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Chapter and Conference Paper
Managing and Leading in Critical Care
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Chapter and Conference Paper
Re-organizing Health Care Systems to Optimize Critical Care Outcomes
Short-term health outcomes maybe an attractive measure of success for individual hospital departments. For example a coronary care unit (CCU) may feel that improvements in morbidity and mortality following car...
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Chapter and Conference Paper
Identifying the Patient-at-Risk: Technology and ICU Outreach Services
The provision of intensive care to critically-ill patients is a very costly endeavor. Intensive care units (ICUs) account for approximately 10% of inpatient acute care beds in the United States [1, 2], and thi...
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Chapter
Introduction — Critical Care: Problems, Boundaries and Outcomes
As we enter a new millennium and complete almost half a century since the first intensive care units were developed, the conjunction is an opportune occasion on which to reflect on past achievements and future...
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Chapter
The Immunological Effects of Hypertonic Saline
Sporadic reports on the use of high salt crystalloid solutions, or hypertonic saline, date back to the beginning of the 20th century. Hypertonic solutions were most often used to correct electrolyte abnormalities...
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Chapter and Conference Paper
The Immunological Effects of Hypertonic Saline
Sporadic reports on the use of high salt crystalloid solutions, or hypertonic saline, date back to the beginning of the 20th century. Hypertonic solutions were most often used to correct electrolyte abnormalities...
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Chapter
Translating the Evidence: Creating and Sustaining Change
The ability to change clinical practice patterns is a major determinant of clinical effectiveness in intensive care medicine, a discipline with a rapidly evolving knowledge base. A broad range of strategies ca...
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Chapter and Conference Paper
Pancreatic Dysfunction in Critical Illness
In recent years, multiple organ dysfunction syndrome (MODS) has been studied extensively because of its relationship to adverse outcome in sepsis. In fact, the dysfunction of organs such as the lung, the kidne...
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Article
Roundtable Conference on Tissue Oxygenation in Acute Medicine, Brussels, Belgium, 14–16 March 1998
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Chapter and Conference Paper
Intestinal Microcirculation: Changes in Sepsis and Effect of Vasoactive Manipulation
Multiple organ dysfunction syndrome (MODS) continues to be a source of excessive morbidity and mortality in the critically ill population [1]. While the pathogenesis of MODS remains to be fully elucidated, a p...
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Chapter and Conference Paper
The Red Blood Cell and Nitric Oxide
Primary intracellular targets for the biological actions of nitric oxide (NO) are iron and heme-containing proteins [1]. Quantitatively, the major reaction of NO in vivo is with oxyhemoglobin [2]. Therefore, whil...
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Article
Ventilatory care in a selection of ontario hospitals: bigger is not necessarily better!
To determine whether there is variability in the structure and process of ventilatory care in intensive care units (ICUs) of the hospitals of Southwestern Ontario.
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Chapter and Conference Paper
Development of Myocardial Tolerance to Ischemia/Reperfusion and Septic Injury
Myocardial resistance to ischemia/reperfusion (I/R) injury can be induced by pre-treating the myocardium with brief I/R episodes [1]. This protective effect of I/R pre-treatment is termed “pre-conditioning”. P...
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Chapter and Conference Paper
The Red Blood Cell: New Ideas About an Old Friend
With the introduction of the microscope in the early 1600s, scientists observed “red particles” in circulating fluid. Borel (1620–1689) and Kircher (1602–1680), both pioneer microscopists, descibed these objec...
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Article
Understanding the ICU business in Europe
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Article
Assessing the efficiency of the admission process to a critical care unit: does the literature allow the use of benchmarking?
To determine the ability of the current literature to supply appropriate data for benchmarking admission practice to a multidisciplinary critical care unit. Design: Retrospective review of data collected prospec...
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Chapter and Conference Paper
O2 Transport in the Peripheral Circulation in Sepsis
Complicating severe bacterial infection, sepsis is a clinical syndrome distinguished by systemic microvascular inflammation and widespread tissue injury. The incidence of sepsis is increasing as society ages a...
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Article
Free Papers
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Chapter and Conference Paper
Sepsis, Anemia, and Tissue O2 Availability
Complicating severe bacterial infection, sepsis is a clinical syndrome distinguished by systemic inflammation and widespread tissue injury. As survival has been associated with improving tissue O2 availability [1...
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Article
Sepsis, SIRS and infection