7

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American Heart Association, 1951 About 60 years have elapsed since the warning in the introductory quote, yet the same imprecise method continues to be the accepted standard for the measurement…

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30

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FIGURE 30.1 The power of diaphragmatic contractions (equivalent to the product of contractile force and velocity) during spontaneous breathing (control) and after 3 days of assisted (i.e., patient-triggered) mechanical ventilation (AMV)…

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26

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FIGURE 26.1 Pressure and flow changes during a single ventilator breath using volume control and pressure control methods of lung inflation at equivalent inflation (tidal) volumes. Changes in airway pressure (Paw)…

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50

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484–406 BC Adrenal and thyroid disorders are rarely the primary reason for admission to an ICU. However, critical illness can influence adrenal and thyroid function, and there is concern that…

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14

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FIGURE 14.1 The sequence of chemical reactions involved in neutrophil activation, which generates a series of highly reactive oxygen metabolites that are stored in cytoplasmic granules. SOD = superoxide dismutase. See…

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19

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Drugs like antineoplastic agents can produce thrombocytopenia by suppressing platelet production in the bone marrow, but the most common mechanism for drug-induced thrombocytopenia is the production of antibodies that cross-react…

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41

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Man Adapting1966 Urethral catheters are commonplace in critically ill patients, and surveys indicate that catheter-associated urinary tract infections account for 40% of all hospital-acquired infections in the United States (1)….

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The Planning for the “Planned Ventral Hernia”

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Fig. 19.1 Flow diagram representing the 3-staged approach to abdominal closure. Reproduced with permission from Dicocco et al. [7] Fig. 19.2 Pinching the split-thickness skin graft from the underlying viscera, indicating the…

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Soft Tissue Necrotizing Infection Due to Perforated Colon

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Gram + aerobic Gram − aerobic Anaerobic Marine vibrio Fungi Group A streptococcus Escherichia coli (cirrhosis) Bacteroides sp. (DM) Vibrio vulnificus (cirrhosis) Candida (immunosuppression) Group B Streptococcus (DM) Pseudomonas aeruginosa…

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