Facilitating the Next Paradigm Shift in Critical Care Through Artificial Intelligence
From the mechanical ventilator to extracorporeal circulatory support, every few years those who facilitate, practice, or study critical care are introduced to new technologies that redefine the status quo and introduce new challenges and possibilities. Machines that can exhibit artificial intelligence (AI), defined as the ability of computer systems to mirror behaviors once thought unique to humans (such as pattern recognition and decision making), may be the next major change seen in the study and practice of critical care. (Source: Critical Care Clinics)
Source: Critical Care Clinics - March 26, 2023 Category: Intensive Care Authors: Andre L. Holder, Rishikesan Kamaleswaran Tags: Preface Source Type: research
Looking Forward: Contemporary and Emerging Issues in Pediatric Critical Care Medicine
We are delighted to present this Pediatric issue of Critical Care Clinics. In this issue, you will find a variety of topics that address current and evolving issues relevant to the pediatric critical care team. This issue contains a few landscape reviews of old and new therapies, including a review of cardiovascular monitoring, advances in extracorporeal membrane oxygenation, and the application of CAR-T cell therapy for pediatric malignancies. To provide new perspectives on existing issues, we include content focused on transfusion medicine, experiences delivering critical care to adults during early waves of the pandemic...
Source: Critical Care Clinics - March 9, 2023 Category: Intensive Care Authors: Lauren R. Sorce, Joy D. Howell Tags: Preface Source Type: research
Pediatric Critical Care
CRITICAL CARE CLINICS (Source: Critical Care Clinics)
Source: Critical Care Clinics - March 9, 2023 Category: Intensive Care Authors: Lauren R. Sorce, Joy D. Howell Source Type: research
Copyright
ELSEVIER (Source: Critical Care Clinics)
Source: Critical Care Clinics - March 9, 2023 Category: Intensive Care Source Type: research
Contributors
GREGORY S. MARTIN, MD, MSC (Source: Critical Care Clinics)
Source: Critical Care Clinics - March 9, 2023 Category: Intensive Care Source Type: research
Contents
Lauren R. Sorce and Joy D. Howell (Source: Critical Care Clinics)
Source: Critical Care Clinics - March 9, 2023 Category: Intensive Care Source Type: research
Forthcoming Issues
History of Critical Care Medicine (Source: Critical Care Clinics)
Source: Critical Care Clinics - March 9, 2023 Category: Intensive Care Source Type: research
Preface
Critical care has its roots in many different areas of medicine: infectious disease, surgery and anesthesia, neurology, cardiology, and nursing. However, one disease, polio, was an outsized driver of many of the key developments that led to this new field. (Source: Critical Care Clinics)
Source: Critical Care Clinics - February 26, 2023 Category: Intensive Care Authors: Hannah Wunsch Source Type: research
From Strict Bedrest to Early Mobilization
Critically ill patients are at risk of post-intensive care syndrome, including physical, cognitive, and psychological sequelae. Physiotherapists are rehabilitation experts who focus on restoring strength, physical function, and exercise capacity. Critical care has evolved from a culture of deep sedation and bed rest to one of awakening and early mobility; physiotherapeutic interventions have developed to address patients ’ rehabilitation needs. Physiotherapists are assuming more prominent roles in clinical and research leadership, with opportunities for wider interdisciplinary collaboration. This paper reviews the evolut...
Source: Critical Care Clinics - February 26, 2023 Category: Intensive Care Authors: Michelle E. Kho, Bronwen Connolly Source Type: research
Evolution of Visiting the Intensive Care Unit
This article gives a historical perspective of visitation in the intensive care unit (ICU) since the establishment of critical care units. Initially, visitors were not allowed because it was thought to be harmful to the patient. Despite the evidence, ICUs with open visitation have consistently been in the minority and the COVID-19 pandemic halted progress in this area. Virtual visitation was introduced during the pandemic to maintain family presence, but limited evidence suggests that this is not equivalent to in-person visitation. Going forward ICUs and health systems must consider family presence policies that allow for ...
Source: Critical Care Clinics - February 26, 2023 Category: Intensive Care Authors: Kerry A. Milner Source Type: research
Challenges of ICU Care in the Early Days
This article will focus pa rticularly on some of the significant issues that arose in the initial years between the opening of the unit in 1958 and the arrival of clinically available blood gas measurement in the early 1960s. (Source: Critical Care Clinics)
Source: Critical Care Clinics - February 20, 2023 Category: Intensive Care Authors: H. Barrie Fairley Source Type: research
Airway Management During the Last 100 Years
This article reviews the main developments in this period, starting with modern day laryngoscopy in the 1940s, fiberoptic laryngoscopy in the 1960s, supraglottic airway devices in the 1980s, algorithms for dif ficult airway in the 1990s, and finally modern video-laryngoscopy in the 2000s. (Source: Critical Care Clinics)
Source: Critical Care Clinics - February 20, 2023 Category: Intensive Care Authors: Sonia Vaida, Luis Gaitini, Mostafa Somri, Ibrahim Matter, Jansie Prozesky Source Type: research
Designing and Implementing “Living and Breathing” Clinical Trials
This article provides an overview of “living, breathing” trials, including current state, anticipated developments, and areas of controversy. (Source: Critical Care Clinics)
Source: Critical Care Clinics - February 16, 2023 Category: Intensive Care Authors: Christopher M. Horvat, Andrew J. King, David T. Huang Source Type: research
Designing and Implementing ‘Living and Breathing’ Clinical Trials – An Overview and Lessons Learned from the COVID-19 Pandemic
This article provides an overview of ‘living, breathing’ trials, including current state, anticipated developments, and areas of controversy. (Source: Critical Care Clinics)
Source: Critical Care Clinics - February 16, 2023 Category: Intensive Care Authors: Christopher M. Horvat, Andrew J. King, David T. Huang Source Type: research
Beyond Conventional Hemodynamic Monitoring —Monitoring to Improve Our Understanding of Disease Process and Interventions
Monitoring the hemodynamic state of patients is a hallmark of any intensive care environment. However, no single monitoring strategy can provide all the necessary data to paint the entire picture of the state of a patient; each monitor has strengths and weaknesses, advantages, and limitations. We review the currently available hemodynamic monitors used in pediatric critical care units using a clinical scenario. This provides the reader with a construct to understand the progression from basic to more advanced monitoring modalities and how they serve to inform the practitioner at the bedside. (Source: Critical Care Clinics)
Source: Critical Care Clinics - December 22, 2022 Category: Intensive Care Authors: Michelle Ram írez, Mjaye L. Mazwi, Ronald A. Bronicki, Paul A. Checchia, Jacqueline S.M. Ong Source Type: research