144 Rickettsial Diseases Diana F. Florescu, Andre C. Kalil Proteobacteria are small gram-negative obligate intracellular organisms that can be divided into two classes: Alphaproteobacteria including Rickettsiaceae (genus Rickettsia) and Anaplasmataceae…
219 Determination of Brain Death Teresa L. Smith Jacobs, Thomas P. Bleck Determination of death by neurologic criteria is a clinical diagnosis. After certain prerequisites are met, there are three…
117 Contrast-Induced Nephropathy M. Khaled Shamseddin, Brendan Barrett The use of intravascular iodinated radiocontrast media is very prevalent. After injection of these contrast agents, a mild transient kidney function impairment…
80 Conduction Disturbances and Cardiac Pacemakers Jason Knight, John Sarko Conduction Disturbances Bradyarrhythmias and conduction blocks are common in the ICU. A broad range of clinical presentations and pathologic findings…
152 Management of Neutropenic Cancer Patients Michaël Darmon, Élie Azoulay Among patients with chemotherapy-induced neutropenia, 1% to 5% experience toxic side effects or infections and benefit from intensive care unit…
W15 Percutaneous Dilatational Tracheostomy Cherisse Berry, Daniel R. Margulies Before Procedure Indications • Requirement of a temporary or long-term artificial airway for prolonged mechanical ventilation • Management of secretions •…
220 Building Teamwork to Improve Outcomes Maurene A. Harvey, Daleen Aragon Penoyer, Connie Jastremski In the 1990s we realized that in the United States, critical care was unsafe, chaotic, disorganized,…
218 End-of-Life Issues in the Intensive Care Unit Nicholas S. Ward, J. Randall Curtis, Mitchell M. Levy In the last century, the process of dying changed dramatically. Previously, doctors simply…
214 Conversations with Families of Critically Ill Patients Margaret Isaac, J. Randall Curtis Intensive care unit (ICU) family conferences concerning the care of critically ill patients can be watershed events—clarifying…
183 Nonsteroidal Antiinflammatory Agents Keith M. Olsen Nonsteroidal antiinflammatory drugs (NSAIDs) have important clinical uses in selected critically ill patients for treatment of pain and inflammatory states or reduction of…
