Journal of intensive care medicine
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J Intensive Care Med · Aug 2017
ReviewExtracorporeal Support for Chronic Obstructive Pulmonary Disease: A Bright Future.
In the past the only option for the treatment of respiratory failure due to acute exacerbation of chronic obstructive pulmonary disease (aeCOPD) was invasive mechanical ventilation. In recent decades, the potential for extracorporeal carbon dioxide (CO2) removal has been realized. We review the various types of extracorporeal CO2 removal, outline the optimal use of these therapies for aeCOPD, and make suggestions for future controlled trials. We also describe the advantages and requirements for an ideal long-term ambulatory CO2 removal system for palliation of COPD.
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J Intensive Care Med · Jul 2017
Review Case ReportsAn Unusual Complication With the Administration of a Volatile Anesthetic Agent for Status Asthmaticus in the Pediatric Intensive Care Unit: Case Report and Review of the Literature.
In severe cases of status asthmaticus, when conventional therapies fail, volatile anesthetic agents remain a therapeutic option. When delivered outside of the operating room setting, specialized delivery techniques are needed to ensure the safe and effective use of volatile anesthetic agents. ⋯ This failure occurred as the soda lime compartment filled with water accumulated from circuit humidification and continuous albuterol therapy. The role of volatile anesthetic agents in the treatment of status asthmaticus in the PICU is discussed, options for delivery outside of the operating room presented, and potential problems with delivery reviewed.
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J Intensive Care Med · Jul 2017
ReviewNeurocritical Care of Emergent Large-Vessel Occlusion: The Era of a New Standard of Care.
Acute ischemic stroke continues to be one of the leading causes of morbidity and mortality worldwide. Recent advances in mechanical thrombectomy techniques combined with prereperfusion computed tomographic angiography for patient selection have revolutionized stroke care in the past year. ⋯ Postprocedural critical care issues that might modulate neurological outcome include blood pressure and glucose optimization, avoidance of fever or hyperoxia, fluid and nutritional management, and early integration of rehabilitation into the intensive care unit setting. In this review, we sought to lay down an evidence-based strategy for patients with acute ischemic stroke undergoing emergent endovascular reperfusion.
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J Intensive Care Med · Jul 2017
ReviewKetamine for Analgosedation in the Intensive Care Unit: A Systematic Review.
To evaluate the evidence for the use of intravenous ketamine for analgosedation in the intensive care unit. ⋯ Ketamine use may decrease analgesic consumption in the intensive care unit. Additional trials are needed to further delineate the role of ketamine for analgosedation.
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J Intensive Care Med · Jul 2017
ReviewKetamine for Analgosedation in the Intensive Care Unit: A Systematic Review.
To evaluate the evidence for the use of intravenous ketamine for analgosedation in the intensive care unit. ⋯ Ketamine use may decrease analgesic consumption in the intensive care unit. Additional trials are needed to further delineate the role of ketamine for analgosedation.