Organ-specific therapy in critical illness: interfacing molecular mechanisms with physiological interventions.

Abstract:

:Sepsis and SIRS is the outward manifestation of a generalized uncontrolled inflammatory response, which, if sustained, induces widespread endothelial damage and MODS. Immunomodulating therapies, at present, have proven ineffective in reducing morbidity and mortality, presumably because of the heterogeneous nature of sepsis and septic shock and the reciprocating and redundant nature of this inflammatory cascade. Organ-specific therapies can support life but impair both organ-specific function and remote organ function. Novel therapies aimed at minimizing further organ dysfunction may improve outcome in a cost-effective fashion by preventing both further primary organ dysfunction or remote organ dysfunction secondary to the subsequent activation of the inflammatory response.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Pinsky MR

doi

10.1016/s0883-9441(96)90024-6

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

95-107

issue

2

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(96)90024-6

journal_volume

11

pub_type

杂志文章,评审
  • A modified Delphi process to identify clinical and research priorities in patient and family centred critical care.

    abstract:PURPOSE:To identify elements which enable patient and family centred care (PFCC) in the intensive care unit (ICU) and priorities for PFCC research. MATERIALS AND METHODS:We engaged a panel of multidisciplinary stakeholders in a modified Delphi process. Items generated from a literature review and panelist suggestions ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.08.008

    authors: Oczkowski SJW,Au S,des Ordons AR,Gill M,Potestio ML,Smith O,Sinuff T,Stelfox HT,Fox-Robichaud AE

    更新日期:2017-12-01 00:00:00

  • Change in right ventricular systolic function after continuous renal replacement therapy initiation and renal recovery.

    abstract:OBJECTIVE:To describe the associations between right ventricular (RV) function and outcomes of patients with acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT). METHODS:This is a retrospective study, conducted 2006-2015 at an academic hospital in USA. We included patients with AKI requirin...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2020.11.022

    authors: Shawwa K,Kompotiatis P,Wiley BM,Jentzer JC,Kashani KB

    更新日期:2020-11-30 00:00:00

  • Predicting success of high-flow nasal cannula in pneumonia patients with hypoxemic respiratory failure: The utility of the ROX index.

    abstract:PURPOSE:The purpose of the study is to describe early predictors and to develop a prediction tool that accurately identifies the need for mechanical ventilation (MV) in pneumonia patients with hypoxemic acute respiratory failure (ARF) treated with high-flow nasal cannula (HFNC). MATERIALS AND METHODS:This is a 4-year ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.05.022

    authors: Roca O,Messika J,Caralt B,García-de-Acilu M,Sztrymf B,Ricard JD,Masclans JR

    更新日期:2016-10-01 00:00:00

  • Admission hyperlactatemia: causes, incidence, and impact on outcome of patients admitted in a general medical intensive care unit.

    abstract:PURPOSE:The aim of this study was to evaluate the causes, incidence, and impact on outcome of admission hyperlactatemia in patients admitted to a general medical intensive care unit (ICU). METHODS:A retrospective cohort study was done in an 8-bed general ICU of tertiary care hospital over 15 months. Data regarding pat...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2010.11.009

    authors: Juneja D,Singh O,Dang R

    更新日期:2011-06-01 00:00:00

  • D-dimers as an early marker for oxygenator exchange in extracorporeal membrane oxygenation.

    abstract:PURPOSE:Early markers of oxygenator dysfunction during prolonged use of extracorporeal membrane oxygenation (ECMO) are important for timely exchange to avoid sudden loss of function due to clot formation within the system. The measurement of D-dimers (DDs) in plasma might be a marker for early diagnosis of thrombus for...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2013.12.008

    authors: Lubnow M,Philipp A,Dornia C,Schroll S,Bein T,Creutzenberg M,Diez C,Schmid C,Pfeifer M,Riegger G,Müller T,Lehle K

    更新日期:2014-06-01 00:00:00

  • Superiority of transcutaneous CO2 over end-tidal CO2 measurement for monitoring respiratory failure in nonintubated patients: A pilot study.

    abstract:PURPOSE:Arterial blood gas measurement is frequently performed in critically ill patients to diagnose and monitor acute respiratory failure. At a given metabolic rate, carbon dioxide partial pressure (PaCO2) is entirely determined by CO2 elimination through ventilation. Transcutaneous partial pressure of carbon dioxide...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2015.09.014

    authors: Lermuzeaux M,Meric H,Sauneuf B,Girard S,Normand H,Lofaso F,Terzi N

    更新日期:2016-02-01 00:00:00

  • Outcomes comparison in patients admitted to low complexity rural and urban intensive care units in the Veterans Health Administration.

    abstract:PURPOSE:To evaluate mortality, length of stay, and inter-hospital transfer in the Veteran Health Administration (VHA) among low complexity Intensive Care Unit (ICU) patients. MATERIALS AND METHOD:Retrospective study of adult ICU admissions identified in VHA Medical SAS®; 2010-2015 at Veterans Affairs (VA) Medical Cent...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2018.10.013

    authors: O'Shea AMJ,Fortis S,Vaughan Sarrazin M,Moeckli J,Yarbrough WC,Schacht Reisinger H

    更新日期:2019-02-01 00:00:00

  • Patient-ventilator dyssynchronies: Are they all the same? A clinical classification to guide actions.

    abstract::Patient ventilatory dyssynchrony (PVD) is a mismatch between the respiratory drive of the patient and ventilatory assistance. It is a complex event seen in almost all ventilated patients and at any ventilator mode, with uncertain significance and prognosis. Due to its different pathophysiological mechanisms, there is ...

    journal_title:Journal of critical care

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcrc.2020.07.016

    authors: Damiani LF,Bruhn A,Retamal J,Bugedo G

    更新日期:2020-12-01 00:00:00

  • The sieving coefficient and clearance of vasopressin during continuous renal replacement therapy in critically ill children.

    abstract:HYPOTHESIS:As vasopressin is a small peptide, its sieving coefficient (SC) and clearance (CL) during continuous renal replacement therapy may be intermediate to those for urea and β2 microglobulin (commonly used markers for small- and middle-molecular weight solutes, respectively). METHODS:A prospective, minimal-risk ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2010.03.005

    authors: Baird JS

    更新日期:2010-12-01 00:00:00

  • μImpact of a nursing-driven sedation protocol with criteria for infusion initiation in the surgical intensive care unit.

    abstract:PURPOSE:Analgesia and sedation protocols (ASPs) reduce duration of mechanical ventilation (MV) in the medical intensive care unit (ICU), but data in the surgical ICU (SICU) are limited. The objective of this study was to determine the impact of a nursing-driven ASP with criteria for infusion initiation in the SICU. MA...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2018.11.029

    authors: Kaplan JB,Eiferman DS,Porter K,MacDermott J,Brumbaugh J,Murphy CV

    更新日期:2019-04-01 00:00:00

  • The independent assocıatıon of plateletcrıt wıth long-term outcomes in patıents undergoıng prımary percutaneous coronary interventıon.

    abstract:PURPOSE:Platelets play a key role in the genesis of thrombosis. Plateletcrit (PCT) provides complete information on total platelet mass. The relationship between PCT values and long-term outcomes in patients with ST-segment elevation myocardial infarction (STEMI) who undergo primary angioplasty is not known. We sought ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2014.07.001

    authors: Uğur M,Ayhan E,Bozbay M,Çiçek G,Ergelen M,Işık T,Uyarel H,Ertaş G,Çakıllı Y,Öz A,Keskin M,Şahin O,Çekirdekçi Eİ,Eren M

    更新日期:2014-12-01 00:00:00

  • Intraoperative adherence to a low tidal volume ventilation strategy in critically ill patients with preexisting acute lung injury.

    abstract:PURPOSE:Low tidal volume (LTV) ventilation reduces mortality in patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). This study investigates adherence of intraoperative LTV and whether patient outcomes were different with or without continued intraoperative LTV ventilation in patients wi...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2010.08.002

    authors: Chaiwat O,Vavilala MS,Philip S,Malakouti A,Neff MJ,Deem S,Treggiari MM,Wang J,Lang JD

    更新日期:2011-04-01 00:00:00

  • Families' interactions with physicians in the intensive care unit: the impact on family's satisfaction.

    abstract:PURPOSE:The objective of this study is to correlate the levels of satisfaction of family members, with their perception of the way information was offered and assistance delivered during the patient's stay in the intensive care unit (ICU). MATERIALS AND METHODS:This is a prospective study conducted in a 13-bed mixed I...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2007.04.004

    authors: Fumis RR,Nishimoto IN,Deheinzelin D

    更新日期:2008-09-01 00:00:00

  • Entrustable professional activities (EPAs) for postgraduate competency based intensive care medicine training in the Netherlands: The next step towards excellence in intensive care medicine training.

    abstract:INTRODUCTION:The Competency Based Training in Intensive Care Education (CoBaTrICE) programme developed common standards of ICM training by describing competencies of an intensivist. Entrustable Professional Activities (EPAs) of Intensive Care Medicine (ICM) (EPAsICM) are presented as a new workplace-based assessment to...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2019.09.012

    authors: van Bockel EAP,Walstock PA,van Mook WNKA,Arbous MS,Tepaske R,van Hemel TJD,Müller MCA,Delwig H,Tulleken JE

    更新日期:2019-12-01 00:00:00

  • Muscle strength assessment in critically ill patients with handheld dynamometry: an investigation of reliability, minimal detectable change, and time to peak force generation.

    abstract:PURPOSE:Dynamometry is an objective tool for volitional strength evaluation that may overcome the limited sensitivity of the Medical Research Council scale for manual muscle tests, particularly at grades 4 and 5. The primary aims of this study were to investigate the reliability, minimal detectable change, and time to ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.03.001

    authors: Baldwin CE,Paratz JD,Bersten AD

    更新日期:2013-02-01 00:00:00

  • Continuous jugular bulb venous oxygen saturation validation and variations during intracranial aneurysm surgery.

    abstract:PURPOSE:During intracranial aneurysm surgery, numerous factors may alter cerebral blood flow and oxygen supply-demand balance. Continuous monitoring of jugular bulb venous oxygen saturation (SvjO2) may help in the anesthetic management of such procedures. MATERIALS AND METHODS:Fiberoptic SvjO2 was continuously monitor...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/s0883-9441(97)90040-x

    authors: Clavier N,Schurando P,Raggueneau JL,Payen DM

    更新日期:1997-09-01 00:00:00

  • Safety of peripheral administration of phenylephrine in a neurologic intensive care unit: A pilot study.

    abstract::Integral to the management of the neurocritically injured patient are the prevention and treatment of hypotension, maintenance of cerebral perfusion pressure, and occasionally blood pressure augmentation. When adequate volume resuscitation fails to meet perfusion needs, vasopressors are often used to restore end-organ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.04.004

    authors: Delgado T,Wolfe B,Davis G,Ansari S

    更新日期:2016-08-01 00:00:00

  • Variation in mortality rates after admission to long-term acute care hospitals for ventilator weaning.

    abstract:PURPOSE:We sought to examine variation in long-term acute care hospital (LTACH) quality based on 90-day in-hospital mortality for patients admitted for weaning from mechanical ventilation. METHODS:We developed an administrative risk-adjustment model using data from Medicare claims. We validated the administrative mode...

    journal_title:Journal of critical care

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jcrc.2018.03.022

    authors: Kahn JM,Davis BS,Le TQ,Yabes JG,Chang CH,Angus DC

    更新日期:2018-08-01 00:00:00

  • Benefit on optimal cerebral perfusion pressure targeted treatment for traumatic brain injury patients.

    abstract:PURPOSE:The maintenance of patient-specific optimal cerebral perfusion pressure (CPPopt) is crucial for patients with traumatic brain injury (TBI). The goal of the study was to explore the influence of CPP declination from CPPopt value on the TBI patients' outcome. METHODS:The CPP and cerebrovascular autoregulation (C...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.04.029

    authors: Petkus V,Preiksaitis A,Krakauskaite S,Zubaviciute E,Rocka S,Rastenyte D,Vosylius S,Ragauskas A

    更新日期:2017-10-01 00:00:00

  • Liquid ventilation attenuates pulmonary oxidative damage.

    abstract:PURPOSE:Liquid perfluorochemicals reduce the production of reaction oxygen species by alveolar macrophages. We sought to determine whether the use of liquid perfluorochemicals in vivo during liquid ventilation would attenuate oxidative damage to the lung. MATERIALS AND METHODS:Healthy infant piglets (n = 16) were inst...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/s0883-9441(99)90004-7

    authors: Steinhorn DM,Papo MC,Rotta AT,Aljada A,Fuhrman BP,Dandona P

    更新日期:1999-03-01 00:00:00

  • Intensive care unit-acquired hypernatremia is an independent predictor of increased mortality and length of stay.

    abstract:PURPOSE:The purpose of this study is to examine the impact of hypernatremia acquired after intensive care unit (ICU) admission on mortality and length of stay (LOS). MATERIALS AND METHODS:Data for this observational study were collected from patients admitted between January 1, 2008, and September 30, 2010 to 344 ICUs...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2012.11.013

    authors: Waite MD,Fuhrman SA,Badawi O,Zuckerman IH,Franey CS

    更新日期:2013-08-01 00:00:00

  • The role of human metapneumovirus in the critically ill adult patient.

    abstract:PURPOSE:The purpose of the study is to describe the role of human metapneumovirus (hMPV) infection in critical illness and acute respiratory distress syndrome (ARDS). MATERIALS AND METHODS:We collected clinical and demographic information from a retrospective chart review, comparing patients with and without an intens...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2015.09.035

    authors: Hasvold J,Sjoding M,Pohl K,Cooke C,Hyzy RC

    更新日期:2016-02-01 00:00:00

  • A study of once-daily amikacin with low peak target concentrations in intensive care unit patients: pharmacokinetics and associated outcomes.

    abstract:PURPOSE:The aim of this study was to assess the pharmacokinetics of individualized amikacin single-dosage regimens targeting low peak serum concentrations in a population of intensive care unit (ICU) patients, and to describe the outcomes associated with this dosing strategy. MATERIALS AND METHODS:In this prospective,...

    journal_title:Journal of critical care

    pub_type: 临床试验,杂志文章

    doi:10.1053/jcrc.2003.50003

    authors: Bacopoulou F,Markantonis SL,Pavlou E,Adamidou M

    更新日期:2003-06-01 00:00:00

  • Ultrasound guidance during central venous catheterization: a survey of use by house staff physicians.

    abstract:PURPOSE:The objective of this study is to explore the attitudes, knowledge, and behavior of house staff physicians regarding the use of ultrasound guidance (UG) during central venous catheter placement (CP). MATERIALS AND METHODS:A questionnaire-based study was used to survey house staff in multiple training programs ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2005.06.005

    authors: Girard TD,Schectman JM

    更新日期:2005-09-01 00:00:00

  • The role of total bile acid in oral secretions in ventilator-associated pneumonia.

    abstract:PURPOSE:The aim of this study was to investigate the role of inflammatory biomarkers and total bile acid (TBA) in oral secretions in the development of ventilator-associated pneumonia (VAP). MATERIALS:This prospective study was conducted in an intensive care unit. Oral secretions were collected from mechanically venti...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2011.12.008

    authors: Tsai HC,Lin FC,Chen YC,Chang SC

    更新日期:2012-10-01 00:00:00

  • Contradictions in end-of-life decisions for self and other, expressed by relatives of chronically ventilated patients.

    abstract:OBJECTIVES:In certain populations, social, legal, and religious factors may influence end-of-life decisions in ventilator-dependent patients. This study aims to evaluate attitudes of first-degree relatives of chronically ventilated patients in Israel, toward end-of-life decisions regarding their loved ones, themselves,...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2009.01.011

    authors: Sviri S,Garb Y,Stav I,Rubinow A,Linton DM,Caine YG,Marcus EL

    更新日期:2009-06-01 00:00:00

  • Outcomes of emergency laparotomy in patients on extracorporeal membrane oxygenation for severe respiratory failure: A retrospective, observational cohort study.

    abstract:PURPOSE:There is a paucity of literature to support undertaking emergency laparotomy when indicated in patients supported on ECMO. Our study aims to identify the prevalence, outcomes and complications of this high risk surgery at a large ECMO centre. MATERIALS AND METHODS:A single centre, retrospective, observational ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2019.06.021

    authors: McCann C,Adams K,Schizas A,George M,Barrett NA,Wyncoll DLA,Camporota L

    更新日期:2019-10-01 00:00:00

  • Thiamine in septic shock patients with alcohol use disorders: An observational pilot study.

    abstract:PURPOSE:Alcohol-use disorders (AUDs) have been associated with increased sepsis-related mortality. As patients with AUDs are often thiamine deficient, we investigated practice patterns relating to thiamine administration in patients with AUDs presenting with septic shock and explored the association between receipt of ...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.08.022

    authors: Holmberg MJ,Moskowitz A,Patel PV,Grossestreuer AV,Uber A,Stankovic N,Andersen LW,Donnino MW

    更新日期:2018-02-01 00:00:00

  • Intracranial pressure and cerebral perfusion pressure in patients developing brain death.

    abstract:PURPOSE:We investigated whether a critical rise of intracranial pressure (ICP) leading to a loss of cerebral perfusion pressure (CPP) could serve as a surrogate marker of brain death (BD). MATERIALS AND METHODS:We retrospectively analyzed ICP and CPP of patients in whom BD was diagnosed (n = 32, 16-79 years). Intracra...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2016.03.009

    authors: Salih F,Holtkamp M,Brandt SA,Hoffmann O,Masuhr F,Schreiber S,Weissinger F,Vajkoczy P,Wolf S

    更新日期:2016-08-01 00:00:00

  • Hypoxic hepatitis - its biochemical profile, causes and risk factors of mortality in critically-ill patients: A cohort study of 565 patients.

    abstract:PURPOSE:A retrospective analysis of critically-ill patients with hypoxic hepatitis (HH) to characterize the biochemical profile and to identify predictors of mortality using the Medical Information Mart for Intensive Care III database. METHODS:HH was defined as a rapid increase in AST/ALT≥800IU/L after exclusion of ot...

    journal_title:Journal of critical care

    pub_type: 杂志文章

    doi:10.1016/j.jcrc.2017.04.040

    authors: Aboelsoud MM,Javaid AI,Al-Qadi MO,Lewis JH

    更新日期:2017-10-01 00:00:00