发布求助
文献互助 智能选刊 最新文献

ICU director最新文献

筛选
英文 中文
Parathyroid Hormone–Related Protein in the Healthy and Injured Lung 健康和损伤肺中甲状旁腺激素相关蛋白的研究
ICU director Pub Date : 2012-04-13 DOI: 10.1177/1944451612443067
P. Montgrain, R. Hastings
{"title":"Parathyroid Hormone–Related Protein in the Healthy and Injured Lung","authors":"P. Montgrain, R. Hastings","doi":"10.1177/1944451612443067","DOIUrl":"https://doi.org/10.1177/1944451612443067","url":null,"abstract":"Parathyroid hormone–related protein (PTHrP) is an oncofetal protein with functional effects in normal and diseased lung. In the respiratory system, the hormone has implications for a variety of processes, including lung development, alveolar type II cell function and differentiation, cell proliferation, apoptosis, motility, and matrix interactions. PTHrP regulates branching morphogenesis and type II cell maturation in fetal lung through bidirectional interactions with lung fibroblasts. Consequently, it appears to have a role in the pathophysiology of respiratory distress syndrome and bronchopulmonary dysplasia. In adult lung, the molecule has autocrine actions on type II pneumocytes that stimulate phosphatidylcholine production, inhibit cell proliferation, and sensitize to apoptotic stimuli. Type II cell PTHrP levels fall after lung injury, inversely coordinated in time with their proliferation, suggesting that reduction in its growth inhibitory effect may contribute to the increase in type II cell number...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"130-134"},"PeriodicalIF":0.0,"publicationDate":"2012-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612443067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895933","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
Out of Sight Should Not Be Out of Mind: What Lurks Just Beneath the Surface of the Cirrhotic Abdominal Wall 眼不见心不烦:肝硬化腹壁表面下潜伏着什么
ICU director Pub Date : 2012-04-13 DOI: 10.1177/1944451612442381
M. Ault, Bradley Rosen
{"title":"Out of Sight Should Not Be Out of Mind: What Lurks Just Beneath the Surface of the Cirrhotic Abdominal Wall","authors":"M. Ault, Bradley Rosen","doi":"10.1177/1944451612442381","DOIUrl":"https://doi.org/10.1177/1944451612442381","url":null,"abstract":"Paracentesis is a commonly performed procedure in both inpatient and outpatient settings. Useful for diagnostic and therapeutic purposes, prior studies have documented the inherent safety of this procedure. In proper hands, modern techniques such as the use of safety (Turkel) tipped needles and ultrasound localization have reduced the risk of major complications to less than 1%. Nevertheless, major bleeding remains a dreaded complication of this procedure, especially in patients with liver failure. Our historical experience has been that this complication is unpredictable, likely because of procedural injury to an abdominal wall artery or peritoneal varix. The authors report a case where the risk of vascular injury was mitigated using portable ultrasound and suggest a simple procedure for future risk reduction.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"58 1","pages":"128-129"},"PeriodicalIF":0.0,"publicationDate":"2012-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612442381","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65896126","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
Right Ventricular Dysfunction in Sepsis: Now You See It, Now You Don’t 败血症的右心室功能障碍:现在你看到了，现在你没有
ICU director Pub Date : 2012-04-13 DOI: 10.1177/1944451612442686
J. Mykytenko, R. Levin, Chad E. Wagner
{"title":"Right Ventricular Dysfunction in Sepsis: Now You See It, Now You Don’t","authors":"J. Mykytenko, R. Levin, Chad E. Wagner","doi":"10.1177/1944451612442686","DOIUrl":"https://doi.org/10.1177/1944451612442686","url":null,"abstract":"Current Surviving Sepsis Campaign guidelines inadequately address the limitations of central venous pressure monitoring, which are due, in part, to right and left ventricular dysfunction associated with sepsis. Septic cardiomyopathy is well described in the literature but is both underrecognized and undertreated clinically. Direct cardiac assessment with transesophageal echocardiography (TEE) has documented advantages, but is limited by single evaluations and the need for advanced training. Recently, a disposable, monoplane TEE probe that provides for serial echocardiographic assessments in unstable patients to guide medical management, or hemodynamic TEE (hTEE), has been introduced. This article reviews a case of a 48-year-old gentleman with a history of smoking, chronic obstructive pulmonary disease, and Child’s A cirrhosis who underwent an uneventful off-pump coronary artery bypass grafting and 2 days later developed septic shock from pneumonia complicated by right ventricular dysfunction. hTEE provide...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"135-138"},"PeriodicalIF":0.0,"publicationDate":"2012-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612442686","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65896190","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
Lessons Learned in Emergency Preparedness 应急准备方面的经验教训
ICU director Pub Date : 2012-04-06 DOI: 10.1177/1944451612443381
C. Vu
{"title":"Lessons Learned in Emergency Preparedness","authors":"C. Vu","doi":"10.1177/1944451612443381","DOIUrl":"https://doi.org/10.1177/1944451612443381","url":null,"abstract":"Emergency preparedness and management has evolved exponentially from the inception of the Incident Command Structure in the 1970s to the tragic events of September 11, 2001. As a result, emergency management is essential for government agencies to private businesses, including hospitals. The events of 9-11 have drastically changed the way individuals think and operate in our health care environment. This report describes an emergency incident that occurred in the author’s medium-sized urban hospital because of loss of power from the power grid due to theft. The emergency that ensued lasted for more than 24 hours and confronted the hospital with unique challenges. This article describes the basic information about the general structure of hospital emergency preparedness and the specific aspect of preparedness that affect the intensive care unit. During the course of the emergency situation great insight into the function of the emergency preparedness plan was gained. In the end, many valuable lessons were ...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"144-148"},"PeriodicalIF":0.0,"publicationDate":"2012-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612443381","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65896660","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: 4
Prolonged Length of Stay After Liver Transplantation 肝移植术后住院时间延长
ICU director Pub Date : 2012-03-01 DOI: 10.1177/1944451612439315
Andrew T. Young, G. Wagener
{"title":"Prolonged Length of Stay After Liver Transplantation","authors":"Andrew T. Young, G. Wagener","doi":"10.1177/1944451612439315","DOIUrl":"https://doi.org/10.1177/1944451612439315","url":null,"abstract":"Prolonged hospital length of stay after liver transplantation uses a large amount of hospital resources. The authors evaluated factors associated with prolonged hospital stay in a large single center series. Prolonged hospital stay was defined as more than 30 days. A total of 578 adult cadaveric liver transplants were included, and of these, 160 (27.7%) had a prolonged hospital stay. These patients had shorter waitlist time, higher preoperative MELD (model for end-stage liver disease) scores and received organs from donors with lower donor risk indices. In multivariate analysis, only preoperative MELD score remained significant. Postoperatively, there was no difference in the incidence of acute kidney injury; however, patients with prolonged hospital stay were more likely to have early allograft dysfunction and a higher 90-day mortality.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612439315","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895826","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
Continuation of Extracorporeal Membrane Oxygenation Support After Multiple Failed Lung Transplantations 多次肺移植失败后体外膜氧支持的继续
ICU director Pub Date : 2012-03-01 DOI: 10.1177/1944451612436971
R. Silverman
{"title":"Continuation of Extracorporeal Membrane Oxygenation Support After Multiple Failed Lung Transplantations","authors":"R. Silverman","doi":"10.1177/1944451612436971","DOIUrl":"https://doi.org/10.1177/1944451612436971","url":null,"abstract":"This report describes the clinical course of a patient who in sequence had 2 failed orthotopic lung transplants. After each transplant, she required extended periods of circulatory support via extracorporeal membrane oxygenation (ECMO). The patient was never able to be weaned from ECMO. In the end she developed extensive multisystem organ failure and expired 45 days after the initial attempt at transplantation after spending the entire postoperative time on ECMO. The family, ethical, and sociopolitical issues raised by the extended course of care for this patient are discussed.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"91-96"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612436971","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65896154","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
The Role of Telemedicine in Treating the Critically Ill 远程医疗在危重病人治疗中的作用
ICU director Pub Date : 2012-03-01 DOI: 10.1177/1944451612439207
J. Marcin, Meghann Marcin, Candace K Sadorra, M. Dharmar
{"title":"The Role of Telemedicine in Treating the Critically Ill","authors":"J. Marcin, Meghann Marcin, Candace K Sadorra, M. Dharmar","doi":"10.1177/1944451612439207","DOIUrl":"https://doi.org/10.1177/1944451612439207","url":null,"abstract":"Telemedicine use has been increasing exponentially and is expected to become a common tool in remote emergency departments, inpatient wards, and ICUs for acute care. Telemedicine involves real-time, live interactive high-definition video and audio communication that allows critical care physicians to have a virtual presence at the bedside of any critically ill patient. There is increasing data to support new care models that incorporate telemedicine in caring for the critically ill, resulting in higher care quality; more efficient resource use with improved cost-effectiveness; and higher patient, family, and remote provider satisfaction. As further research is conducted, the best use of telemedicine will be better defined and will result in increased access to critical care expertise to a larger population of patients requiring ICU services.","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612439207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65896267","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: 7
Multiple Ischemic Infarctions, Pulmonary Edema, and Acute Renal Failure During an Episode of Diabetic Ketoacidosis in an Adult 成人糖尿病酮症酸中毒发作期间的多发缺血性梗死、肺水肿和急性肾功能衰竭
ICU director Pub Date : 2012-03-01 DOI: 10.1177/1944451612438714
Rahul K. Mishra, K. Nugent, Nabeel Dar, J. Lado-Abeal
{"title":"Multiple Ischemic Infarctions, Pulmonary Edema, and Acute Renal Failure During an Episode of Diabetic Ketoacidosis in an Adult","authors":"Rahul K. Mishra, K. Nugent, Nabeel Dar, J. Lado-Abeal","doi":"10.1177/1944451612438714","DOIUrl":"https://doi.org/10.1177/1944451612438714","url":null,"abstract":"The morbidity and mortality associated with diabetic ketoacidosis (DKA) often reflects the precipitating events, such as myocardial infarction. However, DKA can trigger a systemic inflammatory response with the potential for multiple complications. This 30-year-old woman with type 1 diabetes mellitus improved within 48 hours of admission with a standard DKA treatment protocol. However, subsequent chest X-rays revealed bilateral infiltrates consistent with pulmonary edema; she then developed fever, hypotension, and acute-on-chronic renal failure. An altered level of consciousness prompted evaluation with neuroimaging, which revealed ischemic infarcts in the right frontal, parieto-occipital, and temporal cortices and cerebellum correlating with a left-sided hemiparesis. This case illustrates the potential complexity in the pathogenesis and management of patients with DKA. This patient likely had a systemic inflammatory response syndrome with multiorgan failure during this episode of DKA. Patients with DKA n...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"85-90"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612438714","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65896162","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
Perspectives on the Electronic ICU 电子ICU展望
ICU director Pub Date : 2012-03-01 DOI: 10.1177/1944451612440721
Young Ahn, R. Jasmer, T. E. Shaughnessy
{"title":"Perspectives on the Electronic ICU","authors":"Young Ahn, R. Jasmer, T. E. Shaughnessy","doi":"10.1177/1944451612440721","DOIUrl":"https://doi.org/10.1177/1944451612440721","url":null,"abstract":"Electronic ICUs (eICUs) have arisen as an effort to improve the intensive care medical coverage still unavailable to many patients. The overriding issue is the ongoing shortage of critical care med...","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"64-69"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612440721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65895906","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
eICU The Power of Gaming 游戏的力量
ICU director Pub Date : 2012-03-01 DOI: 10.1177/1944451612442338
C. S. Yost
{"title":"eICU The Power of Gaming","authors":"C. S. Yost","doi":"10.1177/1944451612442338","DOIUrl":"https://doi.org/10.1177/1944451612442338","url":null,"abstract":"","PeriodicalId":89772,"journal":{"name":"ICU director","volume":"3 1","pages":"62-63"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1944451612442338","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65896026","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书