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4 papers 0 to 25 followers Research Papers used in aid of the in-house ICU registrar teaching programme at Royal Perth Hospital in the first half of 2016.
Steven B Greenberg, Jeffery Vender
Intensivists use neuromuscular blocking agents for a variety of clinical conditions, including for emergency intubation, acute respiratory distress syndrome, status asthmaticus, elevated intracranial pressure, elevated intra-abdominal pressure, and therapeutic hypothermia after ventricular fibrillation-associated cardiac arrest. The continued creation and use of evidence-based guidelines and protocols could ensure that neuromuscular blocking agents are used and monitored appropriately. A collaborative multidisciplinary approach coupled with constant review of the pharmacology, dosing, drug interactions, and monitoring techniques may reduce the adverse events associated with the use of neuromuscular blocking agents...
May 2013: Critical Care Medicine
Juliana Barr, Gilles L Fraser, Kathleen Puntillo, E Wesley Ely, Céline Gélinas, Joseph F Dasta, Judy E Davidson, John W Devlin, John P Kress, Aaron M Joffe, Douglas B Coursin, Daniel L Herr, Avery Tung, Bryce R H Robinson, Dorrie K Fontaine, Michael A Ramsay, Richard R Riker, Curtis N Sessler, Brenda Pun, Yoanna Skrobik, Roman Jaeschke
OBJECTIVE: To revise the "Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult" published in Critical Care Medicine in 2002. METHODS: The American College of Critical Care Medicine assembled a 20-person, multidisciplinary, multi-institutional task force with expertise in guideline development, pain, agitation and sedation, delirium management, and associated outcomes in adult critically ill patients...
January 2013: Critical Care Medicine
Milap Pokaharel, Clay A Block
PURPOSE OF REVIEW: Dysnatremias, disorders of sodium concentration, are exceedingly common in critically ill patients and confer increased risk for adverse outcomes including mortality. The physiology that underpins the diagnosis and management of these disorders is complex. This review seeks to discuss current literature regarding the pathophysiology, diagnosis, epidemiology, and management of these disorders. RECENT FINDINGS: The role of arginine vasopressin in the maintenance of normal and pathologic plasma osmolality increasingly is refined, improving our ability to diagnose and understand dysnatremia...
December 2011: Current Opinion in Critical Care
Jean-Pierre Quenot, Nadiejda Thiery, Saber Barbar
PURPOSE OF REVIEW: To discuss the risk factors and underlying illnesses that play a role in the pathophysiology of stress ulcer, and to evaluate the evidence pertaining to stress ulcer-related bleeding prophylaxis in critically ill patients. RECENT FINDINGS: The use of stress ulcer prophylaxis is common in critical care medicine and is a major challenge to physicians in the ICU. The mechanism of stress ulcer is believed to be multifactorial, yet remains incompletely understood...
April 2009: Current Opinion in Critical Care
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