Shock: General
The most common inciting event in cardiogenic shock is an acute MI. Historically, once 40% of the myocardium has been irreversibly damaged, cardiogenic shock may result. From a mechanical perspective,…
Mesenteric Ischemia
FIGURE 131.1 Diagram of the collateral pathways for the mesenteric vessels. The celiac axis and superior mesenteric arteries communicate through the superior and inferior pancreaticoduodenal arteries, respectively. The superior and…
Endocrinopathy in the ICU
MECHANISMS OF CRITICAL ILLNESS–ASSOCIATED DYSREGULATION OF THE ENDOCRINE SYSTEM The Stressors Critically ill patients are unexpectedly faced with a life-threatening situation and a hostile environment (the intensive care unit). Physical…
Critical Care Aspects of Stem Cell Transplantation
Bone Marrow and Blood Cell Collection Cells used for transplants are most often collected from the blood, but may also be collected from the bone marrow or umbilical cord blood…
Critical Care of Thoracic Surgery Patients
Cigarette smoking is well recognized for its contribution to perioperative morbidity via effects on the cardiovascular system, mucus secretion and clearance, and small airway narrowing. Although patients are invariably counseled…
Status Epilepticus
Genetic epilepsy is one in which a known or presumed genetic defect(s) results in seizures which are the core symptom of the disorder. A structural/metabolic epilepsy is one in which…
Pancreatic Disease
The degree of severity and outcomes of a patient with acute pancreatitis was described by Ranson et al. (25,26) and included 11 clinical criteria, 5 of which were assessed on…
Renal Replacement Therapy
The timing between initiation of extracorporeal therapy and ICU admission is another issue that should be taken into account for classification purposes of early and late RRTs. Data available from…
Pancreatic Transplantation
FIGURE 73.1 Number of pancreas transplants worldwide tabulated by the International Pancreas Transplant Registry from 1966 to 2013. RESULTS Outcomes after pancreas transplants have consistently improved over the years (5,6)….
Hemorrhagic Shock
FIGURE 47.1 Final common pathway of shock. Hemorrhagic shock results in acute changes in circulating blood volume that culminates in a final common pathway shared by all classifications of shock….
