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Mayo Clinic Critical and Neurocritical Care Board Review最新文献

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Rheumatologic and Autoimmune Emergencies 风湿病和自身免疫性紧急情况
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0057
M. Krause, K. Moder
{"title":"Rheumatologic and Autoimmune Emergencies","authors":"M. Krause, K. Moder","doi":"10.1093/MED/9780190862923.003.0057","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0057","url":null,"abstract":"Rheumatologic emergencies are overall very rare. However, when they do occur, they must be recognized quickly to prevent severe morbidity and mortality. Examples are acute arthritis, catastrophic antiphospholipid antibody syndrome, giant cell arteritis, and transverse myelitis.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"2 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":"134320234","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
Pleural Diseases in Critical Care Medicine 危重病医学中的胸膜疾病
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0023
K. Linga, Neal M. Patel
{"title":"Pleural Diseases in Critical Care Medicine","authors":"K. Linga, Neal M. Patel","doi":"10.1093/MED/9780190862923.003.0023","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0023","url":null,"abstract":"Pleural disease often affects critically ill patients and is usually related to trauma (including accidental perforation) or infection. Pneumothorax, a potentially life-threatening condition, requires early clinical recognition and sometimes urgent treatment. General intensivists often encounter pneumothorax after a procedure such as catheter placement. Neurointensivists often encounter pneumothorax after polytrauma or recent tunneling of a ventriculoperitoneal catheter.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"62 9 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":"133831573","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
Cardiothoracic Surgery and Postoperative Intensive Care 心胸外科和术后重症监护
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0066
J. R. Sanz, Robert A. Ratzlaff
{"title":"Cardiothoracic Surgery and Postoperative Intensive Care","authors":"J. R. Sanz, Robert A. Ratzlaff","doi":"10.1093/MED/9780190862923.003.0066","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0066","url":null,"abstract":"Cardiothoracic surgical (CTS) critical care responsibilities have progressively shifted away from surgeons and toward intensivists in the past several decades. CTS patients present unique challenges, and optimal patient care in the intensive care unit is a main factor for the prevention of deaths after any type of open heart surgery.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"227 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":"116044777","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
Dermatologic Emergencies in the Intensive Care Unit 重症监护病房的皮肤急症
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-09-01 DOI: 10.1093/MED/9780190862923.003.0061
M. Hall
{"title":"Dermatologic Emergencies in the Intensive Care Unit","authors":"M. Hall","doi":"10.1093/MED/9780190862923.003.0061","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0061","url":null,"abstract":"Rashes are relatively common in hospitalized patients, but only rarely are they life threatening. Emergent skin conditions in these patients are usually sequelae of medication reactions (drug eruptions) or complications from sepsis. Most drug eruptions are benign and resolve if the offending medication is discontinued. However, the drug hypersensitivity syndrome, Stevens-Johnson syndrome (SJS), and toxic epidermal necrolysis (TEN) are urgent conditions that require prompt diagnosis and management. Purpura fulminans can develop in patients with sepsis and disseminated intravascular coagulation.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"22 19 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":"123420352","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
Central Line Placement 中心线布置
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190862923.003.0123
N. Will, W. B. Beam
{"title":"Central Line Placement","authors":"N. Will, W. B. Beam","doi":"10.1093/MED/9780190862923.003.0123","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0123","url":null,"abstract":"Central venous catheter placement is one of the most commonly performed procedures in the intensive care unit. Common indications for central venous catheter placement include the need for vasoactive or caustic medication infusions, vascular access in patients with poor peripheral veins, long-term access for intravenous medications, infusion of parenteral nutrition, hemodynamic monitoring, transvenous cardiac pacing, and access for hemodialysis or plasmapheresis. There are no absolute contraindications to central venous catheter placement because it is a potentially lifesaving intervention, but careful planning and site selection are warranted in some cases, such as a patient with a known coagulopathy.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"222 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124400696","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
Aneurysmal Subarachnoid Hemorrhage 动脉瘤性蛛网膜下腔出血
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-07-01 DOI: 10.1093/med/9780190862923.003.0083
G. Lanzino, Biagia la Pira
{"title":"Aneurysmal Subarachnoid Hemorrhage","authors":"G. Lanzino, Biagia la Pira","doi":"10.1093/med/9780190862923.003.0083","DOIUrl":"https://doi.org/10.1093/med/9780190862923.003.0083","url":null,"abstract":"The term subarachnoid hemorrhage (SAH) refers to extravasation of blood into the subarachnoid space. The term spontaneous is used to distinguish causes other than traumatic. The characteristic SAH pattern of most aneurysmal causes is SAH blood around the basal cisterns or around the circle of Willis. This chapter focuses on aneurysmal SAH (aSAH) related to rupture of an intracranial aneurysm. A medical and neurosurgical emergency, aSAH is associated with a 1-month mortality as high as 40%, and survivors have considerable morbidity and persisting neurologic deficits. Early recognition and management of aSAH are critical to optimizing outcomes.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"413 6854 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121060085","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
Ultrasonography 超声
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-07-01 DOI: 10.1093/med/9780190862923.003.0112
Santiago Naranjo-Sierra, Lauren K. Ng Tucker
{"title":"Ultrasonography","authors":"Santiago Naranjo-Sierra, Lauren K. Ng Tucker","doi":"10.1093/med/9780190862923.003.0112","DOIUrl":"https://doi.org/10.1093/med/9780190862923.003.0112","url":null,"abstract":"Ultrasonography is the use of sound waves to create images and is used mainly for diagnostic purposes and for real-time guidance during procedures. Point-of-care ultrasonography is widely used in fields such as anesthesia, critical care, and emergency medicine, in which it is becoming an important part of the current standard of care because of its ability to provide accurate visual information about a patient, either to rapidly evaluate clinical status or to provide guidance for procedures, without requiring transfers to other areas. For patients in an intensive care unit, focused ultrasonography has been reported to result in management changes in more than 50%.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124924501","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
Lumbar Drain 腰椎排水
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-07-01 DOI: 10.1093/med/9780190862923.003.0127
J. V. Van Gompel
{"title":"Lumbar Drain","authors":"J. V. Van Gompel","doi":"10.1093/med/9780190862923.003.0127","DOIUrl":"https://doi.org/10.1093/med/9780190862923.003.0127","url":null,"abstract":"Lumbar drainage has a major role in neurosurgical and neurocritical care procedures. Lumbar drain insertion is a simple and, when done well, low-risk procedure. A lumbar drain is often necessary in the management of perioperative cerebrospinal fluid (CSF) leaks, the most common use, but it may be beneficial for patients with subarachnoid hemorrhage and communicating hydrocephalus and for patients undergoing surgery involving the aorta with possible damage to the spinal cord. CSF removal optimizes spinal cord blood flow. This chapter describes lumbar drain insertion and some of the associated perils and pitfalls.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123304405","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
Nutrition in Critical Illness 危重症的营养
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190862923.003.0006
Angela Vizzini, M. Hamdan
{"title":"Nutrition in Critical Illness","authors":"Angela Vizzini, M. Hamdan","doi":"10.1093/MED/9780190862923.003.0006","DOIUrl":"https://doi.org/10.1093/MED/9780190862923.003.0006","url":null,"abstract":"Nutritional care of critically ill patients prompts considerations unique to this patient population. For many years it has been postulated that the inflammation and stress response that accompany critical illness contribute to hypermetabolism and increased nutrient requirements. There is a reasonable consensus that nutrition therapy tailored to the patient’s energy and protein requirements aids in recovery, maintains lean muscle mass, and decreases infectious complications. This chapter addresses nutritional issues in critically ill patients and suggests appropriate interventions and monitoring to prevent complications and facilitate recovery from critical illness.","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"787 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116415750","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
Neoplastic Meningitis 肿瘤脑膜炎
Mayo Clinic Critical and Neurocritical Care Board Review Pub Date : 2019-07-01 DOI: 10.1016/b978-1-4160-5316-3.00140-4
A. Porter
{"title":"Neoplastic Meningitis","authors":"A. Porter","doi":"10.1016/b978-1-4160-5316-3.00140-4","DOIUrl":"https://doi.org/10.1016/b978-1-4160-5316-3.00140-4","url":null,"abstract":"","PeriodicalId":308040,"journal":{"name":"Mayo Clinic Critical and Neurocritical Care Board Review","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128707540","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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