. Certain illnesses and iatrogenic interventions can caus...

journal_title：Critical care clinics

authors： Jedlicka J,Becker BF,Chappell D

更新日期：2020-04-01 00:00:00

abstract：:Timely performance and accurate interpretation of portable chest radiographs in the ICU setting are fundamental components of quality care. Teamwork between intensive care clinicians and radiologists is necessary to assure that the appropriate studies, of high technical quality, are obtained. By working together to in...

journal_title：Critical care clinics

authors： Cascade PN,Kazerooni EA

更新日期：1994-04-01 00:00:00

abstract：:Acute coronary syndrome is a major health problem affecting approximately 1.5 million individuals a year. Early diagnosis and appropriate evidence-based therapies improve clinical outcomes significantly. Current data suggest that an early invasive therapy may improve intermediate-term and long-term outcomes, particula...

journal_title：Critical care clinics

authors： Bhatheja R,Mukherjee D

更新日期：2007-10-01 00:00:00

abstract：:In pediatric trauma care, many long-held tenets of management have been revised. This article reviews the latest advances in pediatric trauma care, particularly in the areas of resuscitation and management of thoracic and abdominal injuries. The final topic is a discussion of what the intensivist and surgeon must know...

journal_title：Critical care clinics

authors： Garcia VF,Brown RL

更新日期：2003-07-01 00:00:00

abstract：:Acute arthritis in critically ill patients may be caused by local or systemic infection, by a flare of chronic joint disease such as rheumatoid or crystal-associated arthritis, or by less common entities such as hemarthrosis. Diagnosis requires analysis of synovial fluid, and appropriate treatment is based on its find...

journal_title：Critical care clinics

authors： Raj JM,Sudhakar S,Sems K,Carlson RW

更新日期：2002-10-01 00:00:00

abstract：:Acute respiratory failure is common in critically ill children, who are at increased risk of respiratory embarrassment because of the developmental variations in the respiratory system. Although multiple etiologies exist, pneumonia and bronchiolitis are most common. Respiratory system monitoring has evolved, with the ...

journal_title：Critical care clinics

authors： Schneider J,Sweberg T

更新日期：2013-04-01 00:00:00

abstract：:Renal failure continues to cause a major burden of morbidity and mortality in both its acute and chronic forms, regardless of advances in current renal replacement therapies. A bioartificial kidney that includes a conventional dialysis filter and a renal tubule assist device containing approximately 10(8) renal proxim...

journal_title：Critical care clinics

authors： Tiranathanagul K,Eiam-Ong S,Humes HD

更新日期：2005-04-01 00:00:00

abstract：:This article reviews principles in the rational use of antibiotics in sepsis and septic shock and presents evidence-based recommendations for optimal antibiotic therapy. Every patient with sepsis and septic shock must be evaluated at presentation before the initiation of antibiotic therapy. However, in most situations...

journal_title：Critical care clinics

authors： Kumar A

更新日期：2009-10-01 00:00:00

abstract：:This article describes the use of various scores and probabilities to clinically categorize patients in the adult intensive care unit. Some of the limitations of these severity measures are reviewed including variable definitions, timing of measurements, and whether models can be used for individual patients. Also, th...

journal_title：Critical care clinics

authors： Teres D,Lemeshow S

更新日期：1993-07-01 00:00:00

abstract：:The epidemiology, biomechanics, physiopathology, emergency medical systems, diagnostic criteria, and therapy related to acute cervical spinal cord injury are discussed in this article. ...

journal_title：Critical care clinics

authors： Albin MS

更新日期：1985-07-01 00:00:00

abstract：:More than one-half million patients are hospitalized annually for traumatic brain injury (TBI). One-quarter demonstrate sleep-disordered breathing, up to 50% experience insomnia, and half have hypersomnia. Sleep disturbances after TBI may result from injury to sleep-regulating brain tissue, nonspecific neurohormonal r...

journal_title：Critical care clinics

authors： Vermaelen J,Greiffenstein P,deBoisblanc BP

更新日期：2015-07-01 00:00:00

abstract：:Hypertensive crisis is an acute emergency requiring aggressive management. Its incidence has decreased in recent years but still is prevalent in the medical community. From review of past and present treatment regimens, the following recommendations can be considered. (1) In the treatment of malignant hypertension wit...

journal_title：Critical care clinics

authors： Rubenstein EB,Escalante C

更新日期：1989-07-01 00:00:00

abstract：:Vesicants (or blister agents) are cytotoxic alkylating compounds, which are chemical agents sometimes collectively known as mustard gas or simply as mustard. Other blister agents are nitrogen mustard; sulfur mustard; lewisite, a vesicant that contains arsenic; and phosgene oxime, a halogenated oxime that possesses dif...

journal_title：Critical care clinics

authors： McManus J,Huebner K

更新日期：2005-10-01 00:00:00

abstract：:This article provides a background so that the intensivist can appreciate the social and cultural context in which the AIDS epidemic developed. The upheaval that AIDS has caused in the gay community is described along with some of the economic effects AIDS has had on that population and on the practice of medicine, bo...

journal_title：Critical care clinics

authors： Greenbaum DM

更新日期：1993-01-01 00:00:00

abstract：:Vancomycin-resistant enterococci (VRE) consist mainly of Enterococcus faecalis and E faecium, the latter mostly hospital-acquired. In addition, E gallinarum and E casseliflavus are intrinsically vancomycin-resistant and are community-acquired. VRE have become common in many hospitals throughout the world and, once est...

journal_title：Critical care clinics

authors： Rubinstein E,Keynan Y

更新日期：2013-10-01 00:00:00

abstract：:Acute respiratory distress syndrome (ARDS) and acute lung injury (ALI) are distinctly modern clinical entities. Recent epidemiologic research has taken advantage of large cohorts in efforts to better describe these highly lethal syndromes with a focus on differentiation of clinically meaningful subtypes and early pred...

journal_title：Critical care clinics

authors： Blank R,Napolitano LM

更新日期：2011-07-01 00:00:00

abstract：:One third of cancer patients in active therapy and two thirds of patients with far-advanced disease have significant pain. A series of specific neurologic pain syndromes occur in this population and are unique to this pain population. Early diagnosis and treatment are critical to prevent irreversible neurologic damage...

journal_title：Critical care clinics

authors： Elliott K,Foley KM

更新日期：1990-04-01 00:00:00

abstract：:The availability, portability, safety, and other features of ultrasound have ushered this relatively new imaging modality into the everyday clinical practice of multiple disciplines. Features unique to ultrasound lend this imaging modality the opportunity for extensive use in the ICU. A review of its uses in this capa...

journal_title：Critical care clinics

authors： Beagle GL

更新日期：2000-01-01 00:00:00

abstract：:The most important adaptive responses from a physiological stance involved the cardiovascular system, consisting in particular of elevation of the cardiac output and its redistribution to favor the coronary and cerebral circulations, at the expense of the splanchnic vascular beds. The evidence regarding these physiolo...

journal_title：Critical care clinics

authors： Hébert PC,Van der Linden P,Biro G,Hu LQ

更新日期：2004-04-01 00:00:00

abstract：:Decisions to admit and discharge patients to and from the intensive care unit (ICU) when resources are scarce should be made according to the triage principle--that is, resources should be allocated based on the patient's ability to benefit from critical care. The ICU organizational structure and the constraints on de...

journal_title：Critical care clinics

authors： Strosberg MA

更新日期：1993-07-01 00:00:00

abstract：:Good airway management depends on a system that emphasizes teamwork to expedite care and minimize errors. By understanding the accreditation and licensing requirements, appropriate personnel and equipment can be allocated along cost effective guidelines. Newer techniques for management of the difficult airway, such as...

journal_title：Critical care clinics

authors： Showan AM,Sestito JA

更新日期：2000-07-01 00:00:00