Nonsteroidal Antiinflammatory Agents

Jul 7, 2016 by in CRITICAL CARE Comments Off on Nonsteroidal Antiinflammatory Agents

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…

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Portal Hypertension

Jul 7, 2016 by in CRITICAL CARE Comments Off on Portal Hypertension

96 Portal Hypertension Julia Wendon, Pablo Solis-Muñoz Anatomy and Physiology of the Portal System The term portal system refers to a venous system that begins and ends in capillaries. The…

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Lumbar Puncture

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W18 Lumbar Puncture Sarice L. Bassin, Thomas P. Bleck Before Procedure Indications • Suspicion of central nervous system (CNS) infection • Suspicion of subarachnoid hemorrhage • The need to obtain…

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Thoracentesis

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W11 Thoracentesis J. Terrill Huggins, Steven A. Sahn, Peter Doelken Before Procedure Indications • Pleural effusion not explained by the clinical presentation • Massive pleural effusion with impending respiratory failure…

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Calcium Channel Blocker Toxicity

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173 Calcium Channel Blocker Toxicity Daniel E. Brooks, Kenneth D. Katz Calcium channel blockers (CCBs), also referred to as calcium entry blocking agents or calcium antagonists, are commonly used in…

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Cardioversion and Defibrillation

Jul 7, 2016 by in CRITICAL CARE Comments Off on Cardioversion and Defibrillation

W6 Cardioversion and Defibrillation Raúl J. Gazmuri Before Procedure Indications • Emergency reestablishment of an organized electrical rhythm (defibrillation): • Ventricular fibrillation • Pulseless ventricular tachycardia • Narrow or wide…

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Spinal Cord Injury

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39 Spinal Cord Injury Elizabeth A. Vitarbo, Allan D. Levi Despite substantial improvements in emergency, diagnostic, and surgical care, spinal trauma continues to present a challenging spectrum of diseases for…

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Toxic Megacolon and Ogilvie’s Syndrome

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107 Toxic Megacolon and Ogilvie’s Syndrome H.M. Oudemans-Van Straaten Acute megacolon refers to a syndrome presenting as marked colonic distension in the absence of mechanical obstruction. It results from disturbed…

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Bedside Pulmonary Artery Catheterization

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W5 Bedside Pulmonary Artery Catheterization Jean-Louis Vincent Before Procedure Indications • Need for continuous monitoring of pulmonary artery and right atrial (RA) pressures, cardiac output, and mixed venous oxygen saturation…

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