Multidisciplinary Critical Care and Intensivist Staffing: Results of a Statewide Survey and Association With Mortality
Conclusions:
Our results suggest that multidisciplinary team care may improve outcomes for critically ill surgical patients. However, no relationship was observed between intensity of physician staffing and mortality. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Yoo, E. J., Edwards, J. D., Dean, M. L., Dudley, R. A. Tags: Review of a Large Clinical Series Source Type: research
Acute Kidney Injury in the Critically Ill Patient: A Current Review of the Literature
Conclusions:
Acute kidney injury is a common problem in the critically ill patient and is associated with worse clinical outcomes. A standardized definition and staging system has led to improved diagnosis and understanding of the pathophysiology of AKI. There are many trials leading to improved prevention and management of the disease. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Pakula, A. M., Skinner, R. A. Tags: Analytic Reviews Source Type: research
Critical Care for the Patient With Multiple Trauma
Trauma remains the leading cause of death worldwide and the leading cause of death in those less than 44 years old in the United States. Admission to a verified trauma center has been shown to decrease mortality following a major injury. This decrease in mortality has been a direct result of improvements in the initial evaluation and resuscitation from injury as well as continued advances in critical care. As such, it is vital that intensive care practitioners be familiar with various types of injuries and their associated treatment strategies as well as their potential complications in order to minimize the morbidity and ...
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Radomski, M., Zettervall, S., Schroeder, M. E., Messing, J., Dunne, J., Sarani, B. Tags: Analytic Reviews Source Type: research
Anemia and Transfusion in Critical Care: Physiology and Management
Conclusion and Recommendation:
In a criticially ill patient, anemia should be managed to avoid oxygen supply dependency (oxygen delivery less than twice comsumption) and to maintain moderate oxygen delivery reserve (DO2/VO2 > 3). (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - May 9, 2016 Category: Intensive Care Authors: Spinelli, E., Bartlett, R. H. Tags: Analytic Reviews Source Type: research
The Standardization Approach in End-of-Life Withdrawal of Life-Sustaining Treatment: Sacrificing Patients Safety and the Quality of Care
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Rady, M. Y., Verheijde, J. L. Tags: Commentary Source Type: research
Authors Response to Letter to Editor on "Characteristics and Outcomes of Middle East Respiratory Syndrome Coronavirus Patients Admitted to an Intensive Care Unit in Jeddah, Saudi Arabia"
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Wahla, A. S. Tags: Author ' s Response Source Type: research
Middle East Respiratory Syndrome Coronavirus Patients in the ICU
(Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Wiwanitkit, V. Tags: Letter to the Editor Source Type: research
West Nile Meningoencephalitis Presenting as Isolated Bulbar Palsy With Hypercapnic Respiratory Failure: Case Report and Literature Review
Conclusion:
This is a unique case of WNV meningoencephalitis with bulbar palsy without other neuromuscular manifestations resulting in recurrent hypercapnic respiratory failure. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Tso, G., Kaldas, K., Springer, J., Barot, N., Kamangar, N. Tags: Case Report Source Type: research
Quick Response Tracheotomy: A Novel Surgical Procedure
Quick response tracheostomy (QRT) is a novel open surgical technique to emergently establish an airway. The method is simple; the skills necessary to perform this procedure are rapidly acquired; and it is expedient, minimally traumatic, and remarkably devoid of complications often encountered with percutaneous dilatational tracheotomies, including those complications seen with cricothyroidotomies. Unlike all other tracheotomies in which considerable blunt dissection is required, QRT avoids tissue crushing because sharp dissection alone is used to acquire surgical access to the trachea. The QRT does not entail inserting a g...
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Browne, G. A. Tags: Techniques and Procedures Source Type: research
Electroencephalographic Findings in Posthypoxic Myoclonus
In conclusion, patients with generalized PHM showed more SE. These EEG findings might be either subcortical corollaries or primarily cortical phenomena. Our retrospective results conflict with currently used clinical criteria for myoclonus classification, and we suggest that more refined difference may be needed for accurate assessment of PHM. To better understand PHM, prospective research with standardized clinical assessment and quantitative EEG analysis is needed. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: van Zijl, J. C., Beudel, M., vd Hoeven, H. J., Lange, F., Tijssen, M. A. J., Elting, J. W. J. Tags: Original Research Source Type: research
Pharmacologic Treatment Reduces Pressure Times Time Dose and Relative Duration of Intracranial Hypertension
Conclusion:
Baseline PTD values before drug administration reflects varied patient criticality, with much higher values seen before the use of mannitol or barbiturates. Treatment with HTS reduced PTD and PTI burden significantly more than escalation of sedation or pain management, and this effect remained significant at 2 hours after administration. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Colton, K., Yang, S., Hu, P. F., Chen, H. H., Bonds, B., Stansbury, L. G., Scalea, T. M., Stein, D. M. Tags: Original Research Source Type: research
Prevalence of Ventilatory Conditions for Dynamic Fluid Responsiveness Prediction in 2 Tertiary Intensive Care Units
Conclusions:
Respiratory-dependent dynamic parameters for predicting fluid responsiveness in ICU may have restricted applicability in daily practice, even in more severe patients, due to low prevalence of required conditions. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Mendes, P. V., Rodrigues, B. N., Miranda, L. C., Zampieri, F. G., Queiroz, E. L., Schettino, G., Azevedo, L. C., Park, M., Taniguchi, L. U. Tags: Review of a Large Clinical Series Source Type: research
Effect of Compliance With a Nurse-Led Intensive Care Unit Checklist on Clinical Outcomes in Mechanically and Nonmechanically Ventilated Patients
Conclusion:
Compliance with completion of a nurse-led ICU checklist was associated with prolonged ICU stay, hospital stay, and ventilator stay. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Al Ashry, H. S., Abuzaid, A. S., Walters, R. W., Modrykamien, A. M. Tags: Review of a Large Clinical Series Source Type: research
Exploration of Withdrawal of Life-Sustaining Therapy in Canadian Intensive Care Units
Conclusions:
Standard practice of life-sustaining therapy withdrawal appears to differ between selected Canadian sites. Variability in withdrawal of life-sustaining therapy may have a potential impact both on rates of cDCD success and quality of palliative care. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: van Beinum, A., Hornby, L., Ramsay, T., Ward, R., Shemie, S. D., Dhanani, S. Tags: Analytic Reviews Source Type: research
The Complex Surgical Abdomen: What the Nonsurgeon Intensivist Needs to Know
Intensivists are often called upon to help care for patients who develop severe sepsis syndrome and septic shock where the primary source is an enterocutaneous fistula (ECF). The purpose of this article is to describe to the nonsurgeon intensivist how these complex surgical situations arise in the first place and provide the reader with a detailed understanding of the potentially devastating complications of ECF. In addition, we will describe a structured algorithm regarding the management of this often highly challenging surgical situation. (Source: Journal of Intensive Care Medicine)
Source: Journal of Intensive Care Medicine - April 9, 2016 Category: Intensive Care Authors: Cohen, W. A., Horovitz, J. H., Kupfer, Y., Savel, R. H. Tags: Analytic Reviews Source Type: research
