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Mayo Clinic Critical and Neurocritical Care Board Review最新文献

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Cardiac Pacing in the Intensive Care Unit 重症监护病房的心脏起搏
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0069
J. Schleifer, F. Mookadam, H. Ramakrishna
{"title":"Cardiac Pacing in the Intensive Care Unit","authors":"J. Schleifer, F. Mookadam, H. Ramakrishna","doi":"10.1093/MED/9780190862923.003.0069","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0069","url":null,"abstract":"Patients with pacemakers and implantable cardioverter-defibrillators are commonly encountered in the intensive care unit. Knowledge of device function and indications for device implantation and extraction are required for safe perioperative and critical care management.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124688163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurologic Examination in Neurocritical Illness 神经危重症的神经检查
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0007
E. Wijdicks
{"title":"Neurologic Examination in Neurocritical Illness","authors":"E. Wijdicks","doi":"10.1093/MED/9780190862923.003.0007","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0007","url":null,"abstract":"Neurologic examination of critically ill neurologic patients must be the uncompromised gold standard in any evaluation. Without it or when confounded, the attending physician is prone to make errors in diagnosis, treatment, and prognosis. The localization of a disease process in a specific part of the brain (eg, the cerebrum, midbrain, pons, or medulla oblongata), spinal cord, neural plexuses, or peripheral nerves constitutes the essence of a neurologic evaluation, but neurologists resort to several neuroimaging modalities when localization is uncertain.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128280707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Care of Heart-Lung and Lung Transplant Recipients 心肺和肺移植受者的重症监护
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0071
R. Sista
{"title":"Critical Care of Heart-Lung and Lung Transplant Recipients","authors":"R. Sista","doi":"10.1093/MED/9780190862923.003.0071","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0071","url":null,"abstract":"Lung transplant is a complex procedure that has been a successful therapy for various end-stage lung diseases since the 1980s. Combined heart-lung transplant, however, is performed much less frequently than in the past. Survival rates after lung transplant have been stable over the past several years (90% survival at 3 months, 80% at 1 year, 60% at 3 years, and 45% at 5 years). The types of transplant procedures available and the general indications for lung transplant are listed in this chapter.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122365712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brain and Spine Tumors 脑部及脊柱肿瘤
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0102
M. Sattur, M. Welz, B. Bendok
{"title":"Brain and Spine Tumors","authors":"M. Sattur, M. Welz, B. Bendok","doi":"10.1093/MED/9780190862923.003.0102","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0102","url":null,"abstract":"Despite advances in imaging methods, neurosurgical techniques, adjuvant radiation, radiosurgery, and chemotherapy, neurocritical care of the patient with neuraxial tumors is an important component of care. Treatment of these tumors may include management of refractory (often focal) seizures and treatment of mass effect and shift from associated edema. This chapter outlines the important pathophysiologic concepts behind the clinical presentation, neurosurgical management, and perioperative intensive care of patients who have these tumors.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133708836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Palliative and End-of-Life Care in the Intensive Care Unit 重症监护室的姑息治疗和临终关怀
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0138
M. Robinson
{"title":"Palliative and End-of-Life Care in the Intensive Care Unit","authors":"M. Robinson","doi":"10.1093/MED/9780190862923.003.0138","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0138","url":null,"abstract":"Palliative medicine is the specialty that focuses on improving the quality of life for patients and families when the patients have serious or advanced medical conditions. The approach to care is patient centered and goal oriented. It can be performed at any stage of illness with or without a palliative medicine consultative service. All clinicians, including intensive care unit (ICU) physicians, who care for patients with serious or advanced illnesses should be able to provide adequate palliative care.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123534285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Neurogenic Breathing Patterns 神经源性呼吸模式
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0016
E. Wijdicks
{"title":"Neurogenic Breathing Patterns","authors":"E. Wijdicks","doi":"10.1093/MED/9780190862923.003.0016","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0016","url":null,"abstract":"Abnormalities of cardiac function and cardiac electrophysiology are not uncommon in patients with acute injury to the central nervous system, and cardiac abnormalities may be the initial signs when these patients are first evaluated. Some patients have findings that suggest an acute coronary syndrome but disappear after the intracranial pressure surge subsides. The clinician must consider underlying neurologic disease when a patient presents with cardiac arrhythmias, new-onset pulmonary edema, hypotension, or cardiogenic shock with characteristics atypical for a primary cardiac event if the patient is in an otherwise unexplained comatose state.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124875895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endotracheal Intubation Procedures 气管插管程序
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0115
M. Ritter
{"title":"Endotracheal Intubation Procedures","authors":"M. Ritter","doi":"10.1093/MED/9780190862923.003.0115","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0115","url":null,"abstract":"Endotracheal intubation (ETI) is one of the most common procedures performed in the intensive care unit (ICU). It is also associated with a high incidence of complications. Indications for ETI include acute hypoxemic or hypercapnic respiratory failure, loss of protective reflexes, and inability to manage secretions. Additionally, in the neurosciences ICU, intubation may be necessary for transient hyperventilation in patients with elevated intracranial pressure.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126119940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coma and Other Altered States of Consciousness 昏迷和其他意识状态的改变
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0014
E. Wijdicks
{"title":"Coma and Other Altered States of Consciousness","authors":"E. Wijdicks","doi":"10.1093/MED/9780190862923.003.0014","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0014","url":null,"abstract":"Regardless of its cause, acute neuromuscular respiratory weakness leads to alveolar hypoventilation. Additional features that complicate the clinical presentation are upper airway muscle weakness and pulmonary complications (mostly due to aspiration). Having an understanding of basic ventilatory physiology and the pathophysiologic mechanisms underlying mechanical neuromuscular respiratory failure is essential for early recognition, initial evaluation, and further etiologic investigation of neuromuscular respiratory failure. Besides allowing for targeted treatment, identifying the cause has prognostic implications.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130823560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traumatic Epidural and Subdural Hematomas 外伤性硬膜外和硬膜下血肿
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0088
P. Maloney, M. Clarke
{"title":"Traumatic Epidural and Subdural Hematomas","authors":"P. Maloney, M. Clarke","doi":"10.1093/MED/9780190862923.003.0088","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0088","url":null,"abstract":"Traumatic brain injury is a broad topic and encompasses a spectrum of pathophysiologic disorders that result in increased intracranial pressure (ICP), cerebral edema, bleeding, mass effect, cerebral herniation, and death. Traumatic epidural hematoma (EDH) and subdural hematoma (SDH) are the focus of this chapter. EDH and SDH are intracranial blood collections that have mass effect within the intracranial vault (Figure 88.1) for which operative and nonoperative management criteria are established.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131419199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rhabdomyolysis and Toxic Myopathies 横纹肌溶解和中毒性肌病
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0096
J. Kao, M. Milone
{"title":"Rhabdomyolysis and Toxic Myopathies","authors":"J. Kao, M. Milone","doi":"10.1093/MED/9780190862923.003.0096","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0096","url":null,"abstract":"Myopathies in patients in the intensive care unit are comparatively rare and often are due to critical illness (rhabdomyolysis, critical illness myopathy). Rhabdomyolysis is commonly a consequence of continuous muscle activity, such as in status epilepticus and serotonin syndrome. Toxic myopathies are caused by drug exposure. Recognition and management of these 2 major myopathies are discussed.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132114691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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