... percent burn, APACHE II and baseline creatinine) We conducted all analyses using SPSS for Windows (version 12.0.1, SPSS Inc, Chicago, Illinois, USA) Results Thirty patients were included in the ... another studies the infusion of additional albumin insevere burns was able to reduce the total amount of fluids during resuscitation Interestingly, extravascular Béchir et al CriticalCare 2010, 14:R123 ... caution in patients with severeburninjury • Successful surgery inburninjury is not affected by the application of HES 200/0.5 (10%) Page of 9 10 11 12 13 Abbreviations ACS: abdominal compartment...
... occurred in 0.3% to 43% of all hospitalized patients with severeburn injury, and in 13% to 18% of the elderly with severeburninjury Only two pediatric studies reported inhalation injury, in 3.3% ... than 800 million inhabitants and ~250 specialized burn units (Table 1, Figure 1) Severeburninjury has been defined as an acute burninjuryin need of specialized care during hospital admission ... reflected in the hospitalized population with severeburn injury, by an increasing mean age, or by an increased proportion of elderly (10% to 16% of the total population with severeburn injury) ...
... few criticalcare training programs included structured teaching in bioethics; of those that do, most quote principlism (autonomy, beneficence, nonmaleficence and justice) as the sole guiding ... dilemmas are innate in all intensivists, and instead strive to create and develop our ability to think critically in bioethics so as to confront the unique challenges that lie ahead In a perfect ... clearly does not exist, especially incriticalcare Largely due to the media, the general public is aware that current technology is capable of indiscriminately maintaining some vital bodily functions,...
... the criticalcare facilities in the country, albeit at a higher cost to the patient Finally, an interesting segment of health care facilities in India consists of small hospitals or nursing homes ... current directors have been trained abroad, as previously mentioned The certificate course incritical care, the first organized training activity incriticalcare medicine, was started years ago ... evolving well A number of hospitals have developed training modules, and more students are coming out of this training programme regularly The ISCCM has also been very active in interacting with...
... closest hospital Crit Care 2005, 9 :in press Frykberg ER: Terrorist bombings in Madrid Crit Care 2005, 9 :in press Martinez C, Gonzalez D: The World Trade Center attack: doctors in the fire and police ... incident management Crit Care 2001, 5:315-317 Lingard L, Espin S, Evans C, Hawryluck L: The rules of the game: interprofessional collaboration on the intensive care unit team Crit Care 2004, 8:R403-R408 ... earthquake in Armenia: time to teach the public life-supporting first-aid? Crit Care 2001, 5:312-314 Hammond J, Brooks J: The World Trade Center attack: helping the helpers: the role of critical incident...
... blood Crit Care Med 1995, 23:1284-1293 Management and Prognosis of Severe Traumatic Brain Injury Part I: Guidelines for the Management of Severe Traumatic Brain Injury [http://www2.braintrauma.org/guidelines/ ... Vermeulen J, Maas AI: Brain oxygen tension insevere head injury Neurosurgery 2000, 46:868-878 Update notice Guidelines for the Management of Severe Traumatic Brain Injury: Cerebral Perfusion ... pressure augmentation with dopamine and norepinephrine on global and focal brain oxygenation after traumatic brain injury Intensive Care Med 2004, 30:791-797 24 Steiner LA, Johnston AJ, Czosnyka...
... survivors had never been trained how to use them [9] In essence, technology has now made the average person readily capable of delivering life-saving criticalcare Considering that sudden cardiac ... center-stage in resuscitation research efforts [8] In addition to evaluating the concept of markedly abbreviating the time taken to provide effective training for the masses [13], recent investigations ... CriticalCare Vol 10 No Pepe and Wigginton survivors, who typically remained in coma for significant periods [10,11], these rapidly wakening patients clearly did not...
... health care, including vaccination and nutrition, is not criticalcare However, in many hospital wards of developing countries, the majority of patients dying of AIDS, complicating infections, ... hospital care BMJ 1999, 319:845-848 16 Celis-Rodriguez E, Rubiano S: Criticalcarein Latin America: current situation Crit Care Clin 2006, 22:439-446 17 Bhagwanjee S: Criticalcarein Africa Crit Care ... the provision of intensive care [10,11] In North America, intensive care consumes up to 1% of the GDP [12,13], and criticalcare services tend to dominate clinical expenditures in other jurisdictions...
... on behalf of China CriticalCare Clinical Trial Group (CCCCTG): Clinical review: Criticalcare medicine in china mainland Crit Care 2010, 14:206 Depasse B, Pauwels D, Somers Y, Vincent JL: A profile ... these countries resulting from acute illness or injury, acute care surely should have a place in the curriculum Competing interests The author declares that he has no competing interests Published: ... Gomersall CriticalCare 2010, 14:131 http://ccforum.com/content/14/2/131 that we cannot help As acute care specialists we can contribute to education in acute care as well as intensive care Initiatives...
... catheters were inserted in 99/178 patients (55.6%) with 14.1% (14/99) inserted in the ED and 71.7% (71/99) inserted in the first hours of ICU admission Chest tubes insertion was completed in a minority ... critically ill patients in the ED is incomplete The primary objective of this study is to determine the length of stay of critically ill patients receiving carein a tertiary care adult emergency ... months J Intern Med 2006, 260(6):586-591 Svenson J, Besinger B, Stapczynski JS: Criticalcare of medical and surgical patients in the ED: length of stay and initiation of intensive care procedures...
... was more severein HIV-negative subjects Even though we could not assess whether baseline differences in age and chronic lung condition influenced this finding, it suggested that the lung injury ... often failed in HIV-negative patients and should be cautiously monitored in this population Key messages • • The incidence of Pneumocystis pneumonia requiring criticalcare increased in patients ... (HIV-negative) within the intensive care (HIV-posiof cases not Pneumocystis pneumonia patients infected unit (ICU) of cases with Pneumocystis pneumonia in patients infected (HIV-positive) and not infected...
... services in developing countries: defining the problems Anaesthesia 2007, 62:4-11 18 Baker T: Criticalcarein low-income countries Trop Med Int Health 2009, 14:143-148 Baelani et al CriticalCare ... Surviving sepsis in low-income and middle-income countries: new directions for care and research Lancet Infect Dis 2009, 9:577-582 13 Cheng AC, West TE, Peacock SJ: Surviving sepsis in developing ... earlier studies reported that anaesthetists are crucially involved in intensive care medicine and in the care of critically ill sepsis patients in Africa [16,18-22] Nonetheless, it is notable that...
... error interception Intensivist participation in ICU care Adequate staffing Pharmacist participation in ICU care Incorporation of quality assurance into academic education ICU, intensive care unit ... errors involving continuously infused medications in a surgical intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of carein a ... Impact of a clinical pharmacist in a multidisciplinary intensive care unit Crit Care Med 1994, 22:10441048 66 Baldinger SL, Chow MS, Gannon RH, Kelly ET 3rd: Cost savings from having a clinical pharmacist...
... Laboratory findings of the patients with Influenza A (H1N1) virus incriticalcare unit Variable Laboratory findings Leukocyte count, per mm3 Lymphocyte count, per mm3 Serum creatine kinase, U/L ... moxifloxacin (in 19 patients), linezolid (in 14 patients), ampicilline-sulbactam (in 13 patients), clarithromycin (in 13 patients), piperacillin-tazobactam (in 12 patients), imipenem (in 11 patients), ... failure from swine-origin influenza A (H1N1) in Mexico N Engl J Med 2009; 361:680–89 Dawood FS, Jain S, Finelli L, et al Emergence of a novel swine-origin influenza A (H1N1) virus in humans N Engl...
... treatment in the ICU has produced as a consequence the under reporting of severe tuberculosis, factors leading to admission, and induced toxicities, with resultant diminished disease awareness King ... in the ICU at the time of admission Symptoms are summarized in Table Treatment was initiated on the basis of the clinical diagnosis made during admission to the ICU in 18 (54%) patients The initial ... 48 were seen as gram stain positive for AFB (30%) excluding others as negative Cultures were observed to be more sensitive than staining in 69% of total aspirates, including cases that were found...
... 19 Infections in Cirrhosis inCriticalCare Laurel C Preheim 20 Severe Infections in Asplenic Patients inCriticalCare Mohammed S Ahmed and Nancy Khardori 21 Infections in Burns inCriticalCare ... becoming important incriticalcare Infectious Diseases inCriticalCare Medicine (third edition) remains the only book exclusively dedicated to infectious diseases incriticalcare Importantly, Infectious ... in the criticalcare unit Infectious diseases maintain their preeminence in the criticalcare unit setting because of their frequency and importance in the critical unit patient population Since...
... vein thrombosis Intra-aortic balloon pump Intra-abdominal hypertension Intra-abdominal pressure Intracellular fluid Intra-cranial pressure Intensive care unit Internal jugular vein Interleukin ... A Cerebral hypoxic injury begins within minutes B Drug delivery is optimally achieved via a central vein C Epinephrine (adrenaline) mg should be administered every minute during cardiopulmonary ... 18 Concerning intravenous fluids in the critically ill: A Approximately 20% of infused normal saline (0.9% NaCl) remains intravascular B Hartmann’s solution (Ringer’s lactate) contains approximately...
... Following the development of the Statement on Competence, a working group met in 2009 to develop guidelines for training incriticalcare ultrasonography Representatives from major criticalcare ... Training Standards serve as useful guides both for the intensivist who seeks training and for faculty intensivists who will be training their colleagues in this important skill Competing interests ... cardiologist who is trained in echocardiography It includes training in transesophageal echocardiography (TEE) Competence in advanced level CCE is not a key element of competence incriticalcare ultrasonography...
... (O), and Italy and Spain none TRAINING IN INTENSIVE CARE MEDICINE IN THE UK An increasing number of appointments in ICM are now available to trainees in general internal medicine at senior house ... rehabilitation.9 TRAINING IN INTENSIVE CARE MEDICINE Improved training of medical and nursing staff and organisational changes have undoubtedly played their part in improving the outcome of critical illness ... the growing numbers of respiratory physicians who pursue a subspecialty interest in this clinical arena T EVOLUTION OF INTENSIVE CARE MEDICINE AS A SPECIALTY In Europe intensive care medicine (ICM)...