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Source: Intensive Care Medicine

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Total 22 results found since Jan 2013.

Intracranial pressure: current perspectives on physiology and monitoring
AbstractIntracranial pressure (ICP) monitoring is now viewed as integral to the clinical care of many life-threatening brain insults, such as severe traumatic brain injury, subarachnoid hemorrhage, and malignant stroke. It serves to warn of expanding intracranial mass lesions, to prevent or treat herniation events as well as pressure elevation which impedes nutrient delivery to the brain. It facilitates the calculation of cerebral perfusion pressure (CPP) and the estimation of cerebrovascular autoregulatory status. Despite advancements in our knowledge emanating from a half century of experience with this technology, impor...
Source: Intensive Care Medicine - July 11, 2022 Category: Intensive Care Source Type: research

Sepsis hospitalization and risk of subsequent cardiovascular events in adults: a population-based matched cohort study
ConclusionsAdult sepsis survivors experience an increased hazard of major cardiovascular events compared to survivors of a non-sepsis hospitalization.
Source: Intensive Care Medicine - February 10, 2022 Category: Intensive Care Source Type: research

Bleeding and thrombotic events in adults supported with venovenous extracorporeal membrane oxygenation: an ELSO registry analysis
ConclusionsAlthough decreasing over time, BTEs remain common during VV-ECMO and have a strong, cumulative association with in-hospital mortality. Thrombotic events are more frequent, but bleeding carries a higher risk of inpatient mortality. Differential risk factors for bleeding and thrombotic complications exist, raising the possibility of a tailored approach to VV-ECMO management.
Source: Intensive Care Medicine - December 18, 2021 Category: Intensive Care Source Type: research

Association between sepsis survivorship and long-term cardiovascular outcomes in adults: a systematic review and meta-analysis
ConclusionsSurviving sepsis may be associated with a long-term, excess hazard of late cardiovascular events which may persist for at least 5  years following hospital discharge.
Source: Intensive Care Medicine - August 9, 2021 Category: Intensive Care Source Type: research

Interventions for oropharyngeal dysphagia in acute and critical care: a systematic review and meta-analysis
ConclusionThere is limited evidence for the effectiveness of swallowing treatments in the acute and critical care setting. Clinical trials consistently measuring patient-centred outcomes are needed.
Source: Intensive Care Medicine - June 7, 2020 Category: Intensive Care Source Type: research

What ’s new in imaging of acute stroke?
Source: Intensive Care Medicine - May 10, 2020 Category: Intensive Care Source Type: research

Intensive care admissions and outcomes associated with short-term exposure to ambient air pollution: a time series analysis
ConclusionsIncreased ICU mortality was associated with higher levels of PM2.5. Larger studies are required to determine if the frequency of ICU admissions is positively associated with short-term exposure to air pollution.
Source: Intensive Care Medicine - April 29, 2020 Category: Intensive Care Source Type: research

Stroke unit care for ischemic stroke in China: results of a nation-based study
Source: Intensive Care Medicine - April 26, 2020 Category: Intensive Care Source Type: research

Prognostic impact of sustained new-onset atrial fibrillation in critically ill patients
ConclusionsSustained new-onset AF was time-dependently associated with hospital mortality in ICU patients, albeit with some uncertainty since AF duration longer than 48  h was not independently associated with in-hospital death or stroke.
Source: Intensive Care Medicine - November 3, 2019 Category: Intensive Care Source Type: research

Acute ischaemic stroke: challenges for the intensivist
ConclusionsWhile consensus guidelines are available to guide clinical decision making after acute ischaemic stroke, there is limited high-quality evidence for many of the recommended interventions. However, a bundle of medical, endovascular, and surgical strategies, when applied in a timely and consistent manner, can improve long-term stroke outcomes.
Source: Intensive Care Medicine - July 24, 2019 Category: Intensive Care Source Type: research

Influenza vaccination and 1-year risk of myocardial infarction, stroke, heart failure, pneumonia, and mortality among intensive care unit survivors aged 65  years or older: a nationwide population-based cohort study
ConclusionsCompared with the unvaccinated ICU survivors, the influenza vaccinated ICU survivors had a lower 1-year risk of stroke and a lower 1-year risk of death, whereas no substantial association was observed for the risk of hospitalization for myocardial infarction, heart failure, or pneumonia. Our findings support influenza vaccination of individuals aged  ≥ 65 years.
Source: Intensive Care Medicine - June 10, 2019 Category: Intensive Care Source Type: research

New-onset atrial fibrillation in adult critically ill patients: a scoping review
ConclusionsThe definition and incidence of NOAF in critically ill patients varied considerably and many risk factors were identified. NOAF seemed to be associated with adverse outcomes, but data were very limited and current management strategies are not evidence-based.
Source: Intensive Care Medicine - May 13, 2019 Category: Intensive Care Source Type: research

Diagnostic workup, etiologies and management of acute right ventricle failure
ConclusionRV function evaluation is key in the critically-ill patients for hemodynamic management, as fluid optimization, vasopressor strategy and respiratory support. RV failure may be diagnosed by the association of different devices and parameters, while echocardiography is crucial.
Source: Intensive Care Medicine - May 9, 2018 Category: Intensive Care Source Type: research

Hard and fast, but within limits: is there a trade-off of stroke volume index and diastolic pressure in paediatric resuscitation?
Source: Intensive Care Medicine - October 3, 2017 Category: Intensive Care Source Type: research