Association of Pneumonia With Short- and Long-Term Mortality After Cardiac Surgery
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Liu, J.-H., Xue, F.-S., Sun, C., Liu, G.-P. Tags: Letter to the Editor Source Type: research
Assessment of Noninvasive Regional Brain Oximetry in Posterior Reversible Encephalopathy Syndrome and Reversible Cerebral Vasoconstriction Syndrome
Conclusions:
Regional cerebral oximetry can provide valuable diagnostic feedback in complicated cases of PRES and RCVS. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Chung, D. Y., Claassen, J., Agarwal, S., Schmidt, J. M., Mayer, S. A. Tags: Case Reports Source Type: research
Use of a Cholestyramine Washout in a Patient With Septic Shock on Leflunomide Therapy: A Case Report and Review of the Literature
We report a case of a patient with severe septic shock secondary to a prosthetic joint infection in which therapeutic levels of leflunomide were discovered, despite the patient ceasing therapy several weeks prior to admission. An orogastric cholestyramine washout was given to the patient to expedite the removal of the drug. Serum levels rapidly declined over the next several days, corresponding with resolution of her sepsis. A review of the literature relevant to the incidence of DMARD-related infections was conducted as well as discussion regarding the role of leflunomide drug monitoring and cholestyramine-facilitated rem...
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Laub, M., Fraser, R., Kurche, J., Lara, A., Kiser, T. H., Reynolds, P. M. Tags: Case Reports Source Type: research
The Safety and Feasibility of Admitting Patients With Intracerebral Hemorrhage to the Step-Down Unit
Conclusion:
Admission of ICH patients with mild symptoms to the SDU is safe and feasible. Larger prospective studies are needed to define the specific criteria for admission. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Hafeez, S., Behrouz, R. Tags: Original Research Source Type: research
Incidence, Risk Factors, and Prognosis of Intra-Abdominal Hypertension in Critically Ill Children: A Prospective Epidemiological Study
Conclusion:
Intra-abdominal hypertension does occur in about 13% of the critically ill children, albeit less frequently than adult patients, probably related to a better compliance of the abdominal wall. The presence of abdominal distension and a plateau pressure of more than 30 cm H2O was found to be independent predictors of IAH. Children with IAH had higher mortality rate and more prolonged ICU stay. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Thabet, F. C., Bougmiza, I. M., Chehab, M. S., Bafaqih, H. A., AlMohaimeed, S. A., Malbrain, M. L. N. G. Tags: Original Research Source Type: research
Incidence of Mechanical Complications of Central Venous Catheterization Using Landmark Technique: Do Not Try More Than 3 Times
Conclusions:
The incidence of mechanical complications is affected by the number of punctures performed. After adjustment, the risk increases substantially with more than 3 attempts. Limiting the number of attempts, appropriate supervision and the use of ultrasound guidance when available are recommended for the further reduction in mechanical complications of central venous catheterization. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Calvache, J.-A., Rodriguez, M.-V., Trochez, A., Klimek, M., Stolker, R.-J., Lesaffre, E. Tags: Review of a Large Clinical Series Source Type: research
Chronic Statin Use and Long-Term Rates of Sepsis: A Population-Based Cohort Study
Conclusion:
In the REGARDS cohort, statin use at baseline was not associated with rates of future sepsis events. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Wang, H. E., Griffin, R., Shapiro, N. I., Howard, G., Safford, M. M. Tags: Review of a Large Clinical Series Source Type: research
Pulmonary Hypertension in the Intensive Care Unit
Pulmonary hypertension occurs as the result of disease processes increasing pressure within the pulmonary circulation, eventually leading to right ventricular failure. Patients may become critically ill from complications of pulmonary hypertension and right ventricular failure or may develop pulmonary hypertension as the result of critical illness. Diagnostic testing should evaluate for common causes such as left heart failure, hypoxemic lung disease and pulmonary embolism. Relatively few patients with pulmonary hypertension encountered in clinical practice require specific pharmacologic treatment of pulmonary hypertension...
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Jentzer, J. C., Mathier, M. A. Tags: Analytic Reviews Source Type: research
Venoarterial Extracorporeal Membrane Oxygenation in Adults With Cardiac Arrest
Cardiac arrest (CA) is a major cause of morbidity and mortality worldwide. Despite the use of conventional cardiopulmonary resuscitation (CPR), rates of return of spontaneous circulation and survival with minimal neurologic impairment remain low. Utilization of venoarterial extracorporeal membrane oxygenation (ECMO) for CA in adults is steadily increasing. Propensity-matched cohort studies have reported outcomes associated with ECMO use to be superior to that of conventional CPR alone in in-hospital patients with CA. In this review, we discuss the mechanism, indications, complications, and evidence for ECMO in CA in adults...
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Patel, J. K., Schoenfeld, E., Parnia, S., Singer, A. J., Edelman, N. Tags: Analytic Reviews Source Type: research
Authors Response
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Vander Weide, L. A., MacLaren, R., Mueller, S. W. Tags: Authors ' Response Source Type: research
Letter in Response to Evaluation of Early Dexmedetomidine Addition to the Standard of Care for Severe Alcohol Withdrawal in the ICU: A Retrospective Controlled Cohort Study
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Hayes, B. D., Nelson, L. S. Tags: Letter to the Editor Source Type: research
Boerhaave Syndrome Presenting as Tension Pneumothorax: First Reported North American Case
Tension pneumothorax is a rare and potentially life-threatening clinical complication. A 43-year-old Caucasian woman with type 1 diabetes mellitus presented with nausea and retching and examination revealed dehydration. Laboratory parameters were consistent with a diagnosis of diabetic ketoacidosis, which responded to therapy. Suddenly, 30 hours later, she developed cardiorespiratory compromise due to a tension pneumothorax. After emergent decompression and catheter placement, computerized tomographic scan of the chest demonstrated esophageal-pleural fistula confirming Boerhaave syndrome as the etiology for the pneumothora...
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Vallabhajosyula, S., Sundaragiri, P. R., Berim, I. G. Tags: Case Report Source Type: research
Characteristics and Outcomes of Middle East Respiratory Syndrome Coronavirus Patients Admitted to an Intensive Care Unit in Jeddah, Saudi Arabia
Conclusions:
Middle East respiratory syndrome coronavirus carries a high mortality rate in patients who require ICU admission, with a significant number of patients developing MOSF. Further investigation is needed to determine optimal management guidelines for these patients. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Al-Hameed, F., Wahla, A. S., Siddiqui, S., Ghabashi, A., Al-Shomrani, M., Al-Thaqafi, A., Tashkandi, Y. Tags: Original Research Source Type: research
Ultrasonography for Screening and Follow-Up of Diaphragmatic Dysfunction in the ICU: A Pilot Study
Conclusion:
The ICU-acquired DD usually improves before ICU discharge but might constitute a marker for greater disease severity. The present preliminary results require confirmation in a larger prospective multicenter study. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Mariani, L. F., Bedel, J., Gros, A., Lerolle, N., Milojevic, K., Laurent, V., Hilly, J., Troche, G., Bedos, J. P., Planquette, B. Tags: Original Research Source Type: research
Evaluation of the Clinical Utility of Routine Daily Chest Radiography in Intensive Care Unit Patients With Tracheostomy Tubes: A Retrospective Review
Conclusions:
Routine daily imaging of patients with tracheostomy in an ICU provides little clinical utility, and CR in this population should be performed selectively based on the patient’s clinical status. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Cruz, J., Ferra, M., Kasarabada, A., Gasperino, J., Zigmund, B. Tags: Review of a Large Clinical Series Source Type: research
