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This page shows you the 20 most read items in the past 30 days within this specialty in the MedWorm directory.

Outcome of influenza A (H1N1) patients admitted to intensive care units in the Paraná state, BrazilEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Adult patients with A (H1N1) virus infection admitted to intensive care units had a high risk of death, particularly due to respiratory impairment. Positive RT-PCR, urea and lactic dehydrogenase, low initial PaO2/FiO2 and high levels of PEEP were correlated with higher mortality. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - November 6, 2009 Category: Intensive Care Source Type: journals

Get the First Articles from CCM's H1N1 SupplementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A supplement to Critical Care Medicine focused on H1N1 influenza will be released next year, but open-access article proofs are being posted online as they become available, ensuring clinicians receive this information as soon as possible. Read the first supplement article available, "Infection control in mass respiratory failure: Preparing to respond to H1N1."... (Source: SCCM RSS News)
Source: SCCM RSS News - November 19, 2009 Category: Intensive Care Source Type: news

Thrombotic thrombocytopenic purpura associated with pregnancy: case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A púrpura trombocitopênica trombótica (PTT) é uma entidade rara em pacientes críticos. Relatamos um caso clínico de paciente gestante admitida em unidade de terapia intensiva obstétrica com quadro de alteração de sensório, atribuído inicialmente à doença hipertensiva da gravidez. Evoluiu com piora do quadro geral caracterizada por anemia e plaquetopenia grave, suscitando a investigação diagnóstica de púrpura trombocitopênica trombótica após o reconhecimento do perfil hematológico. Os autores enfatizam a importância do conhecimento da doença como marcador de prognóstico para pacientes obstétricas, e...
Source: Revista Brasileira de Terapia Intensiva - November 6, 2009 Category: Intensive Care Source Type: journals

Anaesthesia in septic patients: good preparation and making the right choice?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Septic patients may require anaesthesia for surgery or to facilitate endotracheal intubation for respiratory failure. These patients frequently start with a deranged haemodynamic state including vasodilation with hypotension, and cardiomyopathy, making induction of anaesthesia a potentially hazardous task. Anaesthetic agents are well known to decrease contractility and cause vasodilation, in part from direct effect of the drugs, and in part due to the "state of anaesthesia" which causes reduced sympathetic tone. Before induction, the physician should understand the haemodynamic state (especially using echocardiography), re...
Source: Critical Care - November 6, 2009 Category: Intensive Care Authors: Colin Royse Source Type: journals

Presentation and management of critically ill patients with Influenza A (H1N1) influenza - a UK perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A report of the demographics, presentation and management of patients with influenza A (H1N1) in a general adult intensive care unit in the United Kingdom. (Source: Critical Care)
Source: Critical Care - November 19, 2009 Category: Intensive Care Authors: Joyce YeungMark BaileyGavin PerkinsFang Gao Smith Source Type: journals

Is the Way to Man's Heart (and Lung) Through the Abdomen?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intra-abdominal hypertension (IAH) is increasingly recognized to be both prevalent and clinically important in medical and surgical ICUs. Intra-abdominal pressure (IAP) can impact organ function throughout the body, and it can also complicate standard measurements used in ICU care. The article by Krebs et al. reports the effect of IAP on respiratory function, gas exchange and hemodynamic function. Their results show a relatively small effect of modestly elevated IAP on these variables in their patient population. However, their work raises several questions for clinicians and researchers regarding the pathophysiology and m...
Source: Critical Care - November 6, 2009 Category: Intensive Care Authors: Robert OwensRobert HarrisAtul Malhotra Source Type: journals

SAME Is Different: A Case Report and Literature Review of Staphylococcus aureus Metastatic EndophthalmitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Read about a case of MRSA associated metastatic endophthalmitis that developed secondary to bacteremia. Southern Medical Journal (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - September 22, 2009 Category: Intensive Care Tags: Family Medicine/Primary Care Source Type: info

Effects of unilateral decompressive craniectomy on patients with unilateral acute post-traumatic brain swelling after severe traumatic brain injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our data suggest that unilateral DC has superiority in lowering ICP, reducing the mortality rate and improving neurological outcomes over unilateral routine temporoparietal craniectomy. However, it increases the incidence of delayed intracranial hematomas and subdural effusion, some of which need secondary surgical intervention. These results provide information important for further large and multicenter clinical trials on the effects of DC in patients with acute post-traumatic BS.Trial registration: ISRCTN14110527 (Source: Critical Care)
Source: Critical Care - November 20, 2009 Category: Intensive Care Authors: Wusi QiuChenchen GuoHong ShenKeyong ChenLiang WenHongjie HuangMin DingLi SunQizhou JiangWeiming Wang Source Type: journals

Gene Profiling of Clinical Routine Biopsies and Prediction of Survival in Non-Small Cell Lung Cancer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Integration of functional genomics from small bronchoscopic biopsies allows molecular tumor classification and prediction of survival in NSCLC and might become a powerful adjunct for the daily clinical practice. PMID: 19833826 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - October 14, 2009 Category: Intensive Care Authors: Baty F, Facompré M, Kaiser S, Schumacher M, Pless M, Bubendorf L, Savic S, Marrer E, Budach W, Buess M, Kehren J, Tamm M, Brutsche MH Tags: Am J Respir Crit Care Med Source Type: journals

World Federation Update: Strategic Initiatives from Florence to DurbanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The 10th Quadrennial Meeting of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM) was held in Florence, Italy, last August 28 to September 1, 2009. Hosted by the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Therapy and led by the steering committee chaired by Luciano Gattinoni (Milan), and his associates A Raffaelo De Gaudio (Florence), Antonino Gullo (Catania), and Rosalba Tufano (Naples), the delegates represented 96 countries and numbered more than 2000. The meeting was co-sponsored by the World Federation of Critical Care Nurses and the World Federation of Pedi...
Source: Journal of Critical Care - November 19, 2009 Category: Intensive Care Authors: Philip D. Lumb Tags: Editorial Source Type: journals

SCCM Pod-119 PCCM: Does Fellowship Program Size and Rotations Affect Clinical and Research Time?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Wynne Morrison, MD, discusses an article published in the May issue of Pediatric Critical Care Medicine, which highlighted the results of a national survey of pediatric critical care medicine fellowship clinical and research time allocation. (Source: SCCM PodCast - iCritical Care)
Source: SCCM PodCast - iCritical Care - November 17, 2009 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Health Source Type: podcasts

Ventilator-induced endothelial activation and inflammation in the lung and distal organsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our data implicate that MV causes endothelial activation and inflammation in mice without pre-existing pulmonary injury, both in the lung and distal organs. (Source: Critical Care)
Source: Critical Care - November 16, 2009 Category: Intensive Care Authors: Maria HegemanMarije HennusCobi HeijnenPatricia SpechtBurkhard LachmannNicolaas JansenAdrianus van VughtPieter Cobelens Source Type: journals

Famotidine Versus Pantoprazole for Preventing Bleeding in the Upper Gastrointestinal Tract of Critically Ill Patients Receiving Mechanical VentilationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Which is more effective, proton pump inhibitors or histamine2 antagonists? American Journal of Critical Care (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - April 28, 2008 Category: Intensive Care Tags: Critical Care Source Type: info

An official American thoracic society statement: position statement on ATS activities for the promotion of respiratory and sleep/wake health and the care of the critically ill in the United States.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The American Thoracic Society's Mission, Core Principles, and Vision provide clear guidance for the formulation of specific strategies that will serve to promote improved respiratory health and care of the critically ill in the United States. PMID: 19897774 [PubMed - in process] (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - November 10, 2009 Category: Intensive Care Authors: Brown LK, Angus DC, Marin MG, Balmes JR, Barker AF, Ewart G, Halbower AC, Lutz PO, Mularski RA, Nathanson IT, Sanders MH, Stewart GL, Upson DJ, Tags: Am J Respir Crit Care Med Source Type: journals

Successful high-risk three vessel coronary intervention in a patient with cardiogenic shockEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on a 59-year old man with acute myocardial infarction and profound cardiogenic shock in which the successful employment of the transcutaneous left ventricular assist device Impella 2.5 could rapidly establish temporary circulatory support in the catheterization laboratory, and thereby aid a high-risk three vessel revascularization procedure. Content Type Journal ArticleCategory KasuistikDOI 10.1007/s00390-009-0098-0Authors B. Borchert, Städtisches Klinikum Bielefeld Mitte Abteilung für Kardiologie und internistische Intensivmedizin Teutoburgerstr. 50 33604 Bielefeld DeutschlandT. Lawrenz, Städtisch...
Source: Intensivmedizin und Notfallmedizin - October 17, 2009 Category: Intensive Care Tags: Intensivmedizin und Notfallmedizin Source Type: journals

Reduction of Tumstatin in Asthmatic Airways Contributes to Angiogenesis, Inflammation and Hyperresponsiveness.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The observation that tumstatin is decreased in asthmatic airways and inhibits airway hyperresponsiveness and angiogenesis demonstrates the potential use of anti-angiogenic agents such as tumstatin as a therapeutic intervention in diseases which are characterized by aberrant angiogenesis and tissue remodeling, such as asthma. PMID: 19875687 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - October 29, 2009 Category: Intensive Care Authors: Burgess JK, Boustany S, Moir LM, Weckmann M, Lau JY, Grafton K, Baraket M, Hansbro PM, Hansbro NG, Foster PS, Black JL, Oliver BG Tags: Am J Respir Crit Care Med Source Type: journals

AMA House of Delegates Address EOL, Healthcare ReformEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The American Medical Association’s House of Delegates last week met for its interim meeting to discuss the ongoing healthcare system debate. Representatives from the Society of Critical Care Medicine attended the meeting, where AMA President J. James Rohack, MD, reiterated the group’s support for the latest bills making their way through Congress, the Affordable Health Care for America Act and the Medicare Physician Payment Reform Act of 2009. Rohack noted the perceived shortcomings of the Affordable Health Care for America Act, namely its lack of coverage for everyone and concerns about access. He stressed that ...
Source: SCCM RSS News - November 19, 2009 Category: Intensive Care Source Type: news

Study Investigates New Pulmonary Embolism ThrombolysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Researchers at Stanford have shown catheter-directed thrombolysis to be an effective procedure in first-line treatment for pulmonary embolism (PE). A meta-analysis published in the Journal of Vascular and Interventional Radiology found that, between 1990 and 2008, the procedure was successful in 86.5% of 594 patients who were at risk of dying of PE. Catheter-directed thrombolysis appeared effective and safer than injecting the high-dose thrombolytic drug into the bloodstream, which can cause bleeding in up to 20% of patients. By targeting blood clots directly, the catheter-based procedure was associated with only a 2.4% ch...
Source: SCCM RSS News - November 19, 2009 Category: Intensive Care Source Type: news

[Legal basis for the hygienic processing of medicinal products]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The major objectives of the German Medicinal Products Act (Medizinproduktegesetz, MPG) and the Medicinal Products Marketing Act (Medizinprodukte-etreiberverordnung, MPBetreibV) are to avoid the dangers (to health) arising from medicinal products (MP). This necessitates procedures for the professional maintenance of the, according to regulations low in germs or sterile, MP to be used. These procedures are associated with qualified personnel, appropriate resources, a reproducibly successful processing procedure and control of the technical-unctional safety of the MP. PMID: 19750437 [PubMed - in process] (Source: Anas...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - August 31, 2009 Category: Intensive Care Authors: Just M, Kerwat K, Wulf H Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: journals

Transpulmonary thermodilution-derived cardiac function index identifies cardiac dysfunction in acute heart failure and septic patients: an observational studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Whereas the pulmonary artery catheter (PAC) is still widely used in guiding assessment and treatment of heart failure, controversy surrounding its safety and efficacy has prompted development of newer less invasive techniques. For these purposes, the transpulmonary thermodilution technique (TPT) allows assessment of preload, cardiac output, filling volumes, and metrics of contractility without the need to pass a catheter through the right heart. But these metrics remain relatively untested in heart failure. In this issue of Critical Care, Ritter and colleagues compare metrics of TPT to the PAC in patients with acute heart ...
Source: Critical Care - November 11, 2009 Category: Intensive Care Authors: Christopher VernonCharles Phillips Source Type: journals