Articles
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Citation: Critical Care 2009 13:402
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Pulmonary vascular permeability changes in an ovine model of methicillin-resistant Staphylococcus aureus sepsis
Endothelial dysfunction is a hallmark of sepsis, associated with lung transvascular fluid flux and pulmonary dysfunction in septic patients. We tested the hypothesis that methicillin-resistant Staphylococcus aure...
Citation: Critical Care 2009 13:R19 -
The effect of diabetes mellitus on organ dysfunction with sepsis: an epidemiological study
Diabetes mellitus (DM) is one of the most common chronic co-morbid medical conditions in the USA and is frequently present in patients with sepsis. Previous studies reported that people with DM and severe seps...
Citation: Critical Care 2009 13:R18 -
Effects of interventional lung assist on haemodynamics and gas exchange in cardiopulmonary resuscitation: a prospective experimental study on animals with acute respiratory distress syndrome
Interventional lung assist (ILA), based on the use of a pumpless extracorporeal membrane oxygenator, facilitates carbon dioxide (CO2) elimination in acute respiratory distress syndrome (ARDS). It is unclear wheth...
Citation: Critical Care 2009 13:R17 -
Extending the role of lactate measurement into the prehospital environment
Early identification of haemodynamic shock is widely acknowledged as a vital step towards improving survival. A report in the previous issue of Critical Care describes the relationship between lactate concentrati...
Citation: Critical Care 2009 13:115 -
Routine delirium monitoring in a UK critical care unit
Delirium in the intensive care unit (ICU) is associated with increased morbidity and mortality. Using an assessment tool has been shown to improve the ability of clinicians in the ICU to detect delirium. The c...
Citation: Critical Care 2009 13:R16 -
Characteristics and outcomes of cancer patients in European ICUs
Increasing numbers of cancer patients are being admitted to the intensive care unit (ICU), either for cancer-related complications or treatment-associated side effects, yet there are relatively few data concer...
Citation: Critical Care 2009 13:R15 -
Cardiac force-frequency relationship and frequency-dependent acceleration of relaxation are impaired in LPS-treated rats
Frequency-dependent acceleration of relaxation (FDAR) ensures appropriate ventricular filling at high heart rates and results from accelerated sarcoplasmic/endoplasmic reticulum calcium ATPase (SERCA) activity...
Citation: Critical Care 2009 13:R14 -
Differential influence of arterial blood glucose on cerebral metabolism following severe traumatic brain injury
Maintaining arterial blood glucose within tight limits is beneficial in critically ill patients. Upper and lower limits of detrimental blood glucose levels must be determined.
Citation: Critical Care 2009 13:R13 -
Inhibition of complement C5a prevents breakdown of the blood-brain barrier and pituitary dysfunction in experimental sepsis
Septic encephalopathy secondary to a breakdown of the blood-brain barrier (BBB) is a known complication of sepsis. However, its pathophysiology remains unclear. The present study investigated the effect of com...
Citation: Critical Care 2009 13:R12 -
Central sympatholytics prolong survival in experimental sepsis
One of the main causes of death in European and US intensive care units is sepsis. It involves a network of pro-inflammatory cytokines such as TNF-α, IL-1β and IL-6. Furthermore, there is an up regulation of t...
Citation: Critical Care 2009 13:R11 -
Anticoagulant properties of drotrecogin alfa (activated) during hemofiltration in patients with severe sepsis
In a retrospective study among 35 severely septic patients treated with drotrecogin alfa (activated) (DrotAA) and renal replacement therapy (RRT), Camporota and colleagues demonstrated that the addition of hep...
Citation: Critical Care 2009 13:113 -
Pumpless extracorporeal interventional lung assist in patients with acute respiratory distress syndrome: a prospective pilot study
Pumpless interventional lung assist (iLA) is used in patients with acute respiratory distress syndrome (ARDS) aimed at improving extracorporeal gas exchange with a membrane integrated in a passive arteriovenou...
Citation: Critical Care 2009 13:R10 -
Critical Care Canada Forum 2008, 11–13 November 2008, Toronto, Ontario, Canada
Citation: Critical Care 2009 13:301 -
Pro/con debate: Should synthetic colloids be used in patients with septic shock?
You have recently heard reports that synthetic colloids may be associated with renal failure and other morbidities in certain populations of critically ill patients. You have been asked by the hospital chief o...
Citation: Critical Care 2009 13:203 -
Novel polymorphism of interleukin-18 associated with greater inflammation after cardiac surgery
Interleukin (IL)-18 is a key modulator of the cytokine response that leads to organ dysfunction and prolonged intensive care unit (ICU) stay after cardiopulmonary bypass surgery. We hypothesised that variation...
Citation: Critical Care 2009 13:R9 -
Timeliness of administration of vasopressors in CPR
Citation: Critical Care 2009 13:401 -
Albumin dialysis improves hepatic encephalopathy and decreases circulating phenolic aromatic amino acids in patients with alcoholic hepatitis and severe liver failure
The aim of this study was to assess the effects of albumin dialysis on hepatic encephalopathy and circulating levels of amino acids in severe alcoholic hepatitis.
Citation: Critical Care 2009 13:R8 -
Excess circulating angiopoietin-2 levels in sepsis: harbinger of death in the intensive care unit?
The early recognition and management of sepsis remain the greatest challenges in the field of critical care medicine. Endothelial injury is one of the hallmarks of sepsis, leading to capillary leak, microcircu...
Citation: Critical Care 2009 13:114 -
The effect of glutamine infusion on the inflammatory response and HSP70 during human experimental endotoxaemia
Glutamine supplementation has beneficial effects on morbidity and mortality in critically ill patients, possibly in part through an attenuation of the proinflammatory cytokine response and a stimulation of hea...
Citation: Critical Care 2009 13:R7 -
Automatic versus manual pressure support reduction in the weaning of post-operative patients: a randomised controlled trial
Reduction of automatic pressure support based on a target respiratory frequency or mandatory rate ventilation (MRV) is available in the Taema-Horus ventilator for the weaning process in the intensive care unit...
Citation: Critical Care 2009 13:R6 -
Benefits of intensive insulin therapy on neuromuscular complications in routine daily critical care practice: a retrospective study
Intensive insulin therapy (IIT) reduced the incidence of critical illness polyneuropathy and/or myopathy (CIP/CIM) and the need for prolonged mechanical ventilation (MV ≥ 14 days) in two randomised controlled ...
Citation: Critical Care 2009 13:R5 -
Recombinant human activated protein C in acute lung injury: what is the role of bronchial circulation?
Impairment of the protein C pathway plays a central role in the pathogenesis of sepsis. Treatment with recombinant human activated protein C (rhAPC) has been reported to increase survival from severe sepsis. P...
Citation: Critical Care 2009 13:112 -
Computer says 2.5 litres – how best to incorporate intelligent software into clinical decision making in the intensive care unit?
What will be the role of the intensivist when computer-assisted decision support reaches maturity? Celi's group reports that Bayesian theory can predict a patient's fluid requirement on day 2 in 78% of cases, ...
Citation: Critical Care 2009 13:111 -
Expiratory automatic endotracheal tube compensation reduces dynamic hyperinflation in a physical lung model
The effect of expiratory endotracheal tube (ETT) resistance on dynamic lung inflation is unknown. We hypothesized that ETT resistance causes dynamic lung hyperinflation by impeding lung emptying. We further hy...
Citation: Critical Care 2009 13:R4 -
Surgical and medical emergencies on board European aircraft: a retrospective study of 10189 cases
In-flight medical and surgical emergencies (IMEs) onboard commercial aircrafts occur quite commonly. However, little epidemiological research exists concerning these incidents.
Citation: Critical Care 2009 13:R3 -
Cerebral microdialysis for detection of bacterial meningitis in aneurysmal subarachnoid hemorrhage patients: a cohort study
Bacterial meningitis (BM) is a severe complication in patients with aneurysmal subarachnoid haemorrhage (SAH). Clinical signs of meningitis are often masked by SAH-related symptoms, and routine cerebrospinal f...
Citation: Critical Care 2009 13:R2 -
Mechanical ventilation using non-injurious ventilation settings causes lung injury in the absence of pre-existing lung injury in healthy mice
Mechanical ventilation (MV) may cause ventilator-induced lung injury (VILI). Present models of VILI use exceptionally large tidal volumes, causing gross lung injury and haemodynamic shock. In addition, animals...
Citation: Critical Care 2009 13:R1 -
Bench-to-bedside review: Ventilatory abnormalities in sepsis
In septic patients increased central drive and increased metabolic demands combine to increase energy demands on the ventilatory muscles. This occurs at a time when energy supplies are limited and energy produ...
Citation: Critical Care 2009 13:202 -
Bench-to-bedside review: The importance of the precision of the reference technique in method comparison studies – with specific reference to the measurement of cardiac output
Bland-Altman analysis is used for assessing agreement between two measurements of the same clinical variable. In the field of cardiac output monitoring, its results, in terms of bias and limits of agreement, a...
Citation: Critical Care 2009 13:201 -
Lymphocytes, apoptosis and sepsis: making the jump from mice to humans
Sepsis is an important clinical problem with a mortality rate of 20% to 30%. Lymphocyte apoptosis has been recognized as an important step in the pathogenesis of experimental sepsis, by inducing a state of 'im...
Citation: Critical Care 2009 13:109 -
The genetics of acute lung injury: looking back and pointing the way forward
Individual genetic factors have long been suspected of playing a major role in susceptibility to acute lung injury and acute respiratory distress syndrome. Flores and colleagues evaluate the quality of publish...
Citation: Critical Care 2009 13:108 -
The effect of antimicrobial resistance on patient outcomes: importance of proper evaluation of appropriate therapy
The impact of antimicrobial resistance on patient outcomes can be effectively measured only if the appropriateness of the antimicrobial therapy received is properly measured. Definition of appropriate therapy ...
Citation: Critical Care 2009 13:106 -
Natriuretic peptide determinations in critical care medicine: part of routine clinical practice or research test only?
Measurement of N-terminal pro-B-type natriuretic peptide has been shown a good rule-out test for cardiac dysfunction in patients in the intensive care unit. The peptide measurement should not be used as a repl...
Citation: Critical Care 2009 13:105 -
Should dialysis be offered in all cases of metformin-associated lactic acidosis?
Metformin is commonly used in diabetes mellitus type 2, with lactic acidosis being a rare but potentially fatal complication of this therapy. The management of metformin-associated lactic acidosis (MALA) is co...
Citation: Critical Care 2009 13:110 -
Clinical information systems in the intensive care unit: primum non nocere
Information and communication technology has the potential to address many problems encountered in intensive care unit (ICU) care, namely managing large amounts of patient and research data and reducing medica...
Citation: Critical Care 2009 13:107 -
Understanding the cognitive consequences of critical illness through experimental animal models
Tuon and colleagues have developed an animal model to examine the impact of sepsis on memory in rats. They report important data that expand the understanding of the cognitive consequences of critical illness....
Citation: Critical Care 2009 13:104 -
Hypothalamo-pituitary-adrenal axis activity after intracranial catastrophies: what is enough?
This commentary on a paper by Bendel and colleagues in the previous issue of Critical Care describes the difficulty in assessing the sufficiency of adrenal responses to endogenous, stress-induced adrenocorticotro...
Citation: Critical Care 2009 13:103 -
Ingredients for adequate evaluation of blood glucose algorithms as applied to the critically ill
The article by Eslami and colleagues provides an overview of the indicators used to measure the quality of blood glucose control in patients admitted to the intensive care unit. Each indicator can be related t...
Citation: Critical Care 2009 13:102 -
ICU staffing and patient outcomes: more work remains
Many studies have demonstrated that closed intensive care units (ICUs), staffed by trained intensivists, are associated with improved patient outcomes. However, the mechanisms by which ICU organizational facto...
Citation: Critical Care 2009 13:101 -
Renal haemodynamic, microcirculatory, metabolic and histopathological responses to peritonitis-induced septic shock in pigs
Our understanding of septic acute kidney injury (AKI) remains incomplete. A fundamental step is the use of animal models designed to meet the criteria of human sepsis. Therefore, we dynamically assessed renal ...
Citation: Critical Care 2008 12:R164 -
Filter survival time and requirement of blood products in patients with severe sepsis receiving drotrecogin alfa (activated) and requiring renal replacement therapy
Drotrecogin alfa (activated) (DrotAA) is licensed in the United States and the European Union for the treatment of severe sepsis with multiple organ failure. Patients with severe sepsis on renal replacement th...
Citation: Critical Care 2008 12:R163 -
The epidemiology of intensive care unit-acquired hyponatraemia and hypernatraemia in medical-surgical intensive care units
Although sodium disturbances are common in hospitalised patients, few studies have specifically investigated the epidemiology of sodium disturbances in the intensive care unit (ICU). The objectives of this stu...
Citation: Critical Care 2008 12:R162 -
Evaluation of SOFA-based models for predicting mortality in the ICU: A systematic review
To systematically review studies evaluating the performance of Sequential Organ Failure Assessment (SOFA)-based models for predicting mortality in patients in the intensive care unit (ICU).
Citation: Critical Care 2008 12:R161 -
The prognostic value of blood lactate levels relative to that of vital signs in the pre-hospital setting: a pilot study
A limitation of pre-hospital monitoring is that vital signs often do not change until a patient is in a critical stage. Blood lactate levels are suggested as a more sensitive parameter to evaluate a patient's ...
Citation: Critical Care 2008 12:R160 -
Phosphodiesterase 4 inhibition but not beta-adrenergic stimulation suppresses tumor necrosis factor-alpha release in peripheral blood mononuclear cells in septic shock
Stimulation of beta2-adrenergic receptors (β2-ARs) inhibits tumor necrosis factor-alpha (TNF-α) release in monocytes. In septic shock, endogenous catecholamines induce β2-AR downregulation, leading to an increase...
Citation: Critical Care 2008 12:R159 -
Incidence, organ dysfunction and mortality in severe sepsis: a Spanish multicentre study
Sepsis is a leading cause of admission to non-cardiological intensive care units (ICUs) and the second leading cause of death among ICU patients. We present the first extensive dataset on the epidemiology of s...
Citation: Critical Care 2008 12:R158 -
Serum concentrations of cortisol, interleukin 6, leptin and adiponectin predict stress induced insulin resistance in acute inflammatory reactions
Inflammatory stimuli are causative for insulin resistance in obesity as well as in acute inflammatory reactions. Ongoing research has identified a variety of secreted proteins that are released from immune cel...
Citation: Critical Care 2008 12:R157 -
Clinical review: Critical care management of spontaneous intracerebral hemorrhage
Intracerebral hemorrhage is by far the most destructive form of stroke. The clinical presentation is characterized by a rapidly deteriorating neurological exam coupled with signs and symptoms of elevated intra...
Citation: Critical Care 2008 12:237 -
Recently published papers: Heavyweight problems in the intensive care unit?
The management of the obese patient in intensive care is fraught with difficulty, or so conventional wisdom would have us believe. Two recent studies add to the growing evidence that the obese patient is not s...
Citation: Critical Care 2008 12:197
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- ISSN: 1364-8535 (electronic)