Current opinion in critical care
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This review will examine the current scenario of critical care medicine and describe trends for the future. ⋯ The future of ICU will rely on management and teamwork. The costs of critical care will be restrained through the use of better management, guidelines, and skepticism regarding new technologies and drugs. Policy makers will help society build better strategies for critical care services.
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To provide updated information on recent developments within individual components of multimodal interventions to improve postoperative outcome (fast-track methodology). ⋯ Procedure-specific standardization of perioperative care programs (the fast-track methodology) should be adopted more widely and adjusted to current scientific evidence.
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To summarize recent advances in pediatric cardiopulmonary arrest prevention, resuscitation and postresuscitation management. ⋯ Pediatric cardiac arrest is not a futile condition; many children are successfully resuscitated each year. The implementation of new prearrest, intraarrest and postresuscitative therapies has the potential to further improve survival rates following pediatric cardiac arrest.
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The purpose of this study is to review the prevalence and significance of gasping in patients experiencing cardiac arrest. ⋯ Gasping frequently occurs during cardiac arrest. Public and emergency medical dispatchers must be more aware of its presence and significance.
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Conventional cardiopulmonary resuscitation (CPR) by bystanders with chest compressions and mouth-to-mouth ventilation has been documented to save life. Nevertheless, despite four decades of promulgation, it is a serious problem that the majority of bystanders are unwilling or unable to perform conventional CPR. I review the efficacy of chest compression-only cardiocerebral resuscitation (CCR) for all adult patients with out-of-hospital cardiac arrest. ⋯ To save more lives, I hope that compression-only CCR by citizen is generally, known, recommended, and taught to the public, because chest compression-only CCR by citizen is the preferable approach to basic life support for adult victims with out-of-hospital cardiac arrest.