Extracorporeal therapies for acute intoxications.

abstract：:The future of cardiopulmonary resuscitation lies in new technologies for monitoring and generating vital organ perfusion during cardiac arrest and the post-resuscitation phase and in pharmacologic agents that will enhance ROSC and reverse ischemia-reperfusion injury. ROSC is the first step toward survival, so interven...

journal_title：Critical care clinics

authors： Manning JE,Katz LM

更新日期：2000-10-01 00:00:00

abstract：:Venous thromboembolic disease is a very common complication in the ICU. This article reviews incidence, prevention, and therapy related to venous thromboembolism, including both deep venous thrombosis and pulmonary embolism. Special diagnostic and treatment considerations in the ICU setting are highlighted. The increa...

journal_title：Critical care clinics

authors： DeLoughery TG

更新日期：2005-07-01 00:00:00

abstract：:Early recognition of the sepsis syndrome, prompt administration of broad-spectrum antibiotics, surgical intervention when indicated, and aggressive supportive care in intensive care units remain the therapeutic strategies for patients with sepsis. Antibiotic selection is based on many factors including the most probab...

journal_title：Critical care clinics

authors： Simon D,Trenholme G

更新日期：2000-04-01 00:00:00

abstract：:India is a vast democracy of nearly one billion people. Before the British rule ended in 1947, the life span of an Indian was a mere 21 years. Within a short span of 50 years, it increased to an impressive 63 years, largely due to public health measures initiated by the government. This created a pool of more than 300...

journal_title：Critical care clinics

authors： Udwadia FE,Guntupalli KK,Vidyasagar D

更新日期：1997-04-01 00:00:00

abstract：:Infections caused by Candida species are now endemic and entrenched in the intensive care unit setting. Candida infections continue to provide a major diagnostic and therapeutic challenge to clinicians. The increased prevalence of Candida infections represent the high price clinicians and patients must pay for the adv...

journal_title：Critical care clinics

authors： Sobel JD

更新日期：1988-04-01 00:00:00

abstract：:Given the broad treatment options, risk stratification of pulmonary embolism is a highly desirable component of management. The ideal tool identifies patients at risk of death from the original or recurrent pulmonary embolism. Using all-cause death in the first 30-days after pulmonary embolism diagnosis as a surrogate...

journal_title：Critical care clinics

authors： Moumneh T,Wells PS,Miranda S

更新日期：2020-07-01 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：:Glycated hemoglobin A1c can be used to assess intensive care unit patients' level of chronic glycemic control. Compared with patients with normal glycated hemoglobin A1c, patients with elevated glycated hemoglobin A1c seem to better tolerate hyperglycemia and large glucose fluctuations during critical illness. The ris...

journal_title：Critical care clinics

authors： Balintescu A,Mårtensson J

更新日期：2019-04-01 00:00:00

abstract：:The pathophysiology of the burn injury and treatment factors that influence burn depth are explained. Details of burn wound care, including indications for early excision, topical antimicrobials, and the most recent advances in skin substitutes, are described. Burn wound sepsis, the most common and serious complicatio...

journal_title：Critical care clinics

authors： Achauer BM,Martinez SE

更新日期：1985-03-01 00:00:00

abstract：:The EMR in the ICU has the utility of providing the necessary information to make sound clinical decisions for critically ill patients. For it to be optimized, the EMR must be more than just what is being replicated in the written record or merely a documentation tool; it must add value that supports and enhances clin...

journal_title：Critical care clinics

authors： Sado AS

更新日期：1999-07-01 00:00:00

abstract：:This article describes the use of various scores and probabilities to clinically categorize patients in the adult intensive care unit. Some of the limitations of these severity measures are reviewed including variable definitions, timing of measurements, and whether models can be used for individual patients. Also, th...

journal_title：Critical care clinics

authors： Teres D,Lemeshow S

更新日期：1993-07-01 00:00:00

abstract：:Acute arthritis in critically ill patients may be caused by local or systemic infection, by a flare of chronic joint disease such as rheumatoid or crystal-associated arthritis, or by less common entities such as hemarthrosis. Diagnosis requires analysis of synovial fluid, and appropriate treatment is based on its find...

journal_title：Critical care clinics

authors： Raj JM,Sudhakar S,Sems K,Carlson RW

更新日期：2002-10-01 00:00:00

abstract：:Carbon monoxide (CO) poisoning is common and frequently unrecognized since the signs and symptoms are relatively nonspecific. CO poisoning causes tissue hypoxia. Additionally, various animal studies have demonstrated that CO interferes with myoglobin, P450, and other enzyme function; causes lipid peroxidation through ...

journal_title：Critical care clinics

authors： Weaver LK

更新日期：1999-04-01 00:00:00

abstract：:The known metabolic abnormalities and nutritional requirements of the brain injury, spinal cord injury, and acute stroke patient have been presented. Further investigations are required in all these conditions to identify specific nutritional requirements and metabolic abnormalities. The specific role of nutritional s...

journal_title：Critical care clinics

authors： Young B,Ott L,Rapp R,Norton J

更新日期：1987-01-01 00:00:00

abstract：:This article argues that dopamine infused in low doses has not been shown to avert the onset of or ameliorate the course of acute renal failure in critically ill patients. The inotropic and diuretic effects of dopamine are discussed, and its adverse effects are described. An attempt is made to offer an evidence-based ...

journal_title：Critical care clinics

authors： Cottee DB,Saul WP

更新日期：1996-07-01 00:00:00

abstract：:In pediatric trauma care, many long-held tenets of management have been revised. This article reviews the latest advances in pediatric trauma care, particularly in the areas of resuscitation and management of thoracic and abdominal injuries. The final topic is a discussion of what the intensivist and surgeon must know...

journal_title：Critical care clinics

authors： Garcia VF,Brown RL

更新日期：2003-07-01 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：:Sedative drugs commonly are titrated to effect in critically ill patients. Subjective clinical assessment tools are used to determine the patient's level of sedation, and there clearly is a need for improved quantitative methods of monitoring sedation. This article describes the current methods for assessing the level...

journal_title：Critical care clinics

authors： Avramov MN,White PF

更新日期：1995-10-01 00:00:00

abstract：:Mechanical ventilation, although essential in taking care of acute lung injury and widely used during surgical procedures worldwide, remains a highly debated field. Clinical trials in the last decade have shown convincingly that mechanical ventilation can result in additional mortality in patients with acute lung inju...

journal_title：Critical care clinics

authors： Haitsma JJ

更新日期：2007-04-01 00:00:00

abstract：:This article provides an overview of some of the current issues involved in sedation and anxiolysis in the intensive care unit. The problems involved in trying to monitor sedation levels are discussed, as are some of the newer options available for physiologic monitoring of the central nervous system. The problem of a...

journal_title：Critical care clinics

authors： Lowson SM,Sawh S

更新日期：1999-01-01 00:00:00

abstract：:Approximately 12,000 Americans suffer traumatic spinal cord injuries each year. This article discusses the management of their neurologic, respiratory, cardiovascular, gastroenterologic, and genitourinary complications in the critical care setting. ...

journal_title：Critical care clinics

authors： McVicar JP,Luce JM

更新日期：1986-10-01 00:00:00

abstract：:Ethically charged situations are common in pediatric critical care. Most situations can be managed with minimal controversy within the medical team or between the team and patients/families. Familiarity with institutional resources, such as hospital ethics committees, and national guidelines, such as publications from...

journal_title：Critical care clinics

authors： Orioles A,Morrison WE

更新日期：2013-04-01 00:00:00

abstract：:Dyspnea is a subjective experience that can be reported by the patient. Respiratory distress is an observable corollary, and represents the physical or emotional suffering that results from the experience of dyspnea. Recognizing and understanding this subjective phenomenon poses a challenge to intensive care unit (ICU...

journal_title：Critical care clinics

authors： Campbell ML

更新日期：2004-07-01 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：:N-6 and n-3 PUFAs from the diet are absorbed and reach the cell where they interact with fatty acid binding proteins within cell membranes and cytoplasm. They are processed in the endoplasmic reticulum (desaturation-elongation reactions, lipid synthesis, eicosanoid and epoxide production) and in peroxisomes (beta-oxid...

journal_title：Critical care clinics

authors： Zaloga GP,Marik P

更新日期：2001-01-01 00:00:00

abstract：:It is often necessary to transfuse blood products in shock. Use of these products can be life-saving, but they also carry considerable risk. It is important, therefore, that the physician be aware of the indications as well as possible complications, so that a proper decision can be made weighing the risk versus the b...

journal_title：Critical care clinics

authors： Nacht A

更新日期：1992-04-01 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：:Acute hypoxemic respiratory failure is a pulmonary capillary leak state that occurs in many different clinical settings. The resultant edema causes refractory hypoxemia due to intrapulmonary shunting and loss of lung compliance. Mechanical ventilation with PEEP and high concentrations of supplemental oxygen are freque...

journal_title：Critical care clinics

authors： Zucker AR

更新日期：1988-10-01 00:00:00

abstract：:Acute respiratory failure can be the result of a variety of clinical conditions, such as congestive heart failure, pneumonia, pulmonary embolism, exacerbation of obstructive lung diseases, and acute respiratory distress syndrome (ARDS). This article focuses on developments related to acute lung injury and ARDS and rev...

journal_title：Critical care clinics

authors： Bandi VD,Munnur U,Matthay MA

更新日期：2004-10-01 00:00:00

abstract：:The management of critically ill patients necessitates the use of sedatives and analgesics to provide patient comfort and cooperation. These drugs exert profound effects on all organ systems, not only the central nervous system, and this article describes the immunologic effects of the commonly used critical care seda...

journal_title：Critical care clinics

authors： Sanders RD,Hussell T,Maze M

更新日期：2009-07-01 00:00:00