Is renal dose dopamine protective or therapeutic? No.

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：:N-6 and n-3 PUFAs from the diet are absorbed and reach the cell where they interact with fatty acid binding proteins within cell membranes and cytoplasm. They are processed in the endoplasmic reticulum (desaturation-elongation reactions, lipid synthesis, eicosanoid and epoxide production) and in peroxisomes (beta-oxid...

journal_title：Critical care clinics

authors： Zaloga GP,Marik P

更新日期：2001-01-01 00:00:00

abstract：:The pregnant patient with normal cardiac function can accommodate many significant alterations in the cardiovascular system without difficulty. Pregnancy in a patient with significant cardiac disease, however, can be extremely hazardous, resulting in decompensation and even death. these conditions account for up to 30...

journal_title：Critical care clinics

authors： Clark SL

更新日期：1991-10-01 00:00:00

abstract：:Acute renal failure continues to be a common occurrence in critically ill cancer patients. It frequently results from a combination of risk factors, which include the following: hemodynamic alterations associated with renal ischemia; exposure to nephrotoxic drugs; urinary tract obstruction; and specific abnormalities ...

journal_title：Critical care clinics

authors： Flombaum CD

更新日期：1988-01-01 00:00:00

abstract：:The overlap syndrome defines the relationship between obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD), and is a commonly noted but poorly studied disorder. Individuals who have the overlap syndrome have been recognized to have greater risk for pulmonary hypertension, right heart failure,...

journal_title：Critical care clinics

authors： Hiestand D,Phillips B

更新日期：2008-07-01 00:00:00

abstract：:Measuring cardiac output without knowledge of the oxygen extraction by the tissues is of limited value. Instead of calculating oxygen consumption and oxygen delivery, a diagram relating cardiac index to the oxygen extraction ratio is proposed to interpret hemodynamic data at the bedside. This diagram is particularly h...

journal_title：Critical care clinics

authors： Vincent JL

更新日期：1996-10-01 00:00:00

abstract：:Alterations in hemostasis are common in patients with cancer admitted to the ICU. Depending on the underlying disease and specific hemostatic abnormality, the patient with cancer may develop bleeding, thrombosis, or both, such as DIC. Bleeding complications usually result from abnormalities in platelets or deficiency ...

journal_title：Critical care clinics

authors： DeSancho MT,Rand JH

更新日期：2001-07-01 00:00:00

abstract：:The use of ultrasonography in medical practice has evolved dramatically over the last few decades and will continue to improve as technological advances are incorporated into daily medical practice. Although ultrasound machine size and equipment have evolved, the basic principles and fundamental functions have remaine...

journal_title：Critical care clinics

authors： Enriquez JL,Wu TS

更新日期：2014-01-01 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：:A substantial proportion of patients admitted to intensive care units (ICUs) are elderly patients. Based upon population growth, patient preference, and current physician practice, the number of elderly patients who receive critical care services is likely to increase substantially over the next 10 to 20 years. Numero...

journal_title：Critical care clinics

authors： Carson SS

更新日期：2003-10-01 00:00:00

abstract：:Prolonged intubation and mechanical ventilation following cardiac surgery have been associated with increased hospital and intensive care unit length of stays; higher health care costs; and morbidity resulting from atelectasis, intrapulmonary shunting, and pneumonia. Early extubation was developed as a strategy in the...

journal_title：Critical care clinics

authors： McCarthy C,Fletcher N

更新日期：2020-10-01 00:00:00

abstract：:Metabolic acid-base disturbances commonly and predictably complicate the course of many intensive care unit patients and plague the intensivists, surgeons, and anesthesiologists beset with the task of caring for them. In this article, we offer a systematic approach to the patient with the metabolic acid-base disorders...

journal_title：Critical care clinics

authors： Riley LJ Jr,Ilson BE,Narins RG

更新日期：1987-10-01 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：:Medication errors are a significant public health problem in United States hospitals. Patients in the ICU are at particular risk for medication errors because of the characteristics of an ICU and the nature of its patients. This article reviews the principles of medication safety and applies these principles to the IC...

journal_title：Critical care clinics

authors： Kane-Gill S,Weber RJ

更新日期：2006-04-01 00:00:00

abstract：:The provision of care to the CCI patient is complex, challenging, and unique. The advanced practice nursing model at Mount Sinai Hospital is one successful care delivery model that fills the needs of both CCI patients and the nurses who work with them. The following transferable aspects of the RCU add to the unit's su...

journal_title：Critical care clinics

authors： Carasa M,Nespoli G

更新日期：2002-07-01 00:00:00

abstract：:Anemia is common in critically ill patients, but treatment with red blood cell transfusions can have unwanted effects. Limiting the occurrence and severity of anemia by using erythropoietic agents (iron and/or recombinant erythropoietin), therefore, remains an attractive option during the intensive care unit stay but ...

journal_title：Critical care clinics

authors： Piagnerelli M,Vincent JL

更新日期：2012-07-01 00:00:00

abstract：:This article reviews two important innovations in echocardiography resulting from the recent advances in the capabilities of microprocessors. The first, automatic endocardial border detection, has been implemented on computers contained entirely within echocardiograph machines and is gaining wide clinical use. The sec...

journal_title：Critical care clinics

authors： Legget ME,Bashein G

更新日期：1996-04-01 00:00:00

abstract：:Providing effective critical care to vascular surgical patients is challenging to the intensivist. These patients often have multiple significant concurrent diseases that need to be adequately managed. A selective policy for identifying patients that need ICU is recommended. Early and smooth restoration to their preop...

journal_title：Critical care clinics

authors： Gopalan PD,Burrows RC

更新日期：2003-01-01 00:00:00

abstract：:This article is intended to inform the reader of the current state of the art of pneumatically powered artificial hearts, including animal experiments and information available on 11 recipients of orthotopically placed devices. ...

journal_title：Critical care clinics

authors： Olsen DB,Taenaka Y

更新日期：1986-04-01 00:00:00

abstract：:It is as important to monitor the passage of time in the resuscitation effort as it is to follow the physiologic parameters. The goals in resuscitation are based on restoring cellular metabolism to a level consistent with optimum survival. The level of invasiveness of monitoring is dictated by the extent to which the ...

journal_title：Critical care clinics

authors： Booth FV

更新日期：1992-04-01 00:00:00

abstract：:Patients with CCI have continuing profound medical needs, poor prognosis for significant functional recovery, and a high mortality rate. Nonetheless, some survive for months or years, but unfortunately, often with functional skills and quality of life lower than need be. Careful evaluation of each patient's medical co...

journal_title：Critical care clinics

authors： Thomas DC,Kreizman IJ,Melchiorre P,Ragnarsson KT

更新日期：2002-07-01 00:00:00

abstract：:Given time, the brain can tolerate extraordinarily severe hyponatremia, but it does not take well to sudden changes; both rapid onset and rapid correction of hyponatremia can be injurious. Emergency treatment of hyponatremia should be reserved for the patient who has not had time to fully adapt to the disturbance. Whe...

journal_title：Critical care clinics

authors： Sterns RH

更新日期：1991-01-01 00:00:00

abstract：:Intoxications frequently perturb acid-base and electrolyte status, intravascular volume, and renal function. In selected cases, extracorporeal techniques effectively restore homeostasis and augment intoxicant removal. The use of 4-methylpyrazole, an inhibitor of alcohol dehydrogenase, is a new and effective treatment ...

journal_title：Critical care clinics

authors： Borkan SC

更新日期：2002-04-01 00:00:00

abstract：:Traumatic brain injury (TBI) is an alteration in brain function, or other evidence of brain pathology, caused by an external force. TBI is a major cause of disability and mortality worldwide. Post-traumatic amnesia, or the interval from injury until the patient is oriented and able to form and later recall new memorie...

journal_title：Critical care clinics

authors： De Guzman E,Ament A

更新日期：2017-07-01 00:00:00

abstract：:Nutritional support of the burn patient is essential to optimize host immune defenses and to promote prompt wound healing. The interdependent relationship between metabolism, nutrition, and infection is discussed, followed by an extensive description of the various means of determining the appropriate type, form, and ...

journal_title：Critical care clinics

authors： Deitch EA

更新日期：1995-07-01 00:00:00

abstract：:Cerebral injury is a frequent complication of cardiac surgery, and it has been associated with high mortality, morbidity, hospital costs; an increased likelihood of admission to a secondary care facility after hospital discharge; and impaired quality of life. This article examines postulated mechanisms for cerebral in...

journal_title：Critical care clinics

authors： Hogue CW,Gottesman RF,Stearns J

更新日期：2008-01-01 00:00:00

abstract：:Supraventricular and ventricular arrhythmias remain relatively commonplace in the ICU. Proper pharmacologic treatment requires that the clinician recognize accompanying disease states that may alter the pharmacokinetics and pharmacodynamics of antiarrhythmic drugs. In addition, knowledge of cardiovascular toxicity, no...

journal_title：Critical care clinics

authors： Nolan PE Jr,Raehl CL

更新日期：1991-07-01 00:00:00

abstract：:The future of cardiopulmonary resuscitation lies in new technologies for monitoring and generating vital organ perfusion during cardiac arrest and the post-resuscitation phase and in pharmacologic agents that will enhance ROSC and reverse ischemia-reperfusion injury. ROSC is the first step toward survival, so interven...

journal_title：Critical care clinics

authors： Manning JE,Katz LM

更新日期：2000-10-01 00:00:00

abstract：:The burned child requires a management that is different from that employed in the burned adult because of physiologic and psychological dissimilarities, although basic principles of management are the same. Particular problems and treatment of the burned child are highlighted. ...

journal_title：Critical care clinics

authors： Solomon JR

更新日期：1985-03-01 00:00:00

abstract：:For well over a decade, intensive care unit (ICU) telemedicine programs have been providing care to patients and families and an invaluable service to many receiving sites that are otherwise outside the traditional reach of high-quality critical care. It will be important that during this growth, outcomes regarding th...

journal_title：Critical care clinics

authors： Johnson AB

更新日期：2019-07-01 00:00:00