Intensive Care 
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This page shows you the most recent publications within this specialty of the MedWorm directory.
29367 records returned
Optimization of oxygen delivery during high-risk surgery: keep the concept but refining goals for inotrope infusion?
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We read with great interest the recent study by Lobo and colleagues stating that fluid restriction during optimization of oxygen delivery (DO2) using dobutamine improves patient outcome after major surgery. Previous studies have shown that haemodynamic optimization using either an individualized goal-directed fluid substitution or inotrope to maximize DO2 reduces postoperative morbidity and hospital length of stay. Although the study brings important new insights, we believe however that some limits should be pointed. (Source: Critical Care)
Source: Critical Care - February 6, 2012 Category: Intensive Care Authors: Emmanuel FutierBenoit Vallet Source Type: research
Hinchingbrooke: a private solution for a hospital in intensive careEmail this article to a colleague.
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There is nothing wrong, in principle, with handing control of an NHS hospital to a private company, argues Alasdair Palmer. (Source: Telegraph Health)
Source: Telegraph Health - February 4, 2012 Category: Consumer Health News Source Type: news
Clinical experience with power injectable peripherally inserted central catheters in intensive care patientsEmail this article to a colleague.
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Power injectable peripherally inserted central catheters can be used successfully in most intensive care unit patients with few contraindications and low rates of complications, similar to central venous catheters (CVC). (Source: BioMed Central)
Source: BioMed Central - February 4, 2012 Category: Journals (General) Authors: Mauro PittirutiAlberto BruttiDavide CelentanoMassimiliano PomponiDaniele G BiasucciMaria G AnnettaGiancarlo Scoppettuolo Source Type: research
Continuous Near-Infrared Regional Cerebral Perfusion Monitoring Shows Promise in Stroke PatientsEmail this article to a colleague.
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Researchers at Mayo Clinic in Florida have shown that cerebral optically-based near infra-red spectroscopic oximetry applied to patients who have suffered a stroke can help monitor regional cerebral perfusion in real time, and thus “may serve as a useful, noninvasive, bedside intensive care unit monitoring tool to assess brain oxygenation in a direct manner.” The study looked at the device called Fore-Sight from Casmed of Branford, CT, that measures blood oxygen, similar to a finger clip pulse oximeter. The Mayo study results have been published in Journal of Neurosurgery this month.Regional cerebral blood flo...
Source: Medgadget Anesthesiology - February 3, 2012 Category: Anesthesiology Authors: Jan Sinnige Tags: Anesthesiology Cardiac Surgery Critical Care Neurological Surgery Neurology Source Type: news
Making the move: from bedside to camera-sideEmail this article to a colleague.
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Source: Goran SF. Critical Care Nurse, 32(1) Content: The tele-intensive care unit (tele-ICU) uses sophisticated telemedicine technology and a remote team of critical care experts, including nurses, to provide continuous monitoring, assessment, and interventional services to a large number of patients across multiple ICUs. This new practice environment offers experienced critical care nurses an opportunity [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)
Source: ICMCC: The International Council on Medical and Care Compunetics - February 3, 2012 Category: Information Technology Authors: Lodewijk Tags: Bibliography Journal Article Science Nurses Tele-ICU Telemedicine Source Type: news
Sepsis-induced acute kidney injury—is there a lack of energy?Email this article to a colleague.
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Content Type Journal ArticleCategory EditorialPages 1-3DOI 10.1007/s00134-012-2489-0Authors
Robert Frithiof, Department of Physiology and Pharmacology, Karolinska Institutet, 17177 Stockholm, Sweden
Journal Intensive Care MedicineOnline ISSN 1432-1238Print ISSN 0342-4642 (Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 3, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Renal bioenergetics during early gram-negative mammalian sepsis and angiotensin II infusionEmail this article to a colleague.
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Conclusions During early hypotensive experimental Gram-negative sepsis, there was no evidence of renal bioenergetic failure despite decreased
RBF. In this setting, the addition of a powerful renal vasoconstrictor does not lead to deterioration in renal bioenergetics.
Content Type Journal ArticleCategory ExperimentalPages 1-8DOI 10.1007/s00134-012-2487-2Authors
Clive N. May, Howard Florey Institute, Florey Neurosciences Institutes, University of Melbourne, Parkville, VIC, AustraliaKen Ishikawa, Howard Florey Institute, Florey Neurosciences Institutes, University of Melbourne, Parkville, VIC, Australia...
Source: Intensive Care Medicine - February 3, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Brain Tissue Oxygenation and Cerebral Perfusion Pressure Thresholds of Ischemia in a Standardized Pig Brain Death ModelEmail this article to a colleague.
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Conclusions A severe increase of ICP leading to CPP below 30 mmHg and BtipO2 below 10 mmHg is associated with an increase of the L/P ratio, thus seems to be critical thresholds for cerebral ischemia
under these conditions.
Content Type Journal ArticleCategory Translational ResearchPages 1-8DOI 10.1007/s12028-012-9675-3Authors
Karlis Purins, Department of Neuroscience, Section of Neurosurgery, Uppsala University, 751 85 Uppsala, SwedenPer Enblad, Department of Neuroscience, Section of Neurosurgery, Uppsala University, 751 85 Uppsala, SwedenLars Wiklund, Department of Surgical Sciences, Secti...
Source: Neurocritical Care - February 3, 2012 Category: Neurology Tags: Neurocritical Care Source Type: research
Enhancing Braden pressure ulcer risk assessment in acutely ill adult veteransEmail this article to a colleague.
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This study sought to determine if a parsimonious pressure ulcer (PU) predictive model could be identified specific to acute care to enhance the current PU risk assessment tool (Braden Scale) utilized within veteran facilities. Factors investigated include: diagnosis of gangrene, anemia, diabetes, malnutrition, osteomyelitis, pneumonia/pneumonitis, septicemia, candidiasis, bacterial skin infection, device/implant/graft complications, urinary tract infection, paralysis, senility, respiratory failure, acute renal failure, cerebrovascular accident, or congestive heart failure during hospitalization; patient's age, race, smokin...
Source: Wound Repair and Regeneration - February 3, 2012 Category: Surgery Authors: Linda J. CowanJoyce K. StechmillerMeredeth RoweJohn A. Kairalla Tags: Original Article Source Type: research
A prospective randomized open-label crossover trial of regional citrate anticoagulation vs. anticoagulation free
liver dialysis by the Molecular Adsorbents Recirculating SystemEmail this article to a colleague.
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IntroductionThe Molecular Adsorbent Recycling System (MARS) is used to treat patients with liver failure. Observational data suggest that citrate anticoagulation during MARS is feasible. Comparative studies on the optimal anticoagulation regimen during MARS are lacking. The aim of the current study was to evaluate two heparin-free anticoagulation regimens.
Methods:
We performed a prospective randomized open-label crossover study of regional citrate anticoagulation against no anticoagulation. Ten patients (age 55 +/- 11 years) with liver failure undergoing MARS treatment were included. The primary endpoint was completion of...
Source: Critical Care - February 3, 2012 Category: Intensive Care Authors: Bjorn MeijersWim LalemanPieter VermeerschFrederik NevensAlexander WilmerPieter Evenepoel Source Type: research
St. Elizabeth denied NICU unitEmail this article to a colleague.
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St. Elizabeth Healthcare has been denied Kentucky approval to open an advanced neonatal intensive care unit.
The hospital system applied in 2009 for the Level III NICU designation. But it failed to convince the Kentucky Cabinet for Health and Family Services the Kentucky needs the 12-bed service.
A spokeswoman for the organization said St. Elizabeth is likely to appeal the decision.
St. Elizabeth hoped to lure back the 990 Northern Kentucky women who leave the state to have their babies at Cincinnati Children’s Hospital Medical Center or elsewhere... (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 2, 2012 Category: Pharmaceuticals Authors: James Ritchie Source Type: research
Contrast-induced acute kidney injury: what is the prevalence of prevention protocols?Email this article to a colleague.
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Content Type Journal ArticleCategory CorrespondencePages 1-1DOI 10.1007/s00134-012-2479-2Authors
Jamie M. Strachan, Intensive Care Unit, Royal Berkshire Hospital, Reading, RG1 5AN UKMichael P. J. DeVile, Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, OX3 9DU UK
Journal Intensive Care MedicineOnline ISSN 1432-1238Print ISSN 0342-4642 (Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 2, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Concomitant measurement of copeptin and high-sensitivity troponin for fast and reliable rule out of acute myocardial infarctionEmail this article to a colleague.
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Conclusion Copeptin in association with HsTnT is a fast and reliable tool to rule out AMI, with a sensitivity and NPV of 1.00 in our
sample. Interventional studies are warranted to confirm these findings.
Content Type Journal ArticleCategory OriginalPages 1-7DOI 10.1007/s00134-012-2481-8Authors
Yonathan Freund, Service d’Accueil des Urgences, Hôpital Pitié-Salpétrière, Assistance Publique-Hôpitaux de Paris (APHP), Université Pierre et Marie Curie-Paris 6 (UPMC), 47-83 Boulevard de l’Hôpital, 75651 Paris cedex 13, FranceCamille Chenevier-Gobeaux, Departement de Biochimie, Hôpital Cochin–...
Source: Intensive Care Medicine - February 2, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Acute Treatment Options for Spinal Cord InjuryEmail this article to a colleague.
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Opinion statement Most treatment options for acute traumatic spinal cord injury (SCI) are directed at minimizing progression of the initial
injury and preventing secondary injury. Failure to adhere to certain guiding principles can be detrimental to the long-term
neurologic and functional outcome of these patients. Therapy for the hyperacute phase of traumatic SCI focuses on stabilizing
vital signs and follows the Advanced Trauma Life Support (ATLS) algorithm for ensuring stability of airway, breathing and
circulation, and disability (neurologic evaluation)—with spinal stabilization—and exposure. Spinal ...
Source: Current Treatment Options in Neurology - February 2, 2012 Category: Neurology Tags: Current Treatment Options in Neurology Source Type: research
Anti-Xa Levels 4 h After Subcutaneous Administration of 5,700 IU Nadroparin Strongly Correlate with Lean Body Weight in Morbidly Obese PatientsEmail this article to a colleague.
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Abstract
Background Morbidly obese patients (BMI > 40 kg/m2) are at increased risk for venous thromboembolism, especially after surgery. Despite limited evidence, morbidly obese patients
are often administered a double dose of nadroparin for thromboprophylaxis compared to non-obese patients. The aim of this
study was to evaluate the influence of different body size descriptors on anti-Xa levels after a double dose of nadroparin
(5,700 IU) in morbidly obese patients.
Methods In 27 morbidly obese patients with a mean total body weight of 148 kg (range 107–260 kg...
Source: Obesity Surgery - February 2, 2012 Category: Surgery Tags: Obesity Surgery Source Type: research
Dyslipidemia: a prospective controlled randomized trial of intensive glycemic control in sepsisEmail this article to a colleague.
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Conclusions Free fatty acids respond to intensive glycemic control and, because of their high toxicity, can be a therapeutic target in
patients with sepsis.
Content Type Journal ArticleCategory OriginalPages 1-8DOI 10.1007/s00134-011-2458-zAuthors
Sylas B. Cappi, Laboratório da Disciplina de Emergências Clínicas, Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Arnaldo 455, sala 3187, São Paulo, SP 01246-913, BrazilDanilo T. Noritomi, Laboratório da Disciplina de Emergências Clínicas, Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Arnaldo 455, sala 3187, São Paulo, S...
Source: Intensive Care Medicine - February 2, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
The neonate presenting with temperature symptoms: Role in the diagnosis of early onset sepsisEmail this article to a colleague.
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Conclusions: Every seventh newborn hospitalized at our neonatal intensive care unit developed fever, hypothermia and/or temperature instability during the first three days of life. Two thirds of them had culture proven or clinical sepsis. Temperature symptoms were rarely observed in EOS negative newborns (8%) but despite low sensitivity highly specific for bacterial infection in preterm and term newborns.© 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society (Source: Pediatrics International)
Source: Pediatrics International - February 2, 2012 Category: Pediatrics Authors: Nora HoferWilhelm MüllerBernhard Resch Source Type: research
Renal Replacement Therapy in Cardiology Wards: Changing Trends in a Transitional CountryEmail this article to a colleague.
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AbstractThe leading causes of death in patients with chronic kidney disease (CKD) are cardiovascular diseases, regardless of the stage of disease or method of renal replacement therapy. On the other hand, CKD is a major risk factor for cardiovascular complications after acute myocardial infarction, as well as for adverse outcome in patients with chronic heart failure. In the present study we prospectively followed‐up nephrological interventions in cardiology wards in order to determine changes in indications, treatment possibilities and outcome of patients. All patients treated at cardiology ward of the Clinical Hospital...
Source: Therapeutic Apheresis and Dialysis - February 2, 2012 Category: Hematology Authors: Iva Bacak‐KocmanNikolina Basic‐JukicVesna LovcicIngrid PrkacinDavor MilicicPetar Kes Source Type: research
Treatment of Neurocritical Care Emergencies in PregnancyEmail this article to a colleague.
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Opinion statement Neurologic emergencies are a major cause of morbidity and mortality in pregnant women. In part because the patient population
is young, the nihilistic approach that often accompanies neurologically devastating disorders in other contexts is largely
absent. A number of studies have demonstrated improved patient outcomes in the setting of aggressive care delivered by neurointensivists
in a specialty-specific environment. It stands to reason that young, pregnant women who suffer from neurologically devastating
disorders and who have a wide range of prognosis may also benefit from such speciali...
Source: Current Treatment Options in Neurology - February 1, 2012 Category: Neurology Tags: Current Treatment Options in Neurology Source Type: research
Validation of the Better Care® system to detect ineffective efforts during expiration in mechanically ventilated patients: a pilot studyEmail this article to a colleague.
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Conclusions In this pilot, Better Care® classified breaths as IEE in close agreement with experts and the EAdi signal.
Content Type Journal ArticleCategory OriginalPages 1-9DOI 10.1007/s00134-012-2493-4Authors
Lluis Blanch, Critical Care Center, Hospital de Sabadell, Corporacio Sanitaria Universitària Parc Tauli, Universitat Autònoma de Barcelona, Parc Taulí 1, 08208 Sabadell, SpainBernat Sales, CIBER Enfermedades Respiratorias, ISCiii, Madrid, SpainJaume Montanya, Fundació Parc Tauli, Corporacio Sanitaria Universitària Parc Tauli, Universitat Autònoma de Barcelona, Sabadell, SpainUmberto Lucan...
Source: Intensive Care Medicine - February 1, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Ineffective efforts during mechanical ventilation: the brain wants, the machine declinesEmail this article to a colleague.
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Content Type Journal ArticleCategory EditorialPages 1-3DOI 10.1007/s00134-012-2497-0Authors
Dimitris Georgopoulos, Department of Intensive Care Medicine, University Hospital of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece
Journal Intensive Care MedicineOnline ISSN 1432-1238Print ISSN 0342-4642 (Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 1, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Review of Inhaled Nitric Oxide in the Pediatric Cardiac Surgery SettingEmail this article to a colleague.
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Abstract Surgical intervention for congenital heart disease (CHD) can be complicated by pulmonary hypertension (PH), which increases
morbidity, mortality, and medical burden. Consequently, postoperative management of PH is an important clinical consideration
to improve outcomes. Inhaled nitric oxide (iNO) is a widely accepted standard of care for PH and has been studied in the context
of cardiac surgery for CHD. However, large randomized, double-blind, placebo-controlled, multicenter clinical trials in pediatric
patients are limited. This review will provide an overview of the clinical studies in this settin...
Source: Pediatric Cardiology - February 1, 2012 Category: Cardiology Tags: Pediatric Cardiology Source Type: research
Validation of frontal near-infrared spectroscopy as noninvasive bedside monitoring for regional cerebral blood flow in brain-injured patients.Email this article to a colleague.
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Conclusions The authors demonstrated a linear correlation for frontal NIRS cerebral oxygenation measurements compared with regional CBF on CT perfusion imaging. Thus, frontal NIRS cerebral oxygenation measurement may serve as a useful, noninvasive, bedside intensive care unit monitoring tool to assess brain oxygenation in a direct manner.
PMID: 22296679 [PubMed - in process] (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - February 1, 2012 Category: Neurosurgery Authors: Taussky P, O'Neal B, Daugherty WP, Luke S, Thorpe D, Pooley RA, Evans C, Hanel RA, Freeman WD Tags: Neurosurg Focus Source Type: research
Editorial BoardEmail this article to a colleague.
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(Source: Journal of Critical Care)
Source: Journal of Critical Care - February 1, 2012 Category: Intensive Care Tags: Frontmatter Source Type: research
Table of ContentsEmail this article to a colleague.
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(Source: Journal of Critical Care)
Source: Journal of Critical Care - February 1, 2012 Category: Intensive Care Tags: Frontmatter Source Type: research
Intensive care admissions and outcome at the University of Calabar Teaching Hospital, NigeriaEmail this article to a colleague.
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Abstract: An intensive care unit (ICU) is for critically ill patients who are likely to benefit from the expertise care provided. The outcome is dependent on the available human and material resources. The University of Calabar Teaching Hospital is a 410-bed hospital. It has a 3-bed general ICU consisting of 2 adult and 1 pediatric beds. A retrospective analysis of all ICU admissions as well as the mortality rate during a 12-month period that spans April 2009 and March 2010 was done. The data were collected from the ICU admissions and nurses' report books. The data extracted were the patients ages, stratified to pediatric ...
Source: Journal of Critical Care - February 1, 2012 Category: Intensive Care Authors: Iniabasi U. Ilori, Queeneth N. Kalu Tags: International Perspectives Source Type: research
2011 ReviewersEmail this article to a colleague.
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(Source: Journal of Critical Care)
Source: Journal of Critical Care - February 1, 2012 Category: Intensive Care Tags: Editorial Source Type: research
2011—year in reviewEmail this article to a colleague.
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The year 2011 marked the first year the Journal of Critical Care published on a bimonthly schedule. This, coupled with an increased page allocation and accelerated submission rate, has created a robust and increasingly visible publication that depends upon its volunteer reviewers to succeed. Therefore, it is not only appropriate and fitting but also a pleasure and responsibility to thank the Journal's nine hundred fifty-eight completed reviews (out of 2024 invitations) 2011 reviewers for their expert commentaries, unstinting commitment to excellence, and selfless dedication to the concept that peer review is one of the hig...
Source: Journal of Critical Care - February 1, 2012 Category: Intensive Care Authors: Philip D. Lumb Tags: Editorial Source Type: research
Age of blood and recipient factors determine the severity of transfusion-related acute lung injury (TRALI)Email this article to a colleague.
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Conclusions:
In this in vivo ovine model, both recipient and blood product factors contributed to the development of TRALI. Sick (LPS infused) sheep rather than healthy (saline infused) sheep predominantly developed TRALI when transfused with supernatant from stored but not fresh PRBC. "Stored PRBC" induced a more severe injury than "stored PLT" and had a different storage lesion profile, suggesting that these outcomes may be associated with storage lesion factors unique to each blood product type. Therefore, the transfusion of fresh rather than stored PRBC may minimise the risk of TRALI. (Source: Critical Care)
Source: Critical Care - February 1, 2012 Category: Intensive Care Authors: John-Paul TungJohn FraserMaria NataatmadjaKathryn ColebourneAdrian BarnettKristen GlenisterAnna ZhouPeter WoodChristopher SillimanYoke Fung Source Type: research
Pulmonary complications after major head and neck surgery: A retrospective cohort studyEmail this article to a colleague.
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Conclusions:Patients undergoing major head and neck surgery are at high risk of PPCs. Advanced age and hypertension significantly correlated with PPCs. PPCs correlate with prolonged ICU and hospital stays, and increased mortality. Further research is needed to define risk factors, useful investigations, and effective optimization strategies to mitigate PPCs. (Source: The Laryngoscope)
Source: The Laryngoscope - February 1, 2012 Category: ENT & OMF Authors: Steven PetrarClark BartlettRobert D. HartPeter MacDougall Tags: Original Report Source Type: research
How to solve the problem of spontaneous bacterial clearance when testing new antibiotic treatment: results on experimental pneumonia due to a derepressed cephalosporinase‐producing Enterobacter cloacaeEmail this article to a colleague.
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AbstractBecause the magnitude of spontaneous bacterial clearance can be similar or even higher than treatment effect, depending upon experimental model and bacterial strain used, this work investigated the value of rendering rats immunosuppressed to facilitate bacterial implantation and reduce spontaneous bacterial clearance. In a first step, rats received a single intravenous cyclophosphamide dose 4 days before infection. Three different doses were tested: 10, 20, and 40 mg/kg. After modeling with NONMEM V, the cyclophosphamide dose required to maintain white blood cell count <1.0 × 103/μL from day 4 to day 5...
Source: Fundamental and Clinical Pharmacology - February 1, 2012 Category: Drugs & Pharmacology Authors: Anne JacolotClaire JudelKamel LouchahiMichel TodSandrine MarchandOlivier PetitjeanOlivier Mimoz Tags: ORIGINAL ARTICLE Source Type: research
Epidemiological features and risk factor analysis of children with acute lung injury.Email this article to a colleague.
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CONCLUSIONS: ARDS has a high mortality rate in PICU, especially in those with extra-pulmonary diseases. In addition to aggressive medical management of comorbidity, lung protection and avoidance of discharge against medical advice will decrease the mortality.
PMID: 22282381 [PubMed - in process] (Source: World Journal of Pediatrics : WJP)
Source: World Journal of Pediatrics : WJP - February 1, 2012 Category: Pediatrics Authors: Li Y, Wang Q, Chen H, Gao HM, Zhou T, Qian SY Tags: World J Pediatr Source Type: research
Outcomes of living‐donor liver transplantation in patients with preoperative type‐1 hepatorenal syndrome and acute hepatic decompensationEmail this article to a colleague.
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In conclusion, HRS patients, compared with non‐HRS patients, had worse postoperative renal function and overall survival. However, their five‐year overall survival rate was still nearly 80%, which is satisfactory. Therefore, living‐donor liver transplantation can be considered for patients who have acute hepatic decompensation with or without HRS. © 2012 American Association for the Study of Liver Diseases (Source: Liver Transplantation)
Source: Liver Transplantation - January 31, 2012 Category: Transplant Surgery Authors: Kenneth SH ChokJames YY FungSee Ching ChanTan To CheungWilliam W SharrAlbert CY ChanSheung Tat FanChung Mau Lo Tags: Original Article Source Type: research
Selective decontamination in European intensive care patientsEmail this article to a colleague.
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Content Type Journal ArticleCategory EditorialPages 1-6DOI 10.1007/s00134-012-2488-1Authors
Evelien A. N. Oostdijk, Department of Medical Microbiology, University Medical Center Utrecht, G04.614, PO box 85500, 3508 GA Utrecht, The NetherlandsBastiaan H. J. Wittekamp, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The NetherlandsChristian Brun-Buisson, INSERM U955, Université Paris Est-Créteil, Créteil, FranceMarc J. M. Bonten, Department of Medical Microbiology, University Medical Center Utrecht, G04.614, PO box 85500, 3508 GA Utrecht, The Netherlands
Journal I...
Source: Intensive Care Medicine - January 31, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Segmentation and quantification of intra-ventricular/cerebral hemorrhage in CT scans by modified distance regularized level set evolution techniqueEmail this article to a colleague.
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Conclusions The MDRLSE improved the accuracy and speed for segmentation and calculation of the hemorrhage volume compared to the original
DRLSE method. The method generates quantitative information, which is useful for specific decision making and reduces the
time needed for the clinicians to localize and segment the hemorrhagic regions.
Content Type Journal ArticleCategory Original ArticlePages 1-14DOI 10.1007/s11548-012-0670-0Authors
K. N. Bhanu Prakash, Biomedical Imaging Lab, SBIC, Biopolis, Agency for Science, Technology and Research, #07-01, Matrix, 30, Biopolis Road, Singapore, 138671 Singapo...
Source: International Journal of Computer Assisted Radiology and Surgery - January 31, 2012 Category: Intensive Care Tags: International Journal of Computer Assisted Radiology and Surgery Source Type: research
Opportunities And Challenges Of Palliative Care In The ICU Discussed In Expert RoundtableEmail this article to a colleague.
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If you think palliative care and the ICU don't go together, think again. The importance and potential benefits of palliative care to ease suffering and improve quality of life for patients being treated in hospital intensive care units (ICUs) has received increasing recognition but is not without significant challenges, as discussed in a Roundtable discussion in Journal of Palliative Medicine, a peer-reviewed journal published by Mary Ann Liebert, Inc... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - January 31, 2012 Category: Consumer Health News Tags: Palliative Care / Hospice Care Source Type: news
Early peak temperature and mortality in critically ill patients with or without infectionEmail this article to a colleague.
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Conclusions Elevated peak temperature in the first 24 h in ICU is associated with decreased in-hospital mortality in critically ill patients
with an infection; randomised trials are needed to determine whether controlling fever increases mortality in such patients.
Content Type Journal ArticleCategory OriginalPages 1-8DOI 10.1007/s00134-012-2478-3Authors
Paul Jeffrey Young, Medical Research Institute of New Zealand, Intensive Care Research, Wellington Regional Hospital, Intensive Care Unit, Wellington, New ZealandManoj Saxena, St George Clinical School, University of New South Wales, Sydney, NSW...
Source: Intensive Care Medicine - January 31, 2012 Category: Intensive Care Tags: Intensive Care Medicine Source Type: research
Infections in Pediatric Intensive Care Units (PICU)Email this article to a colleague.
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Content Type Journal ArticleCategory CommentaryPages 1-3DOI 10.1007/s12098-012-0696-xAuthors
Chand Wattal, Department of Clinical Microbiology, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, IndiaJ. K. Oberoi, Department of Clinical Microbiology, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India
Journal Indian Journal of PediatricsOnline ISSN 0973-7693Print ISSN 0019-5456 (Source: Indian Journal of Pediatrics)
Source: Indian Journal of Pediatrics - January 31, 2012 Category: Pediatrics Tags: Indian Journal of Pediatrics Source Type: research
Pediatric Intensive Care Unit: An Essential Service to Improve Survival of Childhood Cancer in Developing WorldEmail this article to a colleague.
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Content Type Journal ArticleCategory Scientific Letter to the EditorPages 1-2DOI 10.1007/s12098-012-0686-zAuthors
Mohammed Ramzan, Pediatric Hematology Oncology & BMT Unit, Department of Pediatrics, Institute of Child Health, Sir Ganga Ram Hospital, Delhi, 110060 IndiaSatya P. Yadav, Pediatric Hematology Oncology & BMT Unit, Department of Pediatrics, Institute of Child Health, Sir Ganga Ram Hospital, Delhi, 110060 IndiaDhiren Gupta, Pediatric Intensive Care Unit, Department of Pediatrics, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, IndiaSanjeev Arora, Pediatric Intensive Care Unit, Department of Pedia...
Source: Indian Journal of Pediatrics - January 31, 2012 Category: Pediatrics Tags: Indian Journal of Pediatrics Source Type: research
Severe gastro-oesophageal reflux necessitating fundoplication after percutaneous endoscopic and open gastrostomy in childrenEmail this article to a colleague.
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Conclusion The results of this study indicated a higher incidence for severe GER leading to fundoplication in children with OG, while
no difference with complications and clinical outcome between the two techniques, OG and PEG, were observed.
Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00423-012-0909-9Authors
Hannu Lintula, Department of Paediatric Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, FinlandHannu Kokki, Department of Anaesthesiology and Intensive Care, Kuopio University Hospital and School of Medicine, Unive...
Source: Langenbeck's Archives of Surgery - January 31, 2012 Category: Surgery Tags: Langenbeck's Archives of Surgery Source Type: research
Unusual case of right atrial reinfarction.Email this article to a colleague.
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Abstract
It is well known that atrial infarctions are rare comparing to the ventricular. They cannot easily be verified on ECG and the standard autopsy technique does not include a detailed review of the atrial wall, so the atrial infarction often remains undiagnosed. A 63-year-old male was treated and died in an intensive care unit due to decompensated liver insufficiency and cardiac disease following long-lasting alcohol abuse. At autopsy, the extreme cardiomegaly was found, severe atherosclerosis of the anterior descending branch of left coronary artery. The posterior wall of the right atrium was thickened (cca ...
Source: Atherosclerosis - January 31, 2012 Category: Cardiology Authors: Radojevic N, Savic S, Aleksic V, Cukic D Tags: J Forensic Leg Med Source Type: research
Pragmatic fluid optimization in high risk surgery patients: when pragmatism dilutes the benefitsEmail this article to a colleague.
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There is increasing evidence that hemodynamic optimization by fluid loading, particularly when performed in the early phase of surgery, is beneficial in high-risk surgery patients: it leads to a reduction in postoperative complications and even to improved long-term outcome. However, it is also true that goal- directed strategies of fluid optimization focusing on cardiac output optimization have not been applied in the clinical routine of many institutions. Reasons are manifold: disbelief in the level of evidence and on the accuracy and practicability of the required monitoring systems, and economics. The FOCCUS trial exam...
Source: Critical Care - January 31, 2012 Category: Intensive Care Authors: Daniel Reuter Source Type: research
Effects of hypercapnia and NO synthase inhibition in sustained hypoxic pulmonary vasoconstrictionEmail this article to a colleague.
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Conclusion:
Hypercapnia with and without acidosis increased HPV during conditions of sustained hypoxia. The increase of sustained HPV and endothelial permeability in hypoxic hypercapnia without acidosis is iNOS dependent. (Source: Respiratory Research)
Source: Respiratory Research - January 31, 2012 Category: Respiratory Medicine Authors: Farzaneh KetabchiHossein GhofraniRalph SchermulyWerner SeegerFriedrich GrimmingerBakytbek EgemnazarovS. Mostafa Shid-MoosaviGholam DehghaniNorbert WeissmannNatascha Sommer Source Type: research
ECMO Centers and Mortality From Influenza A(H1N1)--Reply [Letters]Email this article to a colleague.
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(Source: JAMA)
Source: JAMA - January 31, 2012 Category: Journals (General) Authors: Peek, G. J., Rowan, K. M. Tags: Medical Practice, Medical Practice, Other, Critical Care/ Intensive Care Medicine, Adult Critical Care, Pulmonary Diseases, Pulmonary Diseases, Other, H1N1 Influenza Letters Source Type: research
ECMO Centers and Mortality From Influenza A(H1N1) [Letters]Email this article to a colleague.
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(Source: JAMA)
Source: JAMA - January 31, 2012 Category: Journals (General) Authors: Haeck, J. D., Dongelmans, D. A., Schultz, M. J. Tags: Medical Practice, Medical Practice, Other, Critical Care/ Intensive Care Medicine, Adult Critical Care, Pulmonary Diseases, Pulmonary Diseases, Other, H1N1 Influenza Letters Source Type: research
Impact of preoperative Angiotensin-converting enzyme inhibitor use on clinical outcomes after cardiac surgery.Email this article to a colleague.
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CONCLUSIONS: We found no association between preoperative ACEi therapy and adverse in-hospital outcomes or long-term survival after CABG. Preoperative ACEi therapy appears to be safe in patients undergoing CABG.
PMID: 22269723 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Ouzounian M, Buth KJ, Valeeva L, Morton CC, Hassan A, Ali IS Tags: Ann Thorac Surg Source Type: research
Combination of two urinary biomarkers predicts acute kidney injury after adult cardiac surgery.Email this article to a colleague.
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CONCLUSIONS: When urinary L-FABP and NAG are combined, they can detect AKI adequately, even in a heterogeneous population of adult post-cardiac surgery AKI. Combining 2 markers with different sensitivity and specificity presents a reasonable strategy to improve the diagnostic performance of biomarkers.
PMID: 22269724 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Katagiri D, Doi K, Honda K, Negishi K, Fujita T, Hisagi M, Ono M, Matsubara T, Yahagi N, Iwagami M, Ohtake T, Kobayashi S, Sugaya T, Noiri E Tags: Ann Thorac Surg Source Type: research
Peripherally inserted central catheters are equivalent to centrally inserted catheters in intensive care unit patients for central venous pressure monitoringEmail this article to a colleague.
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In conclusion, PICCs are equivalent to CVCs when measuring static and dynamic pressure in vitro and CVP in ICU patients.
Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-012-9337-1Authors
Heath E. Latham, Division of Pulmonary and Critical Care Medicine, The University of Kansas Medical Center, 3901 Rainbow Blvd, MS 3007, Kansas City, KS 66160, USAScott T. Rawson, Division of Pulmonary and Critical Care Medicine, The University of Kansas Medical Center, 3901 Rainbow Blvd, MS 3007, Kansas City, KS 66160, USATimothy T. Dwyer, Division of Pulmonary and Critical Care Medicine, The University of Kansas Medical Cen...
Source: Journal of Clinical Monitoring and Computing - January 30, 2012 Category: Information Technology Tags: Journal of Clinical Monitoring and Computing Source Type: research
Opportunities and challenges of palliative care in the ICU discussed in expert roundtableEmail this article to a colleague.
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(Mary Ann Liebert, Inc./Genetic Engineering News) If you think palliative care and the ICU don't go together, think again. The importance and potential benefits of palliative care to ease suffering and improve quality of life for patients being treated in hospital intensive care units has received increasing recognition but is not without significant challenges, as discussed in a Roundtable discussion in Journal of Palliative Medicine, a peer-reviewed journal published by Mary Ann Liebert, Inc. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - January 30, 2012 Category: Global & Universal Source Type: news
Low doses of esmolol and phenylephrine act as diuretics during intravenous anesthesiaEmail this article to a colleague.
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IntroductionThe renal clearance of infused crystalloid fluid is very low during anaesthesia and surgery, but experiments in conscious sheep indicate that the renal fluid clearance might approach a normal rate when the adrenergic balance is modified.
Methods:
60 females (mean age, 32 years) undergoing laparoscopic gynecological surgery were randomized to control group and received only the conventional anesthetic drugs and 20 ml/kg of lactated Ringer's over 30 mins. The others were also given an infusion of 50 ug/kg/min of esmolol (beta1-receptor blocker) or 0.01 ug/kg/min of phenylephrine (alpha1-adrenergic agonist) over 3...
Source: Critical Care - January 30, 2012 Category: Intensive Care Authors: Yu Hong LiHai Bin ZhuXiaozhu ZhengHan Jian ChenLiang ShaoRobert Hahn Source Type: research
