Pediatric Critical Care Physician-Administered Procedural Sedation Using Propofol

2015 ◽  
Vol 16 (1) ◽  
pp. 11-20 ◽  
Author(s):  
Pradip P. Kamat ◽  
Courtney E. McCracken ◽  
Scott E. Gillespie ◽  
James D. Fortenberry ◽  
Jana A. Stockwell ◽  
...  
Keyword(s):  
Critical Care ◽  
Care Physician ◽  
Procedural Sedation ◽  
Critical Care Physician ◽  
Pediatric Critical Care

The Pregnant Trauma Patient

2005 ◽  
Vol 33 (2) ◽  
pp. 167-180 ◽  
Author(s):  
L. Weinberg ◽  
R. G. Steele ◽  
R. Pugh ◽  
S. Higgins ◽  
M. Herbert ◽  
...  
Keyword(s):  
Critical Care ◽  
Trauma Patient ◽  
Multidisciplinary Approach ◽  
Fetal Outcome ◽  
Care Physician ◽  
Initial Assessment ◽  
Critical Care Physician ◽  
Intraoperative Management ◽  
Fetal Oxygenation ◽  
Care Support

Trauma is the leading non-obstetric cause of maternal death. Optimal management of the pregnant trauma patient requires a multidisciplinary approach. The anaesthetist and critical care physician play a pivotal role in the entire continuum of fetomaternal care, from initial assessment, resuscitation and intraoperative management, to postoperative care that often involves critical care support and patient transfer. Primary goals are aggressive resuscitation of the mother and maintenance of uteroplacental perfusion and fetal oxygenation by the avoidance of hypoxia, hypotension, hypocapnia, acidosis and hypothermia. Recognizing and understanding the mechanisms of injury, the factors that may predict fetal outcome, and the pathophysiological changes that can result from trauma, will allow early identification and treatment of fetomaternal injury. This in turn should improve morbidity and mortality. A framework for the acute care of the pregnant trauma patient is presented.

What Conclusions Should Be Drawn between Critical Care Physician Management and Patient Mortality in the Intensive Care Unit?

2008 ◽  
Vol 149 (10) ◽  
pp. 772
Author(s):  
Mitchell M. Levy ◽  
John Rapoport ◽  
Stan Lemeshow ◽  
Gary Phillips ◽  
Donald B. Chalfin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Care Physician ◽  
Critical Care Physician
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