The Use of Cerebral NIRS Monitoring to Identify Acute Brain Injury in Patients With VA-ECMO.

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：:Pulmonary embolus (PE) is estimated to cause 200 000 to 300 000 deaths annually. Many deaths occur in hemodynamically unstable patients and the estimated mortality for inpatients with hemodynamic instability is between 15% and 25%. The diagnosis of PE in the critically ill is often challenging because the presentation...

journal_title：Journal of intensive care medicine

authors： Marshall PS,Mathews KS,Siegel MD

更新日期：2011-09-01 00:00:00

abstract：:Appropriate antimicrobial therapy is essential to ensuring positive patient outcomes. Inappropriate or suboptimal utilization of antibiotics can lead to increased length of stay, multidrug-resistant infections, and mortality. Critically ill intensive care patients, particularly those with severe sepsis and septic shoc...

journal_title：Journal of intensive care medicine

authors： Campion M,Scully G

更新日期：2018-12-01 00:00:00

abstract：:Intravascular volume status and volume responsiveness continue to be important questions for the management of critically ill or injured patients. Goal-directed hemodynamic therapy has been shown to be of benefit to patients with severe sepsis and septic shock, acute lung injury and adult respiratory distress syndrome...

journal_title：Journal of intensive care medicine

authors： McGee WT

更新日期：2009-11-01 00:00:00

abstract：:The treatment of sepsis is an ongoing challenge for clinicians; despite the wide choice of effective antibiotics to treat infection, sepsis remains the leading cause of morbidity and mortality for patients admitted to an intensive care unit. Dysregulation of the immune response is now recognized to be a key factor in ...

journal_title：Journal of intensive care medicine

authors： Panagiotou A,Gaiao S,Cruz DN

更新日期：2013-09-01 00:00:00

abstract：:Substantial progress has been made to create innovative technology that can monitor the different physiological characteristics that precede the onset of secondary brain injury, with the ultimate goal of intervening prior to the onset of irreversible neurological damage. One of the goals of neurocritical care is to re...

journal_title：Journal of intensive care medicine

authors： Al-Mufti F,Lander M,Smith B,Morris NA,Nuoman R,Gupta R,Lissauer ME,Gupta G,Lee K

更新日期：2019-06-01 00:00:00

abstract：INTRODUCTION:Red cell distribution width (RDW) is reflective of systemic inflammation. The objective of this study was to investigate the association between RDW (on day 1 of development of septic shock) and mortality. METHODS:A total of 279 patients with septic shock were included. We categorized the patients into qu...

journal_title：Journal of intensive care medicine

authors： Sadaka F,O'Brien J,Prakash S

更新日期：2013-09-01 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：:The objective of this article was to review the effects of acute intracranial lesions on myocardial function. The authors reviewed scientific and clinical literature retrieved from a computerized MEDLINE search from January 1965 through January 2002. Pertinent literature was referenced, including clinical and laborato...

journal_title：Journal of intensive care medicine

authors： Arab D,Yahia AM,Qureshi AI

更新日期：2003-05-01 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：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：:Patients admitted to the cardiac intensive care unit (CICU) are often in shock and require hemodynamic support. Identifying and addressing the pathophysiology mechanisms operating in an individual patient is crucial to achieving a successful outcome, while initiating circulatory support therapy to restore adequate tis...

journal_title：Journal of intensive care medicine

authors： Jentzer JC,Hollenberg SM

更新日期：2020-04-13 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：:Decision-making for the hospitalized dying and critically ill is often characterized by an understanding of autonomy that leads to clinical care and outcomes that are antithetical to patients' preferences around suffering and quality of life. A better understanding of autonomy will facilitate the ultimate goal of a pa...

journal_title：Journal of intensive care medicine

authors： Mapes MV,DePergola PA,McGee WT

更新日期：2020-11-01 00:00:00

abstract：:Objectives: Standard management strategies for lowering intracranial pressure (ICP) in traumatic brain injury has been well-studied, but the use of lesser known interventions for ICP in subarachnoid hemorrhage (SAH) remains elusive. Searches were performed in PubMed and EBSCO Host to identify best available evidence f...

journal_title：Journal of intensive care medicine

authors： Ravishankar N,Nuoman R,Amuluru K,El-Ghanem M,Thulasi V,Dangayach NS,Lee K,Al-Mufti F

更新日期：2020-03-01 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：OBJECTIVES:We report the case of a 28-year-old patient with systemic lupus erythematosus (SLE) with rapid onset of dyspnea and hemoptysis found to have diffuse alveolar hemorrhage (DAH) with refractory hypoxemia successfully treated with venovenous extracorporeal membrane oxygenation (ECMO). The discussion includes cli...

journal_title：Journal of intensive care medicine

authors： Patel JJ,Lipchik RJ

更新日期：2014-03-01 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：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：BACKGROUND:Diagnosing acute kidney injury (AKI) stage 3 in critically ill patients may help physicians in making treatment decisions. This diagnosis relies chiefly on urinary output and serum creatinine, which may be of limited value. This study aimed to explore the diagnostic performance of renal resistive index (RRI)...

journal_title：Journal of intensive care medicine

authors： Zhi HJ,Zhao J,Nie S,Ma YJ,Cui XY,Zhang M,Li Y

更新日期：2021-01-01 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：OBJECTIVE:The process of controlled donation after circulatory death (cDCD) is strongly connected with the process of withdrawal of life-sustaining therapy. In addition to impacting cDCD success, actions comprising withdrawal of life-sustaining therapy have implications for quality of palliative care. We examined pilot...

journal_title：Journal of intensive care medicine

authors： van Beinum A,Hornby L,Ramsay T,Ward R,Shemie SD,Dhanani S

更新日期：2016-05-01 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：:Renal replacement therapy in the intensive care unit can vary from simple procedures to very complex technologies. I discuss the factors that contribute to the decisions regarding the selection of a specific therapy. These factors include immediate and intermediate therapeutic goals (e.g., solute removal, dehydratio...

journal_title：Journal of intensive care medicine

authors： Golper TA

更新日期：1992-11-01 00:00:00

abstract：PURPOSE:Conflicting results exist regarding the efficacy of N-acetyl cysteine (NAC) in sepsis treatment. A pivotal factor affecting the therapeutic potency of NAC in sepsis is timing and dosing of its infusion. We aimed to assess the effect of NAC on redox status of patients with sepsis and to compare its efficacy in i...

journal_title：Journal of intensive care medicine

authors： Peivandi Yazdi A,Razavi M,Sheikh S,Boroumand N,Salehi M,Hashemy SI

更新日期：2020-12-01 00:00:00

abstract：:Acute adrenocortical insufficiency is a critical care emergency characterized by hemodynamic instability, lethargy, and cardiovascular collapse. Acute adrenal insufficiency has many etiologies, from rapid withdrawal of exogenous glucocorticoids to adrenocortical destruction to poor adrenal reserve after administration...

journal_title：Journal of intensive care medicine

authors： Lundy JB,Slane ML,Frizzi JD

更新日期：2007-03-01 00:00:00

abstract：BACKGROUND:SARS-CoV2 can cause pulmonary failure requiring prolonged invasive mechanical ventilation (MV). Lung protective ventilation strategies are recommended in order to minimize ventilator induced lung injury. Whether patients with COVID-19 have the same risk for complications including barotrauma is still unknown...

journal_title：Journal of intensive care medicine

authors： Udi J,Lang CN,Zotzmann V,Krueger K,Fluegler A,Bamberg F,Bode C,Duerschmied D,Wengenmayer T,Staudacher DL

更新日期：2020-09-22 00:00:00

abstract：PURPOSE:Methods to optimize positive end-expiratory pressure (PEEP) in acute respiratory distress syndrome (ARDS) remain controversial despite decades of research. The pressure-volume curve (PVC), a graphical ventilator relationship, has been proposed for prescription of PEEP in ARDS. Whether the use of PVC's improves ...

journal_title：Journal of intensive care medicine

authors： Hata JS,Togashi K,Kumar AB,Hodges LD,Kaiser EF,Tessmann PB,Faust CA,Sessler DI

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Isolated shortness of breath in the patient with a history of a malignancy creates a diagnostic challenge and serves as a source of anxiety. Although cancer recurrence is typically the first concern of the patient and the clinician, toxicities of anticancer therapies must also be considered. METHODS:A case ...

journal_title：Journal of intensive care medicine

authors： Clapham KR,Bhimani RD,Cooper JP,Stern TA

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND::Patients with septic shock by multidrug resistant (MDR) microorganism maybe considered a specific population of critical patients at very high risk of death in whom the effects of standard sepsis treatment has never been assessed. The objective of this retrospective analysis was to evaluate the risk factors...

journal_title：Journal of intensive care medicine

authors： Busani S,Serafini G,Mantovani E,Venturelli C,Giannella M,Viale P,Mussini C,Cossarizza A,Girardis M

更新日期：2019-01-01 00:00:00