Multimodality Monitoring in Neurocritical Care: Decision-Making Utilizing Direct And Indirect Surrogate Markers.

abstract：:Bladder pressure measurement through a foley catheter is the current standard in monitoring for intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS). Accurate pressure transduction requires a continuous fluid column with a small volume of transducing medium at the tip of the catheter. Infusing ex...

journal_title：Journal of intensive care medicine

authors： Kimball EJ,Baraghoshi GK,Mone MC,Hansen HJ,Adams DM,Alder SC,Jackson P,Cannon P,Horn J,Wolfe TR

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Intracerebral hemorrhage (ICH) is a devastating and costly condition. Although the American Heart Association/American Stroke Association recommends admitting patients with ICH to a neurocritical care unit (NCCU), this strategy may accrue unnecessary cost for patients with relatively milder presentation. We ...

journal_title：Journal of intensive care medicine

authors： Hafeez S,Behrouz R

更新日期：2016-07-01 00:00:00

abstract：:Fever after cardiac surgery in children may be due to bacterial infection or noninfectious origin like systemic inflammatory response syndrome (SIRS) secondary to bypass procedure. A marker to distinguish bacterial from nonbacterial fever in these conditions is clinically important. The purpose of our study was to eva...

journal_title：Journal of intensive care medicine

authors： Nahum E,Livni G,Schiller O,Bitan S,Ashkenazi S,Dagan O

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND:There is variation in the treatment of patients with severe alcohol withdrawal and a need for effective protocols. The purpose of this study was to evaluate the implementation of a symptom-triggered benzodiazepine protocol using the 5-item Brief Alcohol Withdrawal Scale (BAWS) for treatment of alcohol withdr...

journal_title：Journal of intensive care medicine

authors： Rastegar DA,Jarrell AS,Chen ES

更新日期：2020-08-27 00:00:00

abstract：OBJECTIVE:To describe intubation practices and duration of mechanical ventilation in children with status asthmaticus admitted from emergency departments (ERs) to pediatric intensive care units (PICUs). DESIGN:Retrospective cohort study using the Virtual PICU Performance System database (VPS, LLC) of children with sta...

journal_title：Journal of intensive care medicine

authors： Shibata S,Khemani RG,Markovitz B

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Agitation is common in the intensive care unit (ICU). Although antipsychotics are frequently used as first-line therapy, chlorpromazine has fallen out of favor due to risk of cardiovascular complications and severe hypotension. Although chlorpromazine is used anecdotally, there is a lack of data regarding it...

journal_title：Journal of intensive care medicine

authors： Choi M,Barra ME,Newman K,Sin JH

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Aspiration past the tracheal tube cuff has been recognized to be a risk factor for the development of ventilator-associated pneumonia (VAP). This study investigated the effect of closed tracheal suctioning on aspiration of fluid past the tracheal tube cuff in an in vitro benchtop model. METHODS:High-volume ...

journal_title：Journal of intensive care medicine

authors： Dave MH,Frotzler A,Madjdpour C,Koepfer N,Weiss M

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Changes in white blood cell (WBC) counts and/or temperature could have important implications in patients on ventilators, but the frequency of these events is uncertain. METHODS:We reviewed the medical records from 281 ventilation episodes in our medical intensive care unit to determine patient characterist...

journal_title：Journal of intensive care medicine

authors： Edriss H,Whiting J,Nugent K

更新日期：2017-05-01 00:00:00

abstract：:Controlled donation after circulatory determination of death (cDCDD) concerns donation after withdrawal of life-sustaining therapy (W-LST). We examine the ethical issues raised by W-LST in the cDCDD context in the light of a review of cDCDD protocols and the ethical literature. Our analysis confirms that W-LST procedu...

journal_title：Journal of intensive care medicine

authors： Dalle Ave AL,Shaw DM

更新日期：2017-03-01 00:00:00

abstract：:This was a retrospective observational study in a pediatric intensive care unit, in which 19 patients received levosimendan. There were no adverse events attributable to levosimendan and no instances where the clinical condition worsened after administration. Arterial lactate levels decreased significantly following l...

journal_title：Journal of intensive care medicine

authors： Egan JR,Clarke AJ,Williams S,Cole AD,Ayer J,Jacobe S,Chard RB,Winlaw DS

更新日期：2006-05-01 00:00:00

abstract：PURPOSE:Timely recognition of critical illness is associated with improved outcomes, but is dependent on accurate triage, which is affected by system factors such as workload and staffing. We sought to first study the effect of delayed recognition on patient outcomes after controlling for system factors and then to ide...

journal_title：Journal of intensive care medicine

authors： Goel NN,Durst MS,Vargas-Torres C,Richardson LD,Mathews KS

更新日期：2020-10-29 00:00:00

abstract：:Intraoperative neuromonitoring was introduced in the second half of the 20th century with the goal of preventing patient morbidity for patients undergoing complex operations of the central and peripheral nervous system. Since its early use for scoliosis surgery, the growth and utilization of IOM techniques expanded dr...

journal_title：Journal of intensive care medicine

authors： Buhl LK,Bastos AB,Pollard RJ,Arle JE,Thomas GP,Song Y,Boone MD

更新日期：2020-09-28 00:00:00

abstract：:Thrombolytic therapy has been established as a safe and effective therapeutic strategy in acute myocardial infarction (MI). Its efficacy is improved with early administration, although modest benefits can be demonstrated for up to 12 hours. Tissue plasminogen activator (TPA) appears to offer benefits over streptokinas...

journal_title：Journal of intensive care medicine

authors： Jafri SM,Walters BL,Borzak S

更新日期：1995-03-01 00:00:00

abstract：:Vasopressin has gained wide support as an adjunct vasopressor in patients with septic shock. This agent exerts its vasoconstriction effects through smooth muscle V1 receptors and also has antidiuretic activity via renal V2 receptors. This interaction with the renal V2 receptors results in the integration of aquaporin ...

journal_title：Journal of intensive care medicine

authors： Salazar M,Hu BB,Vazquez J,Wintz RL,Varon J

更新日期：2015-07-01 00:00:00

abstract：RATIONALE:The feasibility and clinical outcomes of conservative fluid management after sepsis resuscitation remain unknown. OBJECTIVES:To evaluate the effect of a conservative fluid management protocol on fluid balance and intensive care unit (ICU)-free days among patients with sepsis. METHODS:In a single-center phas...

journal_title：Journal of intensive care medicine

authors： Semler MW,Janz DR,Casey JD,Self WH,Rice TW

更新日期：2020-12-01 00:00:00

abstract：:Cardiomyopathy secondary to toxic shock syndrome (TSS) is an uncommon but potentially life-threatening problem. We report the case of a 51-year-old male who presented with profound cardiogenic shock and multiorgan failure that could not be managed by conventional therapy with intravenous fluids, vasopressors and inotr...

journal_title：Journal of intensive care medicine

authors： Gabel E,Gudzenko V,Cruz D,Ardehali A,Fink MP

更新日期：2015-02-01 00:00:00

abstract：PURPOSE:We previously developed a bedside model (I-TRACH), which used commonly obtained data at the time of intubation to predict the duration of mechanical ventilation (MV). We now sought to validate this in a prospective trial. METHODS:A prospective, observational study of 225 consecutive adult medical intensive car...

journal_title：Journal of intensive care medicine

authors： Clark PA,Inocencio RC,Lettieri CJ

更新日期：2018-10-01 00:00:00

abstract：:Bronchopulmonary dysplasia is the most common morbidity among surviving premature infants. Injury to the developing lung is the result of the interaction between a susceptible host and a number of contributing factors such as mechanical ventilation and infection. The resulting persistent impairment of pulmonary functi...

journal_title：Journal of intensive care medicine

authors： Christou H,Brodsky D

更新日期：2005-03-01 00:00:00

abstract：:Early predictors of prognosis in comatose patients post cardiac arrest help inform decisions surrounding continuation or withdrawal of treatment and provide a framework on which to better inform relatives of the likely outcome. Markers defined prior to the widespread use of therapeutic hypothermia post arrest may no l...

journal_title：Journal of intensive care medicine

authors： Bigham S,Bigham C,Martin D

更新日期：2018-04-01 00:00:00

abstract：:The ideal diagnostic approach for ventilator-associated pneumonia currently is based on invasive procedures to obtain respiratory tract cultures. Given the lack of consensus and relatively poor acceptance of full bronchoscopic bronchoalveolar lavage (BAL) and protected specimen brush (PSB), less invasive procedures ha...

journal_title：Journal of intensive care medicine

authors： Fujitani S,Yu VL

更新日期：2006-01-01 00:00:00

abstract：:Longitudinal clivus fractures are rare in children, with only 5 cases published in the English literature to date. Clivus fractures, particularly longitudinal type, are associated with high mortality and morbidity. We report a case of longitudinal clivus fracture in a teenager with survival and complete neurological r...

journal_title：Journal of intensive care medicine

authors： Samraj RS,Stalets EL

更新日期：2015-10-01 00:00:00

abstract：BACKGROUND:Among respiratory predictors, rapid shallow breathing index (RSBI) has been a commonly used respiratory parameter to predict extubation outcomes. However, the outcome of prediction remains inconsistent. Regarding nonrespiratory predictors, serum albumin, hemoglobin, bicarbonate, and patients' alertness have ...

journal_title：Journal of intensive care medicine

authors： Wu TJ,Shiao JS,Yu HL,Lai RS

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:Insulin receptors (IRs) in the brain have unique molecular features and a characteristic pattern of distribution. Their possible functions extend beyond glucose utilization. In this systematic review, we explore the interactions between insulin and the brain and its implications for anesthesiologists, critic...

journal_title：Journal of intensive care medicine

authors： Bilotta F,Lauretta MP,Tewari A,Haque M,Hara N,Uchino H,Rosa G

更新日期：2017-01-01 00:00:00

abstract：INTRODUCTION:Cancer is associated with significant health-care expenditure, but few studies have examined the cost of patients with cancer in the intensive care unit (ICU). We aimed to describe the costs and outcomes of patients admitted to the ICU with cancer. METHODS:We conducted a retrospective cohort study of pati...

journal_title：Journal of intensive care medicine

authors： Zheng B,Reardon PM,Fernando SM,Webber C,Thavorn K,Thompson LH,Tanuseputro P,Munshi L,Kyeremanteng K

更新日期：2021-02-01 00:00:00

abstract：BACKGROUND:Sepsis and sepsis-associated encephalopathy (SAE) are common intensive care unit (ICU) diseases; the morbidity and mortality are high. The present study analyzed the sensitivity of different diagnostic criteria of sepsis 1.0 and 3.0, epidemiological characteristics of sepsis and SAE, and explored its risk fa...

journal_title：Journal of intensive care medicine

authors： Feng Q,Ai YH,Gong H,Wu L,Ai ML,Deng SY,Huang L,Peng QY,Zhang LN

更新日期：2019-11-01 00:00:00

abstract：:Primary and acquired abdominal pathology accounts for a significant proportion of sepsis and SIRS in the ICU population. Abdominal processes often present a difficult diagnostic dilemma in the truly critically ill patient who, due to hemodynamic instability or severe acute respiratory distress syndrome (ARDS) requirin...

journal_title：Journal of intensive care medicine

authors： Zemlyak A,Heniford BT,Sing RF

更新日期：2015-07-01 00:00:00

abstract：PURPOSE:Conflicting data exists on the pharmacologic management of intensive care unit (ICU) delirium. This review appraises the current evidence of pharmacologic management of ICU delirium. MATERIALS AND METHODS:A systematic literature search of MEDLINE and Embase was conducted to answer the population, intervention,...

journal_title：Journal of intensive care medicine

authors： Korenoski A,Li A,Kane-Gill SL,Seybert AL,Smithburger PL

更新日期：2020-02-01 00:00:00

abstract：:Acute brain injury (ABI) increases morbidity and mortality in patients with veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Optimal neurologic monitoring methods have not been well-explicated. We studied the use of Near-infrared Spectroscopy (NIRS) to monitor cerebral regional oxygenation tissue saturatio...

journal_title：Journal of intensive care medicine

authors： Hunt MF,Clark KT,Whitman G,Choi CW,Geocadin RG,Cho SM

更新日期：2020-10-15 00:00:00

abstract：:Thyroid storm, an endocrine emergency first described in 1926, remains a diagnostic and therapeutic challenge. No laboratory abnormalities are specific to thyroid storm, and the available scoring system is based on the clinical criteria. The exact mechanisms underlying the development of thyroid storm from uncomplicat...

journal_title：Journal of intensive care medicine

authors： Chiha M,Samarasinghe S,Kabaker AS

更新日期：2015-03-01 00:00:00

abstract：INTRODUCTION:The invasive nature and potential complications associated with pulmonary artery (PA) catheters (PACs) have prompted the pursuit of less invasive monitoring options. Before implementing new hemodynamic monitoring technologies, it is important to determine the interchangeability of these modalities. This st...

journal_title：Journal of intensive care medicine

authors： Eiferman DS,Davido HT,Howard JM,Gerckens J,Evans DC,Cook CH,Stawicki SP

更新日期：2016-02-01 00:00:00