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Citation: Critical Care 2010 14:423
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Do we need a critical care ultrasound certification program? Implications from an Australian medical-legal perspective
Medical practitioners have a duty to maintain a certain standard of care in providing their services. With critical care ultrasound gaining popularity in the ICU, it is envisaged that more intensivists will us...
Citation: Critical Care 2010 14:313 -
Prohormones for prediction of adverse medical outcome in community-acquired pneumonia and lower respiratory tract infections
Measurement of prohormones representing different pathophysiological pathways could enhance risk stratification in patients with community-acquired pneumonia (CAP) and other lower respiratory tract infections ...
Citation: Critical Care 2010 14:R106 -
Extravascular lung water index measurement in critically ill children does not correlate with a chest x-ray score of pulmonary edema
Extravascular lung water index (EVLWI) can be measured at the bedside using the transpulmonary thermodilution technique (TPTD). The goal of this study was to compare EVLWI values with a chest x-ray score of pu...
Citation: Critical Care 2010 14:R105 -
Clinical review: Strict or loose glycemic control in critically ill patients - implementing best available evidence from randomized controlled trials
Glycemic control aiming at normoglycemia, frequently referred to as 'strict glycemic control' (SGC), decreased mortality and morbidity of adult critically ill patients in two randomized controlled trials (RCTs...
Citation: Critical Care 2010 14:223 -
Possible life-threatening adverse reaction to monovalent H1N1 vaccine
Citation: Critical Care 2010 14:422 -
Severe endothelial injury and subsequent repair in patients after successful cardiopulmonary resuscitation
Ischemia and reperfusion after cardiopulmonary resuscitation (CPR) induce endothelial activation and systemic inflammatory response, resulting in post-resuscitation disease. In this study we analyzed direct ma...
Citation: Critical Care 2010 14:R104 -
Hyperlactatemia in critical illness and cardiac surgery
Citation: Critical Care 2010 14:421 -
Influence of genetic variations in TLR4 and TIRAP/Mal on the course of sepsis and pneumonia and cytokine release: an observational study in three cohorts
It has been proposed that individual genetic variation contributes to the course of severe infections and sepsis. Recent studies of single nucleotide polymorphisms (SNPs) within the endotoxin receptor and its ...
Citation: Critical Care 2010 14:R103 -
Global utilization of low-dose corticosteroids in severe sepsis and septic shock: a report from the PROGRESS registry
The benefits and use of low-dose corticosteroids (LDCs) in severe sepsis and septic shock remain controversial. Surviving sepsis campaign guidelines suggest LDC use for septic shock patients poorly responsive ...
Citation: Critical Care 2010 14:R102 -
Preoperative diastolic function predicts the onset of left ventricular dysfunction following aortic valve replacement in high-risk patients with aortic stenosis
Left ventricular (LV) dysfunction frequently occurs after cardiac surgery, requiring inotropic treatment and/or mechanical circulatory support. In this study, we aimed to identify clinical, surgical and echoca...
Citation: Critical Care 2010 14:R101 -
Traditional transfusion practices are changing
Schochl and co-authors have described a 5-year retrospective study that outlines a novel, important and controversial transfusion concept in seriously injured trauma patients. Traditionally, clinicians have be...
Citation: Critical Care 2010 14:162 -
Bedside measurement of changes in lung impedance to monitor alveolar ventilation in dependent and non-dependent parts by electrical impedance tomography during a positive end-expiratory pressure trial in mechanically ventilated intensive care unit patients
As it becomes clear that mechanical ventilation can exaggerate lung injury, individual titration of ventilator settings is of special interest. Electrical impedance tomography (EIT) has been proposed as a beds...
Citation: Critical Care 2010 14:R100 -
Clinical review: What is the role for autopsy in the ICU?
The availability of advanced diagnostic tools has grown in the past decades. Hence, a growing false belief exists that everything is known about the patient before death. Moreover, intensivists may wrongly bel...
Citation: Critical Care 2010 14:221 -
Hypercapnia and hypokalemia in near-death experiences
Citation: Critical Care 2010 14:420 -
Heparin algorithm for anticoagulation during continuous renal replacement therapy
Premature circuit clotting is a problem during continuous renal replacement therapy. We describe an algorithm for individualised anticoagulation with unfractionated heparin based on the patient's risk of bleed...
Citation: Critical Care 2010 14:419 -
Management of sodium disorders during continuous haemofiltration
In patients with acute kidney injury and concomitant severe hyponatraemia or hypernatraemia, rapid correction of the serum Na+ concentration needs to be avoided. The present paper outlines the principles of how t...
Citation: Critical Care 2010 14:418 -
Anesthesia for the High-Risk Patient. 2nd edition
Citation: Critical Care 2010 14:312 -
Thirty years of critical care medicine
Critical care medicine is a relatively young but rapidly evolving specialty. On the occasion of the 30th International Symposium on Intensive Care and Emergency Medicine, we put together some thoughts from a f...
Citation: Critical Care 2010 14:311 -
Gram-negative versus Gram-positive bacteremia: what is more alarmin(g)?
Gram-negative bacteremia has been associated with severe sepsis, although the exact mechanism and pathophysiological differences among bacterial species are not well understood. In the previous issue of Critical ...
Citation: Critical Care 2010 14:161 -
Elevation of cardiac troponin I during non-exertional heat-related illnesses in the context of a heatwave
The prognostic value of cardiac troponin I (cTnI) in patients having a heat-related illness during a heat wave has been poorly documented.
Citation: Critical Care 2010 14:R99 -
Comparison of albicans vs. non-albicans candidemia in French intensive care units
Candidemia raises numerous therapeutic issues for intensive care physicians. Epidemiological data that could guide the choice of initial therapy are still required. This analysis sought to compare the characte...
Citation: Critical Care 2010 14:R98 -
Costs of relaparotomy on-demand versus planned relaparotomy in patients with severe peritonitis: an economic evaluation within a randomized controlled trial
Results of the first randomized trial comparing on-demand versus planned-relaparotomy strategy in patients with severe peritonitis (RELAP trial) indicated no clear differences in primary outcomes. We now repor...
Citation: Critical Care 2010 14:R97 -
Early alterations of the innate and adaptive immune statuses in sepsis according to the type of underlying infection
Although major changes of the immune system have been described in sepsis, it has never been studied whether these may differ in relation to the type of underlying infection or not. This was studied for the fi...
Citation: Critical Care 2010 14:R96 -
Anemia and blood transfusion and outcome on the intensive care unit
The observation of Sakr and colleagues that transfusion may be beneficial in certain subgroups of intensive care unit (ICU) patients [1] is interesting, since large observational studies demonstrate that transfus...
Citation: Critical Care 2010 14:438 -
Transpulmonary thermodilution using femoral indicator injection: a prospective trial in patients with a femoral and a jugular central venous catheter
Advanced hemodynamic monitoring using transpulmonary thermodilution (TPTD) is established for measurement of cardiac index (CI), global end-diastolic volume index (GEDVI) and extra-vascular lung water index (E...
Citation: Critical Care 2010 14:R95 -
Regulation and prognostic relevance of serum ghrelin concentrations in critical illness and sepsis
Ghrelin has been recently identified as a mediator of various beneficial effects in animal models of sepsis. At present, no data are available concerning specific properties of ghrelin in critically ill patien...
Citation: Critical Care 2010 14:R94 -
Have we found the prevention for intensive care unit-acquired paresis?
Several recent reports have highlighted the utility of transcutaneous electrical muscle stimulation to preserve muscle mass and strength in ICU patients. Specifically, Serafim Nanas and colleagues report a sig...
Citation: Critical Care 2010 14:160 -
Pharyngeal oxygen administration increases the time to serious desaturation at intubation in acute lung injury: an experimental study
Endotracheal intubation in critically ill patients is associated with severe life-threatening complications in about 20%, mainly due to hypoxemia. We hypothesized that apneic oxygenation via a pharyngeal cathe...
Citation: Critical Care 2010 14:R93 -
Anemia and blood transfusion in a surgical intensive care unit
Studies in intensive care unit (ICU) patients have suggested that anemia and blood transfusions can influence outcomes, but these effects have not been widely investigated specifically in surgical ICU patients.
Citation: Critical Care 2010 14:R92 -
Sparing brain damage in severe sepsis: a beginning
Sepsis-associated encephalopathy (SAE) resembles metabolic encephalopathies but with a difference: there is the potential for enduring brain damage/dysfunction. The pathogenesis of SAE is likely multifactorial...
Citation: Critical Care 2010 14:159 -
The role of angiogenic factors in predicting clinical outcome in severe bacterial infection in Malawian children
Severe sepsis is a disease of the microcirculation, with endothelial dysfunction playing a key role in its pathogenesis and subsequent associated mortality. Angiogenesis in damaged small vessels may ameliorate...
Citation: Critical Care 2010 14:R91 -
Should fresh blood be recommended for intensive care patients?
Fresh blood has many potential advantages over older blood, but there is no evidence that these properties translate into clinical benefit for intensive care patients. The observational multicenter study by Ka...
Citation: Critical Care 2010 14:158 -
Liberation and animation for ventilated ICU patients: the ABCDE bundle for the back-end of critical care
Critically ill patients are frequently prescribed sedatives and analgesics to ensure patient safety, to relieve pain and anxiety, to reduce stress and oxygen consumption, and to prevent patient ventilator dysy...
Citation: Critical Care 2010 14:157 -
Argatroban therapy for heparin-induced thrombocytopenia in ICU patients with multiple organ dysfunction syndrome: a retrospective study
Heparin-induced thrombocytopenia (HIT) is a serious, prothrombotic, immune-mediated adverse reaction triggered by heparin therapy. When HIT is diagnosed or suspected, heparins should be discontinued, and an al...
Citation: Critical Care 2010 14:R90 -
Activated protein C for H1N1 influenza? More work to do!
An animal model of H1N1 influenza demonstrates that this infection is associated with pulmonary and systemic activation of coagulation and impairment of fibrinolysis in addition to systemic inflammation and in...
Citation: Critical Care 2010 14:156 -
Angiopoietin-2 is increased in sepsis and inversely associated with nitric oxide-dependent microvascular reactivity
Angiopoietin-2 (ang-2), an angiogenic peptide released by endothelial cell Weibel-Palade bodies (WPBs), increases endothelial activation and vascular permeability. Ang-2 is raised in severe sepsis but the mech...
Citation: Critical Care 2010 14:R89 -
Th17 mediators and vitamin D status in influenza A (H1N1)
Citation: Critical Care 2010 14:417 -
Critical care support of patients with nicotine addiction
Over 500 million of the current world population will die from diseases caused by smoking cigarettes. The symptoms and signs of nicotine withdrawal are not well described in the critically ill. Since the vario...
Citation: Critical Care 2010 14:155 -
Is fibrinogen the answer to coagulopathy after massive transfusions?
Coagulopathy is a major cause of morbidity and mortality in patients who have suffered severe hemorrhage and received massive transfusions. Administration of a fibrinogen concentrate along with red blood cells...
Citation: Critical Care 2010 14:154 -
Preferences in traumatic intracranial hemorrhage: bleeding vs. clotting
Patients with traumatic brain injury and resultant intracranial hemorrhage (ICH) are at high risk for developing venous thromboembolism (VTE). The use of thromboprophylaxis is effective at decreasing the rate ...
Citation: Critical Care 2010 14:153 -
Does proteolysis explain glutamine release from the septic brain?
Berg and colleagues report on amino acid exchange across the human brain during endotoxin infusion. Lipopolysaccharide infusion induced a decrease in the ratio between branched chain amino acids and aromatic a...
Citation: Critical Care 2010 14:152 -
Hypertension may be the most important component of hyperdynamic therapy in cerebral vasospasm
Although hyperdynamic therapy is an accepted method of treatment of patients with symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage, it remains unproven in large scale trials and controll...
Citation: Critical Care 2010 14:151 -
The impact of IL-1 modulation on the development of lipopolysaccharide-induced cognitive dysfunction
The impact of pro-inflammatory cytokines on neuroinflammation and cognitive function after lipopolysaccharide (LPS) challenge remains elusive. Herein we provide evidence that there is a temporal correlation be...
Citation: Critical Care 2010 14:R88 -
Recommendations for the intra-hospital transport of critically ill patients
This study was conducted to provide Intensive Care Units and Emergency Departments with a set of practical procedures (check-lists) for managing critically-ill adult patients in order to avoid complications du...
Citation: Critical Care 2010 14:R87 -
To JUPITER and beyond: Statins, inflammation, and primary prevention
Citation: Critical Care 2010 14:310 -
Epinephrine: Is it really the black sheep of vasoactive agents?
Citation: Critical Care 2010 14:309 -
Influenza and bacterial pneumonia - constant companions
Sequential or concomitant influenza and bacterial pneumonia are two common syndromes seen in community-acquired pneumonia. Inadequacies of diagnostic testing make separating simple pneumonia with either bacter...
Citation: Critical Care 2010 14:150 -
Renal function and thromboprophylaxis in critically ill patients
Citation: Critical Care 2010 14:416 -
Anaemia and its treatment in neurologically critically ill patients: being reasonable is easy without prospective trials
Most healthy humans have a haemoglobin concentration of 12 to 15 g/dL and most intensivists now transfuse packed red blood cells for haemoglobin <7 g/dL. Higher haemoglobin is associated with improved intermed...
Citation: Critical Care 2010 14:149
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- ISSN: 1364-8535 (electronic)