Appreciating the Strengths and Weaknesses of Transthoracic Echocardiography in Hemodynamic Assessments by Stephen J. Huang, Anthony S. McLean

“…Transthoracic echocardiography (TTE) is becoming the choice of hemodynamic assessment tool in many intensive care units. With an ever increasing number of training programs available worldwide, learning the skills to perform TTE is no longer a limiting factor. …”
Get full text

Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy by Philippe Biderman, Avi A. Weinbroum, Yael Rafaeli, Eyal Raz, Eyal Porat, Ory Wiesel, Oded Szold

“…Percutaneous tracheostomy is a routine procedure in intensive care units. In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic tracheostomy is inapplicable. …”
Get full text

Optimal isolation strategies of emerging infectious diseases with limited resources by Yinggao Zhou, Jianhong Wu, Min Wu

“…These solutions and their corresponding optimal control policies arederived explicitly in terms of initial conditions, model parameters and resources for isolation (such as the number of intensive care units).With sufficient resources, the optimal control strategy is the normal Bang-Bangcontrol. …”
Get full text

Utility of Plasmapheresis in Autoimmune-Mediated Encephalopathy in Children: Potentials and Challenges by Abdulhafeez M. Khair

“…Children with immune-mediated encephalopathies represent a uniquely different group among patients presenting to intensive care units or neurological services worldwide. …”
Get full text

Digital Ischemia in an Extreme Preterm Infant Treated with Nitroglycerin Patch by Mansour Al Qurashi, Abdulaziz Al-Khotani, Farzeen Mohtisham, Eman AlRaddadi, Heba AlShaikh, Alqassem Y. Hakami, Syed Sameer Aga

“…Ischemic limb lesions occasionally occur in neonates admitted to neonatal intensive care units. Known risk factors include the placement of arterial catheters, arterial punctures to obtain blood samples, and the use of vasoactive/vasopressor medications for hypotension. …”
Get full text

Renal Replacement Therapy in the Critical Care Setting by Adeel Rafi Ahmed, Ayanfeoluwa Obilana, David Lappin

“…There is limited evidence to support the current practice of RRT in intensive care units (ICUs). Recently published randomized control trials (RCTs) have further questioned our understanding of RRT in critical care. …”
Get full text

Thrombocytopenia in Critically Ill Children: A Review for Practicing Clinicians by Balagangadhar R. Totapally, Abhinav Totapally, Paul A. Martinez

“…Thrombocytopenia frequently occurs in patients before, during, and after admission to Pediatric Intensive Care Units (PICUs). In critically ill children, it is often due to multifactorial causes and can be a sign of significant organ dysfunction. …”
Get full text

Future Directions and Molecular Basis of Ventilator Associated Pneumonia by Kubra Aykac, Yasemin Ozsurekci, Sevgen Tanir Basaranoglu

“…Moreover VAP is the second most common hospital-acquired infection in pediatric intensive care units. Although it is still not well understood, understanding molecular pathogenesis is essential for preventing and treating pneumonia. …”
Get full text

Perioperative Glycemic Control: Main Factor in Reducing Postoperative Complications in Diabetic Patients by Ariel Leonardo Alarcón Vela, Ximena Patricia Santacruz Solís, Ronelsys Martínez

“…Glucose regulation in the perioperative stage is an important parameter in diabetic patients, which considerably reduces complications in surgical procedures, long stays in Intensive Care Units, and even death.…”
Get full text

Inhalation Techniques Used in Patients with Respiratory Failure Treated with Noninvasive Mechanical Ventilation by Patrycja Rzepka-Wrona, Szymon Skoczynski, Dawid Wrona, Adam Barczyk

“…The management and care for patients requiring mechanical ventilation remains one of the greatest challenges for medical practitioners, both in intensive care units (ICUs) and pulmonology wards. Aerosol therapy is often necessary for patients receiving noninvasive ventilation (NIV), which may be stopped for the time of drug delivery and administered through a metered-dose inhaler or nebulizer in the traditional way. …”
Get full text

ALK-Negative Anaplastic Large Cell Lymphoma Presenting as Disseminated Intravascular Coagulation and Hemophagocytic Lymphohistiocytosis: A Potentially Fatal Presentation by Uroosa Ibrahim, Amina Saqib, Maryam Rehan, Jean Paul Atallah

“…Disseminated intravascular coagulation (DIC) is common in patients admitted to intensive care units and can confound and delay the diagnosis of HLH. …”
Get full text

Late-Onset Ornithine Carbamoyltransferase Deficiency Accompanying Acute Pancreatitis and Hyperammonemia by Marcel Cerqueira Cesar Machado, Gilton Marques Fonseca, José Jukemura

“…Hyperammonemia related to urea cycle disorders is a rare cause of potentially fatal encephalopathy that is encountered in intensive care units (ICUs). Left undiagnosed, this condition may manifest irreversible neuronal damage. …”
Get full text

NKT Cells in Sepsis by Briana Leung, Hobart W. Harris

“…Sepsis is currently a leading cause of death in hospital intensive care units. Previous studies suggest that the pathophysiology of sepsis involves the hyperactivation of complex proinflammatory cascades that include the activation of various immune cells and the exuberant secretion of proinflammatory cytokines by these cells. …”
Get full text

Wickerhamomyces anomalous: A Rare Cause of Fungemia Causing Febrile Neutropenia in Acute Lymphoblastic Leukemia by Vibha Mehta, Aroop Mohanty, Suneeta Meena, J. S. Rahul, Nath Uttam Kumar, Debranjani Chattopadhyay, Anamika Bakliwal, Ranjana Choudhary, Pratima Gupta

“…One such organism, Wickerhamomyces anomalous, previously known as Pichia anomala (teleomorph stages of several Candida species), is increasingly being reported as a cause of fungemia in neonatal intensive care units and is now increasingly being reported in a lot of immunosuppressive conditions such as interstitial lung disease, endocarditis, enteritis, corticosteroids, and chemotherapy uptake. …”
Get full text

Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review by Sultan Şevik Eliçora, Aykut Erdem Dinç, Sultan Bişkin, Murat Damar, Ergin Bilgin

“…Such patients require extensive monitoring in intensive care units because the presence of multiple injuries means that facial functions are often very difficult to evaluate. …”
Get full text

Circulatory shock in adults in emergency department by Ashok Kumar Pannu

“…This review aims to update the critical steps in managing common types of shock in adult patients admitted to medical emergency and intensive care units. A literature review was performed by searching PubMed, EMBASE Ovid, and Cochrane Library, using the following search items: (“shock” OR “circulatory shock” OR “septic shock” OR “cardiogenic shock”) AND (“management” OR “treatment” OR “resuscitation”). …”
Get full text

Selective Decontamination of the Digestive Tract Reduces Pneumonia and Mortality by Lenneke E. M. Haas, Marcus J. Schultz

“…This paper describes the concept of SDD, summarizes the results of published trials of SDD in mixed medical-surgical intensive care units, and rationalizes the risk of antimicrobial resistance and rise of costs associated with this potentially life-saving preventive strategy.…”
Get full text

Prevention of unplanned extubation in neonatal patients: Protocol for a systematic review and meta-analysis. by Ludmylla Cristina de Faria Pontes, Isac Davidson Santiago Fernandes Pimenta, Gidyenne Christine Bandeira Silva de Medeiros, Daniel Guillén-Martínez, Paloma Echevarria-Pérez, Grasiela Piuvezam, Helaine Carneiro Capucho

“…Unplanned extubation (UPE), defined as accidental removal of the endotracheal tube during mechanical ventilation or its replacement due to suspected obstruction or inadequate diameter, is considered the fourth most common adverse event in neonatal intensive care units (NICU). This study aimed to describe a systematic review and meta-analysis protocol that will identify and assess the effect of primary intervention measures designed to prevent UPE in NICU. …”
Get full text

Decision Making in the PICU: An Examination of Factors Influencing Participation Decisions in Phase III Randomized Clinical Trials by Laura E. Slosky, Marilyn Stern, Natasha L. Burke, Laura A. Siminoff

“…Given the profound levels of distress that surrogates of children in pediatric intensive care units (PICU) experience, it is important to understand what factors may be influencing the decision making process beyond the informed consent. …”
Get full text

Ethics and end-of-life in pediatric and neonatal ICUs: a systematic review of recommendations by Diana Špoljar, Sunčana Janković, Dina Vrkić, Geraldine McNamara, Marko Ćurković, Milivoj Novak, Boris Filipović-Grčić, Stefan Grosek, Chris Gastmans, Bert Gordijn, Ana Borovečki

“…Abstract Background Working in neonatal intensive care units (NICUs) or pediatric intensive care units (PICUs) entails making difficult decisions about children at the end of their lives that raise significant ethical issues. …”
Get full text