Rehabilitation in spinal cord injury.

abstract：:Transplant patients face challenging medical journeys, with many detours to the intensive care unit. Before and after transplantation, they have significant psychological and cognitive comorbidities, which decrease their quality of life and potentially compromise their medical outcomes. Critical care staff are essenti...

journal_title：Critical care clinics

authors： Sher Y,Zimbrean P

更新日期：2017-07-01 00:00:00

abstract：:Assessment of oxygenation is an integral part of monitoring critically ill patients. Current available modalities including pulse oximetry, transcutaneous and transconjunctival oxygen measurements are reviewed. In addition, future modalities to assess oxygen delivery and utilization at the level of the intact end-orga...

journal_title：Critical care clinics

authors： Brown M,Vender JS

更新日期：1988-07-01 00:00:00

abstract：:The leukotrienes are a group of biologically active products of arachidonic acid metabolism that have been demonstrated to possess the capability to alter vascular reactivity as well as vascular permeability when applied topically to tissues or infused into the vascular bed of various organs. These biologic effects of...

journal_title：Critical care clinics

authors： Sprague RS,Stephenson AH,Dahms TE,Lonigro AJ

更新日期：1989-04-01 00:00:00

abstract：:Acute kidney injury (AKI) is a common complication among critically ill patents, and 5% of intensive care unit (ICU) patients require initiation of renal replacement therapy (RRT). In recent years, clinical trials have provided evidence-based guidance for some important aspects of RRT management in patients with AKI, ...

journal_title：Critical care clinics

authors： Heung M,Yessayan L

更新日期：2017-04-01 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：:This article has reviewed the current knowledge regarding the occurrence and possible role of oxygen radical generation and lipid peroxidation in acute CNS injury. Although much work remains, three criteria required to establish the pathophysiologic importance of oxygen radical reactions in post-traumatic events have ...

journal_title：Critical care clinics

authors： Hall ED

更新日期：1989-10-01 00:00:00

abstract：:Hypertension is a pervasive and growing health concern. The occurrence of hypertension due to systemic vasoconstriction in patients before, during, and after surgery is not uncommon and can have serious consequences with regard to outcomes. Careful evaluation prior to surgery to identify the underlying cause of hypert...

journal_title：Critical care clinics

authors： Goldberg ME,Weaver FA

更新日期：2007-10-01 00:00:00

abstract：:Acute respiratory failure can be the result of a variety of clinical conditions, such as congestive heart failure, pneumonia, pulmonary embolism, exacerbation of obstructive lung diseases, and acute respiratory distress syndrome (ARDS). This article focuses on developments related to acute lung injury and ARDS and rev...

journal_title：Critical care clinics

authors： Bandi VD,Munnur U,Matthay MA

更新日期：2004-10-01 00:00:00

abstract：:Advances in the area of pediatric medicine during the past few years have presented ethical dilemmas for the physician to consider. This article discusses the ethical principles upon which clinical reasoning and judgments can be made. ...

journal_title：Critical care clinics

authors： Todres ID

更新日期：1992-01-01 00:00:00

abstract：:Blunt thoracic trauma can result in significant morbidity in injured patients. Both chest wall and the intrathoracic visceral injuries can lead to life-threatening complications if not anticipated and treated. Pain control, aggressive pulmonary toilet, and mechanical ventilation when necessary are the mainstays of sup...

journal_title：Critical care clinics

authors： Wanek S,Mayberry JC

更新日期：2004-01-01 00:00:00

abstract：:In this review, the various interactions between heart and lung that occur during positive-pressure ventilation are contrasted with spontaneous ventilation. Based on this analysis, appropriate ventilator management directed at optimizing oxygen delivery to the tissues can be employed in the treatment of the critically...

journal_title：Critical care clinics

authors： Pinsky MR

更新日期：1985-11-01 00:00:00

abstract：:Acute hypoxemic respiratory failure is a pulmonary capillary leak state that occurs in many different clinical settings. The resultant edema causes refractory hypoxemia due to intrapulmonary shunting and loss of lung compliance. Mechanical ventilation with PEEP and high concentrations of supplemental oxygen are freque...

journal_title：Critical care clinics

authors： Zucker AR

更新日期：1988-10-01 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：:The thermal-dye technique for the measurement of ELW is available for clinical and experimental use. This method is safe and can be performed serially in an individual patient. Although it is invasive, it requires only a central venous catheter and an arterial catheter, which are often already in place for routine hem...

journal_title：Critical care clinics

authors： Sivak ED,Wiedemann HP

更新日期：1986-07-01 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：: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：: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：: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：:Cardiogenic shock remains a leading cause of mortality despite advances in the treatment of myocardial infarction and advanced heart failure. Medical therapy can be inadequate, and patients may need mechanical circulatory support (MCS). The proper application of MCS requires knowledge of the underlying cause of acute ...

journal_title：Critical care clinics

authors： Teuteberg JJ,Chou JC

更新日期：2014-07-01 00:00:00

abstract：:Critically ill cancer patients have a higher incidence of acute kidney injury treated with renal replacement therapy than critically ill patients without cancer. Acute kidney injury may occur as a direct or indirect consequence of the cancer itself, its treatment, or associated complications. Several recent studies ha...

journal_title：Critical care clinics

authors： Benoit DD,Hoste EA

更新日期：2010-01-01 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：: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：:To be in respiratory distress is to be anxious. To be mechanically ventilated is to be grossly uncomfortable at best. To undergo weaning in the presence of possible severe respiratory compromise, again, inevitably is anxiety provoking. Assessment of the contributing causes of agitation is essential if patients are to ...

journal_title：Critical care clinics

authors： McCartney JR,Boland RJ

更新日期：1994-10-01 00:00:00

abstract：:Summarizing the mission of the ICU, the institution directive board and the unit director must generate a structure, proceedings criteria, management, and analysis of results capable of providing satisfactory care. Furthermore, they must take into account each organizational aspect that is necessary to offer an approp...

journal_title：Critical care clinics

authors： Gallesio AO,Ceraso D,Palizas F

更新日期：2006-07-01 00:00:00

abstract：:The EMR in the ICU has the utility of providing the necessary information to make sound clinical decisions for critically ill patients. For it to be optimized, the EMR must be more than just what is being replicated in the written record or merely a documentation tool; it must add value that supports and enhances clin...

journal_title：Critical care clinics

authors： Sado AS

更新日期：1999-07-01 00:00:00

abstract：:In general, coma portends a very poor outcome in ICU patients except when a drug overdose is the cause. Interactions with concurrent diseases and the cause of the comatose state are important variables that modify mortality rates. Recent studies have made it possible to predict irreversibility with a high degree of sp...

journal_title：Critical care clinics

authors： Snyder JV,Colantonio A

更新日期：1994-01-01 00:00:00

abstract：:Fluid creep is the term applied to a burn resuscitation, which requires more fluid than predicted by standard formulas. Fluid creep is common today and is linked to several serious edema-related complications. Increased fluid requirements may accompany the appropriate resuscitation of massive injuries but dangerous fl...

journal_title：Critical care clinics

authors： Saffle JR

更新日期：2016-10-01 00:00:00

abstract：:There have been many recent advances in the management of traumatic brain injury (TBI). Research regarding established and novel therapies is ongoing. Future research must not only focus on development of new strategies but determine the long-term benefits or disadvantages of current strategies. In addition, the impac...

journal_title：Critical care clinics

authors： Stein DM,Feather CB,Napolitano LM

更新日期：2017-01-01 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：:The PAC has allowed physicians to obtain information that was unavailable prior to its introduction into clinical medicine. There are numerous pitfalls, however, in obtaining and interpreting this information. Even if these pitfalls are avoided, changing therapy to the patient's benefit based on PAC data is not guaran...

journal_title：Critical care clinics

authors： Leibowitz AB

更新日期：1996-07-01 00:00:00