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Intensive Care Medical and Health News Headlines
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All Recent Intensive Care Medical News Headlines |
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Determining Relevant Cortisol Concentrations in Critically Ill Patients
: The importance of adrenal function to survival in critically ill patients has been established; however, identifying the best method to diagnose adrenal insufficiency has been problematic. Multiple methods of determining adrenal function have been developed, each with its advantages and disadvantages. Serum free cortisol levels are probably the most accurate though obtaining this result is technically demanding. Cohen et al (1) investigated the feasibility of measuring tissue cortisol levels in burn patients, and investigated if tissue cortisol levels could be used as a surrogate for plasma free cortisol levels. (Source: Critical Care)...
POSTED 02/07/2010 at 06:00 PM --
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The role of biomarkers in the diagnosis and management of community-acquired pneumonia
In patients with community acquired pneumonia (CAP), traditional criteria of infection based on clinical signs and symptoms, clinical scoring systems, and general inflammatory indicators (e.g. leukocytosis, fever, C -reactive protein and blood cultures), are often of limited clinical value and remain an unreliable guide to etiology, optimal therapy and prognosis. Procalcitonin (PCT) is superior to other commonly used markers in its specificity for bacterial infection (allowing alternative diagnoses to be excluded), as an indicator of disease severity and risk of death, and mainly as a guide to the necessity for antibiotic therapy. It can therefore be viewed as a diagnostic, prognostic, and perhaps even "theragnostic" test. It more closely matches the criteria for usefulness than other cand......
POSTED 02/07/2010 at 06:00 PM --
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Hourly measurements not required for safe and effective glycemic control in the critically ill patient.
None (Source: Critical Care)...
POSTED 02/07/2010 at 06:00 PM --
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Multiplane ultrasound approach to quantify pleural effusion at the bedside
Conclusion Using a multiplane approach increases the accuracy of lung ultrasound to measure the volume of large to small pleural effusions
in critically ill patients.
Content Type Journal ArticleCategory OriginalDOI 10.1007/s00134-010-1769-9Authors
Francis Remérand, La Pitié-Salpêtrière Hôpital, Assistance Publique Hôpitaux de Paris, UPMC Univ Paris 06 Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine Paris FranceJean Dellamonica, La Pitié-Salpêtrière Hôpital, Assistance Publique Hôpitaux de Paris, UPMC Univ Paris 06 Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine Paris FranceZhang Mao, La Pitié-Salpêtrière Hôpital, Assistance Publique Hôpitaux de Paris, UPMC Uni......
POSTED 02/05/2010 at 11:52 AM --
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Become an ACCM Fellow
The American College of Critical Care Medicine (ACCM) is an integral and important body of the Society of Critical Care Medicine (SCCM). ACCM honors practitioners, researchers, administrators, and educators who have made outstanding contributions to the collaborative field of critical care... (Source: SCCM RSS News)...
POSTED 02/05/2010 at 08:25 AM --
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Prevent Intravenous Catheter-Related Infections in Your ICU
Despite vital preventative efforts, intravenous catheter-related infections remain a daily concern in the intensive care unit (ICU.) The Society of Critical Care Medicine’s (SCCM) new Webcast, Prevention of Intravenous Catheter-Related Infections in the ICU, will offer evidence-based best practice methods on how to manage and prevent these infections in the adult and pediatric ICU patient... (Source: SCCM RSS News)...
POSTED 02/05/2010 at 08:25 AM --
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Therapeutic Hypothermia: A Cost-Effective Intervention
Therapeutic hypothermia not only improves patient outcomes but does so at a reasonable cost. While scientific evidence has showcased it as an effective means of improving survival among cardiac arrest survivors, recent studies have shown that the cost of therapeutic hypothermia compares favorably with the costs of other commonly used medical treatments, such as kidney dialysis and public access defibrillation... (Source: SCCM RSS News)...
POSTED 02/05/2010 at 08:24 AM --
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Practice and Prepare with SCCM’s Adult/Pediatric Board Review Courses
Featuring world-class faculty and speakers, audience response interactions and Web-based materials, the 2010 Adult and Pediatrics Multiprofessional Critical Care Board Review Courses (MCCBRC) are the premier source for any critical care professional seeking the most current review of the field... (Source: SCCM RSS News)...
POSTED 02/05/2010 at 08:24 AM --
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No-sedation Protocol May Shorten ICU Stays
Critically ill intensive care patients who aren't sedated require fewer days on mechanical ventilation and spend less time in the intensive care unit than those who are sedated, according to a study funded by the Danish Society of Anesthesiology and Intensive Care Medicine... (Source: SCCM RSS News)...
POSTED 02/05/2010 at 08:23 AM --
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Meeting Report: Highlights from the Critical Care Canada Forum 2009 (October 25-28, 2009 - Toronto, Canada)
The Critical Care Canada Forum was held in Toronto, Canada from October 25-28 2009. The conference, which focuses on the care of critically ill patients wherever the patients are located, was attended by 879 delegates and featured 197 separate presentations, including several as yet unpublished trials. The hot topic this year was planning for the impact of a worldwide outbreak of H1N1 influenza on critical care systems, but the conference also covered a broad range of critical care interventions including mechanical ventilation, sedation and analgesia, renal replacement therapy, and extracorporeal membrane oxygenation. Herein we summarize just a few of the many exciting clinical trials and plenary topics presented at the conference. (Source: Critical Care)...
POSTED 02/04/2010 at 06:00 PM --
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Seltene, aber lebensbedrohliche Ursache eines akuten Thoraxschmerzes
Zusammenfassung Berichtet wird der Fall einer 77-jährigen Patientin mit akut aufgetretenen Thoraxschmerzen und hämorrhagischem Pleuraerguss.
Statt der vermuteten Aortendissektion fand sich eine spontane Ösophagusruptur. Ein zuvor stattgehabtes Erbrechen wurde erst
auf Nachfrage berichtet. Das seltene Boerhaave-Syndrom wird differenzialdiagnostisch initial oft nicht bedacht, Fehldiagnosen
sind häufig. Die Prognose hängt entscheidend von einer raschen Diagnosestellung ab. Eine operative Sanierung ist die Therapie
der Wahl.
Content Type Journal ArticleCategory KasuistikDOI 10.1007/s00390-009-0152-yAuthors
T. Miljak, Schwarzwald-Baar Klinikum Villingen-Schwenningen Klinik für Innere Medizin III (Kardiologie) Vöhrenbacher Str. 23 78050 Villingen-Schwenningen Deutschla......
POSTED 02/04/2010 at 12:10 PM --
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Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine’s Task Force for intensive care unit triage during an influenza epidemic or mass disaster
Conclusions Mortality, although inevitable during a severe influenza outbreak or disaster, can be reduced by adequate preparation.
Content Type Journal ArticleCategory Special ArticleDOI 10.1007/s00134-010-1759-yAuthors
Charles L. Sprung, Hadassah Hebrew University Medical Center Department of Anesthesiology and Critical Care Medicine Jerusalem IsraelJanice L. Zimmerman, Weill Cornell Medical College Critical Care Division, Department of Medicine, The Methodist Hospital Houston TX USAMichael D. Christian, Mount Sinai Hospital & University Health Network, University of Toronto Department of Medicine, Infectious Diseases and Critical Care Toronto CanadaGavin M. Joynt, The Chinese University of Hong Kong, Prince of Wales Hospital Department of Anesthesia and Intensive Care......
POSTED 02/04/2010 at 12:08 PM --
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Surfactant Protein-D Inhibits Lung Inflammation Caused by Ventilation in Premature Newborn Lamb.
CONCLUSIONS: Treatment with rhSP-D-containing surfactant inhibited lung inflammation and enhanced the resistance of surfactant to inhibition, supporting its potential utility for prevention of lung injury in the preterm newborn.
PMID: 20133924 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)...
POSTED 02/03/2010 at 06:00 PM --
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Critical Comparisons of the Clinical Performance of Oxygen Conserving Devices.
CONCLUSIONS: The mechanical and clinical performances of current oxygen conservers are highly variable and in some instances actually contribute to limitations in exercise ability. Seemingly equivalent technical features do not guarantee equivalent therapeutic functionality.
PMID: 20133925 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)...
POSTED 02/03/2010 at 06:00 PM --
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Chronic Cigarette Smoke Exposure Generates Pathogenic T Cells Capable of Driving COPD-like Disease in Rag2-/- Mice.
CONCLUSIONS: These data formally demonstrate, for the first time, that chronic CS exposure leads to the generation of pathogenic T cells capable of inducing COPD-like disease in Rag2-/- mice. This report provides novel insights into COPD pathogenesis.
PMID: 20133926 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)...
POSTED 02/03/2010 at 06:00 PM --
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Resistance Training Prevents Deterioration in Quadriceps Muscle Function During Acute Exacerbations of COPD.
Conclusions Resistance training is safe and successfuly counteracts skeletal muscle dysfunction during acute exacerbations and may upregulate the anabolic milieu in the skeletal muscle.
PMID: 20133927 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)...
POSTED 02/03/2010 at 06:00 PM --
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Efficacy of Corticosteroids in Community-acquired Pneumonia - A Randomized Double Blinded Clinical Trial.
Authors: Snijders D, Daniels JM, de Graaff CS, van der Werf TS, Boersma WG
BACKGROUND: Some studies have shown a beneficial effect of corticosteroids in patients with Community-Acquired Pneumonia (CAP), possibly by diminishing local and systemic anti-inflammatory host response. METHODS: Hospitalized patients, clinically and radiologically diagnosed with CAP using standard clinical and radiological criteria, were randomized to receive 40 mg prednisolone for 7 days or placebo, next to antibiotics. Primary outcome was clinical cure at day 7. Secondary outcomes were clinical cure at day 30, length of stay, time to clinical stability, defervescence and C-reactive protein (CRP). Disease severity was scored using CURB-65 and Pneumonia Severity Index (PSI). Findings: We enrolled 213 patients. ......
POSTED 02/03/2010 at 06:00 PM --
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Use of Exhaled Nitric Oxide Measurement to Identify a Reactive, At-risk Phenotype Among Patients With Asthma.
CONCLUSION: Grouping of asthma by FENOprovides an independent classification of asthma severity; and among severe asthmatics identifies the most reactive and worrisome asthma phenotype.
PMID: 20133930 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)...
POSTED 02/03/2010 at 06:00 PM --
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Expression of High-Mobility Group Box 1 and of Receptor for Advanced Glycation End Products in COPD.
CONCLUSIONS: Elevated HMGB1 expression in COPD airways may sustain inflammation and remodeling through its interaction with IL-1beta and RAGE.
PMID: 20133931 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)...
POSTED 02/03/2010 at 06:00 PM --
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Prophylactic open abdomen in patients with postoperative intra-abdominal hypertension
Postoperative intra-abdominal hypertension (IAH) is a frequent occurrence in critically ill patients operated on for severe abdominal trauma, secondary peritonitis or ruptured abdominal aortic aneurysm. IAH may progress to abdominal compartment syndrome (ACS) with new onset organ dysfunction. Early recognition of IAH and interventions that prevent the development of ACS may preserve vital organ functions and increase the probability of survival. The best method to prevent postoperative ACS is to leave the abdomen open during the operation. Decision to leave the abdomen open is usually based on surgeon's judgment without intra-abdominal pressure (IAP) measurements during the operation. Because a significant morbidity and mortality is associated also with the open abdomen, the measurement of......
POSTED 02/03/2010 at 06:00 PM --
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