Complications of chronic liver disease.

Abstract:

:The patient with advanced cirrhosis presents unique challenges to the critical care physician, in great measure because of the protean functions attributable to the liver and the multiplicity of derangements that may occur. Portal hypertension, once it develops, is the source of potentially devastating complications that include life-threatening hemorrhage, infection, renal failure, and coma. Parenchymal disease can result in coagulopathy as well as altered handling of both endogenous (hormones, metabolites) and exogenous (drugs) substances. Cirrhosis also can be complicated by the development of HCC, which may worsen portal hypertension, deplete parenchymal reserves, and result in catastrophic complications. The prospect of cure by liver transplantation in selected cases serves to underscore the importance of prompt and vigilant management of patients with decompensated cirrhosis in the critical care setting.

journal_name

Crit Care Clin

journal_title

Critical care clinics

authors

Chung RT,Jaffe DL,Friedman LS

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

431-63

issue

2

eissn

0749-0704

issn

1557-8232

journal_volume

11

pub_type

杂志文章,评审
  • Natural disasters.

    abstract::This article presents the health effects of some of the more important acute natural disasters and outlines requirements for effective medical response to these events (table 7). In summary, although all disasters are unique in that they affect regions of the world with differing social, economic, and health backgroun...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Noji EK

    更新日期:1991-04-01 00:00:00

  • The Inflammatory and Hemostatic Response in Sepsis and Meningococcemia.

    abstract::Meningococcemia is notorious for evasion of the host immune system and its rapid progression to fulminant disease, and serves as a unique model for pediatric sepsis. Illness severity is determined by complex interplays among host, pathogen, and environment. The inflammatory host response, including proinflammatory and...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2019.12.005

    authors: Boeddha NP,Bycroft T,Nadel S,Hazelzet JA

    更新日期:2020-04-01 00:00:00

  • Mechanisms of cerebral injury from cardiac surgery.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2007.09.004

    authors: Hogue CW,Gottesman RF,Stearns J

    更新日期:2008-01-01 00:00:00

  • Bedside diagnostic ultrasound and therapeutic ultrasound-guided procedures in the intensive care setting.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0704(05)70097-x

    authors: Beagle GL

    更新日期:2000-01-01 00:00:00

  • Infections of the developing world.

    abstract::Access to critical care is rapidly growing in areas of the world where it was previously nonexistent and where infectious diseases often comprise the largest disease burden. Additionally, with crowding, mass migrations, and air travel, infectious diseases previously geographically confined are quickly spread across th...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2013.03.005

    authors: Murthy S,Keystone J,Kissoon N

    更新日期:2013-07-01 00:00:00

  • Lipid modulation and systemic inflammation.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0704(05)70160-3

    authors: Zaloga GP,Marik P

    更新日期:2001-01-01 00:00:00

  • Hypocalcemia and hypophosphatemia in acutely ill patients.

    abstract::Hypocalcemia and hypophosphatemia have recently been recognized as common metabolic complications in acutely ill patients. The diagnostic and therapeutic approaches to these abnormalities are described in this article. ...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Desai TK,Carlson RW,Geheb MA

    更新日期:1987-10-01 00:00:00

  • Fiberoptic bronchoscopy in the intensive care unit.

    abstract::The primary uses of FFB in the intensive care unit are in the diagnosis of opportunistic infection and for airway management. In addition, use of PTC brush or BAL with quantitative cultures may allow identification of the specific cause of bacterial pneumonia. Determination of the location and cause of pulmonary hemor...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dellinger RP,Bandi V

    更新日期:1992-10-01 00:00:00

  • Problems in the long-term renal allograft recipient.

    abstract::Despite great improvement in patient and graft survival, the long-term morbidity and mortality in renal transplant recipients are still significant. Cardiovascular disease accounts for much of the mortality in long-term survivors; screening before the transplant procedure and adequate control of hypertension should he...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Fabrega AJ,Lopez-Boado M,Gonzalez S

    更新日期:1990-10-01 00:00:00

  • Cardiopulmonary resuscitation and somatic support of the pregnant patient.

    abstract::Cardiopulmonary arrest during pregnancy is a rare event that critical care clinicians must be prepared to manage. The causes of cardiopulmonary arrest during pregnancy, recommended modifications to cardiopulmonary resuscitation protocols that are specific to pregnancy, indications for and timing of perimortem cesarean...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2004.05.005

    authors: Mallampalli A,Powner DJ,Gardner MO

    更新日期:2004-10-01 00:00:00

  • Mechanisms of hypoxemia and hypercapnia in the perioperative period.

    abstract::There are numerous mechanisms of hypoxemia and hypercapnia during the perioperative period. Mechanisms of hypoxemia include oxygen delivery problems, decreased FAC-CC relationship, hypoventilation, decreased cardiac output, increased oxygen consumption, decreased hypoxic pulmonary vasoconstriction, and increased nonal...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Foltz BD,Benumof JL

    更新日期:1987-04-01 00:00:00

  • Parenteral nutrition in critical illness: can it safely improve outcomes?

    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

    pub_type: 杂志文章

    doi:10.1016/j.ccc.2010.04.002

    authors: Thibault R,Pichard C

    更新日期:2010-07-01 00:00:00

  • Vancomycin-resistant enterococci.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2013.06.006

    authors: Rubinstein E,Keynan Y

    更新日期:2013-10-01 00:00:00

  • Neuroendovascular rescue. Nonthrombolytic approach to acute brain ischemia.

    abstract::The field of neuroendovascular therapy is rapidly growing. New technology and operators' expertise is developing at a pace that will make this discipline progressively more available and successful. For the intensive care of patients who have acute brain ischemia, new techniques of recanalizing occluded arteries are p...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0704(05)70086-5

    authors: Gomez CR,Wadlington VR,Terry JB,Tulyapronchote R

    更新日期:1999-10-01 00:00:00

  • Risk Stratification of Pulmonary Embolism.

    abstract::Given the broad treatment options, risk stratification of pulmonary embolism is a highly desirable component of management. The ideal tool identifies patients at risk of death from the original or recurrent pulmonary embolism. Using all-cause death in the first 30-days after pulmonary embolism diagnosis as a surrogate...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2020.02.002

    authors: Moumneh T,Wells PS,Miranda S

    更新日期:2020-07-01 00:00:00

  • Biomechanics of spinal cord injury.

    abstract::This article summarizes the biomechanical relationship of the spinal column to load stresses with respect to column failure, and the resulting associated central nervous system injury. In addition, it presents pertinent animal research, which has focused onto the development standardized animal spinal cord injury mode...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Bunegin L,Hung TK,Chang GL

    更新日期:1987-07-01 00:00:00

  • Terminal dyspnea and respiratory distress.

    abstract::Dyspnea is a subjective experience that can be reported by the patient. Respiratory distress is an observable corollary, and represents the physical or emotional suffering that results from the experience of dyspnea. Recognizing and understanding this subjective phenomenon poses a challenge to intensive care unit (ICU...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2004.03.015

    authors: Campbell ML

    更新日期:2004-07-01 00:00:00

  • Venous thromboembolic disease and hematologic considerations in obesity.

    abstract::Venous thromboembolic disease continues to be a major source of morbidity and mortality, with obese patients who are critically ill presenting some of the most at-risk patients. As the literature evolves, it has become clear that there is a complex relationship between obesity and thrombosis and atherogenesis. It is t...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2010.06.011

    authors: Craft MK,Reed MJ

    更新日期:2010-10-01 00:00:00

  • Intrahospital transport of critically ill patients.

    abstract::Intrahospital transport of critically ill patients must be considered as part of the critical care continuum. The level of care provided must be commensurate with the severity of illness. These transfers are intensive in terms of utilization of personnel and resources. Advance preparation and optimal coordination of t...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Venkataraman ST,Orr RA

    更新日期:1992-07-01 00:00:00

  • The use of daptomycin for Staphylococcus aureus infections in critical care medicine.

    abstract::The proliferation of methicillin-resistant Staphylococcus aureus (MRSA) and the severity of nosocomial critical care infections necessitate the development of viable alternative therapies. An increase in the tolerance of MRSA to the activity of vancomycin and to the associated suboptimal therapeutic measures is of par...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2007.12.010

    authors: Alder J

    更新日期:2008-04-01 00:00:00

  • Adjuncts to analgesia. Sedation and neuromuscular blockade.

    abstract::This article provides an overview of some of the current issues involved in sedation and anxiolysis in the intensive care unit. The problems involved in trying to monitor sedation levels are discussed, as are some of the newer options available for physiologic monitoring of the central nervous system. The problem of a...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0704(05)70043-9

    authors: Lowson SM,Sawh S

    更新日期:1999-01-01 00:00:00

  • Serotonin syndrome. A clinical update.

    abstract::Serotonin syndrome is characterized by varied degrees of cognitive, autonomic, and neuromuscular dysfunction and can only be produced by drug therapy that increases central nervous system serotonin neurotransmission. Information gained from a retrospective review of 127 cases of serotonin syndrome is presented. It is ...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0704(05)70368-7

    authors: Mills KC

    更新日期:1997-10-01 00:00:00

  • Neurologic pain syndromes in patients with cancer.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Elliott K,Foley KM

    更新日期:1990-04-01 00:00:00

  • Aspects of chest imaging in the intensive care unit.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Cascade PN,Kazerooni EA

    更新日期:1994-04-01 00:00:00

  • Functional hemodynamic monitoring.

    abstract::Functional hemodynamic monitoring is the assessment of the dynamic interactions of hemodynamic variables in response to a defined perturbation. Recent interest in functional hemodynamic monitoring for the bedside assessment of cardiovascular insufficiency has heightened with the documentation of its accuracy in predic...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2014.08.005

    authors: Pinsky MR

    更新日期:2015-01-01 00:00:00

  • Nutritional monitoring in the ICU: rational and practical application.

    abstract::The metabolic response to injury can induce a state of hypermetabolism that results in the rapid loss of the body nitrogen, so that a critical reduction in lean body mass that affects morbidity and mortality can occur in a short period of time. The process also induces a redistribution of the body nitrogen away from t...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Negro F,Cerra FB

    更新日期:1988-07-01 00:00:00

  • Pharmacologic principles of cardiovascular drug administration to the critically ill.

    abstract::The critically ill patient presents a pharmaceutical dilemma, with the clinical condition often necessitating the administration of potent medications. The underlying disease process often includes or produces multi-system failure, which will subsequently alter the response to drugs, with the potential to further comp...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Campbell S

    更新日期:1985-11-01 00:00:00

  • The Swan-Ganz catheter. Twenty-five years of monitoring.

    abstract::The years that have passed since the introduction of the pulmonary artery catheter have been marked by radical changes in the practice of general and critical care medicine. There has been an increase in the application of physiologic principles to the management of shock states, myocardial infarction, and respiratory...

    journal_title:Critical care clinics

    pub_type: 历史文章,杂志文章

    doi:10.1016/s0749-0704(05)70278-5

    authors: Ginosar Y,Sprung CL

    更新日期:1996-10-01 00:00:00

  • Special considerations in the critically ill morbidly obese child.

    abstract::Obesity has been recognized as an increasing problem not only in North America but globally. With a significant rise in the prevalence of obesity amongst children and adolescents over the past 20 years, the comorbidities associated with obesity are also now emerging at an earlier age. These comorbidities cause specifi...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ccc.2010.06.009

    authors: Bailey KA

    更新日期:2010-10-01 00:00:00

  • The patient with critical neurological disease.

    abstract::The known metabolic abnormalities and nutritional requirements of the brain injury, spinal cord injury, and acute stroke patient have been presented. Further investigations are required in all these conditions to identify specific nutritional requirements and metabolic abnormalities. The specific role of nutritional s...

    journal_title:Critical care clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Young B,Ott L,Rapp R,Norton J

    更新日期:1987-01-01 00:00:00