Showing papers in "Critical Care Clinics in 2007"

TL;DR: How mobilization may improve quality of life for patients is focused on in the field of critical care.

TL;DR: In this paper, the authors describe the development and implementation of a respiratory care process model focusing on best practices and improvement in care, including early mobility, for patients requiring long-term mechanical ventilation.

TL;DR: ICU practitioners are provided with comprehensive guidelines that can be used to assess the safety of mobilizing critically ill patients and the main safety factors that should be addressed include intrinsic factors related to the patient and factors extrinsic to the patients.

TL;DR: This comprehensive review discusses the pathophysiology, classification, clinical manifestations, early diagnosis, and management of this important cardiovascular emergency.

TL;DR: Real-time analysis of cerebral physiologic, metabolic, and cardiovascular parameters simultaneously has broadened knowledge about complex brain pathophysiology and cerebral hemodynamics and allows for more precise diagnosis and optimization of management of patients with brain injury.

TL;DR: The critical care community has been using severity and organ failure assessment tools for over 2 decades and Sequential Organ Failure Assessment score is the most used tool for assessment of multiple organ failure.

TL;DR: Investigations in the laboratory, in healthy people and among patients with systemic inflammatory disease, suggest that activity does not exacerbate inflammation and Clinically, exercise is beneficial to patients with various chronic inflammatory diseases.

TL;DR: The significant contribution thoracic imaging makes in diagnosing and managing critically ill patients in the ICU is reviewed.

TL;DR: A "roadmap" is presented outlining future directions moving toward the development and testing of early ICU mobility therapies, including uncertainty about the risks and benefits of early mobility, and ICU process of care issues required to facilitate early mobilization.

TL;DR: Weaning studies suggest that daily trials of spontaneous breathing for appropriate patients assured by standing protocol and driven by respiratory care practitioners and/or nurses improve the weaning process and patient outcome.

TL;DR: In this article, the authors proposed that laboratory testing should be conducted as part of a therapeutic approach to a clinical problem, mindful of pretest probability of disease, the performance of the selected test, and the relative benefits and risks of testing.

TL;DR: Clinicians are provided with a fundamental understanding of the dependent and independent variables active in pressure control ventilation and features of the mode that may contribute to improved gas exchange and patient-ventilator synchronization are described.

TL;DR: The authors are hopeful that these lung-protective strategies are presented in a useful format that may be useful to the practicing intensivist, thus bringing laboratory and clinical research to bedside practice.

TL;DR: The clinically available devices that have been approved for noninvasive hemodynamic monitoring in critically ill patients and some of the surrogate markers that can be used to assess adequacy of cardiac output are reviewed.

TL;DR: The beneficial effects of the use of PEEP include the improvement of oxygenation, recruitment of lung units, and improvement of compliance, while other effects can be adverse, like decreasing cardiac output, increased risk of barotrauma, and the interference with assessment of hemodynamic pressures.

TL;DR: Introducing novel graphical user interfaces and providing data displays that are pertinent, integrative and dynamic will reduce cognitive resources of the clinician and have the potential to make ventilation safer.

TL;DR: Intensivists confronted with this clinical subset may consider using these strategies as alternative/adjunctive options for optimizing respiratory and hemodynamic status in the supportive management of trauma-related acute lung injury (ALI) and adult respiratory distress syndrome (ARDS).

TL;DR: Vigorous resuscitation of both surgical and medical patients highly correlates with IAH and ACS risk, and at-risk patients should be routinely monitored for intra-abdominal hypertension.

TL;DR: Practical guidelines for the identification and management of delirium are included to aid in the development and implementation of clinical procedures that will lower the risk for ICUdelirium and cognitive decline.

TL;DR: An understanding of the concept of transmural pressure is key to avoiding many potential artifacts related to variations in pleural pressure and some suggestions for trouble-shooting are given.

TL;DR: The medical and legal issues are summarized, and an algorithm for the discontinuation of mechanical ventilatory support at the end of life is presented.

TL;DR: Physiological principles to improve the understanding of mechanical ventilation are discussed, which include techniques and strategies to further improve mechanical ventilation techniques.

TL;DR: A framework to monitor patient safety is presented, combining valid rate-based measures to evaluate outcomes and processes of care, and non-rate-based Measures to evaluate structure and context of care.

TL;DR: The primary goal of ventilator support is the maintenance of adequate gas exchange, which must be achieved with minimal lung injury and the lowest possible degree of hemodynamic impairment while avoiding injury to distant organs such as the brain.

TL;DR: The physiology, definitions, classification, pathogenesis, diagnostic tools, and algorithms for diagnosis and specific treatments for the various causes of PH as seen in the critical care setting are reviewed.

TL;DR: Proper assessment of glycemic status AND adrenal and thyroid function during critical care duringcritical care is reviewed.

TL;DR: A close look at the studies with the least confounding variables suggests that early tracheotomy has some merit, and most studies suggest that time in the ICU, on mechanical ventilation, and in the hospital is reduced.

TL;DR: How the respiratory therapy service interacts with other services within the hospital to provide the optimal outcome for the patient is described.

TL;DR: The three most common life-threatening cardiovascular processes in which advanced imaging plays a role, particularly CT, are discussed, including pulmonary embolism, aortic dissection, and coronary artery disease.

TL;DR: Current data suggest that an early invasive therapy may improve intermediate-term and long-term outcomes, particularly in high-risk individuals, as well as the management of patients who have acute coronary syndrome.