Coagulopathy and Hypercoagulability

Oct 12, 2016 by in CRITICAL CARE Comments Off on Coagulopathy and Hypercoagulability

Coagulopathy in the critically ill covers a range of abnormal states of coagulation. It is defined as the blood’s inability to clot normally.             I.   COAGULOPATHIES AND HEMOSTATIC ABNORMALITIES IN THE CRITICALLY…

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Stroke, Seizures, and Encephalopathy

Oct 12, 2016 by in CRITICAL CARE Comments Off on Stroke, Seizures, and Encephalopathy

Acute cerebral dysfunction is often the initial reason for presentation to the hospital and frequently develops as a complication of medical or perioperative care. The majority of causes require specific…

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Adult Resuscitation

Oct 12, 2016 by in CRITICAL CARE Comments Off on Adult Resuscitation

            I.   OVERVIEW. The intensivist needs to be well versed in advanced cardiopulmonary resuscitation (CPR) not only to administer care in the ICU but also to assist throughout the hospital. The algorithms…

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Acute Gastrointestinal Diseases

Oct 12, 2016 by in CRITICAL CARE Comments Off on Acute Gastrointestinal Diseases

            I.   There are several gastrointestinal (GI) diseases that present in an acute fashion and require critical care, that is, acute pancreatitis, intestinal perforation, ischemic bowel, acute bleeding, or following a major…

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Burn Critical Care

Oct 12, 2016 by in CRITICAL CARE Comments Off on Burn Critical Care

            I.   INTRODUCTION                    A.   Scope of the Problem in the United States                           1.   Burns are a major source of morbidity: approximately two million burns occur per year. Burns result in more than 60,000 hospitalizations…

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ECMO and Ventricular Assist Devices

Oct 12, 2016 by in CRITICAL CARE Comments Off on ECMO and Ventricular Assist Devices

            I.   EXTRACORPOREAL LIFE SUPPORT (ECLS/ECMO)                    A.   The development of ECLS/ECMO as a temporary assist device is a direct extension of the principles of cardiopulmonary bypass, which usually involves intrathoracic venoarterial (VA) cannulation….

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Acute Kidney Injury

Oct 12, 2016 by in CRITICAL CARE Comments Off on Acute Kidney Injury

            I.   DEFINITION                    A.   The RIFLE criteria (Risk, Injury, Failure, Loss, and ESRD) were developed in 2004 to standardize the definition of acute kidney injury (AKI), formerly called acute renal failure (ARF). Prior…

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