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01-07-2004 | Special Article

Year in review in intensive care medicine: 2003. II. Brain injury, hemodynamics, gastrointestinal tract, renal failure, metabolism, trauma, and postoperative

Authors: Edward Abraham, Peter Andrews, Massimo Antonelli, Laurent Brochard, Christian Brun-Buisson, Geoffrey Dobb, Jean-Yves Fagon, Johan Groeneveld, Jordi Mancebo, Philipp Metnitz, Stefano Nava, Michael Pinsky, Peter Radermacher, Marco Ranieri, Christian Richard, Robert Tasker, Benoit Vallet

Published in: Intensive Care Medicine | Issue 7/2004

Excerpt

Considerable interest remains in measuring cerebral blood flow and in ascertaining the adequacy of cerebral blood flow, cerebral perfusion pressure, and substrate delivery/metabolism after acute brain injury. Researchers today are dogged by the same problem that faced pioneers many decades ago: that the brain is inaccessible within the skull. The combined technologies of magnetic resonance imaging, positron emission tomography, transcranial Doppler ultrasound, near infrared reflectance spectroscopy (NIRS), and cerebral microdialysis offer the prospect of better understanding the basic regulatory mechanisms that remain to be elucidated in neurophysiology. Cross-sectional imaging/signals offer the potential for spatial resolution but cannot provide the vigilance desirable in critical care monitoring, and bedside monitors measure either indirect variables or regional variables that may not accurately reflect other brain subregions. What is required is a “bottom-up” modeling exercise, which generates a model of cerebral autoregulation, from cellular metabolism to global cerebral perfusion. …

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Wagner BP, Gertsch S, Ammann RA, Pfenninger J (2003) Reproducibility of the blood flow index as noninvasive, bedside estimation of cerebral blood flow. Intensive Care Med 29:196–200PubMed

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25.

Boldt J, Brenner T, Lehmann A, Lang J, Kumle B, Werling C (2003) Influence of two different volume replacement regimens on renal function in elderly patients undergoing cardiac surgery: comparison of a new starch preparation with gelatin. Intensive Care Med 29:763–769PubMed

26.

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29.

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30.

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31.

Tamion F, Hamelin K, Duflo A, Girault C, Richard JC, Bonmarchand G (2003) Gastric emptying in mechanically ventilated critically ill patients: effect of neuromuscular blocking agent. Intensive Care Med 29:1717–1722CrossRefPubMed

32.

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Kavarana MN, Frumento RJ, Hirsch AL, Oz MC, Lee DC, Bennett-Guerrero E (2003) Gastric hypercarbia and adverse outcome after cardiac surgery. Intensive Care Med 29:742–748PubMed

48.

Molnar Z, Szakmany T, Koszegi T (2003) Prophylactic N-acetylcysteine decreases serum CRP but not PCT levels and microalbuminuria following major abdominal surgery. A prospective, randomised, double-blinded, placebo-controlled clinical trial. Intensive Care Med 29:749–755PubMed

49.

Ben Hamida C, Lauzet JY, Rezaiguia-Delclaux S, Duvoux C, Cherqui D, Duvaldestin P, Stephan F (2003) Effect of severe thrombocytopenia on patient outcome after liver transplantation. Intensive Care Med 29:756–762PubMed

50.

Hugot P, Sicsic JC, Schaffuser A, Sellin M, Corbineau H, Chaperon J, Ecoffey C (2003) Base deficit in immediate postoperative period of coronary surgery with cardiopulmonary bypass and length of stay in intensive care unit. Intensive Care Med 29:257–261PubMed

Title: Year in review in intensive care medicine: 2003. II. Brain injury, hemodynamics, gastrointestinal tract, renal failure, metabolism, trauma, and postoperative
Authors: Edward Abraham
Peter Andrews
Massimo Antonelli
Laurent Brochard
Christian Brun-Buisson
Geoffrey Dobb
Jean-Yves Fagon
Johan Groeneveld
Jordi Mancebo
Philipp Metnitz
Stefano Nava
Michael Pinsky
Peter Radermacher
Marco Ranieri
Christian Richard
Robert Tasker
Benoit Vallet
Publication date: 01-07-2004
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 7/2004
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-004-2339-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Year in review in intensive care medicine: 2003. II. Brain injury, hemodynamics, gastrointestinal tract, renal failure, metabolism, trauma, and postoperative

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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