Failure mode and effects analysis application to critical care medicine.

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：: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：: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：:Hemodynamic resuscitation for hemorrhagic shock should be directed toward optimizing oxygen delivery to the tissues. A combination of volume restoration and inotropic support usually is needed. This article identifies the basis and strategies necessary for accomplishing these goals. ...

journal_title：Critical care clinics

authors： Domsky MF,Wilson RF

更新日期：1993-10-01 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：:The evolving understanding of pathophysiologic events during and after pediatric cardiac arrest has not yet resulted in significantly improved outcome. Exciting breakthroughs in basic and applied science laboratories are, however, on the immediate horizon for study in specific subpopulations of cardiac arrest victims....

journal_title：Critical care clinics

authors： Morris MC,Nadkarni VM

更新日期：2003-07-01 00:00:00

abstract：:Given time, the brain can tolerate extraordinarily severe hyponatremia, but it does not take well to sudden changes; both rapid onset and rapid correction of hyponatremia can be injurious. Emergency treatment of hyponatremia should be reserved for the patient who has not had time to fully adapt to the disturbance. Whe...

journal_title：Critical care clinics

authors： Sterns RH

更新日期：1991-01-01 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：:Meningococcemia is notorious for evasion of the host immune system and its rapid progression to fulminant disease, and serves as a unique model for pediatric sepsis. Illness severity is determined by complex interplays among host, pathogen, and environment. The inflammatory host response, including proinflammatory and...

journal_title：Critical care clinics

authors： Boeddha NP,Bycroft T,Nadel S,Hazelzet JA

更新日期：2020-04-01 00:00:00

abstract：:Renal failure continues to cause a major burden of morbidity and mortality in both its acute and chronic forms, regardless of advances in current renal replacement therapies. A bioartificial kidney that includes a conventional dialysis filter and a renal tubule assist device containing approximately 10(8) renal proxim...

journal_title：Critical care clinics

authors： Tiranathanagul K,Eiam-Ong S,Humes HD

更新日期：2005-04-01 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：:More than one-half million patients are hospitalized annually for traumatic brain injury (TBI). One-quarter demonstrate sleep-disordered breathing, up to 50% experience insomnia, and half have hypersomnia. Sleep disturbances after TBI may result from injury to sleep-regulating brain tissue, nonspecific neurohormonal r...

journal_title：Critical care clinics

authors： Vermaelen J,Greiffenstein P,deBoisblanc BP

更新日期：2015-07-01 00:00:00

abstract：:Recent increase in both the elderly population and associated incidence of dementia are of critical importance to patient care in ICUs in the United States. Identification of pre-existing cognitive impairment, such as mild cognitive impairment and dementia, could prevent delirium and associated morbidity and mortality...

journal_title：Critical care clinics

authors： Lee HB,DeLoatch CJ,Cho S,Rosenberg P,Mears SC,Sieber FE

更新日期：2008-10-01 00:00:00

abstract：:The most important adaptive responses from a physiological stance involved the cardiovascular system, consisting in particular of elevation of the cardiac output and its redistribution to favor the coronary and cerebral circulations, at the expense of the splanchnic vascular beds. The evidence regarding these physiolo...

journal_title：Critical care clinics

authors： Hébert PC,Van der Linden P,Biro G,Hu LQ

更新日期：2004-04-01 00:00:00

abstract：:The field of neuroendovascular therapy is rapidly growing. New technology and operators' expertise is developing at a pace that will make this discipline progressively more available and successful. For the intensive care of patients who have acute brain ischemia, new techniques of recanalizing occluded arteries are p...

journal_title：Critical care clinics

authors： Gomez CR,Wadlington VR,Terry JB,Tulyapronchote R

更新日期：1999-10-01 00:00:00

abstract：:Significant advances have been made in the management of cardiac arrhythmias. New technology has enhanced the ability to understand and treat a variety of tachycardias. Excitement and caution surround ablative approaches for atrial fibrillation. The role of ICDs and class III antiarrhythmic drugs in the management of ...

journal_title：Critical care clinics

authors： Fei L,Trohman RG

更新日期：2001-04-01 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：:Anemia is common in critically ill patients, but treatment with red blood cell transfusions can have unwanted effects. Limiting the occurrence and severity of anemia by using erythropoietic agents (iron and/or recombinant erythropoietin), therefore, remains an attractive option during the intensive care unit stay but ...

journal_title：Critical care clinics

authors： Piagnerelli M,Vincent JL

更新日期：2012-07-01 00:00:00

abstract：:Cerebral injury is a frequent complication of cardiac surgery, and it has been associated with high mortality, morbidity, hospital costs; an increased likelihood of admission to a secondary care facility after hospital discharge; and impaired quality of life. This article examines postulated mechanisms for cerebral in...

journal_title：Critical care clinics

authors： Hogue CW,Gottesman RF,Stearns J

更新日期：2008-01-01 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：:As scientists and physicians have gained sophistication in understanding and treating illness, our view of disease has changed in scope. We appreciate more fully the diverse and wide-ranging effects of stress on the ability of the organism to maintain homeostasis. As our study of the failure of homeostasis has advance...

journal_title：Critical care clinics

authors： Weise KL

更新日期：1988-10-01 00:00:00

abstract：:Patients with CCI have continuing profound medical needs, poor prognosis for significant functional recovery, and a high mortality rate. Nonetheless, some survive for months or years, but unfortunately, often with functional skills and quality of life lower than need be. Careful evaluation of each patient's medical co...

journal_title：Critical care clinics

authors： Thomas DC,Kreizman IJ,Melchiorre P,Ragnarsson KT

更新日期：2002-07-01 00:00:00

abstract：:This article provides a background so that the intensivist can appreciate the social and cultural context in which the AIDS epidemic developed. The upheaval that AIDS has caused in the gay community is described along with some of the economic effects AIDS has had on that population and on the practice of medicine, bo...

journal_title：Critical care clinics

authors： Greenbaum DM

更新日期：1993-01-01 00:00:00

abstract：:The provision of care to the CCI patient is complex, challenging, and unique. The advanced practice nursing model at Mount Sinai Hospital is one successful care delivery model that fills the needs of both CCI patients and the nurses who work with them. The following transferable aspects of the RCU add to the unit's su...

journal_title：Critical care clinics

authors： Carasa M,Nespoli G

更新日期：2002-07-01 00:00:00

abstract：:Cardiogenic shock remains the most dreaded complication of acute myocardial infarction. Mortality rates remain high despite modern interventional therapy. Patients with a variety of other cardiovascular entities may also develop cardiogenic shock. Management consists of rapid stabilization of systemic arterial blood p...

journal_title：Critical care clinics

authors： Alpert JS,Becker RC

更新日期：1993-04-01 00:00:00

abstract：:Improving the course and outcome of patients with ARDS presents a considerable challenge. An important component of meeting this challenge is a more comprehensive understanding of the heterogeneous pathophysiology of ARDS and the biologic response of the individual patient. This understanding may be developed through ...

journal_title：Critical care clinics

authors： Wong HR

更新日期：2002-01-01 00:00:00

abstract：:The intensive care unit (ICU) environment is not propitious for restoring sleep and many studies have reported that critically ill patients have severe sleep disruptions. However, sleep alterations in critically ill patients are specific and differ significantly from those in ambulatory patients. Polysomnographic patt...

journal_title：Critical care clinics

authors： Drouot X,Quentin S

更新日期：2015-07-01 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：:The critically ill patient presents a pharmaceutical dilemma, with the clinical condition often necessitating the administration of potent medications. The underlying disease process often includes or produces multi-system failure, which will subsequently alter the response to drugs, with the potential to further comp...

journal_title：Critical care clinics

authors： Campbell S

更新日期：1985-11-01 00:00:00

abstract：:Although our understanding of molecular events in septic shock is growing exponentially, bedside management has changed only incrementally over the last 20 years. In pediatric and adult patients alike, treatment continues to be largely supportive. Morbidity and mortality, though gradually improving, continue to be hig...

journal_title：Critical care clinics

authors： Carcillo JA,Cunnion RE

更新日期：1997-07-01 00:00:00