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RPHICUTeaching2016.1-Respiratory Failure/Asthma/PE

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6 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.
https://www.readbyqxmd.com/read/24716681/fibrinolysis-for-patients-with-intermediate-risk-pulmonary-embolism
#1
RANDOMIZED CONTROLLED TRIAL
Guy Meyer, Eric Vicaut, Thierry Danays, Giancarlo Agnelli, Cecilia Becattini, Jan Beyer-Westendorf, Erich Bluhmki, Helene Bouvaist, Benjamin Brenner, Francis Couturaud, Claudia Dellas, Klaus Empen, Ana Franca, Nazzareno Galiè, Annette Geibel, Samuel Z Goldhaber, David Jimenez, Matija Kozak, Christian Kupatt, Nils Kucher, Irene M Lang, Mareike Lankeit, Nicolas Meneveau, Gerard Pacouret, Massimiliano Palazzini, Antoniu Petris, Piotr Pruszczyk, Matteo Rugolotto, Aldo Salvi, Sebastian Schellong, Mustapha Sebbane, Bozena Sobkowicz, Branislav S Stefanovic, Holger Thiele, Adam Torbicki, Franck Verschuren, Stavros V Konstantinides
BACKGROUND: The role of fibrinolytic therapy in patients with intermediate-risk pulmonary embolism is controversial. METHODS: In a randomized, double-blind trial, we compared tenecteplase plus heparin with placebo plus heparin in normotensive patients with intermediate-risk pulmonary embolism. Eligible patients had right ventricular dysfunction on echocardiography or computed tomography, as well as myocardial injury as indicated by a positive test for cardiac troponin I or troponin T...
April 10, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/22820157/the-lung-transplant-patient-in-the-icu
#2
REVIEW
Thomas Fuehner, Mark Greer, Tobias Welte, Jens Gottlieb
PURPOSE OF REVIEW: Lung transplantation (LTx) has become established as a standard intervention for patients suffering from end-stage lung disease. Transplant recipients are, however, predisposed to numerous unique complications arising from the surgery, transplant immunology and the lifelong medication. Clinicians working in intensive care are increasingly likely to be exposed to these patients and it is therefore important to have a working knowledge of the common complications. RECENT FINDINGS: Common complications encountered following LTx include primary graft dysfunction (PGD), airway complications, acute rejection, chronic lung allograft dysfunction (CLAD), thrombotic microangiopathy (TMA) and infection, all of which impact significantly on long-term survival...
October 2012: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/21716106/management-of-severe-acute-asthma-in-the-emergency-department
#3
REVIEW
Brian H Rowe, William Sevcik, Cristina Villa-Roel
PURPOSE OF REVIEW: Asthma is one of the most common chronic diseases in most developed countries and control may be elusive. Deterioration in asthma control is common when patients are exposed to airway irritants, viruses, and/or when adherence to chronic anti-inflammatory medications is suboptimal. Acute asthma exacerbations are common, important reasons for presentations to emergency departments, and severe cases may result in hospitalization. Important knowledge gaps exist in what is known and what care is delivered at the bedside...
August 2011: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/20818877/clinical-practice-emergency-treatment-of-asthma
#4
REVIEW
Stephen C Lazarus
No abstract text is available yet for this article.
August 19, 2010: New England Journal of Medicine
https://www.readbyqxmd.com/read/19682010/review-article-management-of-acute-severe-and-near-fatal-asthma
#5
REVIEW
Anthony D Holley, Robert J Boots
Despite a decline in the Australian overall asthma mortality, near-fatal/critical asthma continues to be a significant management issue for emergency physicians and intensivists. Near-fatal asthma is a unique subtype of asthma, with a variety of clinical presentations, requiring rapid and aggressive intervention. The pharmacological and non-pharmacological management of near-fatal asthma remains very complex. The present review discusses recent advances and evidence for current available strategies targeting this time critical emergency...
August 2009: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/19592205/bronchopleural-fistula-an-update-for-intensivists
#6
Kiran Shekar, Carole Foot, John Fraser, Marc Ziegenfuss, Peter Hopkins, Morgan Windsor
Bronchopleural fistula is a potentially fatal condition that may result after a variety of clinical conditions, most commonly after pulmonary resection. Either surgical or bronchoscopic repair is required to definitively correct these lesions, though a small number may resolve spontaneously with optimal ventilatory care and other options available to an intensivist in the management of this complex condition. The successful management of a bronchopleural fistula depends on formulating a treatment strategy tailored to individual patient needs...
March 2010: Journal of Critical Care
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