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Jurnale medicale
Journal of Intensive Care Medicine current issue
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Jurnale medicale Journal of Intensive Care Medicine current issue

30 Ianuarie 2015 09:55
Introduction:

Sedation with dexmedetomidine may facilitate ventilator liberation and limit the occurrence of delirium. No trial has assessed patient recall or the development of psychological outcomes after dexmedetomidine sedation. This pilot study evaluated whether transitioning benzodiazepine sed

mai mult
Journal of Intensive Care Medicine current issue
30 Ianuarie 2015 09:55
Background:

Although the Leap Frog intensivist staffing model has been shown to improve outcomes in the intensive care unit (ICU), to date, no one has examined the effect of an intensivist model in a dedicated trauma ICU. With stricter adherence to evidence-based protocols and 24-hour availability,

mai mult
Journal of Intensive Care Medicine current issue
30 Ianuarie 2015 09:55
Introduction:

Hypoglycemia and glucose variability are independently associated with increased mortality in septic, surgical, and mixed intensive care unit (ICU) patients. Treatment of hypoglycemia with dextrose 50% can overcorrect blood glucose levels and increase glucose variability. The purpose o

mai mult
Journal of Intensive Care Medicine current issue
30 Ianuarie 2015 09:55

Care of critically ill patients, as in any other field, demands the exercise of ethical principles related to respect of patient’s autonomy, beneficence, nonmaleficence, and distributive justice. Professional duty and the common law require doctors to obtain consent before giving treatment or for re

mai mult
Journal of Intensive Care Medicine current issue
30 Ianuarie 2015 09:55

Endotracheal intubation is difficult in patients with hypoxemic respiratory failure who deteriorate despite treatment with noninvasive positive pressure ventilation (NIPPV). Maintaining NIPPV during intubation may prevent alveolar derecruitment and deterioration in gas exchange. We report a case ser

mai mult
Journal of Intensive Care Medicine current issue
30 Ianuarie 2015 09:55

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 sto

mai mult
Journal of Intensive Care Medicine current issue
30 Ianuarie 2015 09:55

Transfusion associated-graft versus host disease (TA-GVHD) is a rare complication of blood transfusion. It carries a very high mortality rate. Although the phenomenon has been well described in immunocompromised patients, this review focuses on the immunocompetent host. Cases of TA-GVHD continue to

mai mult
Journal of Intensive Care Medicine current issue
9 Ianuarie 2015 14:31

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, vas

mai mult
Journal of Intensive Care Medicine current issue
9 Ianuarie 2015 14:31
Background:

Acute Physiology and Chronic Health Evaluation II (APACHE II) score has shown low prognostic ability to predict death in the obstetric population. The objective of this study was to evaluate whether an updated form of the APACHE II score would perform better in predicting mortality in cr

mai mult
Journal of Intensive Care Medicine current issue
9 Ianuarie 2015 14:31
Background:

The rapid shallow breathing index (RSBI) has the best predictive value to assess readiness for weaning from mechanical ventilation. At many institutions, this index is conveniently measured without disconnecting the patient from the ventilator, but this method may be inaccurate. Because

mai mult
Journal of Intensive Care Medicine current issue
9 Ianuarie 2015 14:31
Context:

There is absence of evidence-based guidelines to determine extubation readiness in the pediatric intensive care unit (PICU).

Objective:

Evaluate our practice of determining extubation readiness based on physician judgment of preextubation ventilator settings, blood gas analysis, and other

mai mult
Journal of Intensive Care Medicine current issue
9 Ianuarie 2015 14:31
Purpose:

To test the hypothesis that fever was more frequent in critically ill patients with brain injury when compared to nonneurological patients and to study its effect on in-hospital case fatality.

Methods:

Retrospective matched cohort study utilizing a single-center prospectively compiled regi

mai mult
Journal of Intensive Care Medicine current issue
9 Ianuarie 2015 14:31

Bacterial and fungal infections continue to be a major cause of morbidity and mortality in severely neutropenic patients undergoing aggressive chemotherapy regimens or hematopoietic stem cell transplantation. Traditional granulocyte transfusion therapy, a logical approach in treating these infection

mai mult
Journal of Intensive Care Medicine current issue
9 Ianuarie 2015 14:31

Intracerebral hemorrhage (ICH) in patients with oral anticoagulation therapy is an increasingly prevalent problem in large part due to the aging population and the increased use of anticoagulants for patients at high risk of thrombosis. Warfarin has been virtually the only outpatient anticoagulant c

mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30
Purpose:

Admission serum bilirubin levels have been incorporated into severity of illness scoring systems in critical illness as a marker of liver dysfunction. The purpose of our study is to determine the independent association of serum bilirubin with mortality in severe sepsis and septic shock.

M mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30

Patients are increasingly being prescribed antiplatelet agents (APAs) for a growing number of medical and surgical conditions. These agents are associated with an increased risk of hemorrhage, including intracranial hemorrhage (ICH). In the setting of warfarin use and ICH, strategies to reverse the

mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30
Purpose:

The performance of most indices used to predict ventilator weaning outcomes remains below expectation. The purpose of this study was to evaluate a new weaning index, the timed inspiratory effort (TIE) index, which is based on the maximal inspiratory pressure and the occlusion time required

mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30

The use of umbilical cord blood (UCB) as a stem cell donor source has dramatically increased over the last 2 decades. Patients undergoing UCB transplantation share medical management issues with patients receiving a hematopoietic stem cell transplantion using adult donor sources (peripheral blood st

mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30

Hypertonic Saline (HS) has been a proven and effective therapy and a safe alternative to mannitol in patients with increase intracranial pressure (ICP). We hereby present a case of 25-year-old women with intracranial bleed secondary to right parietal arteriovenous malformation. Patient underwent sur

mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30
Introduction:

Less-invasive hemodynamic monitoring (eg, esophageal doppler monitoring [EDM] and arterial pressure contour analysis, FloTrac) is increasingly used as an alternative to pulmonary artery catheters (PACs) in critically ill intensive care unit (ICU).

Hypothesis:

The decrease in use of

mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30

Cocaine use continues to be a major public health problem in the United States. Although many of the initial signs and symptoms of cocaine intoxication result from increased stimulation of the sympathetic nervous system, this condition can present as a spectrum of acuity from hypertension and tachyc

mai mult
Journal of Intensive Care Medicine current issue
9 Decembrie 2014 12:30
Background:

To compare the complication rates of urgent endotracheal intubation (UEI) performed by pulmonary critical care medicine (PCCM) fellows and attending intensivists using a direct laryngoscope (DL) versus a video laryngoscope (VL) in a medical intensive care unit (MICU).

Methods:

We studie

mai mult
Journal of Intensive Care Medicine current issue
29 Octombrie 2014 07:25
Background:

Induction of mild therapeutic hypothermia (TH; temperature 32-34°C) has become standard of care in many hospitals for comatose survivors of cardiac arrest. Pyrexia, or fever, is known to be detrimental in patients with neurologic injuries such as stroke or trauma. The incidence of pyrex

mai mult
Journal of Intensive Care Medicine current issue
29 Octombrie 2014 07:25
Introduction:

When a pneumothorax exists, free air should rise to the most nondependent region within the chest. Current ultrasound (US) examination methodologies may exclude visualization of these areas that may limit the sensitivity of the examination. This retrospective study uses computed tomogr

mai mult
Journal of Intensive Care Medicine current issue
29 Octombrie 2014 07:25
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 us

mai mult
Journal of Intensive Care Medicine current issue
29 Octombrie 2014 07:25

Although anorectal disorders such as abscess, fissure, and hemorrhoids are typically outpatient problems, they also occur in the critically ill patient population, where their presentation and management are more difficult. This article will provide a brief review of anorectal anatomy, explain the p

mai mult
Journal of Intensive Care Medicine current issue
29 Octombrie 2014 07:25
Purpose:

To determine the epidemiology of the acute respiratory distress syndrome (ARDS) and impact on in-hospital mortality in admissions of patients with acute ischemic stroke (AIS) in the United States.

Methods:

Retrospective cohort study of admissions with a diagnosis of AIS and ARDS from 1994

mai mult
Journal of Intensive Care Medicine current issue
29 Octombrie 2014 07:25

We describe the case of a patient with hemolysis-associated Clostridium perfringens septicemia and review all similar cases published in the literature since 1990, with specific focus on the relationship between treatment strategy and survival. We searched PubMed for all published cases of C. perfri

mai mult
Journal of Intensive Care Medicine current issue
29 Octombrie 2014 07:25

Hospital-acquired infections (HAIs) are common in intensive care unit (ICU) patients and are associated with increased morbidity and mortality. There has been an increasing effort to prevent HAIs, and infection control practices are paramount in avoiding these complications. In the last several year

mai mult
Journal of Intensive Care Medicine current issue
5 Septembrie 2014 11:50
Background:

Traumatic pulmonary pseudocysts (TPPs) are rare sequelae of blunt chest trauma and may be incidentally visualized on initial, or subsequent, chest imaging.

Case:

We present the case of a 37-year-old male with no past medical history, who was recently hospitalized in the intensive care u

mai mult
Journal of Intensive Care Medicine current issue
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