Articles
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Citation: Critical Care 2005 9:E26
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Recombinant activated factor VIIa and hemostasis in critical care: a focus on trauma
In this article we describe the current use of recombinant activated factor VII (rFVIIa; NovoSeven®) in trauma patients. Emphasis is placed on current uses as defined by key studies, efficacy data, and safety dat...
Citation: Critical Care 2005 9(Suppl 5):S37 -
Clinical experiences and current evidence for therapeutic recombinant factor VIIa treatment in nontrauma settings
The hemostatic properties of recombinant activated factor VII (rFVIIa) are established in patients with inherited or acquired hemophilia with inhibitors and in patients with congenital factor VII deficiencies....
Citation: Critical Care 2005 9(Suppl 5):S29 -
Preclinical trauma studies of recombinant factor VIIa
Preclinical studies in animals and ex vivo human blood have provided a solid rationale for conducting prospective randomized trials in trauma patients. Small animal models have been utilized to study the efficacy...
Citation: Critical Care 2005 9(Suppl 5):S25 -
Mechanistic implications for the use and monitoring of recombinant activated factor VII in trauma
As interest in the use of activated recombinant factor VII (rFVIIa) in trauma grows, questions arise regarding how best to monitor rFVIIa therapy and when rFVIIa may be expected to improve hemostasis. Knowledg...
Citation: Critical Care 2005 9(Suppl 5):S15 -
Optimizing the use of blood products in trauma care
Blood transfusion has been used to treat the injured since the US Civil War. Now, it saves the lives of tens of thousands of injured patients each year. However, not everyone who receives blood benefits, and s...
Citation: Critical Care 2005 9(Suppl 5):S10 -
The epidemiology and modern management of traumatic hemorrhage: US and international perspectives
Trauma is a worldwide problem, with severe and wide ranging consequences for individuals and society as a whole. Hemorrhage is a major contributor to the dilemma of traumatic injury and its care. In this artic...
Citation: Critical Care 2005 9(Suppl 5):S1 -
Mortality prediction using SAPS II: an update for French intensive care units
The standardized mortality ratio (SMR) is commonly used for benchmarking intensive care units (ICUs). Available mortality prediction models are outdated and must be adapted to current populations of interest. ...
Citation: Critical Care 2005 9:R645 -
Bench-to-bedside review: Paediatric viral lower respiratory tract disease necessitating mechanical ventilation – should we use exogenous surfactant?
Treatment of infants with viral lower respiratory tract disease (LRTD) necessitating mechanical ventilation is mainly symptomatic. The therapeutic use of surfactant seems rational because significantly lower l...
Citation: Critical Care 2005 9:550 -
Krebs cycle anions in metabolic acidosis
For many years it has been apparent from estimates of the anion gap and the strong ion gap that anions of unknown identity can be generated in sepsis and shock states. Evidence is emerging that at least some o...
Citation: Critical Care 2005 9:E23 -
GASNet.org: Management of the difficult airway
Citation: Critical Care 2005 9:E18 -
Elevated troponin and myocardial infarction in the intensive care unit: a prospective study
Elevated troponin levels indicate myocardial injury but may occur in critically ill patients without evidence of myocardial ischemia. An elevated troponin alone cannot establish a diagnosis of myocardial infar...
Citation: Critical Care 2005 9:R636 -
Central venous catheter-related infection in a prospective and observational study of 2,595 catheters
Central venous catheterization is commonly used in critically ill patients and may cause different complications, including infection. Although there are many studies about CVC-related infection, very few have...
Citation: Critical Care 2005 9:R631 -
Lactate as a marker of energy failure in critically ill patients: hypothesis
Lactate measurement in the critically ill has been traditionally used to stratify patients with poor outcome. However, plasma lactate levels are the result of a finely tuned interplay of factors that affect th...
Citation: Critical Care 2005 9:588 -
Pulse oximeter as a sensor of fluid responsiveness: do we have our finger on the best solution?
The pulse oximetry plethysmographic signal resembles the peripheral arterial pressure waveform, and the degree of respiratory variation in the pulse oximetry wave is close to the degree of respiratory arterial...
Citation: Critical Care 2005 9:429 -
Impact of HIV/AIDS on care and outcomes of severe sepsis
There has been dramatic improvement in survival for patients with HIV/AIDS; however, some studies on patients with HIV/AIDS and serious illness have reported continued low rates of intensive care. The purpose ...
Citation: Critical Care 2005 9:R623 -
Antithrombin in sepsis revisited
As the pivotal phase III randomized controlled clinical trial on antithrombin concentrate in patients with severe sepsis did not show a beneficial effect of antithrombin treatment on 28-day mortality, the inte...
Citation: Critical Care 2005 9:624 -
Lack of evidence for qualitative treatment by disease severity interactions in clinical studies of severe sepsis
The design of clinical trials of interventions aimed at reducing mortality in patients with severe sepsis assumes that the relative treatment effect of the intervention is independent of the patients' risk for...
Citation: Critical Care 2005 9:R607 -
Quantifying bedside-derived imaging of microcirculatory abnormalities in septic patients: a prospective validation study
The introduction of orthogonal polarization spectral (OPS) imaging in clinical research has elucidated new perspectives on the role of microcirculatory flow abnormalities in the pathogenesis of sepsis. Essenti...
Citation: Critical Care 2005 9:R601 -
Reduction of D-dimer levels after therapeutic administration of antithrombin in acquired antithrombin deficiency of severe sepsis
In acute disseminated intravascular coagulation, the effect of antithrombin (AT) administration on elevated levels of D-dimer is not well established. In the present study, we report on changes in circulating ...
Citation: Critical Care 2005 9:R596 -
Penetration of the English language in science: the case of a German national interdisciplinary critical care conference
Citation: Critical Care 2005 9:655 -
Recently published papers: What not to do and how not to do it?
Controversies abound in the areas of blood transfusion, albumin, lipoproteins in sepsis and pulmonary artery catheters. We are also making too many errors, but at least there is a new nitric oxide therapy in t...
Citation: Critical Care 2005 9:419 -
Circulating anions usually associated with the Krebs cycle in patients with metabolic acidosis
Acute metabolic acidosis of non-renal origin is usually a result of either lactic or ketoacidosis, both of which are associated with a high anion gap. There is increasing recognition, however, of a group of ac...
Citation: Critical Care 2005 9:R591 -
Hospital-acquired sinusitis is a common cause of fever of unknown origin in orotracheally intubated critically ill patients
Sinusitis is a well recognised but insufficiently understood complication of critical illness. It has been linked to nasotracheal intubation, but its occurrence after orotracheal intubation is less clear. We s...
Citation: Critical Care 2005 9:R583 -
A systematic evaluation of the quality of meta-analyses in the critical care literature
Meta-analyses have been suggested to be the highest form of evidence available to clinicians to guide clinical practice in critical care. The purpose of this study was to systematically evaluate the quality of...
Citation: Critical Care 2005 9:R575 -
Erratum to: Mannan-binding lectin and procalcitonin measurement for prediction of postoperative infection
Citation: Critical Care 2005 9:458 -
Clinical review: Mechanical ventilation in severe asthma
Respiratory failure from severe asthma is a potentially reversible, life-threatening condition. Poor outcome in this setting is frequently a result of the development of gas-trapping. This condition can arise ...
Citation: Critical Care 2005 9:581 -
eICU program favorably affects clinical and economic outcomes
Citation: Critical Care 2005 9:E22 -
Corticosteroids increased short and long-term mortality in adults with traumatic head injury
Citation: Critical Care 2005 9:E21 -
Effects of reduced rebreathing time, in spontaneously breathing patients, on respiratory effort and accuracy in cardiac output measurement when using a partial carbon dioxide rebreathing technique: a prospective observational study
New technology using partial carbon dioxide rebreathing has been developed to measure cardiac output. Because rebreathing increases respiratory effort, we investigated whether a newly developed system with 35 ...
Citation: Critical Care 2005 9:R569 -
Bench-to-bedside review: Antidotal treatment of sulfonylurea-induced hypoglycaemia with octreotide
The major potential adverse effect of use of sulfonylurea agents (SUAs) is a hyperinsulinaemic state that causes hypoglycaemia. It may be observed during chronic therapeutic dosing, even with very low doses of...
Citation: Critical Care 2005 9:543 -
Erratum to: Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study
Citation: Critical Care 2005 9:426 -
Clinical review: Renal tubular acidosis – a physicochemical approach
The Canadian physiologist PA Stewart advanced the theory that the proton concentration, and hence pH, in any compartment is dependent on the charges of fully ionized and partly ionized species, and on the prev...
Citation: Critical Care 2005 9:573 -
New insights into the protein C pathway: potential implications for the biological activities of drotrecogin alfa (activated)
It has been hypothesized that the protein C pathway is a pivotal link between the inflammation and coagulation cascades. The demonstration that a survival benefit is associated with administration of drotrecog...
Citation: Critical Care 2005 9(Suppl 4):S38 -
Microcirculatory alterations in ischemia–reperfusion injury and sepsis: effects of activated protein C and thrombin inhibition
Experimental studies in ischemia–reperfusion and sepsis indicate that activated protein C (APC) has direct anti-inflammatory effects at a cellular level. In vivo, however, the mechanisms of action have not been c...
Citation: Critical Care 2005 9(Suppl 4):S33 -
Microvascular resuscitation as a therapeutic goal in severe sepsis
Sepsis causes microvascular dysfunction. Increased heterogeneity of capillary blood flow results in local tissue hypoxia, which can cause local tissue inflammation, impaired oxygen extraction, and, ultimately,...
Citation: Critical Care 2005 9(Suppl 4):S27 -
Clinical manifestations of disordered microcirculatory perfusion in severe sepsis
Microcirculatory dysfunction plays a pivotal role in the development of the clinical manifestations of severe sepsis. Prior to the advent of new imaging technologies, clinicians had been limited in their abili...
Citation: Critical Care 2005 9(Suppl 4):S20 -
The microcirculation is the motor of sepsis
Regional tissue distress caused by microcirculatory dysfunction and mitochondrial depression underlies the condition in sepsis and shock where, despite correction of systemic oxygen delivery variables, regiona...
Citation: Critical Care 2005 9(Suppl 4):S13 -
Microvascular dysfunction as a cause of organ dysfunction in severe sepsis
Reduced microvascular perfusion has been implicated in organ dysfunction and multiple organ failure associated with severe sepsis. The precise mechanisms underlying microvascular dysfunction remain unclear, bu...
Citation: Critical Care 2005 9(Suppl 4):S9 -
The microcirculation as a functional system
This review examines experimental evidence that the microvascular dysfunction that occurs early in sepsis is the critical first stage in tissue hypoxia and organ failure. A functional microvasculature maintain...
Citation: Critical Care 2005 9(Suppl 4):S3 -
Re-establishing organ function in severe sepsis: targeting the microcirculation
Citation: Critical Care 2005 9(Suppl 4):S1 -
Relation between respiratory variations in pulse oximetry plethysmographic waveform amplitude and arterial pulse pressure in ventilated patients
Respiratory variation in arterial pulse pressure is a reliable predictor of fluid responsiveness in mechanically ventilated patients with circulatory failure. The main limitation of this method is that it requ...
Citation: Critical Care 2005 9:R562 -
What do we know about medication errors made via a CPOE system versus those made via handwritten orders?
This commentary on the article by Shulman et al. examines what we understand by 'medication errors', what we mean by 'computerized physician order entry (CPOE) systems', how we measure errors, and what types of e...
Citation: Critical Care 2005 9:427 -
Year in review: Critical Care 2004 – nephrology
We summarize all original research in the field of critical care nephrology published in 2004 or accepted for publication in Critical Care and, when considered relevant or directly linked to this research, in oth...
Citation: Critical Care 2005 9:523 -
Recruitment maneuvers and positive end-expiratory pressure/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome: translating experimental results to clinical practice
Recruitment maneuvers and positive end-expiratory pressure (PEEP)/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome (ALI/ARDS) are the cornerstone of mechanical ventilatory s...
Citation: Critical Care 2005 9:424 -
Urinary bladder partial carbon dioxide tension during hemorrhagic shock and reperfusion: an observational study
Continuous monitoring of bladder partial carbon dioxide tension (PCO2) using fibreoptic sensor technology may represent a useful means by which tissue perfusion may be monitored. In addition, its changes might pa...
Citation: Critical Care 2005 9:R556 -
Clinical review: The meaning of acid–base abnormalities in the intensive care unit part I – epidemiology
Acid–base abnormalities are common in critically ill patients. Our ability to describe acid–base disorders must be precise. Small differences in corrections for anion gap, different types of analytical process...
Citation: Critical Care 2005 9:508 -
Does cardiac surgery in newborn infants compromise blood cell reactivity to endotoxin?
Neonatal cardiac surgery is associated with a systemic inflammatory reaction that might compromise the reactivity of blood cells against an inflammatory stimulus. Our prospective study was aimed at testing thi...
Citation: Critical Care 2005 9:R549 -
Antifactor Xa activity in critically ill patients receiving antithrombotic prophylaxis with standard dosages of certoparin: a prospective, clinical study
Deep venous thrombosis with subsequent pulmonary embolism or post-thrombotic syndrome is a feared complication in the intensive care unit. Therefore, routine prophylactic anticoagulation is widely recommended....
Citation: Critical Care 2005 9:R541 -
Application of a population-based severity scoring system to individual patients results in frequent misclassification
APACHE II (AP2) was developed to allow a systematic examination of intensive care unit outcomes in a risk adjusted manner. AP2 has been widely adopted in clinical trials to assure broad consistency amongst dif...
Citation: Critical Care 2005 9:R522
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- ISSN: 1364-8535 (electronic)