Acute renal failure and dialysis in cancer patients.

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：:This article argues that dopamine infused in low doses has not been shown to avert the onset of or ameliorate the course of acute renal failure in critically ill patients. The inotropic and diuretic effects of dopamine are discussed, and its adverse effects are described. An attempt is made to offer an evidence-based ...

journal_title：Critical care clinics

authors： Cottee DB,Saul WP

更新日期：1996-07-01 00:00:00

abstract：:The role of extracorporeal membrane oxygenation (ECMO) in supporting adult refractory respiratory failure continues to evolve. Technical advances and the clinical challenges of H1N1 associated severe ARDS have spurred a resurgence of interest in ECMO. Published systematic review and pooled analyses point out the limit...

journal_title：Critical care clinics

authors： Park PK,Napolitano LM,Bartlett RH

更新日期：2011-07-01 00:00:00

abstract：:Clinicians are confronted with a complex challenge when a patient is admitted to a critical care unit (CCU) with a significant chest roentgenography (CXR) abnormality. The etiology of a new infiltrate seen on CXR in a patient already in the CCU is more difficult to establish, but is of equal concern. ...

journal_title：Critical care clinics

authors： Santos E,Talusan A,Brandstetter RD

更新日期：1998-01-01 00:00:00

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

authors： Thibault R,Pichard C

更新日期：2010-07-01 00:00:00

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

authors： Venkataraman ST,Orr RA

更新日期：1992-07-01 00:00:00

abstract：:Infections caused by Candida species are now endemic and entrenched in the intensive care unit setting. Candida infections continue to provide a major diagnostic and therapeutic challenge to clinicians. The increased prevalence of Candida infections represent the high price clinicians and patients must pay for the adv...

journal_title：Critical care clinics

authors： Sobel JD

更新日期：1988-04-01 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：:Good airway management depends on a system that emphasizes teamwork to expedite care and minimize errors. By understanding the accreditation and licensing requirements, appropriate personnel and equipment can be allocated along cost effective guidelines. Newer techniques for management of the difficult airway, such as...

journal_title：Critical care clinics

authors： Showan AM,Sestito JA

更新日期：2000-07-01 00:00:00

abstract：:Septic shock is a common clinical problem in the intensive care setting. The high mortality rate associated with septic shock, regardless of age, reflects the inadequacy of available therapeutic approaches. The purpose of this article is to review the current pharmacologic approaches to the treatment of septic shock w...

journal_title：Critical care clinics

authors： Boyd JL 3rd,Stanford GG,Chernow B

更新日期：1989-01-01 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：:Infection and/or sepsis biomarkers should help to make the diagnosis and thus initiate therapy earlier, help to differentiate between infectious and sterile inflammation, allow the use of more-specific antimicrobials, shorten the time of antimicrobial use, and ideally identify distinct phenotypes that may benefit from...

journal_title：Critical care clinics

authors： Reinhart K,Meisner M

更新日期：2011-04-01 00:00:00

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

authors： Desai TK,Carlson RW,Geheb MA

更新日期：1987-10-01 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：: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

authors： Beagle GL

更新日期：2000-01-01 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：: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：:As the geriatric population in the United States increases and better management of chronic diseases improves survival, more elderly will become critically ill and potentially require treatment in an intensive care unit (ICU). Dan Callahan has written, "... we will live longer lives, be better sustained by medical car...

journal_title：Critical care clinics

authors： Mularski RA,Osborne ML

更新日期：2003-10-01 00:00:00

abstract：:This article describes the use of various scores and probabilities to clinically categorize patients in the adult intensive care unit. Some of the limitations of these severity measures are reviewed including variable definitions, timing of measurements, and whether models can be used for individual patients. Also, th...

journal_title：Critical care clinics

authors： Teres D,Lemeshow S

更新日期：1993-07-01 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：:Vasodilators that affect the pulmonary vasculature are appealing adjuncts in many cardiopulmonary conditions that require mechanical ventilation such as ARDS, COPD, PPHN, and cardiothoracic surgery. The adverse systemic effects of parenteral PGE1 and parenteral prostacyclin limit their usefulness in critically ill pat...

journal_title：Critical care clinics

authors： Zimmerman JL,Hanania NA

更新日期：1998-10-01 00:00:00

abstract：:The proportion of hospitalized patients with pulmonary embolism (PE) is increasing. Whether this represents more admissions with PE or more diagnoses made in hospitalized patients is uncertain. The proportion of hospitalized patients with deep venous thrombosis has decreased precipitously as a result of home treatment...

journal_title：Critical care clinics

authors： Stein PD,Matta F

更新日期：2011-10-01 00:00:00

abstract：:Providing nutritional support has become a standard component of managing critically ill patients. While many studies have documented that providing nutritional support can change nutritional outcomes (e.g., amino acid profile, weight gain, nitrogen balance), data are lacking that demonstrate that nutrition actually i...

journal_title：Critical care clinics

authors： Heyland DK

更新日期：1998-07-01 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：:This article documents the role of hypothalamic hypothyroidism and decreased T4-->T3 conversion as the cause of low T4 and T3 in non-thyroidal illness syndrome (NTIS). This article also presents the arguments for administration of replacement triiodothyronine (T3) and thyroxine (T4) hormone in patients who have NTIS. ...

journal_title：Critical care clinics

authors： De Groot LJ

更新日期：2006-01-01 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：: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

authors： Noji EK

更新日期：1991-04-01 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：: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：: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

authors： Campbell ML

更新日期：2004-07-01 00:00:00