Traumatic Injuries Associated with Segways and Personal Transporters

2009 ◽  
Vol 75 (8) ◽  
pp. 722-724 ◽  
Author(s):  
Kyle B. Vincent ◽  
Ernest F. J. Block ◽  
Jonathan Black
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill Patient ◽  
Vehicular Traffic ◽  
Traumatic Injuries ◽  
Lower Extremity Fracture ◽  
Blunt Force Trauma ◽  
Chest Wall Injury ◽  
Extremity Fracture ◽  
Wall Injury

Segways and other personal transporters are emerging as alternative modes of transportation that blur the distinction between pedestrian and vehicular traffic. We reviewed the records of four patients who were traumatically injured while piloting personal transporters. All required hospital admission for major blunt force trauma; three were admitted to the intensive care unit. Two intensive care unit admissions were for neurologic monitoring of severe intracranial hemorrhage. The other critically ill patient had an extensive chest wall injury and respiratory failure resulting in a tracheostomy. The fourth patient suffered an open lower extremity fracture requiring extensive reconstructive orthopedic surgery. Surgeons should be aware of the potential serious nature of associated injuries.

Pleural Disease in the Intensive Care Unit

2000 ◽  
Vol 15 (2) ◽  
pp. 63-89
Author(s):  
Michael A. Jantz ◽  
Steven A. Sahn
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pleural Effusion ◽  
Critically Ill ◽  
Bronchopleural Fistula ◽  
Tension Pneumothorax ◽  
Respiratory Physiology ◽  
Critically Ill Patient ◽  
Pleural Disease ◽  
The Impact

Pleural disease itself is an unusual cause for admission to the intensive care unit (ICU). Pleural complications of diseases and procedures in the ICU are common, however, and the impact on respiratory physiology is additive to that of the underlying cardiopulmonary disease. Pleural effusion and pneumothorax may be overlooked in the critically ill patient due to alterations in radiologic appearance in the supine patient. The development of a pneumothorax in a patient in the ICU represents a potentially life-threatening situation. This article reviews the etiologies, pathophysiology, and management of pleural effusion, pneumothorax, tension pneumothorax, and bronchopleural fistula in the critically ill patient. In addition, we review the potential complications of thoracentesis and chest tube thoracostomy, including re-expansion pulmonary edema.

Cardiopulmonary support in the intensive care unit

1992 ◽  
Vol 1 (1) ◽  
pp. 98-106
Author(s):  
M Cone ◽  
M Hoffman ◽  
D Jessen ◽  
P Posa ◽  
C Dailey ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tissue Perfusion ◽  
Definitive Treatment ◽  
Critically Ill Patient ◽  
Careful Monitoring ◽  
Cardiopulmonary Support ◽  
Critical Care Team ◽  
Adequate Tissue ◽  
Cardiopulmonary Support System

The cardiopulmonary support system is an extracorporeal device that allows for rapid cardiopulmonary support of the critically ill patient in the intensive care unit. It provides immediate and complete support of cardiac and pulmonary functions to maintain perfusion to vital organs in patients who are severely physiologically compromised (eg, in cardiogenic shock, adult respiratory distress syndrome or pulmonary edema). Successful cardiopulmonary support requires systemic anticoagulation, percutaneous venous and arterial cannulation and careful monitoring by the critical care team to maintain adequate tissue perfusion and oxygenation. Although patient mortality can occur secondary to bleeding, embolism or sepsis, this technique provides life-sustaining circulatory and respiratory support until definitive treatment can be initiated.

Pathophysiology, diagnosis, and assessment of acute or chronic hepatic failure

2016 ◽  
Author(s):  
Alastair O’Brien
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Admission ◽  
Liver Failure ◽  
Clinical Assessment ◽  
Inflammatory Responses ◽  
Critically Ill Patient ◽  
Separate Entity ◽  
Chronic Liver Failure ◽  
The Core

Cirrhosis is an increasing problem and prognosis following intensive care unit admission is poor. Acute on chronic liver failure (ACLF) is a separate entity to cirrhosis with organ failure at the core of this syndrome. Infection and the associated systemic inflammatory responses are the most important precipitants of ACLF. Clinical assessment should follow the standard airway breathing circulation disability exposure approach to the critically-ill patient.

Bedside Thoracic Ultrasonography for the Critically Ill Patient: From the Emergency Department to the Intensive Care Unit

2020 ◽  
Vol 39 (3) ◽  
pp. 215-228
Author(s):  
María C. Arango-Granados ◽  
Luis A. Bustamante Cristancho ◽  
Virginia Zarama Córdoba
Keyword(s):  
Intensive Care Unit ◽  
Emergency Department ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patient

scholarly journals The psychological aspects of intensive care units

Curationis ◽  
1982 ◽  
Vol 5 (3) ◽  
Author(s):  
G. Dannenfeldt
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Nursing Care ◽  
Psychological Problems ◽  
Psychological Aspects ◽  
Critically Ill Patient ◽  
Physical Care

The technical and physical care of the critically ill patient has been perfected, but the psychological aspects of intensive nursing care have to a greater or lesser extent been neglected. The objective of this article is to highlight the causes of psychological problems in an intensive care unit, how to recognise these problems and above all how to prevent or correct them.

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