Posts Tagged ‘Critical Care Series’

Take the Critical Care Challenge

Posted by • April 18th, 2014

In this month’s Critical Care Challenge, our  77-year-old patient is on mechanical ventilation in the ICU after an emergency colon resection, complicated by septic shock and acute liver failure. Since it appears his stay in the ICU will be prolonged, what measures would you take to optimize his long-term recovery? Participate in the poll and share… Read More…

Take the Critical Care Challenge

Posted by • December 11th, 2013

In this month’s Critical Care Challenge, our sedated and intubated patient’s condition stabilized for two days, after which his ALT suddenly rose to 3402, his AST to 5322, and his bilirubin to 3.8. How should his liver failure be treated? Vote and comment now on NEJM.org and find the results and answer on December 26 in… Read More…

Take the Critical Care Challenge!

Posted by • November 13th, 2013

A 77-year-old man is undergoing mechanical ventilation after severe sepsis and circulatory shock. After fluid resuscitation, pulmonary-artery pressure is 11 mm Hg. Echocardiography shows normal ventricular function. What strategy is indicated for mechanical ventilation? On November 28th, we will publish the fourth article in our Critical Care review series, Ventilator-Induced Lung Injury.  In advance of its release,… Read More…

Circulatory Shock

Posted by • November 1st, 2013

Circulatory shock is present when physical signs and changes in laboratory values suggest tissue hypoperfusion. This article in our Critical Care Medicine series reviews the diagnosis and treatment of various forms of shock. Shock is the clinical expression of circulatory failure that results in inadequate cellular oxygen utilization. Shock is a common condition in critical care,… Read More…

Resuscitation Fluids

Posted by • September 27th, 2013

IV fluids are widely used in intensive care units for resuscitation. There is emerging evidence that the type and dose of resuscitation fluid may affect patient-centered outcomes. The latest article in our Critical Care series reviews the various fluids available and how to choose among them. Fluid resuscitation with colloid and crystalloid solutions is a ubiquitous intervention… Read More…

Take the Critical Care Challenge

Posted by • September 11th, 2013

A 77-year old man is admitted to the ICU after a Hartmann’s procedure performed for fecal peritonitis due to a perforated sigmoid colon. After an assessment showing that the patient has inadequate intravascular volume, which one of the following options for fluid resuscitation would you choose to be administered over the next 30 minutes to 1 hour?… Read More…