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Journal of Intensive Care Medicine

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https://www.readbyqxmd.com/read/29618293/deficiencies-of-magnesium-replacement-in-the-critically-ill
#1
Drayton A Hammond, Jelena Stojakovic, Niranjan Kathe, Julie Tran, Oktawia A Clem, Kristina Erbach, Jarrod King
No abstract text is available yet for this article.
May 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29529949/author-s-reponse-to-kompanje-letter-to-the-editor
#2
Anne Laure Dalle Ave, David M Shaw
No abstract text is available yet for this article.
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29529948/controlled-donation-after-circulatory-determination-of-death-ethical-issues-in-withdrawing-life-sustaining-therapy
#3
Erwin J O Kompanje, Jelle L Epker
No abstract text is available yet for this article.
April 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29402194/-can-we-discuss-about-rrt-starting-time-before-we-have-a-recovery-biomarker-yes-we-can
#4
Bruno Adler Maccagnan Pinheiro Besen, Thiago Gomes Romano, Marcelo Park
No abstract text is available yet for this article.
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29402193/can-we-really-discuss-about-rrt-starting-time-before-we-have-a-recovery-biomarker
#5
Sílvia Coelho, José António Lopes
No abstract text is available yet for this article.
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29284322/maximizing-nutrition-support-practice-and-measuring-adherence-to-nutrition-support-guidelines-in-a-canadian-tertiary-care-icu
#6
Michele E McCall, Alice Adamo, Katherine Latko, Ashley K Rieder, Nicole Durand, Tova Nathanson
OBJECTIVE: New comprehensive guidelines for nutrition support (NS) in the intensive care unit (ICU) can be used to improve quality of care and benchmark current practice. The objective of this study was to (a) compare NS practices in our medical/surgical ICU (MSICU) to 18 recommendations described in the Canadian Clinical Practice Guidelines and Society of Critical Care Medicine/American Society of Parenteral and Enteral Nutrition guidelines, (b) determine the percentage of goal calories and protein delivered, and (c) identify the barriers to successful NS delivery...
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28535742/electrolyte-disturbances-in-critically-ill-cancer-patients-an-endocrine-perspective
#7
Maryam I Khan, R Phillip Dellinger, Steven G Waguespack
Electrolyte disturbances are frequently encountered in critically ill oncology patients. Hyponatremia and hypernatremia as well as hypocalcemia and hypercalcemia are among the most commonly encountered electrolyte abnormalities. In the intensive care unit, management of critical electrolyte disturbances is focused on initial evaluation and immediate treatment plan to prevent severe complications. A PubMed search was performed to identify best available evidence for evaluation and management of dysnatremias, hypocalcemia, and hypercalcemia...
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28486864/practical-use-of-lactate-levels-in-the-intensive-care
#8
Eva E Vink, Jan Bakker
Hyperlactatemia is a strong predictor of mortality in diverse populations of critically ill patients. In this article, we will give an overview of how lactate is used in the intensive care unit. We describe the use of lactate as a predictor of outcome, as a marker to initiate therapy and to monitor adequacy of initiated treatments.
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27651443/changes-in-therapeutic-intensity-level-following-airway-pressure-release-ventilation-in-severe-traumatic-brain-injury
#9
Jeffrey J Fletcher, Thomas J Wilson, Venkatakrishna Rajajee, Scott B Davidson, Jon C Walsh
PURPOSE: Airway pressure release ventilation (APRV) utilizes high levels of airway pressure coupled with brief expiratory release to facilitate open lung ventilation. The aim of our study was to evaluate the effects of APRV-induced elevated airway pressure mean in patients with severe traumatic brain injury. MATERIALS AND METHODS: This was a retrospective cohort study at a 424-bed Level I trauma center. Linear mixed effects models were developed to assess the difference in therapeutic intensity level (TIL), intracranial pressure (ICP), and cerebral perfusion pressure (CPP) over time following the application of APRV...
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27283009/correlation-of-venous-blood-gas-and-pulse-oximetry-with-arterial-blood-gas-in-the-undifferentiated-critically-ill-patient
#10
Eli Zeserson, Ben Goodgame, J Daniel Hess, Kristine Schultz, Cynthia Hoon, Keith Lamb, Vinay Maheshwari, Steven Johnson, Mia Papas, James Reed, Michael Breyer
RATIONALE: Blood gas analysis is often used to assess acid-base, ventilation, and oxygenation status in critically ill patients. Although arterial blood gas (ABG) analysis remains the gold standard, venous blood gas (VBG) analysis has been shown to correlate with ABG analysis and has been proposed as a safer less invasive alternative to ABG analysis. OBJECTIVE: The purpose of this study was to evaluate the correlation of VBG analysis plus pulse oximetry (SpO2 ) with ABG analysis...
March 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29303054/authors-response
#11
Aaron D Kessel, Todd M Sweberg
No abstract text is available yet for this article.
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29141525/hyperacute-hemodynamic-effects-of-bipap-noninvasive-ventilation-in-patients-with-acute-heart-failure-and-left-ventricular-systolic-dysfunction-in-emergency-department
#12
Cinzia Moret Iurilli, Natale Daniele Brunetti, Paola Rita Di Corato, Giuseppe Salvemini, Matteo Di Biase, Marco Matteo Ciccone, Vito Procacci
BACKGROUND: Acute heart failure (AHF) is one of the leading causes of admission to emergency department (ED); severe hypoxemic AHF may be treated with noninvasive ventilation (NIV). Despite the demonstrated clinical efficacy of NIV in relieving symptoms of AHF, less is known about the hyperacute effects of bilevel positive airway pressure (BiPAP) ventilation on hemodynamics of patients admitted to ED for AHF. We therefore aimed to assess the effect of BiPAP ventilation on principal hemodynamic, respiratory, pulse oximetry, and microcirculation indexes in patients admitted to ED for AHF, needing NIV...
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28683689/a-multifaceted-anticoagulation-strategy-is-needed-for-children-supported-with-ecmo
#13
Heng Fan, Jian-Hua Zhu
No abstract text is available yet for this article.
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28486867/hospital-length-of-stay-among-patients-receiving-intermittent-versus-prolonged-piperacillin-tazobactam-infusion-in-the-intensive-care-units
#14
Jeannie D Chan, Timothy H Dellit, John B Lynch
OBJECTIVES: We sought to evaluate clinical outcomes of intensive care unit (ICU) patients following a hospital-wide initiative of prolonged piperacillin/tazobactam (PIP/TAZ) infusion. METHODS: Retrospective observational study of patients >18 years old who was hospitalized in the ICU receiving PIP/TAZ for >72 hours during the preimplementation (June 1, 2010 to May 31, 2011) and postimplementation (July 7, 2011 to June 30, 2014) periods. RESULTS: There were 124 and 429 patients who met inclusion criteria with average age of 54...
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28299952/n-acetylcysteine-s-role-in-sepsis-and-potential-benefit-in-patients-with-microcirculatory-derangements
#15
REVIEW
Jason Chertoff
OBJECTIVE: To review the data surrounding the utility of N-acetylcysteine (NAC) in sepsis and identify areas needed for additional research. DATA SOURCES: A review of articles describing the mechanisms of action and clinical use of NAC in sepsis. SUMMARY OF REVIEW: Despite many advances in critical care medicine, still as many as 50% of patients with septic shock die. Treatments thus far have focused on resuscitation and restoration of macrocirculatory targets in the early phases of sepsis, with less focus on microcirculatory dysfunction...
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28142307/misdirected-sympathy-the-role-of-sympatholysis-in-sepsis-and-septic-shock
#16
REVIEW
Jason A Ferreira, Brittany D Bissell
The spectrum of sepsis and septic shock remains a highly prevalent disease state, carrying a high risk of morbidity and mortality. The sympathetic nervous system (SNS) plays an important role in this initial cascade, enabling the host to respond to invading pathogens; however, prolonged activation can become pathological. The potential for unregulated sympathetic tone to become of detriment in patients with sepsis has fueled interest in the role and impact of sympatholysis, the selective inhibition of sympathetic tone...
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27798314/cerebral-blood-flow-autoregulation-in-sepsis-for-the-intensivist-why-its-monitoring-may-be-the-future-of-individualized-care
#17
REVIEW
Carrie M Goodson, Kathryn Rosenblatt, Lucia Rivera-Lara, Paul Nyquist, Charles W Hogue
Cerebral blood flow (CBF) autoregulation maintains consistent blood flow across a range of blood pressures (BPs). Sepsis is a common cause of systemic hypotension and cerebral dysfunction. Guidelines for BP management in sepsis are based on historical concepts of CBF autoregulation that have now evolved with the availability of more precise technology for its measurement. In this article, we provide a narrative review of methods of monitoring CBF autoregulation, the cerebral effects of sepsis, and the current knowledge of CBF autoregulation in sepsis...
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27655852/factors-associated-with-the-increasing-rates-of-discharges-directly-home-from-intensive-care-units-a-direct-from-icu-sent-home-study
#18
Vincent I Lau, Fran A Priestap, Joyce N H Lam, Ian M Ball
OBJECTIVES: To evaluate the relationship between rates of discharge directly to home (DDH) from the intensive care unit (ICU) and bed availability (ward and ICU). Also to identify patient characteristics that make them candidates for safe DDH and describe transfer delay impact on length of stay (LOS). METHODS: Retrospective cohort study of all adult patients who survived their stay in our medical-surgical-trauma ICU between April 2003 and March 2015. RESULTS: Median age was 49 years (interquartile range [IQR]: 33...
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27619691/early-recognition-and-treatment-of-sepsis-after-the-addition-of-lactate-to-the-laboratory-s-critical-result-call-list
#19
Hani I Kuttab, Ethan Sterk, Megan A Rech, Trac Nghiem, Burak Bahar, Stephen Kahn
PURPOSE: Screening of patients with sepsis is needed to increase recognition and allow for earlier interventions. There is no consensus on whether the addition of lactate to the critical result laboratory's call list should be a standard practice. MATERIALS AND METHODS: This was a retrospective cohort study that compared management and outcomes of patients with sepsis having lactate ≥4 mmol/L before (group 1) and after (group 2) the addition of a critical result threshold of lactate of ≥4 mmol/L to the critical result laboratory's call list and its effects on time to antibiotics and intravenous fluids (IVFs)...
February 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27502951/the-correlation-between-arterial-lactate-and-venous-lactate-in-patients-with-sepsis-and-septic-shock
#20
Pongdhep Theerawit, Chalermpon Na Petvicharn, Viratch Tangsujaritvijit, Yuda Sutherasan
BACKGROUND: Applying peripheral venous lactate instead of arterial lactate in clinical practice is questionable because of deviation between both values. We aimed to find the relationship between the arterial lactate and the peripheral venous lactate before reasoned that the venous lactate could be used in substitution to the arterial lactate in sepsis. METHODS: We conducted a prospective, cross-sectional study at a university hospital. The patients with sepsis in ICU who required lactate level monitoring were enrolled in this research...
February 2018: Journal of Intensive Care Medicine
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