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Specialty: Intensive Care

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Total 559 results found since Jan 2013.

The prognostic value of neuron specific enolase in head injury
Conclusion Neuron specific enclose can be used as a potentially useful marker for brain damage and can be considered to be a relevant parameter for assessing the prognosis of brain injury.
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Respiratory Variations in Pulse Pressure Reflect Central Hypovolemia during Noninvasive Positive Pressure Ventilation.
Conclusions. During noninvasive positive pressure ventilation, preload changes were reflected by ΔPP but not by ΔPOP or PVI. This implies that ΔPP may be used to assess volume status during noninvasive positive pressure ventilation. PMID: 24696781 [PubMed]
Source: Critical Care Research and Practice - December 1, 2014 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Paroxysmal sympathetic hyperactivity in neurological critical care
Conclusion: PSH is an unusual complication in neurocritical care. It prolonged the hospitalization and hampers recovery. The other life-threatening conditions that mimic PSH should be excluded. The association with JE and tuberculous meningitis was not previously described in literature.
Source: Indian Journal of Critical Care Medicine - January 6, 2015 Category: Intensive Care Authors: Rajesh VermaPrithvi GiriImran Rizvi Source Type: research

Closed loop assisted versus manual goal-directed fluid therapy during high-risk abdominal surgery: a case control study with propensity matching
Conclusion: In this case control study with propensity matching, clinician use of the closed-loop assistance resulted in a greater portion of case time spent in a preload independent state throughout surgery when compared to manual delivery of goal-directed fluid therapy.Trial registrationClinicalTrials.gov Identifier: NCT02020863, Date of registration: December 19, 2013.
Source: Critical Care - March 19, 2015 Category: Intensive Care Authors: Joseph RinehartMarc LilotChristine LeeAlexandre JoostenTrish HuynhCecilia CanalesDavid ImagawaAram DemirjianMaxime Cannesson Source Type: research

Teleneurocritical Care and Telestroke
Telestroke and teleneurologic intensive care units (teleneuro-ICUs) optimize the diagnosis and treatment of neurologic emergencies. Establishment of a telestroke or teleneuro-ICU program relies on investment in experienced stroke and neurocritical care personnel as well as advanced telecommunications technologies. Telemanagement of neurologic emergencies can be standardized to improve outcomes, but it is essential to have a relationship with a tertiary care facility that can use endovascular, neurosurgical, and neurocritical care advanced therapies after stabilization. The next stage in telestroke/teleneuro-ICU management ...
Source: Critical Care Clinics - March 24, 2015 Category: Intensive Care Authors: Kate E. Klein, Peter A. Rasmussen, Stacey L. Winners, Jennifer A. Frontera Source Type: research

Impact of body temperature and serum procalcitonin on the outcomes of critically ill neurological patients
Conclusion Fever had a strong link to worse GCS, longer MV durations, increased length of ICU stay, higher mortality rates and worse overall outcomes in neurocritical patients. High PCT levels can predict mortality in those patients.
Source: The Egyptian Journal of Critical Care Medicine - June 5, 2015 Category: Intensive Care Source Type: research

A Review of and Recommendations for the Management of Patients With Life-Threatening Dabigatran-Associated Hemorrhage: A Single-Center University Hospital Experience
Dabigatran is an oral direct thrombin inhibitor that is approved for the prevention of stroke and systemic embolism in nonvalvular atrial fibrillation. Dabigatran has several advantages over warfarin including predictable pharmacokinetics and pharmacodynamics which eliminates the need for routine laboratory monitoring, superiority over warfarin in preventing stroke, or systemic embolism without having an increased risk of bleeding. However, as with any anticoagulant, there remains a real chance of bleeding, including major or life-threatening hemorrhage. Many physicians feel comfortable managing bleeding complications on o...
Source: Journal of Intensive Care Medicine - October 29, 2015 Category: Intensive Care Authors: Kumar, R., Smith, R. E., Henry, B. L. Tags: Analytic Reviews Source Type: research

Management of Atrial Fibrillation
Atrial fibrillation remains the most prevalent cardiac arrhythmia, and its incidence is increasing as the population ages. Common conditions associated with an increased incidence include advanced age, hypertension, heart failure, and valvular heart disease. Patients with atrial fibrillation may complain of palpitations, fatigue, and decreased exercise tolerance or may be completely asymptomatic. Options for treating patients who experience atrial fibrillation include rate-controlling drugs such as digoxin, β-blockers, and calcium channel blockers or a rhythm-controlling strategy with agents such as sodium channel blo...
Source: Journal of Intensive Care Medicine - October 29, 2015 Category: Intensive Care Authors: Zamani, P., Verdino, R. J. Tags: Analytic Reviews Source Type: research

Fluid responsiveness in acute circulatory failure
The objective of this review is to provide the recent advances in the detection of FR and simplify the physiological basis, advantages, disadvantages, and cut-off values for each method. This review also highlights the present gaps in literature and provides future thoughts in the field of FR. Static methods are generally not recommended for the assessment of FR. Dynamic methods for the assessment of FR depend on heart-lung interactions. Pulse pressure variation (PPV) and stroke volume variation (SVV) are the most famous dynamic measures. Less-invasive dynamic parameters include plethysmographic-derived parameter...
Source: Journal of Intensive Care - November 19, 2015 Category: Intensive Care Source Type: research

Highest-Risk Patients With Intracranial Stenosis Have Unmet NeedHighest-Risk Patients With Intracranial Stenosis Have Unmet Need
New approaches to treatment are urgently needed for patients who have had a recent stroke or transient ischemic attack attributed to intracranial arterial stenosis and are at the highest risk for a repeat stroke, post hoc analysis of the SAMMPRIS trial suggests. Medscape Medical News
Source: Medscape Critical Care Headlines - January 19, 2016 Category: Intensive Care Tags: Neurology & Neurosurgery News Source Type: news

ICARE: Usual Care Stroke Rehab Best for Motor Outcomes ICARE: Usual Care Stroke Rehab Best for Motor Outcomes
But high-intensity task-orientated rehabilitation studies in ICARE have shown some benefits on other outcomes yet to be formally reported, researchers say. Medscape Medical News
Source: Medscape Critical Care Headlines - February 12, 2016 Category: Intensive Care Tags: Neurology & Neurosurgery News Source Type: news

Brain lesions in eclampsia: A series of 39 cases admitted in an Intensive Care Unit
Y Brouh, Konan Kouassi Jean, A Ouattara, Y Tétchi, Y Pete, N Koffi, C Abhé, M KaneIndian Journal of Critical Care Medicine 2016 20(3):178-181The aim of this study was to identify the encephalic lesions in the eclampsia occurrences. Within a period of 18 months, computed tomography (CT) of the brain was performed in all patients admitted in intensive care for eclampsia. These CTs were analyzed and intracerebral lesions were identified. Thirty-nine patients were included. We noted 10 cases of ischemic stroke, 9 cases of cerebral edema, and 3 cases of hemorrhagic stroke and subarachnoid hemorrhage. The CT scan c...
Source: Indian Journal of Critical Care Medicine - March 8, 2016 Category: Intensive Care Authors: Y BrouhKonan Kouassi JeanA OuattaraY TétchiY PeteN KoffiC AbhéM Kane Source Type: research

The Safety and Feasibility of Admitting Patients With Intracerebral Hemorrhage to the Step-Down Unit
Conclusion: Admission of ICH patients with mild symptoms to the SDU is safe and feasible. Larger prospective studies are needed to define the specific criteria for admission.
Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Hafeez, S., Behrouz, R. Tags: Original Research Source Type: research

Most fatal type of stroke declining along with smoking rates Most fatal type of stroke declining along with smoking rates
The incidence of subarachnoid hemorrhage has declined substantially since 1998, possibly as a result of falling smoking rates, according to researchers in Finland.Reuters Health Information
Source: Medscape Critical Care Headlines - August 19, 2016 Category: Intensive Care Tags: Neurology & Neurosurgery News Source Type: news

Decompressive Hemicraniectomy in Acute Neurological Diseases
Increased intracranial pressure (ICP) secondary to severe brain injury is common. Increased ICP is commonly encountered in malignant middle cerebral artery ischemic stroke, traumatic brain injury, subarachnoid hemorrhage, and intracerebral hemorrhage. Multiple interventions—both medical and surgical—exist to manage increased ICP. Medical management is used as first-line therapy; however, it is not always effective and is associated with significant risks. Decompressive hemicraniectomy is a surgical option to reduce ICP, increase cerebral compliance, and increase cerebral blood perfusion when medical management ...
Source: Journal of Intensive Care Medicine - September 8, 2016 Category: Intensive Care Authors: Crudele, A., Shah, S. O., Bar, B. Tags: Analytic Reviews Source Type: research