Hemoglobin A1c and Permissive Hyperglycemia in Patients in the Intensive Care Unit with Diabetes.

abstract：:This article describes the history of critical care medicine's cooperation with ethics, relates some lessons learned from this cooperation, identifies implications for other chronic and acute settings, and gives some suggestions for governmental and social input into the solution of the difficult ethical questions fac...

journal_title：Critical care clinics

authors： Kanoti GA,Orlowski JP,Vinicky J

更新日期：1986-01-01 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：: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 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：: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

authors： Mills KC

更新日期：1997-10-01 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 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：:The management of critically ill patients necessitates the use of sedatives and analgesics to provide patient comfort and cooperation. These drugs exert profound effects on all organ systems, not only the central nervous system, and this article describes the immunologic effects of the commonly used critical care seda...

journal_title：Critical care clinics

authors： Sanders RD,Hussell T,Maze M

更新日期：2009-07-01 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 energy expenditure of the critically ill patient is influenced by many factors, thus making it difficult to predict. Measurement of energy expenditure in mechanically ventilated patients receiving elevated oxygen concentrations requires a good understanding of the measurement technique and its limitations, whether...

journal_title：Critical care clinics

authors： Damask MC,Schwarz Y,Weissman C

更新日期：1987-01-01 00:00:00

abstract：:Caring for the new quadriplegic is an immense undertaking involving multiple health care professionals who must function as a team. The physician in charge must understand rehabilitation principles and be able to communicate with all members of the team caring for the patient. Rehabilitation principles, if considered ...

journal_title：Critical care clinics

authors： Keppler JP

更新日期：1987-07-01 00:00:00

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

authors： Pinsky MR

更新日期：2015-01-01 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

abstract：:Chemical agents of warfare are divided into lung agents, blood agents, vesicants, and nerve agents. Intensivists must familiarize themselves with the clinical presentation and management principles in the event of a chemical attack. Key principles in management include aggressive supportive care and early administrati...

journal_title：Critical care clinics

authors： Mishra R,Geiling J

更新日期：2019-10-01 00:00:00

abstract：:Arterial catheterization is used frequently in the management of critically ill patients, both for continuous blood pressure monitoring and access to the arterial circulation to obtain frequent blood gas measurements. The procedure is usually easily accomplished at the bedside using percutaneous methods such as the Se...

journal_title：Critical care clinics

authors： Clark VL,Kruse JA

更新日期：1992-10-01 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：: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：:Venous thromboembolic disease is a very common complication in the ICU. This article reviews incidence, prevention, and therapy related to venous thromboembolism, including both deep venous thrombosis and pulmonary embolism. Special diagnostic and treatment considerations in the ICU setting are highlighted. The increa...

journal_title：Critical care clinics

authors： DeLoughery TG

更新日期：2005-07-01 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：: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：: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

authors： Murthy S,Keystone J,Kissoon N

更新日期：2013-07-01 00:00:00

abstract：:It is often necessary to transfuse blood products in shock. Use of these products can be life-saving, but they also carry considerable risk. It is important, therefore, that the physician be aware of the indications as well as possible complications, so that a proper decision can be made weighing the risk versus the b...

journal_title：Critical care clinics

authors： Nacht A

更新日期：1992-04-01 00:00:00

abstract：:The pathophysiology of the burn injury and treatment factors that influence burn depth are explained. Details of burn wound care, including indications for early excision, topical antimicrobials, and the most recent advances in skin substitutes, are described. Burn wound sepsis, the most common and serious complicatio...

journal_title：Critical care clinics

authors： Achauer BM,Martinez SE

更新日期：1985-03-01 00:00:00

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：:In summary, advances in critical care and mechanical ventilation have resulted in an increased salvage of critically ill patients, a number of whom require long-term ventilation as a means of life support. In addition, the total number of patients receiving long-term ventilation has increased dramatically over the pas...

journal_title：Critical care clinics

authors： Criner GJ,Tzouanakis A,Kreimer DT

更新日期：1994-10-01 00:00:00

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：:The optimal management of arterial blood pressure in the setting of acute stroke has not been firmly defined. The different types of stroke--ischemic, intracerebral hemorrhage, and subarachnoid hemorrhage--have different pathophysiologies and require different approaches in terms of blood pressure management in the ac...

journal_title：Critical care clinics

authors： Urrutia VC,Wityk RJ

更新日期：2006-10-01 00:00:00

abstract：:Carbon monoxide (CO) poisoning is common and frequently unrecognized since the signs and symptoms are relatively nonspecific. CO poisoning causes tissue hypoxia. Additionally, various animal studies have demonstrated that CO interferes with myoglobin, P450, and other enzyme function; causes lipid peroxidation through ...

journal_title：Critical care clinics

authors： Weaver LK

更新日期：1999-04-01 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：: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