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Journal of the Intensive Care Society

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https://www.readbyqxmd.com/read/29456613/lemmingaid
#1
Wood, Trees
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456612/the-safety-of-regional-citrate-anticoagulation-in-renal-replacement-therapy
#2
Simon Hill, Elaine Creighton, Edward Walter
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456611/intra-operative-mechanical-ventilation-strategies-in-cardiac-surgical-patients
#3
Vasileios Zochios, Andrew A Klein, Nicola Jones, Fang Gao
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456610/how-can-we-improve-adoption-of-protective-mechanical-ventilation-in-united-kingdom-critical-care-units
#4
Paul P Dean, Claire Horsfield
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456609/trache-teams
#5
Prashant Parulekar, Stephen Drage
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456608/outcomes-following-the-use-of-nebulized-heparin-for-inhalation-injury-hihi-study
#6
REVIEW
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456607/temporising-an-extradural-haematoma-by-intraosseous-needle-craniostomy-in-the-district-general-hospital-by-non-neurosurgical-doctors-a-case-report
#7
Sahra Durnford, Harry Bulstrode, Andrew Durnford, Aabir Chakraborty, Nicholas T Tarmey
We report the case of a 69-year-old man admitted to the emergency department of a UK district general hospital with an extradural haematoma following closed head injury. He deteriorated rapidly before transfer to the regional neurosurgical centre and was treated with decompression of the extradural haematoma through an EZ-IO™ intraosseous needle in our department, with telephone guidance from the neurosurgeon. We believe this to be the first reported use of this technique in a district general hospital.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456606/sudden-cardiac-arrest-in-hypertrophic-cardiomyopathy-with-dynamic-cavity-obstruction-the-case-for-a-decatecholaminisation-strategy
#8
Cosmin Balan, Adrian View-Kim Wong
Catecholamines are entrenched in the management of shock states. A paradigm shift has pervaded the critical care arena in recent years acknowledging their propensity to cause harm and fuel a 'death-spiral'. We present the case of a 21-year-old male following a witnessed out-of-hospital cardiac arrest who received high-quality cardiopulmonary resuscitation and standard advanced life support for refractory ventricular fibrillation until return of spontaneous circulation after 70 min. Early post-admission echocardiography revealed severe diffuse sub-basal left ventricular hypertrophy with dynamic mid-cavity obstruction and akinetic apical pouching...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456605/bleeding-during-percutaneous-dilatational-tracheostomy-what-to-do-while-waiting-for-the-surgeon
#9
C Kaye, I MacLeod, M Dhillon
A patient suffered significant bleeding during an attempt at percutaneous dilatational tracheostomy due to an aberrant anterior jugular vein. Bleeding was controlled with pressure temporarily, but quickly returned necessitating conversion to an open technique. We present an algorithm for the management of significant peri-procedural bleeding during this procedure.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456604/death-from-kratom-toxicity-and-the-possible-role-of-intralipid
#10
Geeta Aggarwal, Edward Robertson, James McKinlay, Edward Walter
We present the case of a 26-year-old man who was brought into our emergency department in cardiorespiratory arrest, having taken Kratom 24 h previously. Despite multi-organ support, he deteriorated and died from cardiorespiratory failure and hypoxic brain damage 12 h later. Lipid emulsion was given, with significant temporary improvement in the cardiorespiratory failure. Kratom is derived from Mitragyna speciosa, a tropical deciduous and evergreen tree in the coffee family, and is native to Southeast Asia, and its leaves are used as a legal high in some parts of the world...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456603/successful-management-of-70-acetic-acid-ingestion-on-the-intensive-care-unit-a-case-report
#11
Andrew Ratcliffe, Andrew Baker, Daniel Smith
Acetic acid is an organic acid available in concentrations from 2 to 80%. Whilst lower concentrations of 2-6% are more commonly used as the table top condiment, vinegar, much stronger solutions are regularly used in Eastern Europe as food preservatives and cleaning solutions. Oral ingestion of greater than 12% has been reported to cause haemolysis, renal failure, shock and death. Most reported cases of deliberate or accidental poisoning are from Russia and Eastern Europe in the 1980s, with very little currently in western publications...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456602/review-of-management-in-cardiotoxic-overdose-and-efficacy-of-delayed-intralipid-use
#12
Edward Walter, James McKinlay, Jade Corbett, Justin Kirk-Bayley
We present the case of a 51-year-old woman admitted to our intensive care unit following an intentional overdose of a calcium channel antagonist and a beta blocker. The resultant hypotension was reversed with glucagon, noradrenaline, calcium and high-dose insulin. Despite these interventions, she remained vasoplegic and received a delayed, standard dose of intralipid. Subsequently, the vasoplegia resolved rapidly, and the vasopressor was stopped. Here, we review the management of overdose of calcium channel and beta-adrenergic receptor blockers, concentrating on the pharmacology of lipid emulsion therapy...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456601/the-life-and-work-of-jean-martin-charcot-1825-1893-the-napoleon-of-neuroses
#13
Manni Waraich, Shailesh Shah
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456600/conscientious-objection-to-deceased-organ-donation-by-healthcare-professionals
#14
David Shaw, Dale Gardiner, Penney Lewis, Nichon Jansen, Tineke Wind, Undine Samuel, Denie Georgieva, Rutger Ploeg, Andrew Broderick
In this article, we analyse the potential benefits and disadvantages of permitting healthcare professionals to invoke conscientious objection to deceased organ donation. There is some evidence that permitting doctors and nurses to register objections can ultimately lead to attitudinal change and acceptance of organ donation. However, while there may be grounds for conscientious objection in other cases such as abortion and euthanasia, the life-saving nature of donation and transplantation renders objection in this context more difficult to justify...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456599/deprivation-of-liberty-and-intensive-care-an-update-post-ferreira
#15
Behrad Baharlo, Daniele Bryden, Stephen J Brett
The right to liberty and security of the person is protected by Article 5 of the European Convention on Human Rights which has been incorporated into the Human Rights Act 1998. The 2014 Supreme Court judgment in the case commonly known as Cheshire West provided for an 'acid test' to be employed in establishing a deprivation of liberty. This 'acid test' of 'continuous supervision and not free to leave' led to concerns that patients lacking capacity being treated on an Intensive Care Unit could be at risk of a 'deprivation of liberty', if this authority was applicable to this setting...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456598/-it-s-learned-on-the-job-and-it-depends-who-you-re-with-an-observational-qualitative-study-of-how-internal-jugular-cannulation-is-taught-and-learned
#16
Clifford L Shelton, Maggie M Mort, Andrew F Smith
Internal jugular cannulation may lead to serious complications. Ultrasound guidance is advocated; however, procedural complications remain a concern. Inconsistent education may be in part responsible for this. This study examined how internal jugular cannulation is taught and learned. An ethnographic approach was used in two acute hospitals. Methods comprised interviews, observations and focus groups. An inductive thematic analysis was undertaken. Three themes were identified: apprenticeship , trust and reciprocity...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456597/insertion-rates-and-complications-of-central-lines-in-the-uk-population-a-pilot-study
#17
Adrian Vk Wong, Nitin Arora, Olusegun Olusanya, Ben Sharif, Robert M Lundin, A Dhadda, S Clarke, R Siviter, M Argent, Gavin Denton, Anna Dennis, Angela Day, Tamas Szakmany
Background: Central venous catheters are inserted ubiquitously in critical care and have roles in drug administration, fluid management and renal replacement therapy. They are also associated with numerous complications. The true number of central venous catheters inserted per year and the proportion of them associated with complications are unknown in the UK. Methods: We performed a prospective audit at five hospitals, as a feasibility pilot for a larger, nationwide audit...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456596/bridging-the-logistical-gap-between-ultrasound-enthusiasm-and-accreditation
#18
George Reid, Jonathan Bedford, Ben Attwood
Point-of-care ultrasound is increasingly recognised as a valuable adjunct to patient care. Trainees in intensive care medicine are expected to accredit in focused intensive care echocardiography, but the availability of trained mentors and logistical/geographical factors make this difficult within the time constraints required. As a result, many trainees who are enthusiastic about point-of-care ultrasound find it difficult to achieve accreditation. We present a secure, web-based, multi-user system which mitigates many of these difficulties and allows for clinical mentorship to take place without geographical barriers, and at a time convenient for the participants...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456595/geographical-access-to-critical-care-services-in-scotland
#19
Philip Emerson, Naomi Dodds, David R Green, Jan O Jansen
Background: Critical illness requires specialist and timely management. The aim of this study was to create a geographic accessibility profile of the Scottish population to emergency departments and intensive care units. Methods: This was a descriptive, geographical analysis of population access to 'intermediate' and 'definitive' critical care services in Scotland. Access was defined by the number of people able to reach services within 45 to 60 min, by road and by helicopter...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29456594/in-defence-of-ward-based-non-invasive-ventilation
#20
EDITORIAL
Iain Crossingham
No abstract text is available yet for this article.
February 2018: Journal of the Intensive Care Society
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