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Procedure: Perfusion

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Total 26728 results found since Jan 2013.

Pulmonary Angiopathy in Severe COVID-19: Physiologic, Imaging and Hematologic Observations.
CONCLUSIONS: Physiologic, hematologic and imaging data show not only the presence of a hypercoagulable phenotype in severe Covid-19 pneumonia but also markedly impaired pulmonary perfusion likely caused by pulmonary angiopathy and thrombosis. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/). PMID: 32667207 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - July 14, 2020 Category: Respiratory Medicine Authors: Patel BV, Arachchillage DJ, Ridge CA, Bianchi P, Doyle JF, Garfield B, Ledot S, Morgan C, Passariello M, Price S, Singh S, Thakuria L, Trenfield S, Trimlett R, Weaver C, Wort SJ, Xu T, Padley SPG, Devaraj A, Desai SR, & The Severe Acute Respiratory Fa Tags: Am J Respir Crit Care Med Source Type: research

Morbid obesity's impact on COVID-19 patients requiring venovenous extracorporeal membrane oxygenation: The covid-19 critical care consortium database review
Conclusion: In COVID-19 patients with severe ARDS who require V-V ECMO, there is an increased risk of death associated with age and BMI. The risk is linear and there is no BMI threshold beyond which the risk for death greatly increases.PMID:36753684 | DOI:10.1177/02676591231156487
Source: Perfusion - February 8, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Jeffrey Javidfar Akram M Zaaqoq Ahmed Labib Adrian G Barnett Jw Awori Hayanga Greg Eschun Michael H Yamashita Jeffrey P Jacobs Silver Heinsar Jacky Y Suen John F Fraser Gianluigi Li Bassi Rakesh C Arora Giles J Peek Covid-19 Critical Care Consortium (COVI Source Type: research

Transferring Patients With Refractory Hypoxemia to a Regional Extracorporeal Membrane Oxygenation Center: Key Considerations for Clinicians
This article provides information essential for health care teams who refer their patients to such centers. The clinical indications for, and the use of, ECMO therapy in the management of refractory hypoxemia is briefly reviewed, followed by a description of how ECMO works to provide gas exchange and tissue perfusion. The primary considerations for circuit management, hemodynamic support, and pulmonary care are described, and significant complications of the therapy are identified. The remainder of the article focuses on the patient care and preparatory activities that occur before and during ECMO initiation, so that healt...
Source: AACN Advanced Critical Care - October 1, 2014 Category: Nursing Tags: Symposium Advances in Pulmonary Critical Care Nursing Source Type: research

Monitoring in the intensive care.
Authors: Kipnis E, Ramsingh D, Bhargava M, Dincer E, Cannesson M, Broccard A, Vallet B, Bendjelid K, Thibault R Abstract In critical care, the monitoring is essential to the daily care of ICU patients, as the optimization of patient's hemodynamic, ventilation, temperature, nutrition, and metabolism is the key to improve patients' survival. Indeed, the decisive endpoint is the supply of oxygen to tissues according to their metabolic needs in order to fuel mitochondrial respiration and, therefore, life. In this sense, both oxygenation and perfusion must be monitored in the implementation of any resuscitation strategy...
Source: Critical Care Research and Practice - December 1, 2014 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Surviving Sepsis in the Critical Care Environment
This article discusses the pathophysiologic processes in severe sepsis and septic shock and discusses the appropriate interventions as recommended by the Surviving Sepsis Campaign. Recommended early treatments are reviewed along with interventions related to hemodynamics, perfusion, and supportive care in the critical care environment.
Source: Critical Care Nursing Quarterly - March 6, 2015 Category: Nursing Tags: Original Articles Source Type: research

Effect of a Resuscitation Strategy Targeting Peripheral Perfusion Status vs Serum Lactate Levels on 28-Day Mortality Among Patients with Septic Shock: A Bayesian Reanalysis of the ANDROMEDA-SHOCK Trial.
CONCLUSIONS: Peripheral perfusion-targeted resuscitation may result in lower mortality and faster resolution of organ dysfunction when compared to a lactated-targeted resuscitation strategy. This reanalysis can aid clinicians interpret the results of the trial. PMID: 31574228 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - September 30, 2019 Category: Respiratory Medicine Authors: Zampieri FG, Damiani LP, Bakker J, Ospina-Tascón GA, Castro R, Cavalcanti AB, Hernandez G, ANDROMEDA-SHOCK Investigators and the Latin America Intensive Care Network (LIVEN) Tags: Am J Respir Crit Care Med Source Type: research

Critical care management of pulmonary hypertension
AbstractPatients with pulmonary hypertension (PH) can be extremely challenging to manage in the critical care setting. In this article we review the classification, diagnosis, and chronic management of PH. An approach to the management of the critically unwell PH patient is discussed. Initial management involves treating underlying precipitants of deterioration and optimizing right ventricular (RV) preload. Reduction of RV afterload with pulmonary vasodilators is also required. Augmentation of cardiac function and perfusion pressures with inotropes and vasopressors may additionally be needed. Advanced renal and respiratory...
Source: Continuing Education in Anaesthesia, Critical Care and Pain - February 22, 2017 Category: Anesthesiology Source Type: research

Resuscitation in Critical Care
Resuscitate means to revive from apparent death or from unconsciousness.1 While the term resuscitation often brings to mind a patient in cardiac arrest receiving CPR, the concept is much broader in scope. At the most basic level, resuscitation refers to the restoration and maintenance of perfusion at the cellular and tissue levels. This is a hallmark of critical care.
Source: Critical Care Nursing Clinics of North America - July 6, 2021 Category: Nursing Authors: Justin DiLibero Tags: Preface Source Type: research

Adherence to Guidelines for Managing Severe Traumatic Brain Injury in Children
This study seeks to identify significant differences in management of pediatric TBI across several institutions. Severe pediatric TBI protocols were collected from major US pediatric hospitals through direct communication with trauma staff. Of 24 institutions identified and contacted, 10 did not respond and 5 did not have a pediatric TBI protocol. Pediatric TBI protocols were successfully collected from 9 institutions. These 9 protocols were separated into treatment tiers analogous to those in the 2019 Society of Critical Care Medicine and World Federation of Pediatric Intensive and Critical Care Societies guidelines, and ...
Source: American Journal of Critical Care - September 1, 2021 Category: Nursing Authors: Hengameh B Pajer Anthony M Asher Dennis Leung Randaline R Barnett Benny L Joyner Carolyn S Quinsey Source Type: research

Neurologic Complications in the Pediatric Intensive Care Unit
This article discusses an approach to the recognition and management of seizures, stroke, and cardiac arrest as complications of other critical illnesses in the pediatric intensive care unit.RECENT FINDINGSConvulsive and nonconvulsive seizures occur frequently in children after cardiac arrest or traumatic brain injury and during extracorporeal membrane oxygenation. Seizures may add to neurologic morbidity, and continuous EEG monitoring is needed for up to 24 hours for detection. Hypothermia has not been shown to improve outcome after cardiac arrest in children, but targeted temperature management with controlled normotherm...
Source: CONTINUUM: Lifelong Learning in Neurology - February 1, 2018 Category: Neurology Tags: Review Articles Source Type: research