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SCCMPod-455 Introduction to Molecular Adsorbent Recirculating System Albumin Dialysis
This podcast will describe the principle of albumin dialysis of the molecular adsorbent recirculating system (MARS). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Ram M. Subramanian, MD, MBA, FCCM, to discuss the logistics of starting a MARS program to outline indications for MARS. Dr. Subramanian is a hepatologist at Emory University in Atlanta, Georgia. This podcast is sponsored by Baxter.
Source: SCCM PodCast - iCritical Care - May 2, 2022 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-455 Introduction to Molecular Adsorbent Recirculating System Albumin Dialysis
This podcast will describe the principle of albumin dialysis of the molecular adsorbent recirculating system (MARS). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Ram M. Subramanian, MD, MBA, FCCM, to discuss the logistics of starting a MARS program to outline indications for MARS. Dr. Subramanian is a hepatologist at Emory University in Atlanta, Georgia. This podcast is sponsored by Baxter.
Source: SCCM PodCast - iCritical Care - December 21, 2022 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Interferon Gamma Release Assays in the Diagnosis of Latent Tuberculosis Infection Among Immunocompromised Adults.
Abstract Immunocompromised persons with latent tuberculosis infection are at increased risk for tuberculosis reactivation compared to the general population. Tuberculin skin test, the traditional assay for diagnosing LTBI (latent tuberculosis infection), has reduced accuracy in immunocompromised patients. Interferon-gamma release assays (IGRAs) are in vitro blood tests that measure T-cell release of interferon-gamma following stimulation by antigens unique to Mycobacterium tuberculosis. Here we review the data for the use of QuantiFERON-TB Gold In-Tube (QFT-GIT) and T-SPOT.TB, the two currently available IGRAs, in...
Source: American Journal of Respiratory and Critical Care Medicine - December 21, 2012 Category: Respiratory Medicine Authors: Redelman-Sidi G, Sepkowitz KA Tags: Am J Respir Crit Care Med Source Type: research

The Use of Lung Allografts from Brain Death Donors After Cardiopulmonary Arrest and Resuscitation.
CONCLUSION: There is no evidence of inferior outcomes following lung transplant from brain death donors who have had a period of cardiac arrest provided that good lung function is preserved and the donor is otherwise deemed acceptable for transplantation. Potential expansion of the donor pool to include cardiac arrest as the cause of brain death requires further study. PMID: 23777361 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - June 18, 2013 Category: Respiratory Medicine Authors: Castleberry AW, Worni M, Osho AA, Snyder LD, Palmer SM, Pietrobon RS, Davis RD, Hartwig MG Tags: Am J Respir Crit Care Med Source Type: research

Ethanol Lock and Risk of Hemodialysis Catheter Infection in Critically Ill Patients: A Randomized Controlled Trial.
Conclusions: A 2-minute ethanol lock does not decrease the frequency of infection of DCs in ICU patients. PMID: 25668557 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - February 10, 2015 Category: Respiratory Medicine Authors: Souweine B, Lautrette A, Gruson D, Canet E, Klouche K, Argaud L, Bohe J, Garrouste-Orgeas M, Mariat C, Vincent F, Cayot S, Cointault O, Lepape A, Guelon D, Darmon M, Vesin A, Caillot N, Schwebel C, Boyer A, Azoulay E, Bouadma L, Timsit JF Tags: Am J Respir Crit Care Med Source Type: research

Effect of Ultrafiltration on Sleep Apnea and Sleep Structure in Patients with End Stage Renal Disease.
CONCLUSIONS: These findings indicate that fluid overload contributes to the pathogenesis of OSA and CSA in ESRD, and that fluid removal by UF attenuates sleep apnea without altering uremic status. PMID: 25822211 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - March 30, 2015 Category: Respiratory Medicine Authors: Lyons OD, Chan CT, Yadollahi A, Bradley TD Tags: Am J Respir Crit Care Med Source Type: research

Finding the Key to Dialysis Catheter Lock.
PMID: 25932759 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - May 1, 2015 Category: Respiratory Medicine Authors: Shieh SC, Liu KD Tags: Am J Respir Crit Care Med Source Type: research

Acute Kidney Injury Requiring Dialysis in Severe Sepsis.
CONCLUSIONS: Incidence of acute kidney injury requiring dialysis in patients with severe sepsis has increased over time, conversely associated mortality has declined. The likelihood of demise from acute kidney injury requiring dialysis in patients with severe sepsis has also declined. PMID: 26120892 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - June 29, 2015 Category: Respiratory Medicine Authors: Sakhuja A, Kumar G, Gupta S, Mittal T, Taneja A, Nanchal RS Tags: Am J Respir Crit Care Med Source Type: research

High-Volume Hemofiltration in Post-Cardiac Surgery Shock. A Heroic Therapy?
PMID: 26568234 [PubMed - in process]
Source: American Journal of Respiratory and Critical Care Medicine - November 15, 2015 Category: Respiratory Medicine Authors: Palevsky PM Tags: Am J Respir Crit Care Med Source Type: research

What is Hemodialysis?
Authors: PMID: 28084828 [PubMed - in process]
Source: American Journal of Respiratory and Critical Care Medicine - January 14, 2017 Category: Respiratory Medicine Tags: Am J Respir Crit Care Med Source Type: research

Timing of Dialysis in Sepsis and Acute Respiratory Distress Syndrome.
PMID: 29394089 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - February 2, 2018 Category: Respiratory Medicine Authors: Lameire N, Vanmassenhove J Tags: Am J Respir Crit Care Med Source Type: research

SARS-CoV-2 Does Not Spread Through ECMO or Dialysis Membranes.
PMID: 32525400 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - June 10, 2020 Category: Respiratory Medicine Authors: Dres M, Burrel S, Boutolleau D, Voiriot G, Demoule A, Combes A, Lebreton G, Schmidt M, Groupe de Recherche Clinique RESPIRE Tags: Am J Respir Crit Care Med Source Type: research

Major adverse kidney events after acute kidney injury in the pediatric intensive care unit: a propensity score –matched cohort study
ConclusionsPropensity score matching significantly reduced imbalance in baseline characteristics between those with and without AKI. After matching, AKI remained significantly associated with MAKE30. Patients who developed AKI were more likely to have abnormal kidney function at 30 and 90 days after ICU admission and may be at high risk for developing CKD in the future.Graphical abstractA higher resolution version of the Graphical abstract is available as Supplementary information
Source: Pediatric Nephrology - January 18, 2022 Category: Urology & Nephrology Source Type: research

What enhanced elimination techniques are useful in critical toxicology patients?
3 out of 5 stars Enhanced Poison Elimination in Critical Care. Ghannoum M, Gosselin S. Adv Chronic Kidney Dis 2013 Jan;20:94-101. Abstract This survey of methods available for enhanced elimination in toxicology cases gives a good overview, but unnecessarily wastes time discussing modalities that now are never used (e.g., forced diuresis and urine acidification). The information would have been more accessible if it had been streamlined to reflect current practice. For instance, the authors list 20 poisons “amenable” to multidose activated charcoal, but in fact the indications for this treatment are limited and...
Source: The Poison Review - February 17, 2013 Category: Toxicology Authors: Leon Tags: Medical critical care enhanced elimination hemodialysis multidose activated charcoal overdose poisoning toxicology Source Type: news

Correspondence Ebola and provision of critical care
A recommendation for patients with Ebola in many resource-rich regions is that critical care interventions should be limited and that do-not-resuscitate (DNR) orders should be instituted.1,2 The argument is that there is little evidence for the efficacy of ventilation, dialysis, or cardiopulmonary resuscitation for Ebola-related critical illness, and that they would be overly risky. On the basis of clinical experiences and the best available evidence, we disagree with this approach to the management of Ebola.
Source: LANCET - April 10, 2015 Category: Journals (General) Authors: Srinivas Murthy, on behalf of the Ebola Clinical Care authors group Tags: Correspondence Source Type: research