Endotracheal intubation and mechanical ventilation in severe asthma.

Abstract:

OBJECTIVE:To determine the occurrence rate of complications and mortality in patients with severe asthma requiring endotracheal intubation and mechanical ventilation. DESIGN:Retrospective review of medical records from September 1982 to July 1988. SETTING:Urban, teaching hospital serving primarily indigent patients. PATIENTS:Fifty-seven adult patients with asthma requiring tracheal intubation and mechanical ventilation. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Fifty-seven patients requiring tracheal intubation and mechanical ventilation during 69 hospital admissions were identified. Medication noncompliance and upper respiratory tract infections were recorded as the most frequent precipitating events for exacerbation of asthma. Forty-nine intubations were initiated because of a clinical diagnosis of respiratory distress, but multiple indications were present in 42 admissions. One or more complications occurred in 31 episodes of endotracheal intubation and mechanical ventilation (45%). Death occurred in four (6%) of 69 admissions. Three of the four deaths occurred in patients who had a cardiorespiratory arrest before hospital admission. CONCLUSIONS:While complications occurred in 45% of patients with severe asthma requiring intubation and mechanical ventilation, the mortality rate was low. We conclude that intubation and mechanical ventilation in patients with life-threatening asthma are safe and beneficial interventions.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Zimmerman JL,Dellinger RP,Shah AN,Taylor RW

doi

10.1097/00003246-199311000-00023

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

1727-30

issue

11

eissn

0090-3493

issn

1530-0293

journal_volume

21

pub_type

杂志文章
  • Automatic Classification of Sedation Levels in ICU Patients Using Heart Rate Variability.

    abstract:OBJECTIVE:To explore the potential value of heart rate variability features for automated monitoring of sedation levels in mechanically ventilated ICU patients. DESIGN:Multicenter, pilot study. SETTING:Several ICUs at Massachusetts General Hospital, Boston, MA. PATIENTS:Electrocardiogram recordings from 40 mechanica...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000001708

    authors: Nagaraj SB,McClain LM,Zhou DW,Biswal S,Rosenthal ES,Purdon PL,Westover MB

    更新日期:2016-09-01 00:00:00

  • Exacerbation by granulocyte colony-stimulating factor of prior acute lung injury: implication of neutrophils.

    abstract:OBJECTIVE:Granulocyte colony-stimulating factor is widely prescribed to hasten recovery from cancer chemotherapy-induced neutropenia and has been reported to induce pulmonary toxicity. However, circumstances and mechanisms of this toxicity remain poorly known. DESIGN:To reproduce a routine situation in cancer patients...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200209000-00027

    authors: Azoulay E,Attalah H,Yang K,Jouault H,Schlemmer B,Brun-Buisson C,Brochard L,Harf A,Delclaux C

    更新日期:2002-09-01 00:00:00

  • The significance of hypoxemia with low inspired O2 fraction before extubation.

    abstract::Arterial and transcutaneous O2 (PtcO2) and CO2 (PtcCO2) tensions, arterial O2 saturations (SaO2) and P50 values were measured in 47 patients before extubation. In order to unmask ventilation to perfusion (VA/Q) inequality, all variables were obtained without CPAP and with FIO2 of 0.40 as well as with CPAP of 5 cm H2O ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198309000-00007

    authors: Tahvanainen J,Nikki P

    更新日期:1983-09-01 00:00:00

  • Infusion of methylene blue in human septic shock: a pilot, randomized, controlled study.

    abstract:OBJECTIVE:To evaluate the effects of continuous infusion of methylene blue (MB), an inhibitor of the nitric oxide pathway, on hemodynamics and organ functions in human septic shock. DESIGN:Prospective, randomized, controlled, open-label, pilot study. SETTING:Multidisciplinary intensive care unit of a university hospi...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00003246-200110000-00002

    authors: Kirov MY,Evgenov OV,Evgenov NV,Egorina EM,Sovershaev MA,Sveinbjørnsson B,Nedashkovsky EV,Bjertnaes LJ

    更新日期:2001-10-01 00:00:00

  • Vasopressin-mediated adrenocorticotropin release increases plasma cortisol concentrations during cardiopulmonary resuscitation.

    abstract:OBJECTIVE:Vasopressin is a possible stimulus for both adrenocorticotropin (ACTH) and endothelin-1 release. The aim of this study was to compare plasma concentrations of ACTH, cortisol, and endothelin-1 after epinephrine or vasopressin administration in an experimental animal model of cardiopulmonary resuscitation (CPR)...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200010000-00028

    authors: Kornberger E,Prengel AW,Krismer A,Schwarz B,Wenzel V,Lindner KH,Mair P

    更新日期:2000-10-01 00:00:00

  • Association of pulmonary artery catheter use with in-hospital mortality.

    abstract:OBJECTIVE:To determine the association of pulmonary artery catheter (PAC) use with in-hospital mortality. DESIGN:Prospective, observational study. SETTING:The medical intensive care units (MICU) of two teaching hospitals. METHODS:The study included 751 adults who were admitted to the MICU, excluding those who stayed...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200106000-00010

    authors: Afessa B,Spencer S,Khan W,LaGatta M,Bridges L,Freire AX

    更新日期:2001-06-01 00:00:00

  • Reliability of electrocardiogram interpretation in critically ill patients.

    abstract:OBJECTIVE:To assess the intrarater and interrater reliability of electrocardiogram (ECG) interpretation in critically ill patients and to assess the effect of knowledge of cardiac troponin values on these reliability estimates. DESIGN:Prospective cohort study. SETTING:Fifteen-bed medical-surgical intensive care unit....

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000214679.23957.90

    authors: Lim W,Qushmaq I,Cook DJ,Devereaux PJ,Heels-Ansdell D,Crowther MA,Tkaczyk A,Meade MO,Cook RJ

    更新日期:2006-05-01 00:00:00

  • Neutrophil depletion in rats reduces burn-injury induced intestinal bacterial translocation.

    abstract:OBJECTIVE:To determine whether neutrophil depletion could eradicate intestinal bacterial translocation in bum-injured rats. DESIGN:Prospective, randomized, controlled study. SETTING:University research laboratory. SUBJECTS:Adult male Sprague-Dawley rats. INTERVENTIONS:The rats were intravenously administered a rabb...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200005000-00048

    authors: Fazal N,Shamim M,Khan SS,Gamelli RL,Sayeed MM

    更新日期:2000-05-01 00:00:00

  • Use of an iridium-oxide transcutaneous carbon dioxide electrode on adult surgical patients.

    abstract::A new iridium/iridium-oxide electrode heated to 42 degrees C was used to monitor transcutaneous carbon dioxide levels during surgery in 27 adult patients. The purpose of this study was to compare arterial and transcutaneous CO2 values. This metal electrode performed similarly to glass CO2 electrodes. In addition, its ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198510000-00015

    authors: Williams R,Riker R,Narkewicz M,Lucey JF

    更新日期:1985-10-01 00:00:00

  • Carbamezapine for pain management in Guillain-Barré syndrome patients in the intensive care unit.

    abstract:OBJECTIVE:To evaluate carbamezapine (CBZ) for neuritic pain relief in Guillain-Barré syndrome (GBS) patients in the intensive care unit (ICU). DESIGN:Prospective, double-blind, randomly allocated cross-over study days. SETTING:ICU in a tertiary care university hospital. PARTICIPANTS:Twelve consecutive, conscious adu...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00003246-200003000-00009

    authors: Tripathi M,Kaushik S

    更新日期:2000-03-01 00:00:00

  • Rethinking brain death.

    abstract:OBJECTIVE:To evaluate whether current criteria for the diagnosis of brain death fulfill the requirement for the "irreversible cessation of all functions of the entire brain, including the brainstem." DATA SOURCES:Clinical, philosophical, legal, and public policy literature on the subject of brain death. DATA EXTRACTI...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-199212000-00018

    authors: Truog RD,Fackler JC

    更新日期:1992-12-01 00:00:00

  • Slow versus rapid closed-chest cardiac compression during cardiopulmonary resuscitation in puppies.

    abstract::The recommended rates for closed-chest cardiac compressions during CPR are based on physiologic variations with increasing age rather than experimental data. Using puppies, we compared mean arterial pressure, cardiac index (CI), and cerebral blood flow (CBF) at a slow (40/min, group 1) and a rapid (120/min, group 2) r...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198710000-00009

    authors: Fleisher G,Delgado-Paredes C,Heyman S

    更新日期:1987-10-01 00:00:00

  • Effects of atorvastatin on systemic inflammatory response after coronary bypass surgery.

    abstract:OBJECTIVES:Systemic inflammatory response occurs frequently after coronary artery bypass surgery, and it is strongly correlated with the risk of postoperative morbidity and mortality. Recent studies demonstrate that treatment with statin is associated with a significant and marked decrease in inflammation-associated va...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.CCM.0000201407.89977.EA

    authors: Chello M,Patti G,Candura D,Mastrobuoni S,Di Sciascio G,Agrò F,Carassiti M,Covino E

    更新日期:2006-03-01 00:00:00

  • Cardiorespiratory function before and after chest physiotherapy in mechanically ventilated patients with post-traumatic respiratory failure.

    abstract::Chest physiotherapy (CPT) is used frequently in the ICU, but there is little available information that quantitates its effect on cardiac or respiratory function. Nineteen mechanically ventilated patients with post-traumatic respiratory failure were studied before, immediately after, and 2 h after CPT was used to mana...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198506000-00009

    authors: Mackenzie CF,Shin B

    更新日期:1985-06-01 00:00:00

  • Hemodynamic and colloid osmotic pressure alterations in the surgical patient.

    abstract::Colloid osmotic pressure (COP) was measured simultaneously with cardiorespiratory measurements in 103 surgical patients suspected of having circulatory problems. In a small subset of 28 patients, measurements were taken before, during, and after surgical operations. Similarly, data sets were taken before, during, and ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198303000-00010

    authors: Shippy CR,Shoemaker WC

    更新日期:1983-03-01 00:00:00

  • Hemodialysis of amikacin in critically ill patients.

    abstract::The clearance of amikacin during hemodialysis (HD) was determined in eight critically ill patients. The dialysis period averaged 3.4 h with a blood flow of 200 ml/min. The average amikacin clearance between dialysis was 7.30 +/- 4.78 (SD) ml/min which increased to 37.5 +/- 8.01 ml/min during dialysis. The average seru...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198805000-00010

    authors: Armstrong DK,Hodgman T,Visconti JA,Reilley TE,Garner WL,Dasta JF

    更新日期:1988-05-01 00:00:00

  • Thermodilution and Fick cardiac index determinations following cardiac surgery.

    abstract::With the thermodilution technique, repeated determination of cardiac index (CI) has become a rapid, easily accomplished, safe procedure. We paired 77 CI determinations measured by direct Fick and thermodilution techniques in 21 patients who underwent myocardial revascularization. Commercially available thermistor-tipp...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-197509000-00002

    authors: Hodges M,Downs JB,Mitchell LA

    更新日期:1975-09-01 00:00:00

  • 4-Aminopyridine, A Blocker of Voltage-Dependent K+ Channels, Restores Blood Pressure and Improves Survival in the Wistar Rat Model of Anaphylactic Shock.

    abstract:OBJECTIVES:Anaphylactic shock is associated with severe hypotension. Potassium channel blockers, such as 4-aminopyridine, induce vasoconstriction. The objective of this study was to test the ability of 4-aminopyridine to restore blood pressure and increase survival in anaphylactic shock. DESIGN:Experimental study. SE...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001822

    authors: Bellou A,Al-Hammadi S,Aburawi EH,Dhanasekaran S,Nemmar A,Oulhaj A,Shafiuallah M,Zerrouki M,Yasin J,Bellou L,Alper SL,Bellou S,Kazzam E

    更新日期:2016-11-01 00:00:00

  • Double-Stranded RNA Interacts With Toll-Like Receptor 3 in Driving the Acute Inflammatory Response Following Lung Contusion.

    abstract:OBJECTIVES:Lung contusion is a major risk factor for the development of acute respiratory distress syndrome. We set to determine the role of toll-like receptor 3 and the binding of double-stranded RNA in the pathogenesis of sterile injury following lung contusion. DESIGN:Toll-like receptor 3 expression was analyzed in...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001879

    authors: Suresh MV,Thomas B,Machado-Aranda D,Dolgachev VA,Kumar Ramakrishnan S,Talarico N,Cavassani K,Sherman MA,Hemmila MR,Kunkel SL,Walter NG,Hogaboam CM,Raghavendran K

    更新日期:2016-11-01 00:00:00

  • Propranolol blocks cocaine-induced cerebral vasodilation in newborn sheep.

    abstract:OBJECTIVE:The objective of this study was to test the hypothesis that cocaine-induced cerebral vasodilation in newborn sheep is mediated via beta-adrenergic receptor activation. DESIGN:The cerebral effects of a single intravenous injection of cocaine (4 mg/kg) given 30 mins after pretreatment with propranolol (1 mg/kg...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199904000-00036

    authors: O'Brien TP,Pane MA,Traystman RJ,Gleason CA

    更新日期:1999-04-01 00:00:00

  • High-Frequency Oscillatory Ventilation in Pediatric Acute Lung Injury: A Multicenter International Experience.

    abstract:OBJECTIVE:We aim to describe current clinical practice, the past decade of experience and factors related to improved outcomes for pediatric patients receiving high-frequency oscillatory ventilation. We have also modeled predictive factors that could help stratify mortality risk and guide future high-frequency oscillat...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000001278

    authors: Rettig JS,Smallwood CD,Walsh BK,Rimensberger PC,Bachman TE,Bollen CW,Duval EL,Gebistorf F,Markhorst DG,Tinnevelt M,Todd M,Zurakowski D,Arnold JH

    更新日期:2015-12-01 00:00:00

  • Cardiogenic shock.

    abstract::Cardiogenic shock is the most common cause of death in patients hospitalized with acute myocardial infarction and is associated with a poor prognosis. More than 75% of cases are due to extensive left ventricular infarction and ventricular failure. Other causes include right ventricular infarction and papillary muscle ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000296268.57993.90

    authors: Topalian S,Ginsberg F,Parrillo JE

    更新日期:2008-01-01 00:00:00

  • Corticosteroid Therapy Benefits Septic Mice With Adrenal Insufficiency But Harms Septic Mice Without Adrenal Insufficiency.

    abstract:OBJECTIVES:Corticosteroid therapy is frequently used in septic patients given the rationale that there is an increased demand for corticosteroid in sepsis, and up to 60% of severe septic patients experience adrenal insufficiency. However, the efficacy of corticosteroid therapy and whether the therapy should be based on...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001264

    authors: Ai J,Guo L,Zheng Z,Wang SX,Huang B,Li XA

    更新日期:2015-11-01 00:00:00

  • Effect of different cycling-off criteria and positive end-expiratory pressure during pressure support ventilation in patients with chronic obstructive pulmonary disease.

    abstract:OBJECTIVE:During pressure support ventilation, ventilator inspiration ends when inspiratory flow drops to a given percentage of the peak inspiratory flow cycling-off criteria. This study evaluated the effect of two different cycling-off criteria on breathing pattern, respiratory effort, and gas exchange in patients wit...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000287594.80110.34

    authors: Chiumello D,Polli F,Tallarini F,Chierichetti M,Motta G,Azzari S,Colombo R,Rech R,Pelosi P,Raimondi F,Gattinoni L

    更新日期:2007-11-01 00:00:00

  • Randomization in clinical trials of titrated therapies: unintended consequences of using fixed treatment protocols.

    abstract:OBJECTIVE:Clinical trial designs that randomize patients to fixed treatment regimens may disrupt preexisting relationships between illness severity and level of therapy. The practice misalignments created by such designs may have unintended effects on trial results and safety. METHODS:To illustrate this problem, the T...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000266584.40715.A6

    authors: Deans KJ,Minneci PC,Suffredini AF,Danner RL,Hoffman WD,Ciu X,Klein HG,Schechter AN,Banks SM,Eichacker PQ,Natanson C

    更新日期:2007-06-01 00:00:00

  • Lactated Ringer's solution versus 3% albumin for resuscitation of a lethal intestinal ischemic shock in rats.

    abstract::Previously, we determined that a colloid concentration of about 3% was optimal for resuscitation of lethal ischemic intestinal shock model in rats. Maximal volumes of lactated Ringer's solution (RL) alone only expanded plasma volume (PV) to 80% of preshock level, while increasing volumes of 3% albumin (ALB) in RL line...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199001000-00014

    authors: Dawidson IJ,Willms C,Sandor ZF,Armstrong J,Wilson L

    更新日期:1990-01-01 00:00:00

  • Investigating conflict in ICUs-is the clinicians' perspective enough?

    abstract:OBJECTIVE:Most studies have assessed conflict between clinicians and surrogate decision makers in ICUs from only clinicians' perspectives. It is unknown if surrogates' perceptions differ from clinicians'. We sought to determine the degree of agreement between physicians and surrogates about conflict and to identify pre...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3182a27598

    authors: Schuster RA,Hong SY,Arnold RM,White DB

    更新日期:2014-02-01 00:00:00

  • Difficult Bag-Mask Ventilation in Critically Ill Children Is Independently Associated With Adverse Events.

    abstract:OBJECTIVES:Bag-mask ventilation is commonly used prior to tracheal intubation; however, the epidemiology, risk factors, and clinical implications of difficult bag-mask ventilation among critically ill children are not well studied. This study aims to describe prevalence and risk factors for pediatric difficult bag-mask...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004425

    authors: Daigle CH,Fiadjoe JE,Laverriere EK,Bruins BB,Lockman JL,Shults J,Krawiec C,Harwayne-Gidansky I,Page-Goertz C,Furlong-Dillard J,Nadkarni VM,Nishisaki A,National Emergency Airway Registry for Children (NEAR4KIDS) Investigators and

    更新日期:2020-09-01 00:00:00

  • Effects of continuous negative extrathoracic pressure versus positive end-expiratory pressure in acute lung injury patients.

    abstract:OBJECTIVE:To compare the effects of continuous negative extrathoracic pressure (CNEP) and positive end-expiratory pressure (PEEP) at the same level of transpulmonary pressure. DESIGN:Prospective analysis. SETTING:Medical intensive care unit of a university hospital. PATIENTS:Nine consecutive acute lung injury patien...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199806000-00021

    authors: Borelli M,Benini A,Denkewitz T,Acciaro C,Foti G,Pesenti A

    更新日期:1998-06-01 00:00:00

  • Early cerebral prognosis of anoxic encephalopathy using brain energy metabolism.

    abstract::Cerebral arteriovenous differences in oxygen content [C(a-v)O2] and glucose content [C(a-v)gluc] were used to predict outcome in 20 patients who remained comatose after resuscitation for cardiopulmonary arrest. Cerebral prognosis was good when C(a-v)O2 values were greater than 1.8 mMol/L and the oxygen glucose index (...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198410000-00013

    authors: Ducassé JL,Marc-Vergnes JP,Cathala B,Genestal M,Lareng L

    更新日期:1984-10-01 00:00:00