scholarly journals Early Identification of Patients at Risk for Difficult Intubation in the Intensive Care Unit

2013 ◽  
Vol 187 (8) ◽  
pp. 832-839 ◽  
Author(s):  
Audrey De Jong ◽  
Nicolas Molinari ◽  
Nicolas Terzi ◽  
Nicolas Mongardon ◽  
Jean-Michel Arnal ◽  
...  
2009 ◽  
Vol 13 (7) ◽  
pp. 1358-1367 ◽  
Author(s):  
Ansgar M. Chromik ◽  
Andreas Meiser ◽  
Janine Hölling ◽  
Dominique Sülberg ◽  
Adrien Daigeler ◽  
...  

2007 ◽  
Vol 14 (21) ◽  
pp. 2314-2317 ◽  
Author(s):  
Annick A. Royakkers ◽  
Jeroen van Suijlen ◽  
Lieuwe Hofstra ◽  
Michael Kuiper ◽  
Catherine Bouman ◽  
...  

2014 ◽  
Vol 22 (1) ◽  
pp. 12-15
Author(s):  
Debabrata Banik ◽  
AK Huda Quamrul ◽  
Md Rafayet Ullah Siddique ◽  
Md Mizanur Rahman ◽  
Md Rezaul Huda ◽  
...  

All patients admitted to the Intensive Care Unit of BSMMU between January 2006 and December 2006 on whom data had been entered into the study. A total of 473 admissions with complete records were available. Hospital mortality was 60.6%. Nonsurvivors were older than survivors and had longer ICU stays. Patients admitted from wards had a higher mortality than patients from the operating room/ recovery or the emergency department. Thirty-four percent of patients were in the ICU for >2 days, and they accounted for nearly 81% of bed occupancy. Early identification of patients at risk, both before admission and after discharge from the ICU, may allow treatment to decrease mortality. Research and resources may be best directed at patients who die, despite a relatively low predicted mortality. Many patients die after discharge from ICU and this mortality may be decreased by minimizing inappropriate early discharge to the ward, by the provision of high dependency and step-down units, and by continuing advice and follow-up by the ICU team after the patient has been discharged. DOI: http://dx.doi.org/10.3329/jbsa.v22i1.18095 Journal of BSA, 2009; 22(1): 12-15


Author(s):  
Tracy McGrane

This chapter, “Alcohol Withdrawal,” reviews the prevalence, presentation, pathophysiology, and anesthetic considerations for patients encountered at risk of alcohol withdrawal, as well as current intensive care unit practices caring for patients at risk of alcohol withdrawal to allow for improved perioperative crisis management. It reviews physiologic derangements in both acute and chronic alcoholism, and reviews the current evidence for prevention and treatment of alcohol withdrawal in the intensive care unit, including fixed-dose versus loading-dose versus symptom-based treatment using benzodiazepines, and the use of alcohol, barbiturates, propofol, beta blockers, and alpha-2 agonists as treatment choices. Also discussed are complications of alcohol withdrawal syndrome to recognize and considerations for treatment of pregnant women and elderly patients in alcohol withdrawal.


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