scholarly journals Haemodynamic Monitoring Using Echocardiography in the Critically Ill: A Review

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Michelle S. Chew
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Systematic Study ◽  
Right Ventricular Function ◽  
Critically Ill Patient ◽  
Haemodynamic Monitoring ◽  
Monitoring Tool ◽  
Therapeutic Impact ◽  
Echocardiographic Study ◽  
Left And Right

Physicians caring for the critically ill are now expected to acquire competence in echocardiography. It has become an indispensable diagnostic and monitoring tool in acute care settings where it is generally accepted to have therapeutic impact. There are a number of indications for a critical care echocardiographic study, and the most important queries include those pertaining left and right ventricular function and filling status. Focused examinations are increasing in popularity and provide a means for systematic study, and can be easily learned and practiced by novices. This paper addresses the indications, therapeutic impact, and some of the most common questions that can be answered using echocardiography the in critically ill patient.

scholarly journals Diagnostic yield and therapeutic impact of open lung biopsy in the critically ill patient

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0196795 ◽  
Author(s):  
Carole Philipponnet ◽  
Lucie Cassagnes ◽  
Bruno Pereira ◽  
Jean-Louis Kemeny ◽  
Mojgan Devouassoux-Shisheboran ◽  
...  
Keyword(s):  
Critically Ill ◽  
Lung Biopsy ◽  
Diagnostic Yield ◽  
Open Lung Biopsy ◽  
Critically Ill Patient ◽  
Therapeutic Impact ◽  
Open Lung

Early versus Late Tracheostomy for Intubated Patients

2017 ◽  
Author(s):  
Rachel J. Kwon
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Clinical Case ◽  
Critically Ill Patient ◽  
Early Tracheostomy ◽  
Surgical Critical Care ◽  
The Family ◽  
Study Intervention ◽  
Landmark Study

This chapter provides a summary of a landmark study in surgical critical care. Does early tracheostomy reduce mortality in ventilated critically ill patients? Starting with that question, it describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case on discussing the option of a tracheostomy with the family of a critically ill patient.

Transport of the critically ill patient

2017 ◽  
Author(s):  
Laura Flutter ◽  
Christoph Melzer-Gartzke ◽  
Claudia Spies ◽  
Julian Bion
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Best Practice ◽  
Ad Hoc ◽  
Critically Ill Patient ◽  
National Guidelines ◽  
Specialist Services ◽  
Hospital Transfer ◽  
Safe Transport

The safe transport of critically ill patients is recognized internationally as a key competency for clinicians working in anaesthesia, critical care, and emergency medicine. This includes inter- and intra-hospital, land, and air transport. The centralization of specialist services and growing demand for critical care beds have increased pressure on hospitals to provide transfer support for critically ill patients. A variety of systems have emerged to facilitate the increasing need for both inter- and intra-hospital transfer of patients, ranging from a national coordinated retrieval service to the ad hoc utilization of on-call teams. The potential for complications during all types of transfer has been well documented. In order to improve safety, a number of national guidelines and courses have been developed to provide a standardized approach to transfer medicine. This chapter reviews the current literature on the subject and provides a summary of best practice for the transfer of the critically ill patient.

Anticonvulsants: Pharmacotberapeutic Issues in the Critically Ill Patient

1991 ◽  
Vol 2 (4) ◽  
pp. 639-656 ◽  
Author(s):  
Robert E. Dupuis ◽  
Jorge Miranda-Massari
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Care Setting ◽  
Critical Care Setting ◽  
Critically Ill Patient ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Epilepsy Treatment

Critically ill patients often have or develop conditions that make them susceptible to seizures and epilepsy. Treatment frequently involves the use of anticonvulsants. In order to use these effectively, the critical care nurse must be aware of the indications and controversies surrounding their use, the pathophysiologic conditions that impact on the disposition, and appropriate dosing and monitoring of these agents in the critical care setting

scholarly journals FLIPPING THE CLASSROOM IN CRITICAL CARE: A NOVEL INTRODUCTION TO THE CRITICALLY ILL PATIENT FOR SENIOR MEDICAL STUDENTS

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A1161
Author(s):  
Ryan James ◽  
Akash Patel ◽  
Deepa Raghavan ◽  
Emily Kocurek
Keyword(s):  
Critical Care ◽  
Medical Students ◽  
Critically Ill ◽  
Critically Ill Patient

scholarly journals Vancomycin Dosing Practices among Critical Care Pharmacists: A Survey of Society of Critical Care Medicine Pharmacists

2020 ◽  
Vol 13 ◽  
pp. 117863372095207
Author(s):  
Alexander H Flannery ◽  
Drayton A Hammond ◽  
Douglas R Oyler ◽  
Chenghui Li ◽  
Adrian Wong ◽  
...  
Keyword(s):  
Critical Care ◽  
Infectious Diseases ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Online Survey ◽  
Critical Care Medicine ◽  
Guideline Recommendation ◽  
Critically Ill Patient ◽  
Critically Ill Adults ◽  
Monitoring Protocols

Introduction: Critically ill patients and their pharmacokinetics present complexities often not considered by consensus guidelines from the American Society of Health-System Pharmacists, the Infectious Diseases Society of America, and the Society of Infectious Diseases Pharmacists. Prior surveys have suggested discordance between certain guideline recommendations and reported infectious disease pharmacist practice. Vancomycin dosing practices, including institutional considerations, have not previously been well described in the critically ill patient population. Objectives: To evaluate critical care pharmacists’ self-reported vancomycin practices in comparison to the 2009 guideline recommendations and other best practices identified by the study investigators. Methods: An online survey developed by the Research and Scholarship Committee of the Clinical Pharmacy and Pharmacology (CPP) Section of the Society of Critical Care Medicine (SCCM) was sent to pharmacist members of the SCCM CPP Section practicing in adult intensive care units in the spring of 2017. This survey queried pharmacists’ self-reported practices regarding vancomycin dosing and monitoring in critically ill adults. Results: Three-hundred and sixty-four responses were received for an estimated response rate of 26%. Critical care pharmacists self-reported largely following the 2009 vancomycin dosing and monitoring guidelines. The largest deviations in guideline recommendation compliance involve consistent use of a loading dose, dosing weight in obese patients, and quality improvement efforts related to systematically monitoring vancomycin-associated nephrotoxicity. Variation exists regarding pharmacist protocols and other practices of vancomycin use in critically ill patients. Conclusion: Among critical care pharmacists, reported vancomycin practices are largely consistent with the 2009 guideline recommendations. Variations in vancomycin dosing and monitoring protocols are identified, and rationale for guideline non-adherence with loading doses elucidated.

Neurodiagnostic testing in critically injured adults

1992 ◽  
Vol 12 (6) ◽  
pp. 64-73 ◽  
Author(s):  
PJ Mason
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Diagnostic Testing ◽  
Critically Ill Patient ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Diagnostic Technology ◽  
Data Source

The recent expansion of diagnostic technology in healthcare now offers many devices for diagnostic testing. Each has strengths and weaknesses as a neurodiagnostic data source. Understanding these components allows the critical care nurse to prepare the patient and family adequately for tests and then use the results knowledgeably in planning care for the critically ill patient.

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