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Intensive Care Medicine

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https://www.readbyqxmd.com/read/29777262/intensive-care-medicine-in-2050-towards-critical-care-without-central-lines
#1
Jean-Louis Vincent, Frederic Michard, Bernd Saugel
No abstract text is available yet for this article.
May 18, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29774388/withholding-or-withdrawing-of-life-sustaining-therapy-in-older-adults-%C3%A2-80-years-admitted-to-the-intensive-care-unit
#2
Bertrand Guidet, Hans Flaatten, Ariane Boumendil, Alessandro Morandi, Finn H Andersen, Antonio Artigas, Guido Bertolini, Maurizio Cecconi, Steffen Christensen, Loredana Faraldi, Jesper Fjølner, Christian Jung, Brian Marsh, Rui Moreno, Sandra Oeyen, Christina Agwald Öhman, Bernardo Bollen Pinto, Ivo W Soliman, Wojciech Szczeklik, Andreas Valentin, Ximena Watson, Tilemachos Zafeiridis, Dylan W De Lange
PURPOSE: To document and analyse the decision to withhold or withdraw life-sustaining treatment (LST) in a population of very old patients admitted to the ICU. METHODS: This prospective study included intensive care patients aged ≥ 80 years in 309 ICUs from 21 European countries with 30-day mortality follow-up. RESULTS: LST limitation was identified in 1356/5021 (27.2%) of patients: 15% had a withholding decision and 12.2% a withdrawal decision (including those with a previous withholding decision)...
May 17, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29767323/prevalence-and-risk-factors-related-to-haloperidol-use-for-delirium-in-adult-intensive-care-patients-the-multinational-aid-icu-inception-cohort-study
#3
Marie O Collet, Jesús Caballero, Romain Sonneville, Fernando A Bozza, Peter Nydahl, Anna Schandl, Hilden Wøien, Giuseppe Citerio, Mark van den Boogaard, Johanna Hästbacka, Matthias Haenggi, Kirsten Colpaert, Louise Rose, Marija Barbateskovic, Theis Lange, Aksel Jensen, Martin B Krog, Ingrid Egerod, Helle L Nibro, Jørn Wetterslev, Anders Perner
PURPOSE: We assessed the prevalence and variables associated with haloperidol use for delirium in ICU patients and explored any associations of haloperidol use with 90-day mortality. METHODS: All acutely admitted, adult ICU patients were screened during a 2-week inception period. We followed the patient throughout their ICU stay and assessed 90-day mortality. We assessed patients and their variables in the first 24 and 72 h in ICU and studied their association together with that of ICU characteristics with haloperidol use...
May 16, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29767322/management-of-cardiogenic-shock-complicating-myocardial-infarction
#4
REVIEW
Alexandre Mebazaa, Alain Combes, Sean van Diepen, Alexa Hollinger, Jaon N Katz, Giovanni Landoni, Ludhmila Abrahao Hajjar, Johan Lassus, Guillaume Lebreton, Gilles Montalescot, Jin Joo Park, Susanna Price, Alessandro Sionis, Demetris Yannopolos, Veli-Pekka Harjola, Bruno Levy, Holger Thiele
Up to 10% of acute coronary syndromes are complicated by cardiogenic shock (CS) with contemporary mortality rates of 40-50%. The extent of ischemic myocardium has a profound impact on the initial, in-hospital, and post-discharge management and prognosis in this patient population. Individualized patient risk assessment plays an important role in determining appropriate revascularization, drug treatment with inotropes and vasopressors, mechanical circulatory support, intensive care support of other organ systems, hospital level of care triage, and allocation of clinical resources...
May 16, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29767321/arterial-pressure-targets-in-patients-with-septic-shock-and-prior-hypertension-should-we-throw-sepsispam-findings-out-with-the-bathwater
#5
LETTER
Raphael Favory, Arthur Durand, Michael Howsam, Sebastien Preau
No abstract text is available yet for this article.
May 16, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29766216/impact-of-angiotensin-converting-enzyme-inhibitors-or-receptor-blockers-on-post-icu-discharge-outcome-in-patients-with-acute-kidney-injury
#6
Etienne Gayat, Alexa Hollinger, Alain Cariou, Nicolas Deye, Antoine Vieillard-Baron, Samir Jaber, Benjamin G Chousterman, Qin Lu, Pierre François Laterre, Xavier Monnet, Michael Darmon, Marc Leone, Bertrand Guidet, Romain Sonneville, Jean-Yves Lefrant, Marie-Céline Fournier, Matthieu Resche-Rigon, Alexandre Mebazaa, Matthieu Legrand
PURPOSE: Acute kidney injury (AKI) is associated with the activation of the renin-angiotensin system. Whether angiotensin-converting enzyme inhibitors (ACEi) or angiotensin-receptor blockers (ARB) improve outcome in patients recovering from AKI remains unexplored. The purpose was to investigate the association between prescription of ACEi/ARB at intensive care unit (ICU) discharge and 1-year outcome in patients recovering from AKI. METHODS: Association between ACEi/ARB and 1-year mortality rate was explored in 1551 patients discharged from 21 European ICUs in an observational cohort...
May 15, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29766215/the-prevalence-of-burnout
#7
LETTER
Georges Mion, Nicolas Libert, Didier Journois
No abstract text is available yet for this article.
May 15, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29766214/caution-for-chlorhexidine-gluconate-use-for-oral-care-insufficient-data
#8
EDITORIAL
Jean-Damien Ricard, Thiago Lisboa
No abstract text is available yet for this article.
May 15, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29766213/purpuric-rash-and-right-infectious-endocarditis
#9
Alexandre Pierre, Camille Thieffry, Anne-Sophie Moreau, Thibault Duburcq
No abstract text is available yet for this article.
May 15, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29761216/low-dose-corticosteroids-for-adult-patients-with-septic-shock-a-systematic-review-with-meta-analysis-and-trial-sequential-analysis
#10
Sofie Louise Rygård, Ethan Butler, Anders Granholm, Morten Hylander Møller, Jeremy Cohen, Simon Finfer, Anders Perner, John Myburgh, Balasubramanian Venkatesh, Anthony Delaney
PURPOSE: To assess the effect of low dose corticosteroids on outcomes in adults with septic shock. METHODS: We systematically reviewed randomised clinical trials (RCTs) comparing low-dose corticosteroids to placebo in adults with septic shock. Trial selection, data abstraction and risk of bias assessment were performed in duplicate. The primary outcome was short-term mortality. Secondary and tertiary outcomes included longer-term mortality, adverse events, quality of life, and duration of shock, mechanical ventilation and ICU stay...
May 14, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29761215/myocardial-calcifications-following-sepsis
#11
Laurence Monnier-Cholley, Arthur Roux, Jérôme Pacanowski, Lionel Arrivé
No abstract text is available yet for this article.
May 14, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29754311/impact-of-combined-antibiotic-treatment-on-multidrug-resistant-bacteria-emergence-after-postoperative-intra-abdominal-infections-discussion-on-the-durapop-randomised-clinical-trial
#12
LETTER
Pierre Simeone, David Lagier, Djamel Mokart, Philippe Montravers, Marina Esposito-Farèse, Sigismond Lasocki, Herve Dupont
No abstract text is available yet for this article.
May 12, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29754310/the-ten-pitfalls-of-lactate-clearance-in-sepsis
#13
Glenn Hernandez, Rinaldo Bellomo, Jan Bakker
No abstract text is available yet for this article.
May 12, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29754309/hypothesis-early-renal-replacement-therapy-increases-mortality-in-critically-ill-patients-with-acute-on-chronic-renal-failure-a-post-hoc-analysis-of-the-akiki-trial
#14
LETTER
S Gaudry, C Verney, D Hajage, J D Ricard, Didier Dreyfuss
No abstract text is available yet for this article.
May 12, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29754308/a-state-of-the-art-review-on-optimal-practices-to-prevent-recognize-and-manage-complications-associated-with-intravascular-devices-in-the-critically-ill
#15
REVIEW
Jean-François Timsit, Mark Rupp, Emilio Bouza, Vineet Chopra, Tarja Kärpänen, Kevin Laupland, Thiago Lisboa, Leonard Mermel, Olivier Mimoz, Jean-Jacques Parienti, Garyphalia Poulakou, Bertrand Souweine, Walter Zingg
Intravascular catheters are inserted into almost all critically ill patients. This review provides up-to-date insight into available knowledge on epidemiology and diagnosis of complications of central vein and arterial catheters in ICU. It discusses the optimal therapy of catheter-related infections and thrombosis. Prevention of complications is a multidisciplinary task that combines both improvement of the process of care and introduction of new technologies. We emphasize the main component of the prevention strategies that should be used in critical care and propose areas of future investigation in this field...
May 12, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29752525/predictors-of-post-pneumonectomy-respiratory-failure-and-ards-usefulness-of-normalized-pulmonary-artery-diameter
#16
LETTER
Marine Peretti, Remi Hervochon, Mauro Loi, Kim Blanc, Nicolas Roche, Marco Alifano
No abstract text is available yet for this article.
May 11, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29752524/the-clinical-features-of-cardiac-involvement-in-patients-with-severe-thrombotic-thrombocytopenic-purpura
#17
LETTER
Aude-Marie Fourmont, Lara Zafrani, Eric Mariotte, Lionel Galicier, Bérangère Joly, Sybille Merceron, Rémi Bertinchamp, Virginie Lemiale, Audrey de Jong, Sandrine Valade, Michael Darmon, Agnès Veyradier, Elie Azoulay
No abstract text is available yet for this article.
May 11, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29752523/limiting-consumption-in-tuberculosis-current-concepts-in-anti-tuberculosis-treatment-in-the-critically-ill-patient
#18
Mervyn Mer, Alimuddin Zumla, Martin W Dünser
No abstract text is available yet for this article.
May 11, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29748717/ethical-challenges-in-resuscitation
#19
REVIEW
Spyros D Mentzelopoulos, Anne-Marie Slowther, Zoe Fritz, Claudio Sandroni, Theodoros Xanthos, Clifton Callaway, Gavin D Perkins, Craig Newgard, Eleni Ischaki, Robert Greif, Erwin Kompanje, Leo Bossaert
PURPOSE: A rapidly evolving resuscitation science provides more effective treatments to an aging population with multiple comorbidites. Concurrently, emergency care has become patient-centered. This review aims to describe challenges associated with the application of key principles of bioethics in resuscitation and post-resuscitation care; propose actions to address these challenges; and highlight the need for evidence-based ethics and consensus on ethical principles interpretation. METHODS: Following agreement on the article's outline, subgroups of 2-3 authors provided narrative reviews of ethical issues concerning autonomy and honesty, beneficence/nonmaleficence and dignity, justice, specific practices/circumstances such as family presence during resuscitation, and emergency research...
May 10, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29748716/massive-coronary-air-embolism-after-ct-guided-lung-needle-biopsy
#20
E Ornelas, S Fernandez-Vilches, X Gallardo, J Mesquida
No abstract text is available yet for this article.
May 10, 2018: Intensive Care Medicine
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