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Ultrasound Diagnosis of Central Line Guidewire Entrapment With an Inferior Vena Cava Filter 下腔静脉滤过器对中线导丝夹持的超声诊断
ICU director Pub Date : 2011-11-01 DOI: 10.1177/1944451611423100
Subhash Reddy, V. Coba, M. Horst, K. Killu
{"title":"Ultrasound Diagnosis of Central Line Guidewire Entrapment With an Inferior Vena Cava Filter","authors":"Subhash Reddy, V. Coba, M. Horst, K. Killu","doi":"10.1177/1944451611423100","DOIUrl":"https://doi.org/10.1177/1944451611423100","url":null,"abstract":"Introduction. Guidewire entrapment with an inferior vena cava (IVC) filter during internal jugular vein central line placement is a rare complication. The diagnosis is made by abdominal X-ray or fluoroscopy, and in the majority of cases, the guidewire is removed by interventional radiology, seldom requiring operative removal. Objective. To describe a case of diagnosing central line guidewire entrapment with an IVC by bedside ultrasound. Data source/Case summary. During the placement of a central venous catheter (CVC) in a 63-year-old man—on postoperative day 7 from small bowel resection with presumed peripherally inserted central catheter sepsis—the authors were unable to remove the guidewire. Bedside ultrasound was used to quickly identify the guidewire entrapment down the IVC to the IVC filter. Conclusion. Bedside ultrasound may aid in the diagnosis and expedite the management of guidewire entrapment with IVC filter, which is on the CVC placement complications.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"215-217"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611423100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895306","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: 1
Intrathecal Pumps ICU Considerations 鞘内泵ICU注意事项
ICU director Pub Date : 2011-11-01 DOI: 10.1177/1944451611429788
Jeffery Lee, George W. Pasvankas
{"title":"Intrathecal Pumps ICU Considerations","authors":"Jeffery Lee, George W. Pasvankas","doi":"10.1177/1944451611429788","DOIUrl":"https://doi.org/10.1177/1944451611429788","url":null,"abstract":"Intrathecal pumps are relatively new devices that deliver potent medications directly into the cerebrospinal fluid and are implanted for chronic conditions, including severe malignant and non-malignant pain as well as spasticity. ICU providers may encounter them in the course of their practice, so it is important to be familiar with their function and how they may affect patient management. This article briefly highlights some of common complications and considerations that would be applicable in an ICU setting.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"222-224"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611429788","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895321","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: 1
Critical Conversations: A Septic Patient in the Emergency Department 关键对话:急诊科的一个败血症病人
ICU director Pub Date : 2011-11-01 DOI: 10.1177/1944451611428434
Claude Killu, S. Torbati, V. Coba, E. Rivers, K. McGregor, D. Hackner
{"title":"Critical Conversations: A Septic Patient in the Emergency Department","authors":"Claude Killu, S. Torbati, V. Coba, E. Rivers, K. McGregor, D. Hackner","doi":"10.1177/1944451611428434","DOIUrl":"https://doi.org/10.1177/1944451611428434","url":null,"abstract":"","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"195-202"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611428434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895722","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
Current Management of Aortic Injuries 主动脉损伤的当前处理
ICU director Pub Date : 2011-11-01 DOI: 10.1177/1944451611423776
G. Magee, M. Mell, M. Fischbein, Paul Maggio, D. Spain
{"title":"Current Management of Aortic Injuries","authors":"G. Magee, M. Mell, M. Fischbein, Paul Maggio, D. Spain","doi":"10.1177/1944451611423776","DOIUrl":"https://doi.org/10.1177/1944451611423776","url":null,"abstract":"The past decade has seen major changes in the management of blunt, traumatic thoracic aortic injury. The increasing use and improvement of computed tomography scans and endovascular stent grafts have changed management paradigms by allowing more rapid diagnosis and definitive repair with less physiologic stress on the patient. Short- and long-term data support this trend, as well as the advantages of delayed repair for stable aortic injuries.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"203-206"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611423776","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65894965","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
Frequency and Outcomes of Hyperlactatemia After Neurosurgery A Retrospective Analysis 神经外科术后高乳酸血症发生频率及预后回顾性分析
ICU director Pub Date : 2011-11-01 DOI: 10.1177/1944451611424486
R. Kohli-Seth, S. Mukkera, A. Leibowitz, N. Nemani, J. Oropello, A. Manasia, A. Bassily-Marcus, E. Benjamin
{"title":"Frequency and Outcomes of Hyperlactatemia After Neurosurgery A Retrospective Analysis","authors":"R. Kohli-Seth, S. Mukkera, A. Leibowitz, N. Nemani, J. Oropello, A. Manasia, A. Bassily-Marcus, E. Benjamin","doi":"10.1177/1944451611424486","DOIUrl":"https://doi.org/10.1177/1944451611424486","url":null,"abstract":"Objectives. The aim of this study was to evaluate the incidence and significance of elevated serum lactate and its impact on outcome in postoperative neurosurgical patients admitted to neurosurgica...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"211-214"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611424486","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895481","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: 10
Recurrent Chyle Aspiration Secondary to a Bronchopleural Fistula Communicating With a Chylothorax 与乳糜胸相通的支气管胸膜瘘继发复发性乳糜吸进
ICU director Pub Date : 2011-11-01 DOI: 10.1177/1944451611426775
V. Coba, M. Whitmill, K. Killu, Hamed R. Mataria, M. Chawla, M. Simoff
{"title":"Recurrent Chyle Aspiration Secondary to a Bronchopleural Fistula Communicating With a Chylothorax","authors":"V. Coba, M. Whitmill, K. Killu, Hamed R. Mataria, M. Chawla, M. Simoff","doi":"10.1177/1944451611426775","DOIUrl":"https://doi.org/10.1177/1944451611426775","url":null,"abstract":"Persistent pneumonia and pulmonary infiltrates are commonly encountered in the intensive care unit. Thorough investigation is needed to uncover and confirm the diagnosis. This report presents a case of persistent pulmonary infiltrate and pleural effusion, which did not resolve despite multiple courses of antibiotics and several attempts of thoracostomy tube drainage. A bronchoscopy was performed that identified chyle aspiration from a persistent chylothorax through a postsurgical bronchopleural fistula.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"218-221"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611426775","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895634","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
Year in Review in Trauma Surgery 创伤外科年度回顾
ICU director Pub Date : 2011-10-18 DOI: 10.1177/1944451611419812
D. Yeh
{"title":"Year in Review in Trauma Surgery","authors":"D. Yeh","doi":"10.1177/1944451611419812","DOIUrl":"https://doi.org/10.1177/1944451611419812","url":null,"abstract":"In the past few years, there have been many exciting advances in the broad discipline of trauma surgery. Recognizing time and space constraints and hoping to avoid duplicate coverage, this review will focus on selected topics not explicitly reviewed by other speakers in this conference. Specifically, we will discuss recent developments in crystalloid resuscitation, recombinant activated factor VII, ultrasound applications in trauma patients, anti-factor Xa levels in thromboprophylaxis, and intensive insulin therapy in trauma patients.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"176-179"},"PeriodicalIF":0.0,"publicationDate":"2011-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611419812","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895016","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
Implementing Sepsis Quality Initiatives in a Multiprofessional Care Model 在多专业护理模式中实施脓毒症质量倡议
ICU director Pub Date : 2011-09-01 DOI: 10.1177/1944451611421488
E. Rivers, I. Rubinfeld, J. Manteuffel, G. A. Dagher, K. McGregor, M. Mlynarek
{"title":"Implementing Sepsis Quality Initiatives in a Multiprofessional Care Model","authors":"E. Rivers, I. Rubinfeld, J. Manteuffel, G. A. Dagher, K. McGregor, M. Mlynarek","doi":"10.1177/1944451611421488","DOIUrl":"https://doi.org/10.1177/1944451611421488","url":null,"abstract":"Studies of acute myocardial infarction, trauma, and stroke have resulted in improved outcomes through earlier diagnosis and application of therapy at the most proximal stage of hospital presentatio...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"147-157"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611421488","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895083","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
Goal-Directed Fluid Resuscitation Strategies for the Intensive Care Unit 目标导向的重症监护室液体复苏策略
ICU director Pub Date : 2011-09-01 DOI: 10.1177/1944451611419500
Christopher Choukalas
{"title":"Goal-Directed Fluid Resuscitation Strategies for the Intensive Care Unit","authors":"Christopher Choukalas","doi":"10.1177/1944451611419500","DOIUrl":"https://doi.org/10.1177/1944451611419500","url":null,"abstract":"Fluid resuscitation and management are integral to critical care. Management strategies for common conditions in the intensive care unit are often in conflict. Evidence supports a goal-directed approach to fluid administration, and a number of goals have been evaluated. Concepts and evidence related to hemodynamic and metabolic goals are reviewed.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"2 1","pages":"172-175"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611419500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65894935","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
Shifting Pneumothorax: A Radiographic and Sonographic Evaluation 移位性气胸:x线和声像图评价
ICU director Pub Date : 2011-09-01 DOI: 10.1177/1944451611419156
A. Bassily-Marcus, J. Oropello, A. Shaik, R. Kohli-Seth, A. Manasia, R. Delgiudice, E. Benjamin
{"title":"Shifting Pneumothorax: A Radiographic and Sonographic Evaluation","authors":"A. Bassily-Marcus, J. Oropello, A. Shaik, R. Kohli-Seth, A. Manasia, R. Delgiudice, E. Benjamin","doi":"10.1177/1944451611419156","DOIUrl":"https://doi.org/10.1177/1944451611419156","url":null,"abstract":"A 62-year-old woman was admitted for elective bilateral nephrectomies for symptomatic large bilateral polycystic kidneys. In the immediate postoperative period, the patient was hypotensive requirin...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"24 1","pages":"158-162"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451611419156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65894884","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: 1
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