Human rabies: clinical features, diagnosis, complications, and management.

Abstract:

:A case of rabies was treated with intensive medical support. This led to a prolongation of life to 25 days. The neurologic progression of the disease was monitored clinically and with serial EEG. This prolonged course enabled us to witness and manage a wide variety of unusual complications including the adult respiratory distress syndrome, hypothermia, myocarditis, and diabetes insipidus. This report documents the clinical features, diagnostic problems, complications, and management.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Udwadia ZF,Udwadia FE,Katrak SM,Dastur DK,Sekhar M,Lall A,Kumta A,Sane B

subject

Has Abstract

pub_date

1989-08-01 00:00:00

pages

834-6

issue

8

eissn

0090-3493

issn

1530-0293

journal_volume

17

pub_type

杂志文章
  • Cerebral blood flow and oxygen consumption in acute brain injury with acute anemia: an alternative for the cerebral metabolic rate of oxygen consumption?

    abstract:OBJECTIVE:To comparatively evaluate cerebral metabolic rate of oxygen consumption and a modification of it, cerebral consumption of oxygen, in patients with acute brain injury with acute anemia. DESIGN:Prospective, observational study. SETTING:Neuroscience intensive care unit (ICU) of a university hospital. PATIENTS...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199308000-00024

    authors: Cruz J,Jaggi JL,Hoffstad OJ

    更新日期:1993-08-01 00:00:00

  • Understanding the pressure cost of ventilation: why does high-frequency ventilation work?

    abstract:OBJECTIVES:To understand when the use of high-frequency ventilation would be advantageous, we formulated the problem of achieving adequate alveolar ventilation at minimal pressure cost by dividing it into two simpler problems: a) the pressure cost per unit of convective oscillatory flow; and b) the convective flow cost...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-199422091-00004

    authors: Venegas JG,Fredberg JJ

    更新日期:1994-09-01 00:00:00

  • Right ventricular end-diastolic volume index as a predictor of preload status in patients on positive end-expiratory pressure.

    abstract:OBJECTIVE:To evaluate the clinical utility of right ventricular end-diastolic volume index (RVEDVI) and pulmonary artery occlusion pressure (PAOP) as measures of preload status in patients with acute respiratory failure receiving treatment with positive end-expiratory pressure. DESIGN:Prospective, cohort study. SETTI...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199811000-00017

    authors: Cheatham ML,Nelson LD,Chang MC,Safcsak K

    更新日期:1998-11-01 00:00:00

  • Increases in spinal fluid osmolarity induced by mannitol.

    abstract:OBJECTIVE:Mannitol is widely used in hospitals worldwide to treat patients with high intracranial pressure and/or cerebral edema. One of the mechanisms by which mannitol is thought to affect intracranial pressure is by increasing the patient's serum osmolarity, but not the osmolarity in the brain or cerebrospinal fluid...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.CCM.0000050287.68977.84

    authors: Polderman KH,van de Kraats G,Dixon JM,Vandertop WP,Girbes AR

    更新日期:2003-02-01 00:00:00

  • Topical inhibition of nuclear factor-kappaB enhances reduction in lung edema by surfactant in a piglet model of airway lavage.

    abstract:OBJECTIVE:Acute respiratory distress syndrome is occasionally seen in newborn infants due to a severe inflammatory process in the lungs that affects capillary-alveolar permeability, epithelial integrity, and type I and II pneumocyte function. The aim of this study was to investigate the effect of a topically applied nu...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.ccm.0000166371.18066.5e

    authors: Ankermann T,Reisner A,Wiemann T,Krams M,Köhler H,Krause MF

    更新日期:2005-06-01 00:00:00

  • Development and application of a double-piston configured, total-liquid ventilatory support device.

    abstract:OBJECTIVE:Perfluorocarbon liquid ventilation has been shown to enhance pulmonary mechanics and gas exchange in the setting of respiratory failure. To optimize the total liquid ventilation process, we developed a volume-limited, time-cycled liquid ventilatory support, consisting of an electrically actuated, microprocess...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200005000-00038

    authors: Meinhardt JP,Quintel M,Hirschl RB

    更新日期:2000-05-01 00:00:00

  • Measurement properties of the Clinical Risk Index for Babies--reliabilty, validity beyond the first 12 hours, and responsiveness over 7 days.

    abstract:OBJECTIVES:Clinical Risk Index for Babies (CRIB) is a simple instrument used to measure clinical risk and illness severity in very low birth-weight infants. We assessed its reliability, validity beyond the first 12 hrs after birth, and responsiveness to individual change in condition after 7 days. DESIGN:Cohort study....

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199801000-00033

    authors: Fowlie PW,Gould CR,Tarnow-Mordi WO,Strang D

    更新日期:1998-01-01 00:00:00

  • Admission of incompetent patients to intensive care: doctors' responsiveness to family wishes.

    abstract:OBJECTIVE:When a patient is incompetent, the family is often considered to be a natural surrogate. The doctors' responsiveness to family wishes may vary. We explored if doctors' personal characteristics were associated with responsiveness to the relatives' wishes when admission to the intensive care unit (ICU) is consi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181958409

    authors: Escher M,Perneger TV,Heidegger CP,Chevrolet JC

    更新日期:2009-02-01 00:00:00

  • Racemic versus l-epinephrine aerosol in the treatment of postextubation laryngeal edema: results from a prospective, randomized, double-blind study.

    abstract:OBJECTIVE:To determine whether any advantage exists using racemic epinephrine instead of the more potent and less expensive levo(1)-epinephrine in the treatment of postextubation laryngeal edema. DESIGN:Prospective, double-blind, randomized study. SETTING:Pediatric intensive care unit in a university teaching hospita...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Nutman J,Brooks LJ,Deakins KM,Baldesare KK,Witte MK,Reed MD

    更新日期:1994-10-01 00:00:00

  • Association of low serum 25-hydroxyvitamin D levels and mortality in the critically ill.

    abstract:OBJECTIVE:We hypothesized that deficiency in 25-hydroxyvitamin D before hospital admission would be associated with all-cause mortality in the critically ill. DESIGN:Multicenter observational study of patients treated in medical and surgical intensive care units. SETTING:A total of 209 medical and surgical intensive ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0b013e318206ccdf

    authors: Braun A,Chang D,Mahadevappa K,Gibbons FK,Liu Y,Giovannucci E,Christopher KB

    更新日期:2011-04-01 00:00:00

  • Brainstem death with persistent EEG activity: evaluation by xenon-enhanced computed tomography.

    abstract::A patient with brainstem infarction met the clinical criteria for brain death but had persistent EEG activity, complicating our decision to withdraw life support. We evaluated cerebral blood flow with xenon-enhanced computed tomography (Xe/CT), which documented the absence of posterior circulation flow and persistent,...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198705000-00014

    authors: Darby J,Yonas H,Brenner RP

    更新日期:1987-05-01 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

  • Beneficial effects of mercaptoethylguanidine, an inhibitor of the inducible isoform of nitric oxide synthase and a scavenger of peroxynitrite, in a porcine model of delayed hemorrhagic shock.

    abstract:OBJECTIVE:In rodent models, enhanced formation of nitric oxide and formation of peroxynitrite have been implicated in the pathogenesis of various forms of shock. Here we examined the effect of mercaptoethylguanidine (MEG), an inducible nitric oxide synthase inhibitor and peroxynitrite scavenger, in a severe hemorrhagic...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199907000-00027

    authors: Szabó A,Hake P,Salzman AL,Szabó C

    更新日期:1999-07-01 00:00:00

  • Plasma interferon-gamma and interleukin-10 concentrations in systemic meningococcal disease compared with severe systemic Gram-positive septic shock.

    abstract:OBJECTIVE:To analyze plasma interferon-gamma and interleukin-10 concentrations in patients with systemic meningococcal disease and patients with severe Gram-positive septic shock caused by Streptococcus pneumoniae or Staphylococcus aureus. To study the in vitro cytokine (interferon-gamma and interleukin-10) responses i...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000104950.52577.97

    authors: Bjerre A,Brusletto B,Høiby EA,Kierulf P,Brandtzaeg P

    更新日期:2004-02-01 00:00:00

  • Antagonism of the Neurokinin-1 Receptor Improves Survival in a Mouse Model of Sepsis by Decreasing Inflammation and Increasing Early Cardiovascular Function.

    abstract:OBJECTIVES:Sepsis remains a serious clinical problem despite intensive research efforts and numerous attempts to improve outcome by modifying the inflammatory response. Substance P, the principal ligand for the neurokinin-1 receptor, is a potent proinflammatory mediator that exacerbates inflammatory responses and cardi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000002075

    authors: Mella JR,Chiswick E,Stepien D,Moitra R,Duffy ER,Stucchi A,Remick D

    更新日期:2017-02-01 00:00:00

  • Transforming growth factor-beta: a mediator of cell regulation in acute respiratory distress syndrome.

    abstract:OBJECTIVE:To review recent advances in the use of transforming growth factor (TGF)-beta in acute lung injury and to apply this knowledge to understanding the pathophysiology of this syndrome. DATA SOURCES AND STUDY SELECTION:Published research and review articles in the English language related to the role of TGF-beta...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000057901.92381.75

    authors: Dhainaut JF,Charpentier J,Chiche JD

    更新日期:2003-04-01 00:00:00

  • Efficacy of silver-coating central venous catheters in reducing bacterial colonization.

    abstract:OBJECTIVE:To compare silver-coated and uncoated central venous catheters regarding bacterial colonization. To assess the relative contribution of catheter hub and skin colonization to catheter tip colonization. DESIGN:Prospective, randomized clinical trial. SETTING:Intensive care unit in a university hospital. PATIE...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00003246-199903000-00028

    authors: Bach A,Eberhardt H,Frick A,Schmidt H,Böttiger BW,Martin E

    更新日期:1999-03-01 00:00:00

  • Use of exogenous arginine in multiple organ dysfunction syndrome and sepsis.

    abstract::Given the multiple biological, metabolic, and pharmacologic effects of supplemental arginine, much effort has been devoted to defining its role in numerous clinical conditions. Herein, we review the multiple pathways of arginine metabolism with its various enzyme systems; the effect of arginine on nutrition, healing, ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000279188.97421.FE

    authors: Barbul A,Uliyargoli A

    更新日期:2007-09-01 00:00:00

  • Heat stress increases survival rates in lipopolysaccharide-stimulated rats.

    abstract:OBJECTIVE:To examine the hypothesis that heat stress applied after the administration of bacterial endotoxin is protective. DESIGN:Prospective, randomized, laboratory study. SETTING:University research laboratory. SUBJECTS:One hundred eleven adult male Sprague-Dawley rats (weight range 250 to 400 g). INTERVENTIONS:...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199710000-00025

    authors: Chu EK,Ribeiro SP,Slutsky AS

    更新日期:1997-10-01 00:00:00

  • Nalbuphine reversal of respiratory depression after epidural sufentanil.

    abstract::The use of epidural opioids for postoperative analgesia has been associated with respiratory depression. This report demonstrates the ability of nalbuphine to rapidly reverse the respiratory depression caused by epidural sufentanil while maintaining postoperative pain relief. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198904000-00017

    authors: Cheng EY,May J

    更新日期:1989-04-01 00:00:00

  • Cycling empirical antimicrobial agents to prevent emergence of antimicrobial-resistant Gram-negative bacteria among intensive care unit patients.

    abstract:OBJECTIVE:To determine the impact of the rotation of antimicrobial agents on the rates of infection, intestinal colonization, and acquisition with antimicrobial-resistant Gram-negative bacteria. DESIGN:Pre- and postintervention design. SETTING:A 19-bed, medical intensive care unit. PATIENTS:Individuals admitted to t...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.ccm.0000147685.79487.28

    authors: Warren DK,Hill HA,Merz LR,Kollef MH,Hayden MK,Fraser VJ,Fridkin SK

    更新日期:2004-12-01 00:00:00

  • Tracheostomy does not improve the outcome of patients requiring prolonged mechanical ventilation: a propensity analysis.

    abstract:OBJECTIVE:To examine the association between the performance of a tracheostomy and intensive care unit and postintensive care unit mortality, controlling for treatment selection bias and confounding variables. DESIGN:Prospective, observational, cohort study. SETTING:Twelve French medical or surgical intensive care un...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000251134.96055.A6

    authors: Clec'h C,Alberti C,Vincent F,Garrouste-Orgeas M,de Lassence A,Toledano D,Azoulay E,Adrie C,Jamali S,Zaccaria I,Cohen Y,Timsit JF

    更新日期:2007-01-01 00:00:00

  • Frequency, risk factors, and outcomes of early unplanned readmissions to PICUs.

    abstract:OBJECTIVES:To determine the rate of unplanned PICU readmissions, examine the characteristics of index admissions associated with readmission, and compare outcomes of readmissions versus index admissions. DESIGN:Retrospective cohort analysis. SETTING:Ninety North American PICUs that participated in the Virtual Pediatr...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31829eb970

    authors: Edwards JD,Lucas AR,Stone PW,Boscardin WJ,Dudley RA

    更新日期:2013-12-01 00:00:00

  • Influenza epidemiology--past, present, and future.

    abstract::In April 2009, Mexican, American, and Canadian authorities announced that a novel influenza virus with pandemic potential had been identified in large segments of the population. Within weeks, it became apparent that the world was dealing with the first influenza pandemic in >40 yrs. Despite the unpredictable nature o...

    journal_title:Critical care medicine

    pub_type: 历史文章,杂志文章,评审

    doi:10.1097/CCM.0b013e3181cbaf34

    authors: Lagacé-Wiens PR,Rubinstein E,Gumel A

    更新日期:2010-04-01 00:00:00

  • Multi-Modal Characterization of the Coagulopathy Associated With Extracorporeal Membrane Oxygenation.

    abstract:OBJECTIVES:Extracorporeal membrane oxygenation is used to stabilize severe cardiocirculatory and/or respiratory failure. However, extracorporeal membrane oxygenation is associated with a coagulopathy characterized by thromboembolic and hemorrhagic complications. This study aimed to characterize the pathomechanism of th...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004286

    authors: Granja T,Hohenstein K,Schüssel P,Fischer C,Prüfer T,Schibilsky D,Wendel HP,Jaschonek K,Serna-Higuita L,Schlensak C,Häberle H,Rosenberger P,Straub A

    更新日期:2020-05-01 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

  • Constructing the illness narrative: a grounded theory exploring patients' and relatives' use of intensive care diaries.

    abstract:OBJECTIVE:After a stay in the intensive care unit, patients risk experiencing delusional memories, memory loss, and symptoms of posttraumatic stress. Since the 1990s, diaries have been kept for intensive care unit patients to help fill in memory gaps, aid psychosocial recovery, and improve health-related quality of lif...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0b013e31821e89c8

    authors: Egerod I,Christensen D,Schwartz-Nielsen KH,Agård AS

    更新日期:2011-08-01 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

  • Survival of critically ill patients hospitalized in and out of intensive care units under paucity of intensive care unit beds.

    abstract:OBJECTIVE:The demand for intensive care beds far exceeds their availability in many European countries. Consequently, many critically ill patients occupy hospital beds outside intensive care units, throughout the hospital. The outcome of patients who fit intensive care unit admission criteria but are hospitalized in re...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.ccm.0000133021.22188.35

    authors: Simchen E,Sprung CL,Galai N,Zitser-Gurevich Y,Bar-Lavi Y,Gurman G,Klein M,Lev A,Levi L,Zveibil F,Mandel M,Mnatzaganian G

    更新日期:2004-08-01 00:00:00

  • High-risk intrahospital transport of critically ill patients: safety and outcome of the necessary "road trip".

    abstract:OBJECTIVE:Intrahospital transport of critically ill patients is often necessary for optimal patient care. However, transport of intensive care unit (ICU) patients within the hospital has been associated with a high rate of potentially detrimental complications. This study was designed to determine the occurrence rate o...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199510000-00009

    authors: Szem JW,Hydo LJ,Fischer E,Kapur S,Klemperer J,Barie PS

    更新日期:1995-10-01 00:00:00