Ventilator-associated pneumonia after heart surgery: a prospective analysis and the value of surveillance.

abstract：OBJECTIVE:To establish the effect of an audible airleak (around an endotracheal tube) on oxygen consumption (VO2) measurements in pediatric ICU patients. DESIGN:Prospective trial comparing VO2 measurements before and after deflation of the endotracheal tube cuff. SETTING:Pediatric ICU in a large pediatric tertiary ca...

journal_title：Critical care medicine

authors： Chwals WJ,Lally KP,Woolley MM

更新日期：1992-06-01 00:00:00

abstract：OBJECTIVE:The mitogen-activated protein kinase/extracellular signal-regulated kinase signaling pathway is an essential component of innate immunity necessary for mediating proinflammatory responses in the setting of sepsis. We previously demonstrated that the mitogen-activated protein kinase 1/2 inhibitor trametinib pr...

journal_title：Critical care medicine

authors： Smith JA,Mayeux PR,Schnellmann RG

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVE:Acute renal tubular injury is a serious complication in the postoperative period, which is associated with high mortality and increased ICU stay. We aimed to demonstrate the protective effect of rhEPO against acute tubular injury induced by ischemia-reperfusion and to explore the mechanism of canonical transi...

journal_title：Critical care medicine

authors： Shen S,Jin Y,Li W,Liu X,Zhang T,Xia W,Wang Y,Ma K

更新日期：2014-10-01 00:00:00

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

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

abstract：OBJECTIVES:ICU admission delays can negatively affect patient outcomes, but emergency department volume and boarding times may also affect these decisions and associated patient outcomes. We sought to investigate the effect of emergency department and ICU capacity strain on ICU admission decisions and to examine the ef...

journal_title：Critical care medicine

authors： Mathews KS,Durst MS,Vargas-Torres C,Olson AD,Mazumdar M,Richardson LD

更新日期：2018-05-01 00:00:00

abstract：:Healthcare systems spend considerable resources collecting and processing blood cultures for the detection of blood stream pathogens. The process is initiated with the collection of blood cultures that depend upon proper skin disinfection, collection of an adequate number of specimens and volume of blood, and prompt p...

journal_title：Critical care medicine

authors： Murray PR,Masur H

更新日期：2012-12-01 00:00:00

abstract：OBJECTIVE:To determine the impact of Acinetobacter baumannii (AB) acquisition in intensive care unit (ICU) patients on mortality and length of stay (LOS). DESIGN:Pairwise matched 1:1 case-control study. SETTING:Medical-surgical ICU in a tertiary health care institution. PATIENTS:During 16 months, all patients admitt...

journal_title：Critical care medicine

authors： García-Garmendia JL,Ortiz-Leyba C,Garnacho-Montero J,Jiménez-Jiménez FJ,Monterrubio-Villar J,Gili-Miner M

更新日期：1999-09-01 00:00:00

abstract：OBJECTIVE:To determine the relative distribution of fluid within the extracellular fluid volume (ECFV) and the effect on oxygen delivery after infusing either normal saline or 5% albumin in cardiac surgical patients. DESIGN:Prospective, randomized, unblinded, interventional study. SETTING:Cardiac surgical intensive c...

journal_title：Critical care medicine

authors： Ernest D,Belzberg AS,Dodek PM

更新日期：2001-12-01 00:00:00

abstract：:A total of 2711 pulmonary artery wedge pressure (WP) measurement attempts were made prospectively from WP recordings in 44 (30 men) critically ill patients, using 77 flow-directed catheters. Of these, 322 (12%) failed to yield a WP measurement, and 521 (18%) were associated with technical problems. One half of these t...

journal_title：Critical care medicine

authors： Morris AH,Chapman RH,Gardner RM

更新日期：1984-03-01 00:00:00

abstract：OBJECTIVE:Cocaine, which first made its appearance >1,000 yrs ago, is now widely used throughout the world. The physiologic responses to cocaine may cause severe pathologic effects. This review highlights the many critical care challenges resulting from these effects. DESIGN:Historical vignettes, epidemiologic factors...

journal_title：Critical care medicine

authors： Shanti CM,Lucas CE

更新日期：2003-06-01 00:00:00

abstract：:To achieve normocarbia during conventional mechanical ventilation, ventilator settings are determined initially on the basis of body weight. The best ventilator settings for CO2 elimination during high-frequency jet ventilation (HFJV) have not been so clearly defined. A recent study has suggested that eucarbia will be...

journal_title：Critical care medicine

authors： Bayly R,Sladen A,Tyler IL,Echegaray RF,Klain M,Guntupalli K

更新日期：1988-01-01 00:00:00

abstract：OBJECTIVES:Microcirculatory alterations are associated with adverse outcome in subsets of critically ill patients. The prevalence and significance of microcirculatory alterations in the general ICU population are unknown. We studied the prevalence of microcirculatory alterations in a heterogeneous ICU population and it...

journal_title：Critical care medicine

authors： Vellinga NA,Boerma EC,Koopmans M,Donati A,Dubin A,Shapiro NI,Pearse RM,Machado FR,Fries M,Akarsu-Ayazoglu T,Pranskunas A,Hollenberg S,Balestra G,van Iterson M,van der Voort PH,Sadaka F,Minto G,Aypar U,Hurtado FJ,Mar

更新日期：2015-01-01 00:00:00

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

authors： Barbul A,Uliyargoli A

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Acute lung injury (ALI) and its more severe form, acute respiratory distress syndrome (ARDS), are devastating disorders of overwhelming pulmonary inflammation and hypoxemia, resulting in high morbidity and mortality. AIM:To provide the clinician with a summary of the literature on the epidemiology, diagnosi...

journal_title：Critical care medicine

authors： Randolph AG

更新日期：2009-08-01 00:00:00

abstract：:Flow rates and pressure recording accuracy were compared for Argyle 14-, 16-, and 18-ga double-lumen and Edwards 7-Fr triple-lumen CVP catheters. Physiologic saline solution was pressure-infused into dogs through one lumen and CVP was measured via the other lumen. CVP accuracy was unaltered by simultaneous rapid infus...

journal_title：Critical care medicine

authors： Ikeda S,Schweiss JF

更新日期：1985-07-01 00:00:00

abstract：OBJECTIVE:To describe mechanical ventilation settings in adult patients treated for an acute respiratory distress syndrome with extracorporeal membrane oxygenation and assess the potential impact of mechanical ventilation settings on ICU mortality. DESIGN:Retrospective observational study. SETTING:Three international...

journal_title：Critical care medicine

authors： Schmidt M,Stewart C,Bailey M,Nieszkowska A,Kelly J,Murphy L,Pilcher D,Cooper DJ,Scheinkestel C,Pellegrino V,Forrest P,Combes A,Hodgson C

更新日期：2015-03-01 00:00:00

abstract：OBJECTIVES:To perform a scoping literature review of cognitive, psychiatric, and quality of life outcomes in adults undergoing extracorporeal membrane oxygenation for any indication. DATA SOURCES:We searched PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, and PsycINFO from inception to June 2019. STUDY SELE...

journal_title：Critical care medicine

authors： Khan IR,Saulle M,Oldham MA,Weber MT,Schifitto G,Lee HB

更新日期：2020-10-01 00:00:00

abstract：OBJECTIVE:Currently 162-325 mg aspirin is recommended for the treatment of acute coronary syndrome. We tested the effect of an additional loading dose of 250 mg aspirin at the onset of acute coronary syndrome in patients who were already on chronic therapy with 100 mg aspirin. DESIGN:This was a prospective trial in pa...

journal_title：Critical care medicine

authors： Fuchs I,Spiel AO,Frossard M,Derhaschnig U,Riedmüller E,Jilma B

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVE:Recent in vivo studies of both septic humans and animals demonstrate that leukocyte delivery is attenuated to sites remote from the primary infection. The mechanisms for this are not entirely clear. L-selectin is integral to rolling, the first step in leukocyte recruitment to an inflammatory site. L-selectin ...

journal_title：Critical care medicine

authors： Ferri LE,Swartz D,Christou NV

更新日期：2001-01-01 00:00:00

abstract：OBJECTIVE:Antibiotic therapy is a major risk factor for the development of diarrhea and colitis with varying severity. Often the origin of antibiotic-associated gastrointestinal deterioration remains elusive and no specific infectious agents could be discerned. PATIENTS:We represent three cases of intractable high-vol...

journal_title：Critical care medicine

authors： Wurm P,Spindelboeck W,Krause R,Plank J,Fuchs G,Bashir M,Petritsch W,Halwachs B,Langner C,Högenauer C,Gorkiewicz G

更新日期：2017-06-01 00:00:00

abstract：OBJECTIVE:Develop a scoring system that can assess the management of septic shock by individuals and teams. DESIGN:Retrospective review of videotapes of critical care house staff managing a standardized simulation of septic shock. SETTING:Academic medical center; videotapes were made in a recreated intensive care uni...

journal_title：Critical care medicine

authors： Ottestad E,Boulet JR,Lighthall GK

更新日期：2007-03-01 00:00:00

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

authors： Cheng EY,May J

更新日期：1989-04-01 00:00:00

abstract：OBJECTIVE:The purpose of this study is to: 1) describe a newly mechanism of blood flow to the brain during cardiopulmonary resuscitation using the impedance threshold device in a piglet model of cardiac arrest, and 2) describe the survival benefits in humans of applying all of the highly recommended changes in the 2005...

journal_title：Critical care medicine

authors： Aufderheide TP,Alexander C,Lick C,Myers B,Romig L,Vartanian L,Stothert J,McKnite S,Matsuura T,Yannopoulos D,Lurie K

更新日期：2008-11-01 00:00:00

abstract：OBJECTIVE:To describe a case of intentional ingestion of hand sanitizer in our hospital and to review published cases and those reported to the American Association of Poison Control Centers' National Poison Data System. DESIGN:A case report, a literature review of published cases, and a query of the National Poison D...

journal_title：Critical care medicine

authors： Gormley NJ,Bronstein AC,Rasimas JJ,Pao M,Wratney AT,Sun J,Austin HA,Suffredini AF

更新日期：2012-01-01 00:00:00

abstract：:The objectives of this article were to review the causes and extent of hospital-associated infectious diarrhea and associated risks in the general hospital ward and intensive care unit (ICU), to compare microorganisms with similar symptoms to aid in recognition that will lead to timely and appropriate treatment and co...

journal_title：Critical care medicine

authors： Bobo LD,Dubberke ER

更新日期：2010-08-01 00:00:00

abstract：:There is an increasing evidence that survivors of critical illness suffer from impaired health-related quality of life. There are relatively few studies that have evaluated the effect of interventions in clinical trials to improve these long-term outcomes. Studies to improve long-term outcomes after critical illness f...

journal_title：Critical care medicine

authors： Rubenfeld GD

更新日期：2009-01-01 00:00:00

abstract：OBJECTIVES:Bag-mask ventilation is commonly used prior to tracheal intubation; however, the epidemiology, risk factors, and clinical implications of difficult bag-mask ventilation among critically ill children are not well studied. This study aims to describe prevalence and risk factors for pediatric difficult bag-mask...

journal_title：Critical care medicine

authors： Daigle CH,Fiadjoe JE,Laverriere EK,Bruins BB,Lockman JL,Shults J,Krawiec C,Harwayne-Gidansky I,Page-Goertz C,Furlong-Dillard J,Nadkarni VM,Nishisaki A,National Emergency Airway Registry for Children (NEAR4KIDS) Investigators and

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVE:The receptor for advanced glycation end products mediates a variety of inflammatory responses. Soluble receptor for advanced glycation end products has been suggested to function as a decoy abrogating cellular activation. High-mobility group box 1 is a high-affinity binding ligand for the receptor for advance...

journal_title：Critical care medicine

authors： van Zoelen MA,Achouiti A,Schmidt AM,Yang H,Florquin S,Tracey KJ,van der Poll T

更新日期：2010-06-01 00:00:00

abstract：:Severe complications sometimes occur in critically ill patients during intrahospital transport. Possible causes may be inadequate ventilation, insufficient monitoring, interrupted application of vasoactive drugs, or disconnections and accidental extubation. We constructed a transport unit equipped with a respirator; c...

journal_title：Critical care medicine

authors： Link J,Krause H,Wagner W,Papadopoulos G

更新日期：1990-12-01 00:00:00

abstract：:Bed rest is frequently prescribed for critically ill patients because it is assumed to be beneficial for preventing complications, for conserving scarce metabolic resources, and for providing patient comfort. Furthermore, higher levels of physical activity in critically ill patients have been assumed to be impractical...

journal_title：Critical care medicine

authors： Brower RG

更新日期：2009-10-01 00:00:00