Critical Care Management of Bariatric Surgery Complications
Obesity remains a major medical disease that often requires surgical intervention in morbidly obese patients. Surgical procedures have evolved and are performed routinely in most major medical centers. Outcomes are often dependent on patient characteristics, type of procedure, and preoperative planning. Risk stratification often depends on screening and optimizing known comorbidities often encountered in this patient population. A thorough understanding of the physiologic changes seen in obese patient and the commonly performed operations will allow the physician to perform optimal treatment strategies. (Source: Journal of...
Source: Journal of Intensive Care Medicine - August 7, 2016 Category: Intensive Care Authors: Chand, B., Prathanvanich, P. Tags: Analytic Reviews Source Type: research
Update on Severe Burn Management for the Intensivist
Thermal injury of humans causes arguably the most severe perturbations in physiology that can be experienced. These physiologic derangements start immediately and can persist in some form until months or even years after the burn wounds are healed. Burn shock, marked activation of the systemic inflammatory response, multiple-organ failure, infection, and wound failure are just a few of the insults that may require management by the intensivist. The purpose of this article is to review recent advances in the critical care management of thermally injured patients. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - August 7, 2016 Category: Intensive Care Authors: Lundy, J. B., Chung, K. K., Pamplin, J. C., Ainsworth, C. R., Jeng, J. C., Friedman, B. C. Tags: Analytic Reviews Source Type: research
e-Corrigendum
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - August 7, 2016 Category: Intensive Care Tags: Articles Source Type: research
Authors Response
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Collinsworth, A. W., Masica, A. L. Tags: Authors ' Response Source Type: research
Provider and Nursing Perceptions and Practices: Gap Analysis for ICU Delirium Protocol Implementation
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Cole, J. L., Stark, J. E. Tags: Letter to the Editor Source Type: research
Augmentation of the Inotropic Effects of Dopamine Following Linezolid Administration in an Infant
We present a 3-month-old infant who was being treated with dopamine to maintain mean arterial pressure during mechanical ventilation following viral-induced respiratory failure. Hypertension and tachycardia developed during the administration of linezolid on two separate occasions. The physiology of catecholamine metabolism is reviewed including the role of the monoamine oxidase system. The potential interaction between linezolid and vasoactive agents such as dopamine is discussed. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Lovett, M. E., Estrada, M., Sargel, C., Tobias, J. D. Tags: Case Report Source Type: research
Does the Subjective Global Assessment Predict Outcome in Critically Ill Medical Patients?
Conclusion:
Malnutrition on admission is common in critically ill medical patients. Malnutrition, as assessed by SGA at admission to ICU, is associated with increased mortality and thus can serve as a valuable prognostic tool in the assessment of critically ill patients. Given that that the SGA is a simple bedside assessment, it should be considered for routine use in assessing critically ill patients. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Bector, S., Vagianos, K., Suh, M., Duerksen, D. R. Tags: Original Research Source Type: research
The Impact of Implementation of an ICU Consult Service on Hospital-Wide Outcomes and ICU-Specific Outcomes
Conclusion:
Implementation of an ICU consult service without any formal afferent limb training was associated with decreased mortality and 14-day readmission rates of patients admitted to the ICU. In contrast, hospital-wide mortality and code blue rates were unaffected. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Al-Rajhi, A., Mardini, L., Jayaraman, D. Tags: Original Research Source Type: research
Early Trophic Enteral Nutrition Is Associated With Improved Outcomes in Mechanically Ventilated Patients With Septic Shock: A Retrospective Review
Conclusion:
In patients with septic shock, those receiving <600 kcal/d EN within 48 hours had lower DOMV and LOS when compared to those who did not receive EN or those who received ≥600 kcal/d. These observations provide strong justification for prospective evaluation of the effect of early trophic EN in patients with septic shock. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Patel, J. J., Kozeniecki, M., Biesboer, A., Peppard, W., Ray, A. S., Thomas, S., Jacobs, E. R., Nanchal, R., Kumar, G. Tags: Review of a Large Clinical Series Source Type: research
Comparison of Dexmedetomidine Versus Propofol on Hospital Costs and Length of Stay
Conclusions:
In this academic medical center, dexmedetomidine use was associated with higher costs when compared to propofol for sedation in the ICU. Also, use of dexmedetomidine was associated with increased lengths of ICU and hospital stay. Future prospective trials are needed to confirm these findings. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Patanwala, A. E., Erstad, B. L. Tags: Review of a Large Clinical Series Source Type: research
Clinical Research in Acute Fatal Illness: Lessons From Extracorporeal Membrane Oxygenation
Clinical research to evaluate the effectiveness of life support systems in acute fatal illness has unique problems of logistics, ethics, and consent. There have been 10 prospective comparative trials of extracorporeal membrane oxygenation in acute fatal respiratory failure, utilizing different study designs. The trial designs were prospective controlled randomized, prospective adaptive randomized, sequential, and matched pairs. The trials were reviewed with regard to logistics, ethics, consent, statistical methods, economics, and impact. The matched pairs method is the best study design for evaluation of life support syste...
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Bartlett, R. H. Tags: Review of a Large Clinical Series Source Type: research
Emerging Role of Melatonin and Melatonin Receptor Agonists in Sleep and Delirium in Intensive Care Unit Patients
Delirium, an acute state of mental confusion, can lead to many adverse sequelae in intensive care unit (ICU) patients. Although the etiology of ICU delirium is often multifactorial, and at times not fully understood, sleep deprivation is considered to be a major contributing factor to its development. It has been postulated that administration of exogenous melatonin and melatonin receptor agonists such as ramelteon may prevent delirium by promoting nocturnal sleep in ICU patients. The purpose of this review is to summarize the pharmacology of melatonin and melatonin receptor agonists and investigate their potential roles i...
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Mo, Y., Scheer, C. E., Abdallah, G. T. Tags: Analytic Reviews Source Type: research
Ethical Issues in Surgical Critical Care: The Complexity of Interpersonal Relationships in the Surgical Intensive Care Unit
A major challenge in the era of shared medical decision making is the navigation of complex relationships between the physicians, patients, and surrogates who guide treatment plans for critically ill patients. This review of ethical issues in adult surgical critical care explores factors influencing interactions among the characters most prominently involved in health care decisions in the surgical intensive care unit: the patient, the surrogate, the surgeon, and the intensivist. Ethical tensions in the surgeon–patient relationship in the elective setting may arise from the preoperative surgical covenant and the deve...
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Sur, M. D., Angelos, P. Tags: Analytic Reviews Source Type: research
Viral Respiratory Infections of Adults in the Intensive Care Unit
Viral lower respiratory tract infections (LRTIs) are an underappreciated cause of critical illness in adults. Recent advances in viral detection techniques over the past decade have demonstrated viral LRTIs are associated with rates of morbidity, mortality, and health care utilization comparable to those of seen with bacterial community acquired and nosocomial pneumonias. In this review, we describe the relationship between viral LRTIs and critical illness, as well as discuss relevant clinical features and management strategies for the more prevalent respiratory viral pathogens. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - July 11, 2016 Category: Intensive Care Authors: Nguyen, C., Kaku, S., Tutera, D., Kuschner, W. G., Barr, J. Tags: Analytic Reviews Source Type: research
Authors Response
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Ibanez, J., Riera, M., Campillo-Artero, C. Tags: Authors ' Response Source Type: research
